A Cluster Analysis of EPOCH Questionnaire Data from University Students in Sichuan, China: Exploring Group Differences in Psychological Well-Being and Demographic Factors
(1) Background: University students face increasing mental health challenges, with sociodemographic disparities shaping well-being outcomes and highlighting the need for machine learning approaches to identify distinct psychological profiles. (2) Methods: This cross-sectional study surveyed 4911 Chinese university students (aged 18-25) using the EPOCH Questionnaire, which measures Engagement, Perseverance, Optimism, Connectedness, and Happiness. Data were collected via WenjuanXing (WJX), with recruitment promoted through official channels. Well-being profiles were identified through exploratory K-means clustering, with internal validity and the optimal cluster number assessed using the silhouette coefficient. (3) Results: Cluster analysis identified two distinct groups: Cluster 0 (41.09%) with higher well-being scores and Cluster 1 (58.91%) with lower scores. Differences across all five EPOCH dimensions exceeded 1.0, most notably in Optimism (Δ = 1.31) and Happiness (Δ = 1.37). A subgroup of concern within Cluster 1 (<i>n</i> = 92), primarily male sophomores from rural, low-income, multi-child families receiving financial aid, showed particularly low scores in Connectedness (Δ = -0.57) and Happiness (Δ = -0.43). In contrast, a high well-being subgroup in Cluster 0 (n = 108), mainly urban female freshmen from high-income, only-child families, exhibited elevated scores, especially in Connectedness (Δ = 0.69) and Happiness (Δ = 0.65). (4) Conclusions: This exploratory clustering study identified distinct well-being profiles among Chinese university students, with demographic and socioeconomic vulnerabilities associated with diminished psychological well-being, particularly in Connectedness, Happiness, and Optimism. These findings highlight the need for targeted interventions that integrate psychosocial support with financial assistance to reduce inequalities and promote flourishing.
Authors
- Juan Wan (ORCID: https://orcid.org/0000-0002-6187-5113)
- Ching Sin Siau (ORCID: https://orcid.org/0000-0001-7612-6839)
- Lijuan Ren (ORCID: https://orcid.org/0000-0003-2908-9240)
- Lei Hum Wee (ORCID: https://orcid.org/0000-0002-8787-8128)
- Yufei Tan
- Yin How Wong (ORCID: https://orcid.org/0000-0003-2421-4735)
Institutions
- Chengdu University of Information Technology (CN)
- University Kebangsaan Malaysia Medical Centre (MY)
- Taylor's University (MY)
Publication Details
- Journal
- Healthcare
- Published
- 2025-09-29
- DOI
- https://doi.org/10.3390/healthcare13192476
- Primary Topic
- Psychological Well-being and Life Satisfaction
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Chengdu University of Information Technology
- Chengdu University