“…Several previous studies that examined adjustment issues in samples of international students have used the stress-coping conceptual framework proposed by Lazarus (1985) or others to describe the influence of a range of stressors on adjustment, as well as relevant negative health risk behavior outcomes. The range of stressors studied included, but was not limited to, contextual demands for English language proficiency (Yeh & Inose, 2003), pedagogical issues involving the host educational institution (Maxwell, Adam, Pooran, & Scott, 2000), financial stress factors (Yang & Clum, 1994), and perceptions of racial discrimination (Klonoff, Landrine, & Ullman,1999;Sandhu, 1994). These studies examined negative mental health adjustment outcomes such as depression, anxiety, and health risk behaviors (Krammer, Prüfer-Kramer, Stock, & Tshiananga, 2004), academic failure (Michailidis, 1996), suicidal ideation (Cho, 2003), in addition to stressors related to the weather and climate of the host country.…”