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The effect of a mindfulness-based cognitive therapy program on depression, anxiety, stress, and cognitive flexibility in nursing students: A randomized clinical trial.

Ferhan Acikgoz, Aysel Karaca

Journal of Professional Nursing 2025 DOI: 10.1016/j.profnurs.2024.12.005 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Population Nursing students
Intervention Online mindfulness-based cognitive therapy program
Topics Anxiety Depression Meditation
Keywords Cognitive flexibility Mindfulness-based cognitive therapy Nursing student Stress
Citations 14
Key findings The online mindfulness-based cognitive therapy program reduced depression, anxiety, and stress and increased cognitive flexibility among nursing students.

Abstract

It is known that the depression, anxiety, and stress levels of the nursing students are higher compared to the general student population. Nursing educators should use evidence-based, effective, and innovative interventions to help students recognize and reduce their mental symptoms. This study aimed to determine the effect of the online mindfulness-based cognitive therapy program, which was implemented for nursing students, on depression, anxiety, stress and cognitive flexibility levels. This randomized controlled trial study adopted a pretest-posttest-follow-up test research design. As a result of the analyses, the intervention group had lower scores in the post-test and follow-up test measurements of the depression, anxiety and stress dimensions of the Depression-Anxiety and Stress Scale compared to the control group, and there was a statistically significant difference between them (p < 0.05). The post-test and follow-up test Cognitive Flexibility Inventory scores of intervention students were higher than those of the students in the control group and there was a statistically significant difference between them (p < 0.05). The results of this study demonstrate that this program can reduce depression, anxiety, stress and increase cognitive flexibility levels among nursing students.

Comparable studies

Other randomized controlled trials on anxiety, most cited first.

Study Year Design Participants
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial Cancer patients with life-threatening diagnoses and symptoms of depression and/or anxiety 2016 Randomized controlled trial n = 51
Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial Patients with cancer-related anxiety and depression 2016 Double-blind, placebo-controlled, crossover trial n = 29
Psilocybin can occasion mystical-type experiences having substantial and sustained personal meaning and spiritual significance Hallucinogen-naïve adults reporting regular participation in religious or spiritual... 2006 Double-blind study n = 36
Pilot Study of Psilocybin Treatment for Anxiety in Patients With Advanced-Stage Cancer Adults with advanced-stage cancer and anxiety 2010 Double-blind, placebo-controlled study n = 12

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