The mental health of nursing students during the COVID-19 pandemic: Beneficial effects of mindfulness-based stress reduction.
Fariba Eslamimoghadam, Zahra Abedini, Ashraf Khoramirad
Heliyon June 30, 2024 DOI: 10.1016/j.heliyon.2024.e32986 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 72 |
| Population | Nursing students at Qom University of Medical Sciences |
| Intervention | Mindfulness-Based Stress Reduction (MBSR) |
| Duration | 2-month follow-up |
| Topics | Anxiety Depression Meditation |
| Keywords | Mindfulness-based stress reduction Nursing students |
| Citations | 7 |
| Key findings | MBSR delivered via social networks significantly reduced stress, anxiety, and depression in nursing students during the COVID-19 pandemic, with effects maintained at a two-month follow-up. |
Abstract
Following the COVID-19 global emergency, health students were faced with increased workloads, university closures, study interruptions, loss of peer support networks, and the challenges of volunteer work in hospitals. These factors caused health students to experience significant stress and anxiety, highlighting the necessity of psychological interventions for this group. Several studies have reported that a mindfulness-based stress reduction (MBSR) protocol offers valuable coping skills for traumatic events. This study aimed to investigate the impact of Mindfulness-Based Stress Reduction (MBSR) on stress, anxiety, and depression among nursing students at Qom University of Medical Sciences during the COVID-19 pandemic. This experimental study was conducted on 72 nursing students from the nursing faculty of Qom University of Medical Sciences in 2020. The sampling was conducted using stratified sampling, and the allocation method employed was simple randomization. MBSR intervention based on social networks was implemented for the experimental group. The Stress-Anxiety-Depression Assessment Questionnaire (DASS-21) was completed by both groups before the study commenced, immediately after, and 2 months post-intervention. Data were analyzed in SPSS-16 using t-test, chi-square, and repeated measures analysis. Analysis of variance with repeated measures showed that in the experimental group, the effect of time on the average score of stress, anxiety, and depression is significant (p < 0.001). The t-test showed significant differences between the two groups in terms of stress, anxiety, and depression scores immediately after the intervention (p < 0.001) and in the follow-up phase (p < 0.001). MBSR based on social networks is effective and applicable in reducing stress, anxiety, and depression among nursing students during the COVID-19 pandemic. It is suggested that MBSR should be included in the curriculum of nursing students so that they can have the necessary mental preparation to face acute critical conditions such as COVID-19.
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |
Citations in the library
Cited by 7
- A systematic review of mindfulness-based stress reduction in the management of anxiety disorders among adolescents and young adults aged 13-26. Asian Journal of Psychiatry June 1, 2025
- Effectiveness of Mindfulness on Student Anxiety and Depression During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Nursing & health sciences December 1, 2024
- The effectiveness of mindfulness-based interventions in reducing anxiety and depression among students: a systematic review and meta-analysis Clinical Psychologist February 9, 2026
- Effect of mindfulness-based stress reduction on nursing interns' death anxiety, stress, and palliative care self-efficacy during oncology end-of-life training. Palliative & Supportive Care September 11, 2026
- Benefits of mindfulness-based interventions on stress and anxiety among undergraduate nursing students: A systematic review and meta-analysis. Nurse Education Today August 25, 2026
and 2 more in the library
Cites 13
- The efficacy of mindfulness-based interventions on mental health among university students: a systematic review and meta-analysis. Frontiers in Public Health 2023
- Virtual mindfulness interventions to promote well-being in adults: A mixed-methods systematic review. Journal of Affective Disorders January 4, 2022
- The effects of mindfulness-based interventions in COVID-19 times: a systematic review Journal of Human Growth and Development June 23, 2022
- The Influence of Mindfulness on the Decreasing Anxiety in Nursing Students to Support Academic Learning: A Literature Review Holistic Nursing and Health Science July 10, 2018
- Fear of COVID-19 and Mental Health: The Role of Mindfulness in During Times of Crisis. International Journal of Mental Health and Addiction April 26, 2021
and 8 more in the library