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The association of mindfulness on psychological distress among Chinese university students: a culturally contextualized investigation.

Frontiers in Public Health June 23, 2026 DOI: 10.3389/fpubh.2026.1828163 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional study Peer reviewed
Sample size 432
Population Undergraduates from four Chinese universities
Topics Meditation
Key findings Mindfulness was negatively associated with psychological distress (β = –0.34), with the link weaker under high academic pressure and stronger under high family expectations. Resilience and cognitive reappraisal jointly mediated the association (total β = 0.71), and effects varied by gender and academic discipline. The authors argue the relationship is culturally contingent and that interventions should combine personal training with environmental support.

Abstract

Introduction: Mindfulness training benefits psychological well‑being, but its mechanisms in culturally specific contexts (e.g., Chinese university students facing academic pressure and family expectations) remain poorly understood.

Methods: Cross‑sectional stratified random sampling of 432 undergraduates from four Chinese universities. Standardized scales measured mindfulness, psychological distress, resilience, emotion regulation (cognitive reappraisal, expressive suppression), social support (instrumental, emotional, informational), academic pressure, and family expectations. Analysis used hierarchical regression, SEM, and moderated mediation.

Results: Mindfulness negatively correlated with psychological distress ( β = –0.34, p < 0.001). This correlation was moderated by academic pressure (weaker under high pressure) and family expectations (stronger under high expectation). Resilience and cognitive reappraisal showed synergistic mediation (total β = 0.71). Effects varied by gender and academic discipline.

Discussion: The mindfulness‑distress relationship is culturally contingent. Interventions should be locally tailored, combining personal training with environmental support.

Comparable studies

Other cross-sectional and survey studies on meditation, most cited first.

Study Year Design Participants
Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups 2008 Cross-sectional study
Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants 2007 Observational cross-sectional n = 27
Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents 2011 Cross-sectional validation study n = 1,413
Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators 2012 Cross-sectional study n = 152
Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates 2008 Cross-sectional, correlational

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