The effectiveness of mindfulness training on coping with stress, exam anxiety, and happiness to promote health
Hajar Zandi, Ali Amirinejhad, Akbar Azizifar, Sehat Aibod, Y. Veisani, Fathola Mohamadian
Journal of Education and Health Promotion May 31, 2021 DOI: 10.4103/jehp.jehp_616_20 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Quasi-experimental with control group, pretest and posttest Peer reviewed |
|---|---|
| Sample size | 40 |
| Population | Female secondary high school students in Sanandaj, Iran |
| Intervention | Mindfulness training |
| Measures | Oxford Happiness Questionnaire, Sarason Exam Anxiety Questionnaire, Andler and Parker Stress Management Questionnaire |
| Topics | Anxiety Meditation |
| Key findings | Mindfulness training significantly improved coping styles (problem-oriented, emotion-oriented, and avoidant), reduced test anxiety, and increased happiness and its components (life satisfaction, self-esteem, active well-being, satisfaction, positive mood) in female high school students compared to controls. |
Abstract
Background: Mindfulness as an intervention approach in mental health has been increasingly used to promote health in young people. The aim of this study was to investigate the effectiveness of mindfulness training on coping with stress, test anxiety, and happiness to promote health in female high school students.
Materials and Methods: The design of this study was quasi-experimental with control group, with pretest and posttest. The statistical population of the study included all the female students studying in the secondary high school in the city of Sanandaj in Iran with 2890 students, 40 of whom were selected by simple random sampling method and were randomly assigned to the experimental (20 individuals) and control groups (20 individuals). Participants completed the Oxford Happiness (0.79), Sarason Exam Anxiety (0.87), and Andler and Parker Stress Management (0.81) Questionnaires. The method of intervention was training based on mindfulness. Data were analyzed using covariance analysis.
Results: The results showed that in the posttest, a significant difference was seen between the mean scores of the participants of the experimental and control groups in the variables of problem-oriented, emotion-oriented, and avoidant coping variables (P < 0.05). In addition, the results showed that in the posttest, there was a significant difference between the mean scores of test anxiety; happiness; and happiness components including life satisfaction, self-esteem, active well-being, satisfaction, and positive mood (P < 0.05).
Conclusions: Based on the results of the present study, it can be said that mindfulness training is an effective intervention to improve coping styles, test anxiety, and happiness in students.
Comparable studies
Other experimental studies on anxiety, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| A PILOT STUDY OF GROUP MINDFULNESS-BASED COGNITIVE THERAPY (MBCT) FOR COMBAT VETERANS WITH POSTTRAUMATIC STRESS DISORDER (PTSD) Veterans with chronic combat posttraumatic stress disorder seeking treatment at a VA... | 2013 | Quasi-experimental with treatment-as-usual comparison group | n = 37 |
| Being present in the face of existential threat: The role of trait mindfulness in reducing defensive responses to mortality salience. | 2010 | Experimental study | |
| Neural correlates of mindfulness meditation-related anxiety relief Healthy adults with no prior meditation experience | 2013 | Within-subjects experimental study | n = 15 |
| Intensive mindfulness training-related changes in cognitive and emotional experience Community adults | 2009 | Quasi-experimental and longitudinal | n = 69 |
| Prospective examination of synthetic 5-methoxy-N,N-dimethyltryptamine inhalation: effects on salivary IL-6, cortisol levels, affect, and non-judgment Volunteers | 2019 | Within-subjects experimental study | n = 11 |
Citations in the library
Cited by 10
- Relationship between mindfulness, test anxiety, and academic performance among nursing students. Journal of Education and Health Promotion 2025
- The Effects of Mindfulness Practice on Anxiety and Test Anxiety in a College Student Population Utilizing a RCT and WLC. Psychological Reports July 7, 2025
- Comparative Effectiveness of Mindfulness Training and Metacognitive Strategies in Reducing Academic Self-Handicapping and Enhancing Academic Hope among Procrastinating Students Archives of Hygiene Sciences September 14, 2026
- The role of mindfulness programs in reducing student anxiety and stress Kontakt January 16, 2026
- The Effect of Mindfulness Practices on Positive Thinking and Stress Coping Behaviors of Earthquake Survivor Nursing Students: A Nonrandomized Controlled Study. Journal of Holistic Nursing June 5, 2025
and 5 more in the library
Cites 9
- Mindfulness Based Stress Reduction (MBSR) for Improving Health, Quality of Life, and Social Functioning in Adults Campbell Systematic Reviews 2012
- Mindfulness-based stress reduction effects on moral reasoning and decision making The Journal of Positive Psychology September 11, 2012
- The Effectiveness of Mindfulness- Based Cognitive Therapy on Cognitive Failure and Emotional Processing in Anxious Nurses Iran Journal of Nursing October 1, 2016
- The Effects of Meditation, Yoga, and Mindfulness on Depression, Anxiety, and Stress in Tertiary Education Students: A Meta-Analysis Frontiers in Psychiatry April 24, 2019
- The Effectiveness of Mindfulness-based Cognitive Therapy on Psychological Symptoms and Quality of Life in Systemic Lupus Erythematosus Patients: A Randomized Controlled Trial Oman Medical Journal October 11, 2017
and 4 more in the library