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The Effectiveness of a Mindfulness-Based Stress Management Protocol on Academic Anxiety, Emotion Regulation, and Psychological Well-Being in Female University Students

Mohammad Ebrahim Hokmabadi, Javad Qafourinasab, Abazar Ashtari Mehrjardi, Fatemeh Salari, Toktam Azizi

SRPH Journal of Medical Sciences and Healthcare Management February 25, 2026 DOI: 10.47176/sjmshm.8.2.16 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Quasi-experimental pretest-posttest design with control group and two-month follow-up Peer reviewed
Sample size 30
Population Female university students at Islamic Azad University, Neyshabur Branch, 2025-2026 academic year
Intervention Mindfulness-Based Stress Reduction (MBSR)
Duration Eight 90-minute sessions; two-month follow-up
Measures Academic Anxiety Questionnaire, Garnefski and Kraaij Cognitive Emotion Regulation Questionnaire, Ryff's Psychological Well-Being Scale
Topics Anxiety Meditation
Key findings The MBSR group showed significant reductions in academic anxiety and maladaptive emotion regulation strategies and increases in adaptive emotion regulation strategies and psychological well-being compared with the waiting-list control, with changes relatively maintained at two-month follow-up. The authors conclude that MBSR is effective for reducing emotional-cognitive difficulties and enhancing positive mental health indicators among female students.

Abstract

The present study aimed to investigate the effectiveness of the Mindfulness-Based Stress Reduction (MBSR) protocol on academic anxiety, emotion regulation, and psychological well-being among female university students.This study employed a quasi-experimental pretest-posttest design with a control group and a two-month follow-up.The statistical population consisted of female students at Islamic Azad University, Neyshabur Branch, during the 2025-2026 academic year.A total of 30 participants were selected through purposive sampling and randomly assigned to an experimental group and a control group (15 participants in each group).The experimental group received the MBSR intervention in eight 90-minute sessions, while the control group remained on a waiting list.The research instruments included the Academic Anxiety Questionnaire, the Garnefski and Kraaij Cognitive Emotion Regulation Questionnaire, and Ryff's Psychological Well-Being Scale.Data were analyzed using repeated-measures analysis of variance and Bonferroni post hoc tests.The results indicated that the main effect of time and the interaction effect of time × group were significant for academic anxiety, adaptive and maladaptive emotion regulation strategies, and psychological well-being.Specifically, academic anxiety and maladaptive emotion regulation strategies decreased in the experimental group, whereas adaptive emotion regulation strategies and psychological well-being increased, and these changes were relatively maintained at follow-up.Therefore, it can be concluded that the MBSR protocol is an effective intervention for reducing emotional-cognitive difficulties and enhancing positive mental health indicators among female students.