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What Makes Mindfulness-Based Stress Reduction Programs Effective Among Dutch Elementary School Teachers? The Mediating Role of Mindfulness Skills, Self-Compassion, Emotion Regulation, and Teacher Self-Efficacy

Marieke Rombouts, Johanna H. Lensen, Jannis T. Kraiss, Edith L. Duinhof, Karin Monshouwer, Sabine E. M. J. Stoltz, Ron H. J. Scholte, Anne E. M. Speckens, Marloes Kleinjan

Mindfulness September 1, 2025 DOI: 10.1007/s12671-025-02662-0 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Preregistered Peer reviewed
Sample size 146
Population Dutch elementary school teachers
Intervention Mindfulness-Based Stress Reduction (MBSR)
Duration Intervention with post-test and 3-month follow-up
Topics Meditation
Key findings Self-compassion and emotion regulation mediated the effects of MBSR on perceived stress, self-compassion mediated effects on well-being, and teacher self-efficacy mediated effects on classroom climate quality. The authors propose that targeting self-compassion and self-efficacy could enhance MBSR's benefits for teachers.

Abstract

Abstract Objectives Few studies have examined why Mindfulness-Based Stress Reduction (MBSR) programs are effective among teachers. The aim of this study was to examine possible mediators underlying the effectiveness of an MBSR program for Dutch elementary school teachers.

Methods: Data of a randomized controlled trial (RCT) with intervention (n = 72) versus control group (n = 74) were used. Questionnaires were completed before and after the intervention and at 3-month follow-up. First, 12 mediation models with mindfulness skills, self-compassion, teacher self-efficacy, or emotion regulation as mediator (M) at post-test and perceived stress, well-being, and classroom climate quality as dependent variables (Y) at 3-month follow-up were conducted. Second, when these factors have shown to be mediating factors in the simple mediation models, they were entered simultaneously in three multiple mediation models for each dependent variable.

Results: Self-compassion and emotion regulation mediated the effects of the MBSR program on perceived stress. Self-compassion mediated the effect of the MBSR program on well-being and teacher self-efficacy on classroom climate quality.

Conclusions: Findings imply that including intervention components targeting self-compassion and self-efficacy might increase the effectiveness of MBSR programs in reducing teachers’ perceived stress and improving teachers’ well-being and classroom climate quality. In addition, emotion regulation is an important aspect to maintain in current MBSR programs. Preregistration The study is preregistered (https://www.onderzoekmetmensen.nl/nl/trial/21817).

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

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