An interventional study of Mindfulness-Based Intervention and Health Education in Depression, Anxiety and Stress, sponsored by Universiti Sains Malaysia. Completed at 1 site in China. Open to participants aged 18 Years to 30 Years. Per ClinicalTrials.gov, last updated 2026-08-03.
Sponsored by Universiti Sains Malaysia · Not applicable, Interventional, and Treatment
This study examines whether a four-week mindfulness-based intervention can reduce depression, anxiety, and stress among college students in Guangzhou, China. It also investigates whether changes in mindfulness, emotion regulation, and psychological resilience may help explain the effects of the intervention.
Eligible participants will be randomly assigned to either a mindfulness intervention group or a health education control group. The intervention group will receive weekly mindfulness-based training and complete brief daily mindfulness practice, while the control group will receive health education sessions. Participants will complete questionnaires assessing mindfulness, cognitive reappraisal, expressive suppression, psychological resilience, depression, anxiety, and stress before and after the intervention and at follow-up.
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Exclusion Criteria:
Participants in this arm will receive a four-week mindfulness-based intervention. The program includes weekly group sessions and brief daily home practice focusing on mindful breathing, body awareness, mindful movement, and awareness of thoughts and emotions.
Behavioral: Mindfulness-Based Intervention
Participants in this arm will receive health education sessions of comparable frequency and duration, focusing on stress management, emotional well-being, and healthy lifestyle practices.
Behavioral: Health Education
Participants received a four-week mindfulness-based intervention consisting of one 90-minute group session per week and approximately 10 minutes of daily home practice. The program included mindful breathing, body scan practice, mindful movement, awareness of thoughts and emotions, and exercises for responding to stress. The intervention was adapted from mindfulness-based stress reduction principles for college students.
Participants received a four-week health education program consisting of one group session per week. The sessions addressed general stress management, emotional well-being, healthy lifestyle practices, and other health-related topics. The program did not include mindfulness meditation or formal mindfulness practice.
Change in Depression, Anxiety, and Stress Symptoms Assessed by the Depression Anxiety Stress Scales-21
Depression, anxiety, and stress symptoms will be assessed using the 21-item Depression Anxiety Stress Scales (DASS-21). The scale contains three 7-item subscales measuring depression, anxiety, and stress. Each item is rated from 0 to 3. Subscale scores are summed and multiplied by two, with higher scores indicating greater symptom severity.
Time frame: Baseline and immediately after the 4-week intervention
Change in Mindfulness Assessed by the 15-Item Five Facet Mindfulness Questionnaire
Mindfulness will be assessed using the 15-item Five Facet Mindfulness Questionnaire (FFMQ-15). Items are rated on a Likert-type scale and summed to produce a total score, with higher scores indicating a higher level of mindfulness.
Time frame: Baseline and immediately after the 4-week intervention
Change in Cognitive Reappraisal Assessed by the Emotion Regulation Questionnaire
Cognitive reappraisal will be assessed using the 6-item cognitive reappraisal subscale of the Emotion Regulation Questionnaire. Items are rated from 1 to 7 and summed, with higher scores indicating greater use of cognitive reappraisal.
Time frame: Baseline and immediately after the 4-week intervention
Change in Expressive Suppression Assessed by the Emotion Regulation Questionnaire
Expressive suppression will be assessed using the 4-item expressive suppression subscale of the Emotion Regulation Questionnaire. Items are rated from 1 to 7 and summed, with higher scores indicating greater use of expressive suppression.
Time frame: Baseline and immediately after the 4-week intervention
Change in Psychological Resilience Assessed by the Connor-Davidson Resilience Scale
Psychological resilience will be assessed using the Connor-Davidson Resilience Scale. Item scores are summed to produce a total score, with higher scores indicating greater psychological resilience.
Time frame: Baseline and immediately after the 4-week intervention
Plan to share: No — Individual participant data will not be shared publicly because the consent obtained from participants did not specifically include public or external sharing of individual-level data. Only aggregated and de-identified study findings will be reported in publications and academic presentations.
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This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.
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Universiti Sains Malaysia