Showing 72 results for Stress
Samira Atar, Dr Hasan Zareii Mahmoodabadi, Dr Najme Sedrpooshan,
Volume 17, Issue 4 (3-2024)
Abstract
The purpose of this research was to determine the effectiveness of the mindful parenting training package on improving the parent-child relationship, parenting stress, and feelings of loneliness. The research method was practical in terms of purpose and quasi-experimental in terms of data collection method. The statistical population included all parents referring to psychology and counseling clinics in Shiraz, as well as psychologists and specialists in the field of working with children. Among them, 30 people who visited Aram counseling clinic were selected by available sampling method, then they were randomly replaced in two control and experimental groups (15 people each). The data collection tools were Gerard's Parent-Child Relationship Tension Questionnaire, the Abdin Parenting Stress Questionnaire, and Russell et al.'s Loneliness Scale. In order to analyze the data in the quantitative part of the descriptive statistical indicators such as frequency, mean and standard deviation and in order to generalize the findings from inferential statistics, the analysis of covariance test was used. Finally, the conclusion has been reached that the mindful parenting training package has an effect on improving the parent-child relationship, the mindful parenting training package has an effect on reducing parenting stress in mothers, and the mindful parenting training package has an effect on Reducing the feeling of loneliness in mothers has an effect.
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Samaneh Akbari Bijani, Mohammad Hadi Safi, Yasir Rezapour Mirsaleh,
Volume 18, Issue 1 (6-2024)
Abstract
The current study was conducted with the aim of investigating the lived experience of psychological distress in people with Corona. The statistical population of this research was all people infected with corona in Isfahan province, 14 of whom were selected using Kessler's Psychological Distress Questionnaire and in a purposeful way, who had the criteria to enter the research. The research data was collected using in-depth semi-structured interviews and the sampling continued until data saturation. The analysis of the research data was carried out using the Claysey method, which led to the extraction of 3 main themes of "disorder of straw power", "increasing dangers" and "internal commotion" and 15 sub-themes. The results of this research revealed that people with corona not only perceive experiences related to psychological distress from an individual point of view, but also from a family and social point of view, they are involved in unpleasant situations that aggravate psychological distress in them.
Dr Nader Hajloo, Mr Ali Salmani, Miss Aysan Sharei,
Volume 18, Issue 1 (6-2024)
Abstract
The study aimed to explore teaching cognitive emotion regulation strategies' effectiveness on cognitive processing and distress tolerance in female students with general anxiety. The research method used was a pre-test-post-test experiment with a control group. The research sample comprised all second-year secondary school students with general anxiety in Ardabil city during the academic year of 2023-2024. Employing purposive sampling, thirty students with general anxiety were randomly split into the experimental (15 individuals) and control (15 individuals) groups. The experimental group received eight 90-minute sessions of the cognitive emotion regulation strategies training program (Gross and Thompson, 2007), and the control group, which was on the waiting list, did not receive any training. In the data collection, Cruz's (1999) cognitive processing questionnaire and Simmons and Gaher's (2005) emotional distress tolerance scale were used. Data were analyzed using multivariate analysis of covariance. The results showed that after controlling the pre-test effects, there was a significant difference between the post-test average of the two groups in cognitive processing (P<0.001; F=27.50) and distress tolerance (P<0.001; F=17.51). Training in cognitive emotion regulation strategies proves effective in enhancing cognitive processing and distress tolerance among students with general anxiety. Based on the research findings, utilizing cognitive emotion regulation training can help alleviate issues in individuals with generalized anxiety.
Dr Mohsen Jalali, Maryam Sayari Markieh, Seyedeh Roghayeh Seyed Aghaei Ahmadi, Soraya Nasiri,
Volume 18, Issue 3 (12-2024)
Abstract
The aim of this study was to examine the effectiveness of cognitive-behavioral stress management training on anxiety, cognitive avoidance, and health-related quality of life in patients with chronic pain. This semi-experimental study used a pre-test-post-test design with follow-up and a control group. The statistical population consisted of patients with chronic pain in Tehran during the second half of 2023. Thirty patients were selected using purposive sampling and randomly assigned to the experimental and control groups. The experimental group participated in 10 sessions of cognitive-behavioral stress management training (Hajilu et al., 2018). To evaluate the impact of the intervention, the Beck Anxiety Inventory (1990), the Sexton and Dugas Cognitive Avoidance Scale (2004), and the Health-Related Quality of Life Questionnaire (2003) were administered at pre-test, post-test, and follow-up stages. Multivariate analysis of covariance revealed that the intervention significantly reduced anxiety and cognitive avoidance while improving health-related quality of life (P<0.05). The results suggest that cognitive-behavioral stress management training can be an effective intervention for improving the mental health and quality of life of patients with chronic pain.
Shahla Goudarzi, Mona Soleiman Heshmat, Melika Bolouri, Hamed Rashidiasl, Mozhgan Esmailpour,
Volume 19, Issue 1 (6-2025)
Abstract
The aim of the present study was to determine the effectiveness of mindfulness-based cognitive therapy (MBCT) on perceived stress and concentration in students with attention deficit hyperactivity disorder (ADHD). This study was a quasi-experimental design with a pre-test, post-test, and follow-up with a control group. The statistical population included all students with attention deficit hyperactivity disorder who referred to Atieh Derakhshan Mind Clinic in Tehran between April and June 2025. Among the eligible individuals, 30 students were selected using convenience sampling and randomly assigned to two experimental and control groups (15 students in each group). The experimental group underwent mindfulness-based cognitive therapy intervention for eight 90-minute sessions, while the control group remained on the waiting list. Data were collected using the Connors Parent Rating Scale, Cohen's Perceived Stress Questionnaire, and the Attention and Concentration Test. The results showed that the mean perceived stress in the experimental group decreased significantly from pre-test to post-test and follow-up, and the mean concentration in this group increased significantly, while no significant change was observed in the control group. Also, the effects of the treatment remained largely stable at the follow-up stage. These findings indicate that mindfulness-based cognitive therapy can be used as an effective intervention to reduce perceived stress and improve concentration in students with attention deficit hyperactivity disorder.
Pooneh Nezakat, Negin Ghadami, Fatemeh Houshmand, Armaghan Atshani Kouchesfahani , Samaneh Kheradiyar,
Volume 19, Issue 1 (6-2025)
Abstract
The present study aimed to examine the effectiveness of a relationship-based mindfulness intervention on perceived stress and the quality of marital interactions among couples experiencing communication problems. This research employed a quasi-experimental design with pretest–posttest, control group, and short-term follow-up. The study population consisted of couples seeking family counseling services in Tehran in 2025, with 30 couples selected through convenience sampling and randomly assigned to experimental and control groups. Instruments included the Cohen Perceived Stress Scale, the Marital Interaction Quality Questionnaire, and a demographic information form. The intervention consisted of eight sessions focused on mindfulness skills applied in relational contexts, including present-moment awareness, mindful listening, conflict management, and empathy cultivation. Data were analyzed using repeated measures ANOVA and post-hoc tests. Results indicated that the intervention significantly reduced perceived stress and enhanced the quality of marital interactions, with effects maintained at short-term follow-up. These findings align with previous studies and highlight the capacity of relationship-based mindfulness to manage conflicts, foster empathy, and improve couples’ relational skills. The study underscores the potential of this intervention as an evidence-based approach for family counselors and preventive programs targeting marital communication issues. Limitations include a small sample size, short-term follow-up, and self-report measures; future studies are recommended to utilize larger samples and longer follow-up periods to examine the durability of intervention effects.
Nazila Kazemi Jame Bozorgi, Dr Amine Jalali,
Volume 19, Issue 2 (9-2025)
Abstract
| The aim of the present study was to investigate the effectiveness of the Mindfulness-Based Stress Reduction (MBSR) program on chronic fatigue, psychosomatic symptoms, and resilience in patients with multiple sclerosis (MS). This applied study was conducted with a pre-test-post-test quasi-experimental design with a control group and a follow-up phase. The statistical population included MS patients referring to the Hormozgan MS Association in Farvardin 1404, from whom 30 people were selected by convenience sampling and randomly assigned to two experimental and control groups (15 people in each group). The experimental group received the mindfulness-based stress reduction program as a group during 8 intervention sessions by a psychologist, while the control group did not receive any intervention. The research instruments included the Fatigue Scale, the Psychosomatic Symptoms Questionnaire, and the Connor-Davidson Resilience Scale. The data were analyzed using analysis of variance with repeated measures. |
The findings showed that the mindfulness-based stress reduction program intervention significantly reduced chronic fatigue and psychosomatic symptoms, as well as significantly increased resilience in the experimental group compared to the control group. The results of the follow-up phase also showed that the effects of the intervention remained largely stable. The largest effect size was related to psychosomatic symptoms, followed by resilience, which indicates the effective role of this intervention in improving emotional regulation and reducing physical symptoms related to stress. In summary, the results of this study indicate that the mindfulness-based stress reduction program can be used as an effective complementary intervention in improving the psychological and physical status of patients with MS and play an important role in improving their quality of life.
Mr. Hesam Soleimani, Mr. Amin Rahmati, Mr. Asem Esmaeili,
Volume 19, Issue 2 (9-2025)
Abstract
The present study was conducted by the structural modelling of attention to emotions (voluntary and involuntary) with worry and stress among students of Shahid Chamran university of Ahvaz with the mediating role of negative affect. The method of the present research was structural equation modeling and the population included all students of Shahid Chamran university of Ahvaz in year 1402-03, of which 312 were selected as a sample by simple random sampling. Structural equation modeling method, bootstrap test, SPSS, and AMOS version 24 software were used for data analysis. After the analysis, it was observed that the model has a good fit and the findings showed that involuntary attention to emotions is directly related to negative affect, worry and stress. But voluntary attention to emotions only has a direct relationship with negative emotions, and its relationship with worry and stress is indirect and through negative affect. Negative affect played a mediating role for the relationship between both types of attention to emotions with worry and stress.
Arshida Sayadi, Fatemeh Houshmand, Seyedeh Reyhaneh Hashemi, Tara Sotvar, Arsalan Barekat,
Volume 19, Issue 2 (9-2025)
Abstract
Attention deficit hyperactivity disorder (ADHD) in adolescence is associated with persistent deficits in self-regulation, poor self-management skills, and increased social-emotional problems, including social anxiety. The aim of the present study was to investigate the effectiveness of a mindfulness-based stress reduction program on self-management skills and social anxiety in adolescents with ADHD. The study was conducted in a quasi-experimental manner with a pre-test-post-test design with a control group and a two-month follow-up. The study population included adolescents aged 13 to 15 years with this disorder, 30 of whom were selected using a convenience method and randomly assigned to two experimental and control groups. The experimental group participated in eight 90-minute sessions of a mindfulness-based stress reduction program, while the control group was on a waiting list. The research instruments included the Adolescent Self-Management Questionnaire and the Adolescent Social Anxiety Scale, which were administered in three stages: pre-test, post-test, and follow-up. Data were analyzed using repeated measures multivariate analysis of variance. The results showed that the implementation of the mindfulness-based stress reduction program significantly increased self-management skills and significantly reduced social anxiety in the experimental group compared to the control group, and these effects remained largely stable at the two-month follow-up. Based on the findings, the mindfulness-based stress reduction program can be used as a complementary and effective intervention in improving cognitive-behavioral functions and reducing social-emotional problems in adolescents with attention deficit hyperactivity disorder.
Masoomeh Hoseinian, Fatemeh Mohammadifar,
Volume 19, Issue 2 (9-2025)
Abstract
The aim of the present study was to investigate the effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on reducing perceived stress in female students with social anxiety. The research method was quasi-experimental with a pretest–posttest design and a control group. The statistical population included seventh-grade female students of lower secondary schools in District 3 of Tehran during the 2024–2025 academic year. The sample consisted of 20 students with symptoms of social anxiety who were selected through purposive sampling and randomly assigned into experimental and control groups (10 students in each group). The experimental group received 9 sessions of 90-minute Intensive Short-Term Dynamic Psychotherapy, while the control group did not receive any intervention. The research instruments included the Social Phobia Inventory (SPIN) and the Depression, Anxiety and Stress Scale (DASS-21). Data were analyzed using analysis of covariance (ANCOVA) in SPSS-26 software.
The results showed that after controlling for the pretest effect, there was a significant difference between the two groups in perceived stress (p < 0.01). The effect size was 0.569, indicating a considerable effectiveness of the intervention. The findings indicated that Intensive Short-Term Dynamic Psychotherapy can significantly reduce stress in female students with social anxiety. |
Zahra Amir Azdi, Soheila Rahmani, Parisa Kolahi,
Volume 19, Issue 2 (9-2025)
Abstract
Fibromyalgia, as a chronic pain disorder, imposes a heavy psychological burden on patients; therefore, this study aimed to determine the effectiveness of the Mindfulness-Based Stress Reduction (MBSR) program on rumination and alexithymia in women with fibromyalgia. The design of this study was semi-experimental, featuring a pre-test, post-test, and a 2-month follow-up with a control group. The statistical population consisted of all women with fibromyalgia who were members of the Fibromyalgia Association, from whom 30 patients were selected through convenience sampling and randomly assigned to either the experimental group or the control group. The experimental group received the MBSR intervention in eight weekly sessions, while the control group received no intervention during this period. The assessment tools included the Toronto Alexithymia Scale and the Ruminative Responses Scale, and the gathered data were analyzed using repeated measures analysis of variance (ANOVA). The statistical results indicated that the Mindfulness-Based Stress Reduction program led to a significant decrease in the scores of ruminations and alexithymia in the experimental group compared to the control group. Furthermore, post-hoc analysis confirmed the sustainability and durability of these psychological outcomes during the 2-month follow-up stage. In conclusion, the Mindfulness-Based Stress Reduction program is an efficient and sustainable tool for emotional regulation and mitigating psychological distress in women with fibromyalgia by modifying cognitive infrastructures and enhancing non-judgmental emotional awareness; thus, its application as a complementary therapy is highly recommended.
Mohammad Mehdi Zeidabadinejad, Ahmad Torabi, Fatemeh Mohammadifar, Zahra Nori, Roya Tovakoli,
Volume 19, Issue 3 (12-2025)
Abstract
The aim of the present study was to compare the effectiveness of Mindfulness-Based Stress Reduction (MBSR) and Intensive Short-Term Dynamic Psychotherapy (ISTDP) on obsessive-compulsive symptoms and treatment adherence in patients with non-alcoholic fatty liver disease. This study employed a quasi-experimental design with a pretest, posttest, and one-month follow-up, including a control group. The statistical population consisted of patients with non-alcoholic fatty liver disease who were referred to specialized gastroenterology and liver centers in Tehran in 2025. A total of 48 participants were selected using purposive sampling and were randomly assigned to three groups: Mindfulness-Based Stress Reduction, Intensive Short-Term Dynamic Psychotherapy, and a control group. Ultimately, the data of 45 participants were analyzed. The experimental groups received eight 90-minute intervention sessions, whereas the control group was placed on a waiting list. Data were collected using the Maudsley Obsessive-Compulsive Inventory (MOCI) and the Morisky Medication Adherence Scale (MMAS) and were analyzed using repeated-measures analysis of variance and the Bonferroni post hoc test. The findings indicated that both interventions significantly reduced obsessive-compulsive symptoms and increased treatment adherence compared with the control group. Furthermore, Mindfulness-Based Stress Reduction demonstrated greater effectiveness than Intensive Short-Term Dynamic Psychotherapy in reducing obsessive-compulsive symptoms and improving treatment adherence, and these effects remained stable at the follow-up assessment. Overall, both therapeutic approaches were effective in improving the psychological status of patients with non-alcoholic fatty liver disease; however, Mindfulness-Based Stress Reduction showed superior effectiveness.
Dr Mojgan Agahheris, Dr Mahdieh Rahmanian, Dr Ezzatollah Kordmirza Nikoozadeh, Mr Soroush Pourmousaabkenar,
Volume 19, Issue 3 (12-2025)
Abstract
The aim of the present study was to determine the effectiveness of Acceptance and Commitment Therapy (ACT) on reducing stress-related arousal in patients with respiratory problems: a randomized controlled clinical trial. The present study was a quasi-experimental design with pre-test, post-test, control group, and a three-month follow-up period. The statistical population consisted of all patients with respiratory problems in 2024 (1403 in the Persian calendar). From this population, 30 individuals were selected through convenience sampling and randomly assigned to experimental and control groups (15 each). All participants completed Cohen’s Perceived Stress Questionnaire (1983) before the intervention. Subsequently, the experimental group received Acceptance and Commitment Therapy in eight 90-minute sessions, held weekly. Research data were analyzed using repeated measures analysis of variance. The results showed that there was a significant difference in stress-related arousal between the two groups at the post-test and follow-up stages (p<0.05), indicating that Acceptance and Commitment Therapy was effective in reducing stress-related arousal (p<0.05). Accordingly, it can be concluded that Acceptance and Commitment Therapy can be effective in reducing stress-related arousal in patients with respiratory problems.
Fatemeh Ghasempour, Masoumeh Taheri, Sheyda Esmailzadeh, Seyede Fateme Esmaeilpour, Soheila Esgandani,
Volume 19, Issue 3 (12-2025)
Abstract
The aim of the present study was to determine the effectiveness of integrated group-based acceptance and commitment therapy and self-compassion on distress tolerance and resilience against suicide in married women with experience of domestic violence. The research method was quasi-experimental with a pretest-posttest and one-month follow-up design with a control group. The statistical population included all married women with experience of domestic violence who referred to family counseling centers in Isfahan. From among them, 32 people were selected using purposive sampling and were randomly assigned to two groups: experimental (16 people) and control (16 people). One person from each group dropped out before the posttest, and finally, each group continued with 15 people. The experimental group received the integrated intervention over eight 90-minute sessions, and the control group was placed on a waiting list. Data were collected using the Distress Tolerance Scale and the Suicide Resilience Questionnaire and were analyzed using multivariate analysis of covariance in SPSS version 28. The findings showed that the integrated intervention significantly increased distress tolerance with an effect size of 0.481. Also, this intervention significantly increased the 'internal protector' and 'emotional stability' components of resilience against suicide with an effect size of 0.456, but it had no significant effect on the 'external protector' component. The stability of the effects on the aforementioned components was confirmed up to one month after the intervention. Based on the findings, it can be concluded that integrated acceptance and commitment therapy and self-compassion is an effective approach for increasing distress tolerance and improving the internal dimensions of resilience against suicide in married women with experience of domestic violence, but the inability of this intervention to improve the external protector requires attention in future research.
Ms Khadijeh Miadi, Dr Soheila Rahmani,
Volume 19, Issue 4 (3-2025)
Abstract
The aim of the present study was to investigate the mediating role of body image concerns in the relationship between metacognitive beliefs, emotional dysregulation, and intolerance of uncertainty with the severity of bulimia nervosa symptoms in women. This study was descriptive-correlational and based on structural equation modeling. The statistical population included all women with bulimia nervosa referring to medical centers in Tehran in 1403, from which 250 people were selected through purposive sampling. The research instruments included the Body Image Concerns Questionnaire, Metacognitive Beliefs Questionnaire, Difficulty in Regulating Emotions Scale, Intolerance of Uncertainty Scale, and Eating Disorder Assessment Questionnaire, and the data were analyzed using AMOS software. The results showed that metacognitive beliefs, emotional dysregulation, and intolerance of uncertainty have a positive and significant relationship with body image concerns; also, body image concerns had a significant relationship with the severity of bulimia nervosa symptoms. Path analysis showed that all three variables mentioned have an indirect and significant effect on the severity of bulimia nervosa symptoms through body image concerns. As a result, it can be said that body image concerns play an important mediating role in the relationship between cognitive-emotional variables and the severity of bulimia nervosa disorder; accordingly, therapeutic interventions should focus on correcting dysfunctional metacognitive beliefs, improving emotion regulation, and increasing tolerance for uncertainty in order to reduce the symptoms of bulimia nervosa disorder in patients by reducing body image concerns.
Alireza Mojab Ghasrodashti, Ali Naseri,
Volume 19, Issue 4 (3-2025)
Abstract
The present study aimed to examine the effectiveness of life skills training on internalized shame and perceived stress among university students. This research was conducted using a quasi-experimental design with a pretest–posttest control group and a two-month follow-up. The study population consisted of students at the Islamic Azad University, Shiraz Branch, in 2024, from whom 72 participants were selected through convenience sampling and randomly assigned to experimental and control groups (36 in each group). The research instruments included the Internalized Shame Scale (Cook) and the Perceived Stress Scale (Cohen). The experimental group received life skills training based on Kleinke’s protocol in 10 weekly sessions of 45 minutes, while the control group received no intervention. Data were analyzed using repeated measures analysis of variance. The results indicated that life skills training led to a significant reduction in internalized shame and perceived stress in the experimental group compared to the control group (p < 0.05), and these effects were maintained at follow-up. The findings suggest that life skills training is an effective educational and preventive intervention for improving mental health indicators among university students and can be incorporated into student mental health promotion programs.
Seyedeh Bita Mir Ghaffari, Dr Maryam Kalhornia Golkar , Dr Taher Tizdast,
Volume 19, Issue 4 (3-2025)
Abstract
| The present study aimed to investigate the effectiveness of a structured cardiac rehabilitation program on the self-care pattern of patients with coronary artery disease. This study was conducted as a quasi-experimental study with a pre-test-post-test design and a control group with a three-month follow-up. The statistical population included men aged 40 to 65 years with coronary artery disease, from whom 30 were selected through purposive sampling and randomly assigned to two intervention and control groups. The intervention group participated in a structured cardiac rehabilitation program including self-care behavior education, lifestyle modification, physical activity, healthy nutrition, medication adherence, and stress management, while the control group received usual care. Data were collected using the Coronary Artery Disease Patients Self-Care Questionnaire, third edition, and analyzed using repeated measures analysis of variance. The results showed that the cardiac rehabilitation program resulted in significant and sustained improvement in the self-care behaviors of patients in the intervention group compared to the control group. Significant improvements were observed, especially in the self-care maintenance, monitoring, and management subscales, which were maintained at the three-month follow-up. This study showed that cardiac rehabilitation, as a multidimensional and education-based intervention, has a positive effect on self-care behaviors of patients with coronary artery disease and can be considered as an effective method for improving the quality of care for these patients. |
Noura Dehghanpour, Tavakol Mosizadeh, Reza Kazemzadeh, Vakil Nazari,
Volume 19, Issue 4 (3-2025)
Abstract
The present study aimed to investigate the effectiveness of self-focused compassion therapy on distress tolerance and alexithymia in women with skin picking and hair picking disorder in Tehran. This study was a quasi-experimental study with a pre-test-post-test design with a control group. The research population included female students of Islamic Azad University, Tehran Medical Sciences Branch, who were selected based on the inclusion criteria and purposive sampling method. A total of 45 eligible subjects were identified and after random assignment using a random number table, 30 subjects were replaced in two experimental (15 subjects) and control (15 subjects) groups. The experimental group received self-focused compassion therapy intervention, and the control group did not receive any intervention. Data collection tools included a demographic information questionnaire, a distress tolerance questionnaire, and an alexithymia questionnaire. Data were collected and analyzed in three stages: pre-test, post-test, and three-month follow-up. The results showed that there was no significant difference between the two groups in terms of distress tolerance and alexithymia at the pre-test stage, which indicated the initial homogeneity of the groups, but at the post-test and follow-up stage, a significant difference was observed between the two groups, indicating the effectiveness of self-focused compassion therapy in improving distress tolerance and reducing alexithymia in women with hair-picking disorder. Accordingly, it can be concluded that this therapeutic approach can be effective in reducing the severity of symptoms and improving the emotional indicators of these individuals.
Shiva Jamshidi, Dr. Mehdi Akbari, David Hallford, Dr. Alireza Moradi,
Volume 20, Issue 1 (4-2026)
Abstract
Distress intolerance, as a psychological vulnerability factor, has been implicated in the development of a wide range of conditions leading to psychopathology, including worry and rumination. Low distress tolerance may also predispose individuals to greater use of avoidance strategies. This study aimed to expand our understanding of the relationship between distress intolerance and worry/rumination by examining the mediating role of two forms of avoidance (i.e., experiential avoidance and emotional contrast avoidance). Questionnaire and cross-sectional data were collected from 1,098 participants from the general population aged 18–55 years (52.3% female). The results of structural equation modeling and mediattion analysis showed that experiential avoidance and emotional contrast avoidance mediated the relationship between distress intolerance and worry/rumination in a chain fashion. More precisely, the lower the distress tolerance capacity, the more people engage in repetitive negative thinking in the form of worry and/or rumination, and the two forms of avoidance mediated this relationship. The applications, limitations, and implications of this research are also discussed.
Ms Firoozeh Jalalipour, Dr Soheila Rahmani,
Volume 20, Issue 2 (6-2026)
Abstract
Test anxiety, as a psychological and educational challenge, imposes a considerable burden on adolescent students. Therefore, the present study aimed to determine the effectiveness of an adolescent-centered Mindfulness-Based Stress Reduction (MBSR) program on alexithymia and test anxiety symptoms in adolescents. The present study was a quasi-experimental study with a pretest-posttest design and a two-month follow-up with a control group. The statistical population consisted of adolescent students studying in two schools in Tehran during the 2025 academic year. From among them, 30 students were selected using convenience sampling and randomly assigned to the experimental and control groups. The experimental group received the adolescent-centered Mindfulness-Based Stress Reduction program in eight weekly sessions, whereas the control group received no intervention during the study period. Data were collected using the Toronto Alexithymia Scale and the Test Anxiety Questionnaire and were analyzed using repeated-measures analysis of variance. The statistical results indicated that the adolescent-centered Mindfulness-Based Stress Reduction program led to a significant reduction in alexithymia and test anxiety symptoms among students in the experimental group compared with those in the control group. Furthermore, the follow-up results demonstrated the stability and persistence of the effects of this psychological intervention at the two-month follow-up assessment. In conclusion, the adolescent-centered Mindfulness-Based Stress Reduction program can be considered an effective and sustainable intervention for reducing alexithymia and test anxiety symptoms in adolescents, and its application as a complementary intervention in educational settings is recommended.
