Effectiveness of Mindfulness-Based Education on Alexithymia, Test Anxiety and Adjustment to College in Students
Keywords:
Mindfulness-Based Education, Alexithymia, Test Anxiety, Adjustment to College, StudentsAbstract
Objective: Student periods are always accompanied by various challenges, including increased alexithymia and test anxiety, and decreased adjustment to college. Consequently, the aim of the present study was to determine the effectiveness of mindfulness-based education on alexithymia, test anxiety, and adjustment to college in students.
Methods and Materials: This research was a quasi-experimental with a pre-test and post-test design with a control group. The population of this study was girl students of Payam Noor University of South Tehran Branch in the 2023-2024 academic years. The sample of this study was 30 students who were selected by purposive sampling method and randomly with the help of a lottery assigned into two equal groups. The experimental group received 8 sessions of 120 minute with the mindfulness-based education protocol of Baer et al. (2006), and the control group did not receive any education. The data of the present research were collected with Toronto alexithymia scale (Bagby et al., 1994), test anxiety questionnaire (Sarason, 1957), and adjustment to college questionnaire (Baker and Siryk, 1984) and were analyzed by multivariate analysis of covariance in SPSS-23 software.
Findings: The findings of this study showed that there were significant differences between the groups in terms of all three variables of alexithymia, test anxiety, and adjustment to college. In other words, mindfulness-based education decreasing alexithymia and test anxiety, and increasing adjustment to college in students (P<0.001).
Conclusion: According to the results of the present research, university counselors and psychologists can use mindfulness-based education to decrease alexithymia and test anxiety, and increase adjustment to college in students.
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References
Afshariniya, K., Kakabaraee, K., & Amiri, H. (2014). The comparison of effectiveness mindfulness training and cognitive restructuring methods in the reduction of anxiety students with test anxiety. Cognitive Strategies in Learning, 1(1), 61-74. https://asj.basu.ac.ir/article_717.html?lang=en
Allah Kai, M. Y., Khoshkonesh, A., & Asgharnezhad Farid, A. A. (2023). The efficacy of mindfulness training techniques on emotional malaise and social anxiety based on brain-behavioral systems. Journal of Psychological Science, 21(120), 2487-2499. http://dx.doi.org/10.52547/JPS.21.120.2487
Avci, D., Duran, S., Oz, Y. C., & Basak, I. (2021). Suicide probability in psychiatric patients' primary caregivers: The role of care burden, alexithymia and some risk factors. Archives of Psychiatric Nursing, 35(5), 457-464. https://doi.org/10.1016/j.apnu.2021.06.013
Babakhani, V. (2019). The effectiveness of mindfulness skills training on adjustment and mental health of students. Rooyesh-e-Ravanshenasi Journal, 8(5), 171-178. http://dorl.net/dor/20.1001.1.2383353.1398.8.5.25.9
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyr, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27-45. https://doi.org/10.1177/1073191105283504
Bagby, R. M., Parker, J. D. A, & Taylor, G. J. (1994). The twenty-item Toronto alexithymia scale-I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38(1), 23-32. https://doi.org/10.1016/0022
Baker, R. W., & Siryk, B. (1984). Measuring adjustment to college. Journal of Counseling Psychology, 31(2), 179-189. https://doi.org/10.1037/0022-0167.31.2.179
Bayati, M., & Soltani, M. (2024). The effectiveness of mindfulness based on stress reduction on academic adjustment and distress tolerance in male students with learning disabilities in Shahrekord city. New Research in Human Sciences, 13(43), 1-15. http://jnrihs.ir/article-1-629-en.html
Bi, D., & Li, X. (2021). Psychological flexibility profiles, college adjustment, and subjective well-being among college students in China: A latent profile analysis. Journal of Contextual Behavioral Science, 20, 20-26. https://doi.org/10.1016/j.jcbs.2021.01.008
Bowman, N. A., Jang, N., Jarratt, L., & Bono, T. (2019). The process of college adjustment: Weekly changes and racial differences. Journal of Students Affairs Research and Practice, 56(4), 423-437. https://doi.org/10.1080/19496591.2019.1614935
Buric, I., Zderic, L., Koch, P., & De Bruin, C. (2025). Mindfulness-based integrative programme: The effectiveness, acceptability, and predictors of responses to a novel low-dose mindfulness-based intervention. Journal of Affective Disorders, 373, 99-106. https://doi.org/10.1016/j.jad.2024.12.076
Dong, Y., Dang, L., Li, S., & Yang, X. (2021). Effects of facets of mindfulness on college adjustment among first-year Chinese college students: The mediating role of resilience. Psychology Research and Behavior Management Logo, 14, 1101-1109. https://doi.org/10.2147/PRBM.S319145
Elzohairy, N. W., Elzlbany, G. A. M., Khamis, B. I., El-Monshed, A. H., & Atta, M. H. R. (2024). Mindfulness-based training effect on attention, impulsivity, and emotional regulation among children with ADHD: The role of family engagement in randomized controlled trials. Archives of Psychiatric Nursing, 53, 204-214. https://doi.org/10.1016/j.apnu.2024.10.001
Feng, Q., Huang, Z., Wang, Y., & Wang, B. (2024). The effects of mindfulness-based interventions on symptoms of mild traumatic brain injury: A systematic review. International Journal of Mental Health Promotion, 26(6), 417-428. https://doi.org/10.32604/ijmhp.2024.049010
Garcia-Rubio, C., Herrero, M., Luna-Jarillo, T., Albert, J., & Rodriguez-Carvajal, R. (2023). Effectiveness and mechanisms of change of a mindfulness-based intervention on elementary school children: A cluster-randomized control trial. Journal of School Psychology, 99, 101211. https://doi.org/10.1016/j.jsp.2023.04.001
Hassan, M., Fang, S., Rizwan, M., Malik, A. S., & Mushtaque, I. (2024). Impact of financial stress, parental expectation and test anxiety on role of suicidal ideation: A cross-sectional study among pre-medical students. International Journal of Mental Health Promotion, 26(1), 1-9. https://doi.org/10.32604/ijmhp.2023.043096
Huang, Q., Hou, L., Zhang, W., & Zhou, R. (2022). The dysregulation of top-down control in individuals with high test anxiety: A resting state fMRI study. Journal of Psychiatric Research, 151, 649-656. https://doi.org/10.1016/j.jpsychires.2022.05.023
Huo, L., Qu, D., Pei, C., Wu, W., Ning, Y., Zhou, Y., & et al. (2023). Alexithymia in chronic schizophrenia and its mediating effect between cognitive deficits and negative symptoms. Schizophrenia Research, 261, 275-280. https://doi.org/10.1016/j.schres.2023.10.006
Jiang, H., Liang, H., Li, B., & Tuo, A. (2023). Alexithymia and mobile phone addiction among college students: Mediation by boredom proneness and anxiety. Journal of Psychology in Africa, 33(2), 132-137. https://doi.org/10.1080/14330237.2023.2190223
Kang, Y., Rahrig, H., Eichel, K., Niles, H. F., Rocha, T., Lepp, N. E., & et al. (2018). Gender differences in response to a school-based mindfulness training intervention for early adolescents. Journal of School Psychology, 68, 163-176. https://doi.org/10.1016/j.jsp.2018.03.004
Kazemi, N., Hosseinian, S., & Rasolzadeh, V. (2019). Effectiveness of mindfulness education on psychological hardiness and mental rumination in mothers of students with learning disabilities. Empowering Exceptional Children, 10(3), 71-84. https://doi.org/10.22034/ceciranj.2020.182834.1189
Liang, H., Xiao, W. & Jiang, H. (2024). Alexithymia and problematic mobile phone use among college students with and without siblings: the role of loneliness and mindfulness. Current Psychology, 43, 22135-22145 (2024). https://doi.org/10.1007/s12144-024-05924-7
Liu, H., Wang, W., Yang, J., Guo, F., & Yin, Z. (2021). The effects of alexithymia, experiential avoidance, and childhood sexual abuse on non-suicidal self-injury and suicidal ideation among Chinese college students with a history of childhood sexual abuse. Journal of Affective Disorders, 282, 272-279. https://doi.org/10.1016/j.jad.2020.12.181
Li, X., Peng, C., Qin, F., Luo, Q., Ren, Z., Wang, X., & et al. (2024). Basolateral amygdala functional connectivity in alexithymia: Linking interoceptive sensibility and cognitive empathy. Neuroscience, 539, 12-20. https://doi.org/10.1016/j.neuroscience.2023.12.014
Manavipour, D., & Darabi, M. (2018). The effect of mindfulness training on problem solving styles and test anxiety in students. Social Cognition, 7(1), 41-53. https://sc.journals.pnu.ac.ir/article_4844.html?lang=en
McCormick, S., & Lamberson, J. (2024). Interventions for test anxiety in nursing students: A literature review. Teaching and Learning in Nursing, 19(2), 404-411. https://doi.org/10.1016/j.teln.2024.01.005
Mirhoseini, F. A., Asadzadeh, H., Saadipoiur, E., Delavar, A., & Sheivandi Chelicheh, K. (2023). Effectiveness of mindfulness skills training on social competence and alexithymia of children with symptoms of anxiety disorder. Journal of Applied Psychological Research, 14(3), 45-62. https://doi.org/10.22059/japr.2023.346316.644329
Mohammadi Shahraji, F., & Hafezian, M. (2019). Effectiveness of group Gestalt therapy on social anxiety, test anxiety and positive and negative affection of female students. Journal of Instruction and Evaluation, 11(44), 13-29. https://sanad.iau.ir/en/Journal/jinev/Article/972481
Neumann, D., Hammond, F. M., Sander, A. M., Bogner, J., Bushnik, T., Finn, J. A., & et al. (2024). Longitudinal investigation of alexithymia as a predictor of empathy, emotional functioning, resilience, and life satisfaction 2 years after brain injury. Archives of Physical Medicine and Rehabilitation, 105(8), 1529-1535. https://doi.org/10.1016/j.apmr.2024.04.008
Pirzad, A., Senobar, A., Naghash, S., Amanihamedani, M., Abasi, R., & Hatamipour, Kh. (2024). Effectiveness of compassion-based mindfulness training on psychological health and alexithymia in women with marital maladjustment. Journal of Psychological Dynamics in Mood Disorders, 3(2), 203-213. https://maherpub.com/pdmd/article/view/194
Priebe, N. P., & Kurtz-Costes, B. E. (2022). The effect of mindfulness programs on collegiate test anxiety. Mindfulness, 13(11), 2868-2878. https://doi.org/10.1007/s12671-022-02002-6
Putwain, D. W., Stockinger, K., Vonder Embse, N. P., Suldo, S. M., & Daumiller, M. (2021). Test anxiety, anxiety disorders, and school-related wellbeing: Manifestations of the same or different constructs? Journal of School Psychology, 88, 47-67. https://doi.org/10.1016/j.jsp.2021.08.001
Rajendran, V. G., Jayalalitha, S., & Adalarasu, K. (2022). EEG based evaluation of examination stress and test anxiety among college students. Innovation and Research in BioMedical Engineering, 43(5), 349-361. https://doi.org/10.1016/j.irbm.2021.06.011
Sarason, I. G. (1957). Test anxiety, general anxiety, and intellectual performance. Journal of Consulting Psychology, 21(6), 485-490. https://doi.org/10.1037/h0043012
Sharifi, A., Mehrabizade Honarmand, M., Rahimi, M., Beshlideh, K., & Amini, Z. (2018). The role of emotional maturity, ego-resiliency and spiritual intelligence in prediction of adjustment to college with control of cognitive flexibility on boy students. Positive Psychology Research, 4(3), 1-12. https://doi.org/10.22108/ppls.2018.107494.1265
Silveira, S., Godara, M., Faschinger, A., & Singer, T. (2023). Reducing alexithymia and increasing interoceptive awareness: A randomized controlled trial comparing mindfulness with dyadic socio-emotional app-based practice. Journal of Affective Disorders, 341, 162-169. https://doi.org/10.1016/j.jad.2023.08.093
Von Keyserlingk, L., Moeller, J., Heckhausen, J., Eccles, J. S., & Arum, R. (2024).. Adjusting to college-Do ability beliefs and confidence in getting support matter for performance and mental health? Zeitschrift fur Erziehungswissenschaft, 27, 123-146. https://doi.org/10.1007/s11618-023-01185-5
Zhang, G., Yang, X., Tu, X., Ding, N., & Lau, J. T. F. (2020). Prospective relationships between mobile phone dependence and mental health status among Chinese undergraduate students with college adjustment as a mediator. Journal of Affective Disorders, 260, 498-505. https://doi.org/10.1016/j.jad.2019.09.047
Zhuhra, R. T., Wahid, M. H., & Mustika, R. (2022). Exploring college adjustment in first-year gen Z medical students and its contributing factors. The Malaysian Journal of Medical Sciences, 29(1), 126-137. https://doi.org/10.21315/mjms2022.29.1.12
