Mindfulness Abilities Research Articles

About Distress in Chronic Pain Conditions: A Pre–Post Study on the Effectiveness of a Mindfulness-Based Intervention for Fibromyalgia and Low Back Pain Patients

Chronic pain (CP) affects about 30% of the global population and poses significant challenges to individuals and healthcare systems worldwide. The interactions between physiological, psychological, and social factors are crucial in the onset and development of CP conditions. This study aimed to evaluate the effectiveness of mindfulness-based intervention, examining its impact on perceived stress (PSS), depression and anxiety (BDI-II, PGWBI/DEP, SAS, STAI Y), sleep quality (PSQI), and mindfulness abilities (MAAS) in individuals with CP. Participants (N = 89, 84.3% female) underwent one of two diagnoses [fibromyalgia (FM) or low back pain (LBP)] and took part in an MBSR intervention. The mindfulness program proved effective in reducing PSQI scores (F = 11.97; p < 0.01) over time, independently of the type of diagnosis. There was also a marginal increase in trait mindfulness as measured by MAAS (F = 3.25; p = 0.07) in both groups. A significant difference between the two groups was found for the effect on PSS: F (1,87) = 6.46; p < 0.05. Mindfulness practice also reduced anxiety in FM and depressive symptoms in LBP, indicating a reduction in psychological distress among participants. Our findings suggest that mindfulness-based interventions may offer promising avenues for personalized pain management in clinical settings.

Exploring cognitive behavioral mechanisms related to dissociation among patients suffering from schizophrenia: A pilot study

IntroductionDissociation is a challenging syndrome present in multiple psychiatric disorders for which no gold standard treatment exists. Recently, some authors have developed a Cognitive Behavioral Model of dissociation, offering new insights for psychotherapy. However, this model has primarily been assessed in patients suffering from PostTraumatic Stress Disorder (PTSD). Therefore, the aim of this study is to explore the relevance of this conceptualization in patients suffering from schizophrenia. MethodWe recruited 20 patients (15 men) suffering from schizophrenia. After providing consent, they completed self-reported questionnaires assessing dissociation, PTSD, beliefs about emotion, beliefs about dissociation, mindfulness abilities, and emotion regulation. Then, they responded to three open-ended questions exploring the triggers of dissociation and strategies used to counteract it. ResultsWe found a low prevalence of the different cognitive-behavioral mechanisms related to dissociation in our sample. However, we found significant relationships between these mechanisms and dissociative symptoms. This relationship was also identified in the qualitative analysis. ConclusionThe present results offer primary data supporting the relevance of the cognitive-behavioral conceptualization of dissociation in patients suffering from schizophrenia. Further studies should be conducted with larger samples and include additional variables to enhance the understanding of dissociation in this population.

Group Dissociation-Focused Cognitive Behavioral Therapy (DF-CBT) in Patients Suffering from a Dissociative Subtype of PTSD: An Exploratory Study

ABSTRACT Dissociation is a widespread difficulty among patients suffering from Posttraumatic Stress Disorder (PTSD). However, there is no gold standard treatment for dissociative symptoms. Recent studies propose a cognitive and behavioral conceptualization for dissociation. The aim of this study was to explore the efficacy of a group program of Dissociation-Focused Cognitive Behavior Therapy (DF-CBT) on dissociative symptoms. We recruited 27 patients suffering from a dissociative subtype of PTSD in a university hospital trauma center. Participants completed questionnaires evaluating dissociation, PTSD, mindfulness abilities, beliefs about emotions, beliefs about dissociation, emotion regulation difficulties, anxiety and depression. Following an initial evaluation, participants undertook 7 sessions of DF-CBT, and were reevaluated after the last session using the same questionnaires. We found a significant reduction of dissociative, PTSD, anxiety, and depression symptoms following DF-CBT. The effect size was noticeable for all variables (.61<d < 1.1). We found an association between the reduction of dissociation and the decrease of negative beliefs about emotions and dissociation, mindfulness difficulties and emotion regulation difficulties. This study provided the first empirical evidence of the efficacy of DF-CBT. The active mechanisms involved in the program seem congruent with proposed models of dissociation. A controlled randomized trial is required for further demonstration.

Technological self-efficacy and mindfulness ability: Key drivers for effective online learning in higher education beyond the COVID-19 era

During the COVID-19 outbreak, Israel’s higher education system swiftly transitioned to emergency-adapted online distance learning. Yet, limited research has assessed effectiveness of online learning (EOL) for Arab students in Israel. This study delves into Arab students’ EOL perceptions, focusing on cognitive and emotional aspects. Using a quantitative method, it explored the link between technological self-efficacy (TS), mindfulness ability (MA), and EOL during the pandemic among students from three Israeli academic institutions (N=378). Results showed a positive association between TS and EOL. Further, MA moderated TS-EOL relationship. Men demonstrated higher TS than women. There were noticeable EOL differences between undergraduate (pre-service teachers) and graduate (in-service teachers) students, with the latter exhibiting an advantage. This research contributes to the evolving discourse on post-pandemic online learning, shedding light on potential gender disparities and highlighting the importance of both TS and MA for successful online learning. The findings have implications for instructional designers, educators, policymakers, and academic programs.

COVID-19-Related distress, body image, and eating behaviors: a cross-sectional explanatory model

BackgroundThe COVID-19 pandemic has been associated with increased body dissatisfaction and disordered eating behaviors in adolescents. To better understand these associations, this study tested an explanatory model in which appearance-focused social media use, internalization of social media pressure, and mindfulness abilities mediated the relationship between COVID-related distress and body dissatisfaction, which in turn was associated with dietary restraint and binge eating episodes.MethodsAdolescents (N = 493, Mage= 16.7; 47.5% girls) recruited within high schools completed online measures. We conducted model testing through path analysis in MPlus, using modification indices to derive a well-fitting model.ResultsThe initially hypothesized model was a poor fit for the data. The final well-adjusted model confirmed several significant paths and supported the parallel mediational roles of social media (specifically, the use of appearance-focused social media and internalization of social media pressure) along with mindfulness, on the relationship between COVID-19-related distress and body satisfaction. Model adjustments involved adding three paths, resulting in two additional significant indirect effects, and suppressing one path.ConclusionsFindings suggest that mindfulness, media use and the internalization of social media pressure are potential key processes explaining body dissatisfaction and eating disorders among adolescents who experienced higher levels of COVID-related distress.

The Predictive Ability of Mindfulness and Organisational Integrity among Secondary School Principals in Teachers' Hardiness in AlRamtha District from The Teachers' Perspective

The Predictive Ability of Mindfulness and Organisational Integrity among Secondary School Principals in Teachers' Hardiness in AlRamtha District from The Teachers' Perspective

Excessive mind wandering, rumination, and mindfulness mediate the relationship between ADHD symptoms and anxiety and depression in adults with ADHD.

Persistent mind-wandering processes are associated with negative emotions; however, mindful states exhibit an anticorrelation with mind-wandering patterns. The aim of this study is to investigate the mediating role of excessive mind wandering (EMW), rumination, and trait mindfulness between attention-deficit hyperactivity disorder (ADHD) symptoms and the severity of anxiety/depression in adults with ADHD. Medication-free 159 adults diagnosed with ADHD completed a test battery that included a sociodemographic form as well as the Adult ADHD Severity Rating Scale, Hospital Anxiety Depression Scale, Mind Excessively Wandering Scale, Ruminative Response Scale, and Freiburg Mindfulness Inventory after the diagnostic examination according to the Structured Clinical Interview for DSM-5-Clinician Version (SCID-5). ADHD symptoms exhibited an indirect, but not a direct, association with the severity of anxiety and depression, mediated by increased excessive mind wandering and rumination, as well as decreased trait mindfulness. This study was carried out within a clinical population using a cross-sectional design. While diagnostic assessments were conducted using SCID-5, psychiatric symptoms were evaluated through self-report measures. Coping with EMW and rumination and promoting mindfulness ability may be promising targets in treating comorbid conditions in adults with ADHD. These findings have highlighted the effects of mentation processes on depression and anxiety, which are common comorbidities with ADHD in adults; however, longitudinal studies are needed.

자애명상 병행 집단미술치료가 보육교사의 자기자비와 직무스트레스에 미치는 효과

The purpose of this study is to verify the effect of group art therapy combined with loving-kindness meditation on self-compassion and job stress of childcare teachers. The subjects of the study were 12 childcare teachers in J City who reported experiencing job-related stress (6 in the experimental group, 6 in the control group). Art Therapy was held once a week from July to August 2022, for a total of 8 sessions, 80 minutes each. The results of the self-compassion scale and job stress scale for the experimental and control groups before and after implementing the program are as follows. As follows. First, the experimental group's overall self-compassion, self-kindness, universal humanity, and mindfulness abilities were found to have improved. Second, the experimental group's job stress related to overall job stress, unsupportive work environment, peer teacher relationship, and parent relationship decreased. Therefore, the possibility of using loving-kindness meditation and group art therapy as psychological treatment for teachers in childcare settings was confirmed.

Feeling stressed but in full flow? Leader mindfulness shapes subordinates' perseverative cognition and reaction

PurposeThis study aims to illustrate the mechanisms underlying the effect of stress on flow states in the context of a multilevel organization, in which case employees' perseverative cognition and reactions to challenge–hindrance stressors are affected by leader mindfulness.Design/methodology/approachStudy 1 employed a three-wave time-lag survey, and study 2 conducted a diary study across 10 workdays to replicate the results of study 1. Multilevel structural equation modeling and Monte Carlo simulation were performed using Mplus 8.0 software to test all hypotheses.FindingsProblem-solving pondering transmits the nonlinear effect of challenge stressors on flow, and affective rumination mediates the negative effect of hindrance stressors on flow. Leader mindfulness amplifies the tendency of followers to ruminate on the positive aspects of challenge stressors, consequently increasing their positive reactions and flow. Although leader mindfulness fails to influence followers to ruminate less on hindrance stressors, it negates the harmful effect of affective rumination on the flow experience.Originality/valueThis study is one of the first to examine the associations between stressor types and flow in the workplace. The authors also develop a new theory that highlights the ability of leader mindfulness to shape subordinates' stress, cognitions and reactions through social modeling and the authors identify the boundaries of its beneficial effects.

The Role of Trait and State Mindfulness in Cognitive Performance of Male Adolescents.

The number of mindfulness intervention projects is continually increasing. Within the educational environment, mindfulness has purported links to well-being, positive behaviour, educational and cognitive performance. Trait mindfulness is related to rational thinking and better performance in cognitive tests, suggesting that innate mindfulness ability contributes to self-regulation ability and thus the efficacy of mindfulness interventions. The current study investigates whether mindfulness is a moderating factor. It examines correlations between cognitive performance and trait mindfulness. The study investigates the influence of trait mindfulness on the ability of students to enter state mindfulness in an attempt to understand the role both types of mindfulness may have on cognitive performance. Two-hundred and five male students aged fifteen and sixteen completed the adolescent version of the Mindfulness Awareness Scale, the Cognitive Reflection Test, and the Toronto Mindfulness Scale. Hierarchical regression analysis found that state mindfulness was a predictor of cognitive reflection ability. ANOVA also found that having either trait or state mindfulness predicted higher cognitive reflection scores, but only state mindfulness had a significant effect on cognitive reflection. Trait mindfulness was not a moderating factor. Both state and trait aspects of mindfulness ability influence cognitive performance. Those with higher trait mindfulness ability are better able to enter state mindfulness and thus had better cognitive reflection scores. However, where it is possible to induce state mindfulness into those with low trait mindfulness, CRT scores were also higher although not significantly so.

Mindfulness Training to Lower Anxiety in New College Students

Anxiety is normal for every human being so that it is expected that every individual has the ability of mindfulness to reduce the anxiety that will be faced. Importance of mindfulness to reduce anxiety in college students. This study aims to analyze the effectiveness of the influence of mindfulness to reduce anxiety in new students. The research design used was a pretest-posttest test control group design. The research subjects were 26 new college students who were divided into 2 groups, namely 13 students in the experimental group and 13 students in the control group. The results of the analysis used the Wilcoxson test which compared the work readiness scores in the experimental group between before and after the training. The result showed a value of Z = -3.185, p = 0.000 (p &lt;0.05) meaning that there was a difference in anxiety scores before and after being given the mindfulness training treatment, so there was a decrease in the level of significant anxiety after being given mindfulness training treatment. The results of the analysis using the results of the Mann-Whitney U Test obtained statistical results (Z) = -3.619 with a significance value (2-tailed) = 0.000 (p &lt;0.05), meaning that there was a difference in the level of anxiety between the experimental group that was given treatment in the form of mindfulness training and the control group that was not given treatment in the form of mindfulness training.

Disentangling the Link Between Mindfulness and Dissociation in PTSD: The Mediating Role of Attention and Emotional Acceptance

ABSTRACT Introduction A number of studies have investigated the relationship between mindfulness and dissociation and suggested that mindfulness-based interventions could be effective in the treatment of dissociative symptoms. A recent study in healthy volunteers found that attention and emotional acceptance mediates this relationship. However, no study has yet been performed among a clinical sample to assess this association. Method We recruited 90 patients (76 women) suffering from Posttraumatic Stress Disorder (PTSD). They completed self-report questionnaires to measure PTSD, dissociation, emotion regulation difficulties, childhood trauma, mindfulness abilities and cognitive abilities. Results We found that mindfulness abilities, emotional difficulties, dissociation and attention-concentration were all related to each other. Using a step-by-step approach and bootstrapping techniques, we found a significant indirect effect of mindfulness abilities on dissociation through non-acceptance (confidence interval 95%=-.14 to −.01) and attentional difficulties (confidence interval 95%=-.23 to −.05). Conclusion Patients with higher levels of dissociative symptoms have less capacity for mindfulness. Our results support Bishop et al.’s model proposing that attention and emotional acceptance are the two active components of mindfulness. To extend our findings, clinical trials are required to evaluate a causal relationship and the effectiveness of mindfulness-based interventions for patients suffering from dissociation.

Impact of Mindfulness and Coping Strategies on the Career Orientation among the University Students of Lahore, Pakistan

Mindfulness can be a way to create an understanding of one’s self. The current study gives an insight into students who deploy coping strategies and mindfulness as prevailing techniques when they face difficulties along with the indication that can make them able to disengage or reengage from unattainable careers. Moreover, the research study adds to a growing body of research highlighting the relationship between mindfulness and coping strategies in terms of career orientation among university students in Lahore, Pakistan. For this purpose, a sample size of 377 students was gathered through a survey method. The responses were analyzed by using 25 versions of the Statistics Package for Social Sciences (SPSS). Usually, SPSS is used for measuring relationships by conducting a regression analysis, descriptive analysis, model summary, and ANOVA. The findings of this study reveal that mindfulness and coping strategies significantly impact career orientation without a doubt the more mindful students could be the more likely they are to disengage from failures or unattainable goals in making career decision and be hopeful about future. It suggests that mindfulness ability can improve the student goal adjustment abilities confronted challenges in future. So as to align their effects and drive themselves towards realistic goal As a result, mindfulness and coping strategies can be considered as key strategies towards building a successful career orientation. Additionally, these developmental strategies are recommended to the universities for a developed student career orientation.

Effectiveness of Four-Week Mindfulness-Based Training on Life Satisfaction

The training of the present work was designed based on the study by Demarzo and colleagues (2017), in which a four-week mindfulness-based intervention showed a similar effectiveness as the eight-week mindfulness-based stress reduction training. A sample of 120 participants was divided into an experimental group (n=80) and a control group (n=40) which filled out questionnaires about their mindfulness (Mindful Attention and Awareness Scale (MAAS)) and life satisfaction (Fragebogen zur allgemeinen Lebenszufriedenheit (FLZ), Kurzskala Lebenszufriedenheit-1 (L-1)) at two measurement times. It was shown that the mindfulness ability of the experimental group increased after the training and differed significantly (p=0,05) both from the first measurement point and from the control group at both measurement points. The same was true for life satisfaction, which was measured using a multi-item scale.

Mindfulness Abilities Are Associated with Anxiety Levels, Emotional Intelligence, and Perceived Self-Efficacy

This study examined the relationship between anxiety, emotional intelligence, perceived self-efficacy, and mindfulness abilities. A total of 205 Spanish university students were assessed for mindfulness (Freiburg Mindfulness Inventory-14), state-trait anxiety (State-Trait Anxiety Inventory), emotional intelligence (Trait Meta-Mood Scale-24), and general perceived self-efficacy (General Self-Efficacy Scale). The Student’s t-test was used to evaluate the possible differences between sexes for the study variables. Multiple regression analyses were conducted for each sex independently to evaluate the relationship between mindfulness and the other psychological variables, using mindfulness dimensions as a dependent variable. The results showed significant differences between females and males in mindfulness dimensions of self-control (p &lt; 0.001) and acceptance (p = 0.012), and state (p = 0.005) and trait anxiety (p &lt; 0.001). Multiple linear regression analyses revealed that the models for the relationship between mindfulness dimensions (attention, self-control, acceptance, and self-perception) and the other variables differed between females and males. Our results suggest that anxiety, emotional intelligence, and general perceived self-efficacy may be related to mindfulness abilities among a sample of Spanish university students. These findings could inform the development of targeted intervention programs to improve these psycho-emotional abilities.

Mentation processes such as excessive mind wandering, rumination, and mindfulness mediate the relationship between ADHD symptoms and anxiety and depression in adults with ADHD

IntroductionExcessive mind wandering is a common feature of ADHD in adulthood also referred to as mental restlessness and ceaseless mental overactivity. ADHD is a predisposing factor for many psychiatric symptoms, especially negative emotions such as depression and anxiety. Rumination is thought to be a mediator for depression in individuals with ADHD. The above-mentioned mental processes may reduce the ability of individuals with ADHD to be mindful.ObjectivesThis study investigates whether the mentation processes (excessive mind wandering, rumination, mindfulness) mediate the relationship between ADHD symptoms and anxiety, and depression in adults with ADHD.MethodsMedication-free 175 individuals with ADHD who were referred to the Adult Neurodevelopmental Disorders Clinic, Department of Psychiatry, Selçuk University were invited to the study. After initial diagnostic examination including The Structured Clinical Interview for DSM-5 (SCID 5), all participants completed a test battery that included a sociodemographic form, the Adult ADHD Severity Rating Scale, the Hospital Anxiety Depression Scale, the Mind Excessively Wandering Scale, the Ruminative Response Scale, and the Freiburg Mindfulness Inventory. The data of 159 patients whose ADHD diagnosis was confirmed, who did not have any mood episodes and psychotic symptoms at the time of inclusion of the study, and who filled out the forms completely, were included in the analysis. The study was approved by the Selçuk University Local Ethics Committee.ResultsParticipants ages ranged from 18 to 39 (mean of 22.93 ± 4.36), and 57.2% (n = 91) were women. Also, their 48.6% (n = 77) reported that they alcohol use, and 21.1% (n = 34) had substance use history. According to SCID 5 interview, participants 64.2% had comorbid psychiatric conditions. Pearson correlation analysis revealed that ADHD symptoms, rumination, excessive mind wandering, anxiety, and depression scores were significantly positively correlated with each other, but all were negatively correlated with mindfulness. Linear regression analysis showed mindfulness association with rumination, excessive mind wandering, anxiety, and depression scores, but not with ADHD symptoms. Thereupon, a conducted mediation regression analysis showed that ADHD symptoms indirectly worsened depression and anxiety through increased rumination and excessive mind wandering, and decreased mindfulness ability (Figure 1).Image:ConclusionsAdults with ADHD have distressing mentation patterns which worsened their anxiety and depression. Mindfulness-based cognitive behavioral therapy modalities may help improve excessive mind wandering and rumination in ADHD. Our findings should be warranted in future studies of functional brain connectivity patterns that may serve as a mentation endophenotypes in ADHD.Disclosure of InterestNone Declared

How mindfulness reduces BNPL usage and how that relates to overall well-being

PurposeThe purpose of this study is to examine how mindfulness reduces consumers’ buy-now-pay-later (BNPL) payment scheme usage and how that relates to their overall well-being.Design/methodology/approachThis study uses partial least squares structural equation modeling to test the hypotheses of a conceptual framework which is rooted in the extant literature, using an approximately representative sample of Australian consumers (N = 275).FindingsThis study finds empirical evidence for the ability of mindfulness to reduce BNPL usage through increasing consumers’ financial self-control and decreasing their impulse buying tendency. This study also obtains empirical evidence that greater BNPL usage is associated with lower subjective evaluations of consumers’ overall well-being by increasing their current money management stress and decreasing their expected future financial security.Research limitations/implicationsFuture research could build on the effect of mindfulness that the authors find in this study and how it could be leveraged as a protective mechanism for consumers’ financial decision-making. Such research could involve mindfulness-based interventions, such as instant messaging within smartphone applications. Doing so would also help assess causality, thus addressing the limitation of the cross-sectional nature of this study.Practical implicationsThe findings have implications for public policymakers and business practitioners. Financial counselors are encouraged to include the measurement of personality traits such as impulse buying tendency and financial self-control in intake meetings with clients and consider the benefits of offering short mindfulness training. Given the negative effect of BNPL usage on consumers’ financial and overall well-being, and the reputational risks this implies, BNPL providers are recommended to take more responsibility to ensure consumers do not fall into a debt trap, while retailers are advised to take steps to make payment processes more “mindful.”Originality/valueAlthough mindfulness has established effects on consumer behavior, its beneficial influence on consumer financial decision-making has rarely been explored. This study also contributes to a better understanding of the antecedents and consequences of consumers’ BNPL payment scheme usage. Although its prominence is increasing in daily life, and despite the concerns of consumer advocates, policymakers and regulators regarding its risks, the topic of consumers’ BNPL usage has received little attention in academic research so far. Finally, this study extends the emerging financial well-being literature by demonstrating how BNPL usage can reduce consumers’ overall well-being through the mediating effect of increasing current money management stress and decreasing expected future financial security.

Mindfulness on Rumination in Patients with Depressive Disorder: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Objective: To systematically evaluate the effectiveness of mindfulness-based interventions (MBIs) on rumination among patients with depression and their efficacy across countries and year of publication and control conditions. Methods: Web of Science Core Collection, Medline, BIOSIS Citation Index, KCI-Korean Journal Database, SciELO Citation Index, PubMed, Cochrane Library, and Embase were searched to include randomized controlled trials of MBIs for depressive rumination that met the criteria. The Rumination Scale was used as the primary outcome indicator; Depression, mindfulness, and anxiety indexes were selected as the secondary outcome indicators. An evaluation of bias risk was conducted to identify possible sources of bias based on methodological and clinical factors. RevMan5.3 software was used to perform a meta-analysis of the extracted data. Results: Nineteen studies with 1138 patients were included. Meta-analysis showed that MBIs could significantly reduce rumination levels in patients with depression (standardized mean difference (SMD) = −0.46; 95% confidence interval (CI): −0.58, −0.34; p < 0.001), notably improve depression (SMD = −0.58; 95% CI: −0.83, −0.32; p < 0.001), enhance mindfulness ability (SMD = 0.95; 95% CI: 0.57, 1.32; p < 0.001), and reduce the anxiety of patients with depression (SMD = −0.45, 95% CI: −0.62, −0.27; p < 0.001). MBIs conducted in Asia improved rumination better than studies in Europe and North America (SMD = −2.05 95% CI: −4.08, −0.01; p < 0.001) but had no greater effect than behavior activation on depression. The interventions carried out in the past 5 years were significantly better than earlier studies in improving mindfulness levels (SMD = 2.74; 95% CI: 0.81, 4.66; p = 0.005). Conclusions: MBIs are effective in the treatment of depression as they produce pleasant improvement in rumination and depression, decrease the degree of anxiety, and enhance mindfulness levels compared to controls. In newer forms of MBIs, regional differences need to be considered when designing the intervention program. More large, high-quality randomized controlled studies are needed to confirm the conclusion that the effectiveness of MBIs has differences in terms of the trial area and year of publication.

Image of Self Compassion on Space Officers at Eltari Airport

Self-compassion is an attitude of having concern and kindness towards oneself when faced with various difficulties in life. In the field of work, which has the function and duty to regulate the smooth operation of civil aviation, pretending space employees are required not to make the slightest mistake. So employees need to have self-compassion themselves. This study uses a qualitative method, with the techniques of observation, interviews, and documentation. The participants were 8 employees of the temple space. In general, participants in this study tend to have good self-compassion. This is illustrated by the ability of self-kindness, mindfulness, and common humanity, as well as low self-judgment, isolation, and over-identification by participants at this time.

The Efficacy of Guided and Unguided Game-Based Cognitive-Behavioral Therapy in Reducing Distress in College Students.

Objective: College students` mental health is an international prioritized research subject. Dedicated interventions are constantly developed to be more suited, attractive, and effective and to reach as many students as possible. Our study aims to investigate the efficacy of an online game-based cognitive-behavioral therapy transdiagnostic intervention (REThink game) in reducing psychology students' distress. Method: Our sample consisted of 139 students (mean age 26.27; 17 male students and 122 female students) who voluntarily enrolled in our study, and they were randomly assigned to 1 of our 3 groups (REThink game without guidance n = 44; REThink game with guidance n = 46; or care-as-usual control group n = 49). They completed the pretest questionnaires (distress [negative functional and dysfunctional emotions], rational, and irrational cognitions), then they were offered to play the trial version of the REThink game, and after that, two specific levels focused on relaxation with mindfulness abilities, and on cognitive change emotion-regulation abilities. After completing the game, students in the REThink game with guidance received email support aimed to help them implement the skills learned in the game. Results: Results showed medium effect size improvements for the REThink game without guidance group compared to the control group in terms of dysfunctional negative emotions and improvements in irrational cognitions for both experimental groups compared to the control group. Conclusion: So far, the REThink therapeutic game proved to be a promising innovative, efficient, and highly accessible intervention for helping students manage distress. Trial Registration: ClinicalTrials.gov NCT04763954.