000148714 001__ 148714
000148714 005__ 20250121150753.0
000148714 0247_ $$2doi$$a10.1016/j.brat.2021.103866
000148714 0248_ $$2sideral$$a127119
000148714 037__ $$aART-2021-127119
000148714 041__ $$aeng
000148714 100__ $$0(orcid)0000-0003-1575-7738$$aModrego-Alarcón, Marta$$uUniversidad de Zaragoza
000148714 245__ $$aEfficacy of a mindfulness-based programme with and without virtual reality support to reduce stress in university students: A randomized controlled trial
000148714 260__ $$c2021
000148714 5060_ $$aAccess copy available to the general public$$fUnrestricted
000148714 5203_ $$aObjectives: To evaluate the efficacy of a mindfulness-based programme (MBP) for reducing stress in university students and its action mechanisms and to explore the capacity of virtual reality (VR) exposure to enhance adherence to the intervention. Methods: This randomized controlled trial (RCT) involved assessment time points of baseline, posttreatment, and 6-month follow-up. A total of 280 students from two Spanish universities were randomly assigned to ‘MBP’, ‘MBP + VR’, or ‘Relaxation’ (active controls). Perceived stress posttreatment was the primary outcome; wellbeing and academic functional outcomes were assessed as well. Multilevel mixed-effects models were performed to estimate the efficacy of the programme. Results: Both ‘MBP’ (B = -2.77, d = -0.72, p = .006) and ‘MBP + VR’ (B = -2.44, d = -0.59, p = .014) were superior to ‘Relaxation’ in improving stress, as well as most of the secondary outcomes, with medium-to-large effects posttreatment and at follow-up. The long-term effects of MBPs on stress were mediated by mindfulness and self-compassion in parallel. Treatment adherence was improved in the ‘MBP + VR’ group, with higher retention rates and session attendance (p < .001). Conclusions: This RCT supports the efficacy of an MBP compared to relaxation for reducing stress in university students through mindfulness and self-compassion as mechanisms of change. VR exposure may enhance treatment adherence.
000148714 536__ $$9info:eu-repo/grantAgreement/ES/DGA/B17-17R$$9info:eu-repo/grantAgreement/ES/ISCIII/CD20-00181$$9info:eu-repo/grantAgreement/ES/ISCIII/RD16-0007-0005$$9info:eu-repo/grantAgreement/ES/MECD/FPU15-00598
000148714 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000148714 590__ $$a5.321$$b2021
000148714 591__ $$aPSYCHOLOGY, CLINICAL$$b27 / 131 = 0.206$$c2021$$dQ1$$eT1
000148714 592__ $$a2.022$$b2021
000148714 593__ $$aClinical Psychology$$c2021$$dQ1
000148714 593__ $$aPsychiatry and Mental Health$$c2021$$dQ1
000148714 593__ $$aDevelopmental and Educational Psychology$$c2021$$dQ1
000148714 594__ $$a6.9$$b2021
000148714 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000148714 700__ $$0(orcid)0000-0002-1690-4130$$aLópez-del-Hoyo, Yolanda$$uUniversidad de Zaragoza
000148714 700__ $$0(orcid)0000-0002-3797-4218$$aGarcía-Campayo, Javier$$uUniversidad de Zaragoza
000148714 700__ $$aPérez-Aranda, Adrián
000148714 700__ $$0(orcid)0000-0003-4842-0453$$aNavarro-Gil, Mayte$$uUniversidad de Zaragoza
000148714 700__ $$0(orcid)0000-0003-0786-535X$$aBeltrán-Ruiz, María
000148714 700__ $$aMorillo, Héctor$$uUniversidad de Zaragoza
000148714 700__ $$aDelgado-Suarez, Irene
000148714 700__ $$aOliván-Arévalo, Rebeca
000148714 700__ $$aMontero-Marin, Jesús
000148714 7102_ $$14009$$2730$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Básica
000148714 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría
000148714 7102_ $$14009$$2735$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicolog.Evolut.Educac
000148714 773__ $$g142 (2021), 103866 [16 pp.]$$pBehav. res. ther.$$tBehaviour Research and Therapy$$x0005-7967
000148714 8564_ $$s1228944$$uhttps://zaguan.unizar.es/record/148714/files/texto_completo.pdf$$yPostprint
000148714 8564_ $$s997821$$uhttps://zaguan.unizar.es/record/148714/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000148714 909CO $$ooai:zaguan.unizar.es:148714$$particulos$$pdriver
000148714 951__ $$a2025-01-21-14:44:00
000148714 980__ $$aARTICLE