Effectiveness of school-based brief cognitive behavioral therapy with mindfulness in improving the mental health of adolescents in a Japanese school setting: A preliminary study
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Background: Emotional regulation is important for adolescents’ adaptive development. Preventive interventions for anxiety and depression are necessary for reducing the development of disorders later in life, and emotional regulation is a potentially relevant factor. Objective: We investigated the effects of a mindfulness-based psychological education and prevention program [the Mindfulness and Awareness Program (MAP)] on the mental health of junior high school students in Japan. Methods: Our MAP primarily focused on mindfulness meditation to improve emotional regulation, thereby reducing depression and anxiety. The MAP comprised eight sessions (20 min each) administered by a school counselor in a school setting. All participants (N = 349) were 12–13-year-old adolescents from nine classes in two Japanese schools. The program was provided to the intervention group, wherein students were educated on emotional expression, emotional cognition, and emotional regulation. The control group received regular school counseling services. Results: Compared with the control group, the intervention group showed significant improvement in emotional regulation and a decrease in depression and generalized anxiety. The effect was greater at the follow-up assessment than at the immediate post-intervention assessment, and greater in female students. Conclusion: Our mental health prevention program exhibited efficacy in reducing depression and anxiety and enhancing emotional regulation in early adolescence. Further, it appeared to be more effective for female adolescents.
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Mindfulness, as an effective emotional regulation strategy, can significantly improve adolescents' emotional states and may reduce the incidence of depression, anxiety, and related psychological issues.
“Research has shown that mindfulness, as an effective emotional regulation strategy, can significantly improve adolescents’ emotional states and may reduce the incidence of depression, anxiety, and related psychological issues (68).”
From Recent developments in bibliotherapy for adolescent depression (2025) · cites this paper as [68]
The Conclusion (page unavailable) says the mindfulness-based brief cognitive behavioral therapy program reduced depression and anxiety and enhanced emotional regulation in Japanese junior high school students. But the claim generalizes from that combined program to mindfulness alone and says it may reduce the incidence of psychological issues; the paper measures symptoms, not new cases or incidence (Measures, page unavailable). (LLM, conf=0.86)
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- Authors
- Kato, K., Matsumoto, Y., & Hirano, Y.
- Affiliations
- Kanazawa University (JP)
- Corresponding author
- Kato, Kiun
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2022-08-03
- Volume
- 13
- Pages
- 895086-895086
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC9385179
- OpenAlex
- W4289516914
- Cited by
- 12
- References
- 59
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 1 · 2023: 2
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- OUKA (Osaka University Knowledge Archive) (Osaka University) (submittedVersion)
- Funders
- Japan Society for the Promotion of Science (19K03309, 23K22361)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Education › Early Childhood Education and Development
- Keywords
- mindfulness-based interventions, cognitive behavioral therapy, adolescent mental health, emotion regulation, depression prevention, anxiety prevention, school-based prevention, junior high school students, gender differences, Japanese adolescents
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