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    The effect of a mindfulness based cognitive therapy program on depression, anxiety, stress, and cognitive flexibility in nursing students: A randomized clinical trial
    (W B Saunders Co-Elsevier Inc, 2025) Acikgoz, Ferhan; Karaca, Aysel
    Background: It is known that the depression, anxiety, and stress levels of the nursing students are higher compared to the general student population. Nursing educators should use evidence-based, effective, and innovative interventions to help students recognize and reduce their mental symptoms. Aim: This study aimed to determine the effect of the online mindfulness-based cognitive therapy program, which was implemented for nursing students, on depression, anxiety, stress and cognitive flexibility levels. Methods: This randomized controlled trial study adopted a pretest-posttest-follow-up test research design. Results: As a result of the analyses, the intervention group had lower scores in the post-test and follow-up test measurements of the depression, anxiety and stress dimensions of the Depression-Anxiety and Stress Scale compared to the control group, and there was a statistically significant difference between them (p < 0.05). The post-test and follow-up test Cognitive Flexibility Inventory scores of intervention students were higher than those of the students in the control group and there was a statistically significant difference between them (p < 0.05). Conclusion: The results of this study demonstrate that this program can reduce depression, anxiety, stress and increase cognitive flexibility levels among nursing students.