Effectiveness of an online mindfulness based stress reduction intervention on psychological distress among patients with COVID19 after hospital discharge.

Publication date: Jul 13, 2025

Given the high prevalence of psychological complications during pandemics such as COVID-19, it is imperative to identify effective psychological interventions that can improve the mental health of patients and community members. The effectiveness of mindfulness-based intervention in discharged patients with infectious respiratory diseases, particularly during pandemics, has been examined in a limited number of studies. This study aimed to investigate the effectiveness of an online Mindfulness-Based Stress Reduction (MBSR) training program in alleviating psychological distress, depression, anxiety, and stress among patients who have passed the acute phase of COVID-19 and have been discharged from the hospital. This was a quasi-experimental study included 70 hospitalized patients with COVID-19 (29 [41. 4%] men and 41 [58. 6%] women) who were discharged from three teaching hospitals in Tehran, Iran, between September 11, 2021, and January 10, 2022 were selected by convenience sampling. Participants were randomly assigned to either the control or intervention group (35 per group). The intervention group received a 4-week online MBSR training program based on Jon Kabat-Zinn’s recommendations (2003), while the control group followed the routine hospital discharge plan. Research data were collected using the Lovibond (1995) Depression, Anxiety, and Stress Scale (DASS). The results were compared before and after the intervention. Data analysis was conducted using SPSS version 21, employing descriptive statistics as well as paired and independent sample t-tests. Cohen’s d was used to determine effect sizes. The post-test score of stress after the online MBSR training program for 4 weeks significantly decreased in the MBSR group to 12. 59 +/- 6. 77 compared with the control group which had a score of 22. 60 +/- 10. 82(p 

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Concepts Keywords
Covid19 Adult
Hospitals Aged
Iran Anxiety
Pandemics Anxiety
Teaching COVID-19
COVID-19
Depression
Depression
Female
Humans
Iran
Male
Middle Aged
Mindfulness
Mindfulness
Patient Discharge
Psychological Distress
Psychological distress
SARS-CoV-2
Stress
Stress, Psychological

Semantics

Type Source Name
disease IDO intervention
disease MESH psychological distress
disease MESH COVID19
disease MESH complications
disease MESH respiratory diseases
disease MESH depression
disease MESH anxiety
disease MESH Stress Psychological

Original Article

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