ArticleAdvances in medical education and practice2026
Single-Arm Pre-Post Evaluation of a Six-Week Mindset-Integrated Stress Regulation Course Among Postgraduate Students at a Chinese Medical University.
Article in Advances in medical education and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To evaluate delivery and short-term pre-post changes associated with a single-arm six-week mindset-integrated stress regulation course for postgraduate students at a Chinese medical university. Methods: This single-arm pre-post evaluation was conducted at Guangzhou Medical University among postgraduate students aged 18-35 years who provided electronic informed consent and completed baseline and immediate post-course assessments. The course comprised six weekly 90-minute face-to-face group sessions integrating emotion and stress awareness, mindset-oriented psychoeducation, mindfulness-based practice, and transfer exercises. Primary outcomes were the Depression Anxiety Stress Scales-21 (DASS-21) and Chinese Perceived Stress Scale-10 (CPSS-10); secondary outcomes were the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Athens Insomnia Scale (AIS). Pre-post differences were assessed using Wilcoxon signed-rank tests, with exploratory baseline-adjusted models. Results: Among 496 complete-case participants, attendance and assignment completion were high (overall attendance, 99.4%; assignment completion, 98.18%). DASS-21 depression, anxiety, and stress scores decreased, and CPSS-10 showed a statistically significant decrease, although the CPSS-10 median was unchanged (15.00 at both time points). Statistically significant pre-post effect sizes were small (r = 0.127-0.269). PHQ-9 scores increased modestly (r = 0.197), GAD-7 did not change significantly, and AIS showed a small statistical difference without a median shift. In adjusted exploratory models, baseline scores were the most consistent predictors, whereas mindset category did not predict any post-intervention outcome. Conclusion: The course was deliverable in this setting and was associated with mixed short-term changes: selected broad distress measures improved, CPSS-10 and AIS medians were unchanged, and PHQ-9 worsened modestly. These preliminary findings do not establish effectiveness or causal benefit. Controlled studies with follow-up and direct assessment of mindset change are needed.
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