{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:48:28Z","timestamp":1787615308450,"version":"build-2736575974"},"reference-count":49,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Nurse Education Today"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.nedt.2026.107021","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:54:05Z","timestamp":1770252845000},"page":"107021","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Long-term effects of acceptance and commitment-based psychoeducation in nursing students: A randomized controlled trial"],"prefix":"10.1016","volume":"161","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5684-2141","authenticated-orcid":false,"given":"Tu\u011f\u00e7e","family":"\u015e\u0131k","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1666-291X","authenticated-orcid":false,"given":"Neslihan","family":"G\u00fcn\u00fc\u015fen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6629-3710","authenticated-orcid":false,"given":"\u00d6zg\u00fc","family":"Ser\u00e7e Y\u00fcksel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.nedt.2026.107021_bb0005","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.profnurs.2024.12.005","article-title":"The effect of a mindfulness-based cognitive therapy program on depression, anxiety, stress, and cognitive flexibility in nursing students: a randomized clinical trial","volume":"56","author":"Acikgoz","year":"2025","journal-title":"J. Prof. Nurs."},{"key":"10.1016\/j.nedt.2026.107021_bb0010","doi-asserted-by":"crossref","DOI":"10.1016\/j.nedt.2021.104877","article-title":"Reducing stress, anxiety and depression in undergraduate nursing students: systematic review","volume":"102","author":"Aloufi","year":"2021","journal-title":"Nurse Educ. Today"},{"issue":"1","key":"10.1016\/j.nedt.2026.107021_bb0025","first-page":"64","article-title":"Adaptation of valuing questionnaire (VQ) into Turkish culture","volume":"17","author":"Ayd\u0131n","year":"2017","journal-title":"Abant \u0130zzet Baysal Univ. Faculty Educ. J."},{"issue":"4","key":"10.1016\/j.nedt.2026.107021_bb0030","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1016\/j.beth.2011.03.007","article-title":"Preliminary psychometric properties of the Acceptance and Action Questionnaire\u2013II: a revised measure of psychological inflexibility and experiential avoidance","volume":"42","author":"Bond","year":"2011","journal-title":"Behav. Ther."},{"issue":"4","key":"10.1016\/j.nedt.2026.107021_bb0035","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1037\/0022-3514.84.4.822","article-title":"The benefits of being present: mindfulness and its role in psychological well-being","volume":"84","author":"Brown","year":"2003","journal-title":"J. Pers. Soc. Psychol."},{"key":"10.1016\/j.nedt.2026.107021_bb0040","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2023.1234354","article-title":"Associations among stressors, perceived stress, and psychological distress in nursing students: a mixed methods longitudinal study of a Hong Kong sample","volume":"14","author":"Cheng","year":"2023","journal-title":"Front. Psychol."},{"key":"10.1016\/j.nedt.2026.107021_bb0045","doi-asserted-by":"crossref","DOI":"10.1097\/NNE.0000000000001934","article-title":"Fostering resilience: integrating self-care strategies into graduate nursing education to build a sustainable APN workforce","author":"Davis","year":"2025","journal-title":"Nurse Educ."},{"key":"10.1016\/j.nedt.2026.107021_bb0050","doi-asserted-by":"crossref","DOI":"10.1016\/j.apnu.2025.151915","article-title":"Effectiveness of theory-based health education in reducing stress among nursing students: a systematic review and meta-analysis","volume":"57","author":"Dong","year":"2025","journal-title":"Arch. Psychiatr. Nurs."},{"issue":"1","key":"10.1016\/j.nedt.2026.107021_bb0055","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1186\/s12888-023-05045-8","article-title":"Impact of virtual group-based acceptance and commitment therapy on social adjustment and work-family conflict among intern nurses: a randomized control trial","volume":"23","author":"El-Ashry","year":"2023","journal-title":"BMC Psychiatry"},{"issue":"2","key":"10.1016\/j.nedt.2026.107021_bb0060","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1080\/10615806.2015.1025765","article-title":"A randomized controlled pilot trial of acceptance and commitment training (ACT) for preventing stress-related ill health among future nurses","volume":"29","author":"Fr\u00f6g\u00e9li","year":"2016","journal-title":"Anxiety Stress Coping"},{"key":"10.1016\/j.nedt.2026.107021_bb0065","doi-asserted-by":"crossref","DOI":"10.1016\/j.nepr.2025.104301","article-title":"Effectiveness of group therapy based on acceptance and commitment for nursing students\u2019 procrastination and perfectionism: a parallel randomized controlled trial","volume":"84","author":"Ghasempour","year":"2025","journal-title":"Nurse Educ. Pract."},{"issue":"3","key":"10.1016\/j.nedt.2026.107021_bb0070","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1016\/j.beth.2017.10.003","article-title":"The use of acceptance and commitment therapy to promote mental health and school engagement in university students: a multisite randomized controlled trial","volume":"49","author":"Gr\u00e9goire","year":"2018","journal-title":"Behav. Ther."},{"issue":"2","key":"10.1016\/j.nedt.2026.107021_bb0075","first-page":"118","article-title":"Effects of group acceptance and commitment therapy-based training on job stress and burnout among pediatric oncology and special diseases nurses","volume":"8","author":"Habibian","year":"2018","journal-title":"Iran. J. Pediatr. Hematol. Oncol."},{"issue":"7","key":"10.1016\/j.nedt.2026.107021_bb0080","doi-asserted-by":"crossref","first-page":"3005","DOI":"10.1111\/jonm.13696","article-title":"Effect of a group-based acceptance and commitment therapy programme on the mental health of clinical nurses during the COVID-19 sporadic outbreak period","volume":"30","author":"Han","year":"2022","journal-title":"J. Nurs. Manag."},{"key":"10.1016\/j.nedt.2026.107021_bb0085","series-title":"ACT Made Simple: An Easy-to-read Primer on Acceptance and Commitment Therapy","author":"Harris","year":"2019"},{"issue":"1","key":"10.1016\/j.nedt.2026.107021_bb0090","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.brat.2005.06.006","article-title":"Acceptance and commitment therapy: model, processes and outcomes","volume":"44","author":"Hayes","year":"2006","journal-title":"Behav. Res. Ther."},{"issue":"1","key":"10.1016\/j.nedt.2026.107021_bb0095","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1146\/annurev-clinpsy-032210-104449","article-title":"Open, aware, and active: contextual approaches as an emerging trend in the behavioral and cognitive therapies","volume":"7","author":"Hayes","year":"2011","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"10.1016\/j.nedt.2026.107021_bb0100","series-title":"Acceptance and Commitment Therapy: The Process and Practice of Mindful Change","author":"Hayes","year":"2012"},{"key":"10.1016\/j.nedt.2026.107021_bb0105","author":"International Council of Nurses"},{"issue":"2","key":"10.1016\/j.nedt.2026.107021_bb0110","doi-asserted-by":"crossref","DOI":"10.17533\/udea.iee.v43n2e03","article-title":"Effectiveness of Acceptance and Commitment Therapy (ACT) in mitigating academic procrastination and its moderating factors among nursing students","volume":"43","author":"Kohli","year":"2025","journal-title":"Investigaci\u00f3n y Educaci\u00f3n en Enfermer\u00eda"},{"issue":"1","key":"10.1016\/j.nedt.2026.107021_bb0120","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1080\/07448481.2013.843533","article-title":"Feasibility of a prototype web-based acceptance and commitment therapy prevention program for college students","volume":"62","author":"Levin","year":"2014","journal-title":"J. Am. Coll. Health"},{"issue":"3","key":"10.1016\/j.nedt.2026.107021_bb0125","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/0005-7967(94)00075-U","article-title":"Depression anxiety and stress scales","volume":"33","author":"Lovibond","year":"1995","journal-title":"Behav. Res. Ther."},{"key":"10.1016\/j.nedt.2026.107021_bb0130","doi-asserted-by":"crossref","DOI":"10.2196\/51549","article-title":"Effects and mechanisms of a web- and mobile-based acceptance and commitment therapy intervention for anxiety and depression symptoms in nurses: fully decentralized randomized controlled trial","volume":"25","author":"Lu","year":"2023","journal-title":"J. Med. Internet Res."},{"issue":"6","key":"10.1016\/j.nedt.2026.107021_bb0135","article-title":"Digital transformation led by nurses and nursing managers\u2019 priorities: a qualitative study","volume":"32","author":"Navarro Mart\u00ednez","year":"2024","journal-title":"J. Nurs. Manag."},{"issue":"1","key":"10.1016\/j.nedt.2026.107021_bb0140","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1111\/inr.12831","article-title":"Stress among nursing students in Vietnam: prevalence and associated factors","volume":"71","author":"Ngoc","year":"2024","journal-title":"Int. Nurs. Rev."},{"issue":"4","key":"10.1016\/j.nedt.2026.107021_bb0145","doi-asserted-by":"crossref","first-page":"52","DOI":"10.21859\/ijnr-12047","article-title":"The effect of group therapy based on acceptance and commitment on social and emotional adjustment of nursing students","volume":"12","author":"Noori","year":"2017","journal-title":"Iran. J. Nurs. Res."},{"key":"10.1016\/j.nedt.2026.107021_bb0150","doi-asserted-by":"crossref","DOI":"10.1016\/j.nepr.2023.103587","article-title":"Factors contributing to depressive symptoms among undergraduate nursing students: a cross-sectional study","volume":"68","author":"Nway","year":"2023","journal-title":"Nurse Educ. Pract."},{"issue":"7","key":"10.1016\/j.nedt.2026.107021_bb0155","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1089\/acm.2019.0087","article-title":"Group-based acceptance and commitment therapy for nurses and nurse aides working in long-term care residential settings","volume":"25","author":"O\u2019Brien","year":"2019","journal-title":"J. Altern. Complement. Med."},{"key":"10.1016\/j.nedt.2026.107021_bb0160","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1186\/s12909-020-02294-z","article-title":"Anxiety, perceived stress and coping strategies in nursing students: a cross-sectional, correlational, descriptive study","volume":"20","author":"Onieva-Zafra","year":"2020","journal-title":"BMC Med. Educ."},{"issue":"160","key":"10.1016\/j.nedt.2026.107021_bb0165","doi-asserted-by":"crossref","first-page":"224","DOI":"10.15390\/ES.2011.940","article-title":"The validity and reliability study of mindful attention awareness scale","volume":"36","author":"\u00d6zye\u015fil","year":"2011","journal-title":"Educ. Sci."},{"issue":"1","key":"10.1016\/j.nedt.2026.107021_bb0170","doi-asserted-by":"crossref","first-page":"222","DOI":"10.61838\/kman.jayps.3.1.18","article-title":"The effectiveness of acceptance and commitment therapy on tolerance failure and health anxiety in nursing and midwifery students with health anxiety","volume":"3","author":"Poshtiri","year":"2022","journal-title":"J. Adolesc. Youth Psychol. Stud."},{"key":"10.1016\/j.nedt.2026.107021_bb0175","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1186\/s12912-025-03008-w","article-title":"Exploring how mindfulness enhances attentiveness: a qualitative study with South African mental health nurses","volume":"24","author":"Ramalisa-Bu\u1e13eli","year":"2025","journal-title":"BMC Nurs."},{"key":"10.1016\/j.nedt.2026.107021_bb0180","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1186\/s12912-024-01976-z","article-title":"Effect of authentic leadership and mindfulness educational program on nursing managers\u2019 competencies: a quasi-experimental study","volume":"23","author":"Shurab","year":"2024","journal-title":"BMC Nurs."},{"key":"10.1016\/j.nedt.2026.107021_bb0185","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1186\/s40359-025-03455-9","article-title":"Associations of psychological flexibility, mindfulness, and valued living with psychological distress among nursing students","volume":"13","author":"\u015e\u0131k","year":"2025","journal-title":"BMC Psychol."},{"issue":"4","key":"10.1016\/j.nedt.2026.107021_bb0190","article-title":"Nursing students\u2019 experiences of acceptance and commitment therapy\u2013based psychoeducation to improve psychological flexibility: descriptive qualitative research","volume":"17","author":"\u015e\u0131k","year":"2025","journal-title":"Turk. Klin. J. Nurs. Sci."},{"issue":"3","key":"10.1016\/j.nedt.2026.107021_bb0195","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.jcbs.2014.06.001","article-title":"Development of the Valuing Questionnaire (VQ)","volume":"3","author":"Smout","year":"2014","journal-title":"J. Contextual Behav. Sci."},{"issue":"5","key":"10.1016\/j.nedt.2026.107021_bb0200","doi-asserted-by":"crossref","first-page":"636","DOI":"10.3390\/healthcare11050636","article-title":"Psychological distress, depression, and anxiety in nursing students: a longitudinal study","volume":"11","author":"S\u00f6nmez","year":"2023","journal-title":"Healthcare"},{"issue":"1","key":"10.1016\/j.nedt.2026.107021_bb0205","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/s40617-020-00466-3","article-title":"Acceptance and commitment training within the scope of practice of applied behavior analysis","volume":"15","author":"Tarbox","year":"2022","journal-title":"Behav. Anal. Pract."},{"key":"10.1016\/j.nedt.2026.107021_bb0210","doi-asserted-by":"crossref","DOI":"10.1016\/j.nedt.2024.106230","article-title":"The impact of a \u201cclinical adaptation psychoeducation program\u201d grounded in the psychological flexibility model on perceived stress and coping behaviors among nursing students: a randomized controlled experimental study","volume":"139","author":"Tun\u00e7","year":"2024","journal-title":"Nurse Educ. Today"},{"issue":"3","key":"10.1016\/j.nedt.2026.107021_bb0215","doi-asserted-by":"crossref","first-page":"E90","DOI":"10.1097\/NNE.0000000000001343","article-title":"Prevalence of stress and anxiety among nursing students: a systematic review and meta-analysis","volume":"48","author":"Vo","year":"2023","journal-title":"Nurse Educ."},{"issue":"1","key":"10.1016\/j.nedt.2026.107021_bb0220","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijchp.2025.100543","article-title":"Acceptance and commitment therapy for nurses\u2019 sleep, rumination, psychological flexibility, and its neural mechanism: A randomized controlled fNIRS study","volume":"25","author":"Wang","year":"2025","journal-title":"Int. J. Clin. Health Psychol."},{"issue":"1","key":"10.1016\/j.nedt.2026.107021_bb0225","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1111\/bjc.12155","article-title":"Acceptance and commitment therapy (ACT) for clinically distressed health care workers: waitlist-controlled evaluation of an ACT workshop in a routine practice setting","volume":"57","author":"Waters","year":"2018","journal-title":"Br. J. Clin. Psychol."},{"issue":"1","key":"10.1016\/j.nedt.2026.107021_bb0230","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1097\/01.NEP.0000000000001281","article-title":"The relationship between nursing students\u2019 psychological distress and perceived stress and the nursing educational environment","volume":"46","author":"Watson","year":"2025","journal-title":"Nurs. Educ. Perspect."},{"key":"10.1016\/j.nedt.2026.107021_bb0235","series-title":"Global Strategic Directions for Nursing And Midwifery 2021\u20132025","author":"World Health Organization","year":"2021"},{"issue":"4","key":"10.1016\/j.nedt.2026.107021_bb0240","doi-asserted-by":"crossref","first-page":"397","DOI":"10.5455\/bcp.20160223124107","article-title":"Turkish version of Acceptance and Action Questionnaire-II (AAQ-II): A reliability and validity analysis in clinical and non-clinical samples","volume":"26","author":"Yavuz","year":"2016","journal-title":"Bull. Clin. Psychopharmacol."},{"issue":"2","key":"10.1016\/j.nedt.2026.107021_bb0245","first-page":"78","article-title":"The validity and reliability of Depression Anxiety and Stress Scale 21 \u2013 Turkish short form (DASS-21)","volume":"2","author":"Y\u0131lmaz","year":"2017","journal-title":"Res. Financ. Econ. Soc. Stud."},{"issue":"1","key":"10.1016\/j.nedt.2026.107021_bb7000","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1186\/s12912-025-03329-w","article-title":"Nursing interventions to reduce mental health problems in nursing students: A scoping review","volume":"24","author":"Yosep","year":"2025","journal-title":"BMC Nursing"},{"key":"10.1016\/j.nedt.2026.107021_bb0250","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12912-021-00763-4","article-title":"Acceptance and commitment therapy on perceived stress and psychological flexibility of psychiatric nurses: a randomized control trial","volume":"20","author":"Zarvijani","year":"2021","journal-title":"BMC Nurs."},{"issue":"36","key":"10.1016\/j.nedt.2026.107021_bb0255","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000030547","article-title":"Stress levels of nursing students: a systematic review and meta-analysis","volume":"101","author":"Zheng","year":"2022","journal-title":"Medicine"}],"container-title":["Nurse Education Today"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0260691726000493?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0260691726000493?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T12:21:45Z","timestamp":1772799705000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0260691726000493"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":49,"alternative-id":["S0260691726000493"],"URL":"https:\/\/doi.org\/10.1016\/j.nedt.2026.107021","relation":{},"ISSN":["0260-6917"],"issn-type":[{"value":"0260-6917","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Long-term effects of acceptance and commitment-based psychoeducation in nursing students: A randomized controlled trial","name":"articletitle","label":"Article Title"},{"value":"Nurse Education Today","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.nedt.2026.107021","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"107021"}}