{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T14:16:53Z","timestamp":1787926613301,"version":"build-2784847793"},"reference-count":61,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Ladies Foundation of Pure Knowledge (Lebanon) and individual donors"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Women in rural Lebanon face ongoing war, corruption, pollution, and inequality. Such chronic instability makes their lives challenging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study evaluated the effects of a well-researched meditation practice on countering the stressors these women experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a randomized controlled trial of 114 rural Lebanese women divided into three cohorts, each measured over a period of three months. Subjects in each cohort were randomized into either the experimental group, who were taught the Transcendental Meditation practice, or an active wait-list control group. The study ran from May to November, 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All participants were measured at baseline, 1-month, and 3-months using the Perceived Stress Scale, the Connor-Davidson Resilience Scale (CD-RISC-10), the Arabic Scale of Happiness, and the New General Self-Efficacy Scale. Procedures and study design were approved by the Maharishi International University Research Institute Review Board on December 9, 2022. The ethics approval number is IRB-MIU-MVS-2022-1008.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After three months of TM practice, the experimental group had significant reductions in perceived stress and significant increases in happiness, resilience, and self-efficacy (P&lt;.001) compared with controls. Compliance was high, with almost 80% reporting daily TM practice. A stepwise multiple discriminant analysis revealed that self-efficacy and perceived stress significantly predicted levels of happiness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings indicate that TM practice is an effective tool for rural Lebanese women in relieving stress and promoting happiness, resilience, and self-efficacy. It may strengthen the inner person to better cope with existing environmental pressures. Longer studies with a wider Lebanese\/Middle East population are needed to confirm these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261479602","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T17:05:37Z","timestamp":1787677537000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Improving happiness, resilience, and self-efficacy while reducing stress for rural Lebanese women using the Transcendental Meditation practice: A randomized controlled trial"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1015-0873","authenticated-orcid":false,"given":"Marie","family":"Loiselle","sequence":"first","affiliation":[{"name":"Maharishi International University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick","family":"Travis","sequence":"additional","affiliation":[{"name":"Department of Maharishi Vedic Science, Maharishi International University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"e_1_3_7_2_2","volume-title":"Lebanon struggles to emerge from financial crisis and government corruption","author":"PBS Newshour","year":"2023","unstructured":"PBS Newshour. 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