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Group counseling involving a mindfulness-based strategies may help prevent university students from developing rumination and negative emotions and subsequent mental health disorders. This study aims to evaluate the alleviating effect of mindfulness intervention on rumination and negative emotions in university students in China.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A randomized controlled trial (RCT) with 2 arms\u00a0(Intervention Group and Control Group), three assessment time points (pre-intervention, post-intervention, and 3-month follow-up) is proposed. A total of 196 university students are randomly assigned to an intervention group (n\u2009=\u200998) receiving a 2-week, daily 1.5-hour mindfulness training (MT) and a control group (n\u2009=\u200998) receiving peer support (PS) sessions. Participants complete the Mindful Attention Awareness Scale (MAAS), Depression-Anxiety-Stress Scale (DASS-21), and Ruminative Responses Scale (RRS) before, immediately after, and three months post-intervention. Statistical analysis will compare outcomes between groups to evaluate the effectiveness using a repeated-measures ANOVA.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Before the intervention, no significant differences are observed between groups. After the intervention, the MT group shows significant improvements in MAAS scores and reductions in DASS-21 scores (p\u2009&lt;\u20090.05) compared to the PS group. While immediate improvements in rumination (RRS) are not significant, the MT group exhibits significant reductions in rumination three months post-intervention.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>This study contributes to a better understanding of the effectiveness of mindfulness intervention in alleviating rumination and negative emotions in university students, and it is expected that with the proposed intervention university students can improve their psychological well-being. Besides, mindfulness interventions can potentially be extended to participants suffering from other psychological issues in the future.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0331084","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T17:34:48Z","timestamp":1756834488000},"page":"e0331084","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluating the effectiveness of mindfulness-based interventions on rumination and negative emotions in Chinese University Students: A randomized controlled 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rumination","volume":"3","author":"S Nolen-Hoeksema","year":"2008","journal-title":"Perspect Psychol Sci"},{"issue":"10","key":"pone.0331084.ref002","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1177\/0956797610381505","article-title":"When mental inflexibility facilitates executive control: beneficial side effects of ruminative tendencies on goal maintenance","volume":"21","author":"LJ Altamirano","year":"2010","journal-title":"Psychol Sci"},{"issue":"2","key":"pone.0331084.ref003","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1037\/a0022796","article-title":"Rumination as a vulnerability factor to depression during the transition from early to middle adolescence: a multiwave longitudinal study","volume":"120","author":"JRZ Abela","year":"2011","journal-title":"J Abnorm Psychol"},{"issue":"3","key":"pone.0331084.ref004","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.brat.2010.12.006","article-title":"Rumination as a transdiagnostic factor in 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Lian","year":"2017","journal-title":"Acta Psychol Sinica"},{"issue":"7","key":"pone.0331084.ref008","first-page":"1042","article-title":"Relationship between mobile phone dependence and depression among children and adolescents: the moderating effect of parental marital relationship","volume":"30","author":"C Qiu","year":"2022","journal-title":"China J Health Psychol"},{"issue":"11","key":"pone.0331084.ref009","first-page":"2021","article-title":"Relationship between rumination and mental wandering of college students with depressive states","volume":"29","author":"C Yang","journal-title":"China J Health Psychol"},{"issue":"21","key":"pone.0331084.ref010","first-page":"2987","article-title":"Influence of internet gaming disorder on insomnia among college students and the chain mediating role of self-control and rumination","volume":"37","author":"Z Peng","year":"2021","journal-title":"Occup 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Neural mechanisms of attentional control in mindfulness meditation. Neural Mech Attentional Control Mindfulness Medit. 2013;7:8. https:\/\/doi.org\/10.3389\/fnins.2013.00008 23382709","DOI":"10.3389\/fnins.2013.00008"},{"issue":"2","key":"pone.0331084.ref013","first-page":"144","article-title":"Mindfulness-based interventions in context: Past, present, and future","volume":"10","author":"J Kabat-Zinn","year":"2003","journal-title":"Clin Psychol"},{"key":"pone.0331084.ref014","doi-asserted-by":"crossref","DOI":"10.1017\/CBO9781107587793.010","volume-title":"Mindfulness and creativity in the workplace","author":"RS Kudesia","year":"2015"},{"issue":"2","key":"pone.0331084.ref015","first-page":"313","article-title":"A study on the relationship between mental flexibility and mental health of college students","volume":"32","author":"X Li","year":"2015","journal-title":"Chin J Health Stat"},{"issue":"7","key":"pone.0331084.ref016","first-page":"1020","article-title":"The theoretical background, empirical study and future development of the acceptance and commitment therapy","volume":"19","author":"X Zeng","year":"2011","journal-title":"Adv Psychol Sci"},{"key":"pone.0331084.ref017","first-page":"4","article-title":"Mindfulness intervention and its application in mental health education for primary and secondary school students","volume":"17","author":"H Liu","year":"2019","journal-title":"Mental Health Educ Primary Second School"},{"issue":"11","key":"pone.0331084.ref018","first-page":"648","article-title":"Intervention effect of acceptance and commitment therapy group treatment on improving mental health of college students","volume":"7","author":"Y Xu","year":"2019","journal-title":"Techniques Appl"},{"issue":"2","key":"pone.0331084.ref019","first-page":"276","article-title":"The effects of mindfulness meditation on improving university students\u2019 mental health and quality of sleep","volume":"25","author":"X Chen","year":"2017","journal-title":"China J Health Psychol"},{"issue":"2","key":"pone.0331084.ref020","first-page":"430","article-title":"Effect of mindfulness decompression therapy on cancer-related fatigue and mental health of elderly widowed lung cancer patients with chemotherapy","volume":"40","author":"G Wu","year":"2020","journal-title":"J Clin Pathol Res"},{"key":"pone.0331084.ref021","doi-asserted-by":"crossref","unstructured":"Lin, L, Dong, Y, Tang, R, & Yan, N. Emotional Mindful Parenting Intervention (EMPI): the impact of mindful parenting on preschoolers\u2019 emotion regulation and its mechanism. Mindfulness. 2025;1\u201314. https:\/\/doi.org\/10.1007\/s12671-025-02611-x","DOI":"10.1007\/s12671-025-02611-x"},{"issue":"4","key":"pone.0331084.ref022","first-page":"889","article-title":"The influence of mindfulness on subjective well-being in college students: the mediating role of emotional regulation and mental resilience","volume":"38","author":"S Liu","year":"2015","journal-title":"J Psychol Sci"},{"issue":"2","key":"pone.0331084.ref023","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1037\/1040-3590.20.2.93","article-title":"Psychological inflexibility in childhood and adolescence: development and evaluation of the Avoidance and Fusion Questionnaire for Youth","volume":"20","author":"LA Greco","year":"2008","journal-title":"Psychol Assess"},{"key":"pone.0331084.ref024","unstructured":"L\u00fcdecke D. sjstats: statistical functions for regression models (Version 0.18.2). 2022. https:\/\/doi.org\/10.5281\/zenodo.1284472"},{"key":"pone.0331084.ref025","unstructured":"Champely S. Pwr: basic functions for power analysis. 2020."},{"issue":"11","key":"pone.0331084.ref026","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0312669","article-title":"Effectiveness of Acceptance and Commitment Therapy (ACT) on disease acceptance for breast cancer patients: study protocol of a randomized controlled trial","volume":"19","author":"W Song","year":"2024","journal-title":"PLoS One"},{"issue":"4","key":"pone.0331084.ref027","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":"KW Brown","year":"2003","journal-title":"J Pers Soc Psychol"},{"issue":"2","key":"pone.0331084.ref028","first-page":"148","article-title":"Revision of mindful attention awareness scale (MAAS)","volume":"20","author":"S Chen","year":"2012","journal-title":"Chin J Clin Psychol"},{"issue":"3","key":"pone.0331084.ref029","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/0005-7967(94)00075-U","article-title":"The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories","volume":"33","author":"PF Lovibond","year":"1995","journal-title":"Behav Res Ther"},{"issue":"11","key":"pone.0331084.ref030","first-page":"1436","article-title":"Reliability and validity evaluation of the simplified Chinese version of the epression-anxiety-stress scale","volume":"28","author":"Y Wen","year":"2012","journal-title":"Chin J Public Health"},{"issue":"25","key":"pone.0331084.ref031","first-page":"549","article-title":"The trial application of the Nolen-Hoeksema rumination scale in China","volume":"17","author":"X Han","year":"2009","journal-title":"Chin J Clin Psychol"},{"key":"pone.0331084.ref032","volume-title":"Mindfulness-based cognitive therapy: theoretical rationale and empirical status","author":"Z Segal","year":"2004"},{"issue":"4","key":"pone.0331084.ref033","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1002\/jrsm.1196","article-title":"Impact of analysing continuous outcomes using final values, change scores and analysis of covariance on the performance of meta-analytic methods: a simulation study","volume":"7","author":"JE McKenzie","year":"2016","journal-title":"Res Synth Methods"},{"issue":"1","key":"pone.0331084.ref034","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1003481","article-title":"Mindfulness-based programmes for mental health promotion in adults in nonclinical settings: a systematic review and meta-analysis of randomised controlled trials","volume":"18","author":"J Galante","year":"2021","journal-title":"PLoS Med"},{"key":"pone.0331084.ref035","doi-asserted-by":"crossref","DOI":"10.1002\/9781119536604","volume-title":"Cochrane handbook for systematic reviews of interventions version 6.0 (updated July 2019)","author":"JPT Higgins","year":"2019"},{"key":"pone.0331084.ref036","unstructured":"Harrer M, Cuijpers P, Furukawa TA, Ebert DD. Doing Meta-Analysis in R: A Hands-On guide. 2019. https:\/\/bookdown.org\/MathiasHarrer\/Doing_Meta_Analysis_in_R\/"},{"key":"pone.0331084.ref037","volume-title":"METAEFF: Stata module to perform effect sizes calculations for meta-analyses","author":"E Kontopantelis","year":"2015"},{"issue":"2","key":"pone.0331084.ref038","first-page":"99","article-title":"Predictive factors of public anxiety under the outbreak of COVID-19","volume":"26","author":"R Zheng","year":"2020","journal-title":"Chin J Appl Psychol"},{"issue":"7","key":"pone.0331084.ref039","first-page":"497","article-title":"Effectiveness of 8-week mindfulness training improving negative emotions","volume":"25","author":"W Xu","year":"2015","journal-title":"Chin Ment Health J"},{"issue":"11","key":"pone.0331084.ref040","first-page":"1","article-title":"A meta-analysis of the effects of peer psychological counseling on mental health intervention: a sample of Chinese college students","volume":"16","author":"Z Liang","year":"2021","journal-title":"Psychol Mon"},{"issue":"12","key":"pone.0331084.ref041","article-title":"Process and effect of peer group counseling on social anxiety among college students","volume":"35","author":"J Chen","year":"2014","journal-title":"China Sch Health"},{"issue":"5","key":"pone.0331084.ref042","first-page":"780","article-title":"Mechanisms of mindfulness on test anxiety and evaluation of intervention effect on college students with anxiety tendency","volume":"28","author":"C Hong","year":"2020","journal-title":"China J Health Psychol"},{"issue":"9","key":"pone.0331084.ref043","first-page":"1065","article-title":"Interventive efficacy of mindfulness-based cognitive therapy on undergraduate obsessive-compulsive disorder symptoms","volume":"33","author":"R Fan","year":"2012","journal-title":"China Sch Health"},{"issue":"2","key":"pone.0331084.ref044","first-page":"122","article-title":"The effects of mindfulness meditation on improving university students\u2019 mental health and quality of sleep","volume":"25","author":"X Chen","year":"2017","journal-title":"China J Health Psychol"},{"key":"pone.0331084.ref045","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1146\/annurev-psych-042716-051139","article-title":"Mindfulness Interventions","volume":"68","author":"JD Creswell","year":"2017","journal-title":"Annu Rev Psychol"},{"issue":"2","key":"pone.0331084.ref046","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1007\/s12160-016-9844-2","article-title":"Mindfulness meditation for chronic pain: systematic review and meta-analysis","volume":"51","author":"L Hilton","year":"2017","journal-title":"Ann Behav Med"},{"issue":"9","key":"pone.0331084.ref047","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.3724\/SP.J.1041.2012.01180","article-title":"Mindfulness can reduce automatic responding: evidences from stroop task and prospective memory task","volume":"44","author":"Y Wang","year":"2013","journal-title":"Acta Psychologica Sinica"},{"issue":"3","key":"pone.0331084.ref048","first-page":"648","article-title":"The influence of mindfulness training on subjective well-being and its components: a meta-analysis","volume":"29","author":"J Sun","year":"2021","journal-title":"J CNKI"},{"issue":"4","key":"pone.0331084.ref049","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.jpsychores.2007.06.015","article-title":"Mindfulness, spirituality, and health-related symptoms","volume":"64","author":"J Carmody","year":"2008","journal-title":"J Psychosom Res"},{"issue":"4","key":"pone.0331084.ref050","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1177\/0020764020915212","article-title":"The outbreak of COVID-19 coronavirus and its impact on global mental health","volume":"66","author":"J Torales","year":"2020","journal-title":"Int J Soc Psychiatry"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0331084","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T17:34:56Z","timestamp":1756834496000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0331084"}},"subtitle":[],"editor":[{"given":"Ayman Mohamed","family":"El-Ashry","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,9,2]]},"references-count":50,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025,9,2]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0331084","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,2]]}}}