{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:40:19Z","timestamp":1791567619912,"version":"4.3.4"},"reference-count":35,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004352","name":"Suranaree University of Technology","doi-asserted-by":"publisher","award":["BRO8-804-65-12-06"],"award-info":[{"award-number":["BRO8-804-65-12-06"]}],"id":[{"id":"10.13039\/501100004352","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>University students frequently report elevated stress, yet access to formal mental health services is often constrained. Self-directed mind-body practices, such as the Somporn Kantharadussadee Triamchaisri program (SKT1), may offer low-intensity mood management; however, real-world evidence based on repeated within-person assessments remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine immediate within-session mood changes, practice adherence, temporal stability, and individual differences associated with self-directed SKT1 practice among university students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Twenty-seven university students (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200919 female, 70.37%) completed 28 self-directed SKT1 sessions over 14 days, yielding 710 within-person observations. Negative mood was rated on a 0\u201310 numeric rating scale (NRS) immediately before and after each session. Data were analyzed using Linear Mixed Models (LMM) with a Diagonal covariance structure, which provided a superior model fit compared to simpler variance components.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants demonstrated high engagement, completing a mean of 26.3 sessions (\n                      <jats:italic>SD<\/jats:italic>\n                      \u2009=\u20092.8). LMM analysis revealed a highly significant decrease in negative mood immediately following SKT1 practice (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u20090.572,\n                      <jats:italic>t<\/jats:italic>\n                      (522.79) = 42.12,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), representing a large effect size (Paired Cohen\u2019s\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20091.00, 95% CI [0.91, 1.09]). These immediate mood changes were consistently observed across all 28 sessions (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.367) and did not vary by practice adherence (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.587). While baseline stress showed a marginal trend toward mood reduction (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u2009\u22120.128,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.074), baseline anxiety and resilience were not significantly associated with immediate outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Self-directed SKT1 practice might be associated with consistent, immediate mood reductions that are stable over time and accessible within this specific university sample. These preliminary findings suggest the potential of SKT1 as a feasible \u2018per-session\u2019 resource for supporting mood management among students in similar academic contexts. The protocol was registered in the Thai Clinical Trials Registry (TCTR20231016002).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0350556","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T17:42:03Z","timestamp":1780076523000},"page":"e0350556","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Immediate mood changes and practice adherence during a self-directed SKT1 meditation program in university students: An intensive longitudinal study"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1159-5404","authenticated-orcid":true,"given":"Sorachai","family":"Kamollimsakul","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8380-3850","authenticated-orcid":true,"given":"Suparpit Maneesakorn","family":"von Bormann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somporn Kantharadussadee","family":"Triamchaisri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"pone.0350556.ref001","unstructured":"Gal\u00e1n-Muros V, Roser-Chinchilla J, Hsiung N. Supporting the mental health and well-being of higher education students. 2024."},{"key":"pone.0350556.ref002","unstructured":"World Health Organization. World mental health today: Latest data. 2025."},{"key":"pone.0350556.ref003","doi-asserted-by":"crossref","first-page":"1284632","DOI":"10.3389\/fpubh.2023.1284632","article-title":"Mindfulness to improve the mental health of university students. A systematic review and meta-analysis","volume":"11","author":"AM Gonz\u00e1lez-Mart\u00edn","year":"2023","journal-title":"Front Public Health"},{"issue":"1","key":"pone.0350556.ref004","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1186\/s12888-025-06967-1","article-title":"Effects of online mindfulness-based stress reduction training on depression and anxiety symptoms among psychiatric healthcare workers in a randomized controlled trial: the mediating role of emotional suppression","volume":"25","author":"Y Wu","year":"2025","journal-title":"BMC Psychiatry"},{"key":"pone.0350556.ref005","first-page":"1","article-title":"Mindfulness-based interventions for emotional dysregulation in adolescents: a systematic review","author":"N Sharma","year":"2025","journal-title":"Annals of Neurosciences"},{"key":"pone.0350556.ref006","first-page":"1151","article-title":"App-based mindfulness meditation reduces perceived stress and improves self-regulation in working university students: a randomised controlled trial","volume":"14","author":"PM Schulte-Frankenfeld","year":"2022","journal-title":"Applied Psychology: Health and Well-Being"},{"issue":"5","key":"pone.0350556.ref007","doi-asserted-by":"crossref","first-page":"1703","DOI":"10.3390\/jcm14051703","article-title":"Mindfulness-based cognitive therapy in clinical practice: a systematic review of neurocognitive outcomes and applications for mental health and well-being","volume":"14","author":"E Gkintoni","year":"2025","journal-title":"J Clin Med"},{"key":"pone.0350556.ref008","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1038\/s44220-023-00081-5","article-title":"Systematic review and individual participant data meta-analysis of randomized controlled trials assessing mindfulness-based programs for mental health promotion","volume":"1","author":"J Galante","year":"2023","journal-title":"Nature Mental Health"},{"issue":"1","key":"pone.0350556.ref009","first-page":"1","article-title":"Cognitive reappraisal as a mediating mechanism between mindfulness and stress reduction","volume":"8","author":"SJ Critchley","year":"2026","journal-title":"J Assess Res Appl Counsel"},{"issue":"2","key":"pone.0350556.ref010","first-page":"15","article-title":"Effects of SKT meditation healing exercise on stress and dyspnea among patients with chronic obstructive pulmonary disease","volume":"15","author":"M Chainate","year":"2022","journal-title":"J Nurs Public Health Res"},{"issue":"1","key":"pone.0350556.ref011","first-page":"108","article-title":"The effects of providing information and SKT meditation therapy practice on stress of caregivers in the family of stroke patients on the transitional period from hospital to home","volume":"1","author":"S Paophutorn","year":"2020","journal-title":"J Res Health Innov Develop"},{"issue":"3","key":"pone.0350556.ref012","first-page":"69","article-title":"Effects of the nursing care integrating SKT 1 and 7 program on anxiety and nausea and vomiting in patients with lung cancer receiving chemotherapy","volume":"45","author":"S Praiin","year":"2025","journal-title":"J Res Nursing-Midwifery and Health Sci"},{"issue":"3","key":"pone.0350556.ref013","first-page":"89","article-title":"The effect on SKT meditation training on archery skill","volume":"15","author":"U Kongurai","year":"2023","journal-title":"Acad J Thailand Nat Sports Univ"},{"issue":"3","key":"pone.0350556.ref014","first-page":"13","article-title":"The effects of meditation practice approaches by integrating satipatthana 4 and skt 1 on mental ability, self-awareness and academic achievement of nursing students","volume":"36","author":"S Tanupabrungsun","year":"2016","journal-title":"Songklanagarind J Nursing"},{"issue":"1","key":"pone.0350556.ref015","first-page":"1","article-title":"S K T meditation","volume":"8","author":"SK Triamchaisri","year":"2021","journal-title":"Wellness Magazine"},{"key":"pone.0350556.ref016","volume-title":"Meditation healing exercise SKT 1-8","author":"SK Triamchaisri","year":"2024"},{"key":"pone.0350556.ref017","unstructured":"Kosum T. The effectiveness of the SKT integrated meditation program and dietary behavior change on blood pressure, sodium and stress levels among hypertensive patients in Tambon Ban Sadet, Muang District, Lampang Province. 2020."},{"issue":"3","key":"pone.0350556.ref018","first-page":"194","article-title":"The effectiveness of SKT meditation healing exercise on blood pressure, stress, anxiety and sleep quality in the elderly with hypertension in hang chat district, lampang province","volume":"41","author":"R Suwan","year":"2025","journal-title":"J Health and Nurs Res"},{"issue":"3","key":"pone.0350556.ref019","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1093\/abm\/16.3.199","article-title":"Ecological Momentary Assessment (Ema) in behavioral medicine","volume":"16","author":"AA Stone","year":"1994","journal-title":"Ann Behav Med"},{"key":"pone.0350556.ref020","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/978-94-017-9088-8_3","article-title":"Validity and reliability of the experience-sampling method","author":"M Csikszentmihalyi","year":"2014","journal-title":"Flow and the foundations of positive psychology. Springer Netherlands"},{"issue":"6","key":"pone.0350556.ref021","first-page":"1856","article-title":"Examining the concurrent and predictive validity of single items in ecological momentary assessments","volume":"30","author":"J Song","year":"2023","journal-title":"Assessment"},{"issue":"3","key":"pone.0350556.ref022","first-page":"177","article-title":"Srithanya stress scale","volume":"16","author":"O Silpakit","year":"2008","journal-title":"J Mental Health of Thailand"},{"issue":"10","key":"pone.0350556.ref023","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the GAD-7","volume":"166","author":"RL Spitzer","year":"2006","journal-title":"Arch Intern Med"},{"key":"pone.0350556.ref024","volume-title":"Pfizer to offer free public access to mental health assessment tools to improve diagnosis and patient care","author":"Pfizer Inc","year":"2010"},{"issue":"3","key":"pone.0350556.ref025","first-page":"1","article-title":"Development of psychological immunity scale for undergraduate students","volume":"19","author":"T Kantathanawat","year":"2020","journal-title":"J Indus Edu"},{"key":"pone.0350556.ref026","volume-title":"Intensive longitudinal methods: an introduction to diary and experience sampling research","author":"N Bolger","year":"2013"},{"issue":"134","key":"pone.0350556.ref027","doi-asserted-by":"crossref","first-page":"20170213","DOI":"10.1098\/rsif.2017.0213","article-title":"The coefficient of determination R2 and intra-class correlation coefficient from generalized linear mixed-effects models revisited and expanded","volume":"14","author":"S Nakagawa","year":"2017","journal-title":"J R Soc Interface"},{"issue":"1","key":"pone.0350556.ref028","doi-asserted-by":"crossref","first-page":"100895","DOI":"10.1016\/j.xcrm.2022.100895","article-title":"Brief structured respiration practices enhance mood and reduce physiological arousal","volume":"4","author":"MY Balban","year":"2023","journal-title":"Cell Rep Med"},{"key":"pone.0350556.ref029","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s12671-023-02294-2","article-title":"The effect of slow\u2011paced breathing on cardiovascular and emotion functions: a meta-analysis and systematic review","volume":"15","author":"R Shao","year":"2024","journal-title":"Mindfulness"},{"key":"pone.0350556.ref030","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2196\/43358","article-title":"The effects of dose, practice habits, and objects of focus on digital meditation effectiveness and adherence: longitudinal study of 280,000 digital meditation sessions across 103 countries","volume":"25","author":"M Cearns","year":"2023","journal-title":"J Med Internet Res"},{"key":"pone.0350556.ref031","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/aphw.70063","article-title":"Dose \u2013 response effects of reported meditation practice on mental-health and wellbeing: A prospective longitudinal study","volume":"17","author":"NI Bowles","year":"2025","journal-title":"Appl Psychol Health Well-Being"},{"issue":"5","key":"pone.0350556.ref032","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0176239","article-title":"The varieties of contemplative experience: a mixed-methods study of meditation-related challenges in Western Buddhists","volume":"12","author":"JR Lindahl","year":"2017","journal-title":"PLoS One"},{"issue":"8","key":"pone.0350556.ref033","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0255634","article-title":"Gender differences in perceived stress and coping among college students","volume":"16","author":"BS Graves","year":"2021","journal-title":"PLoS One"},{"issue":"551","key":"pone.0350556.ref034","first-page":"1","article-title":"Women benefit more than men in response to college-based meditation training","volume":"8","author":"R Rojiani","year":"2017","journal-title":"Frontiers in Psychol"},{"key":"pone.0350556.ref035","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1002\/wps.20513","article-title":"Experience sampling methodology in mental health research","volume":"17","author":"I Myin-germeys","year":"2018","journal-title":"World Psych"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0350556","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T17:42:11Z","timestamp":1780076531000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0350556"}},"subtitle":[],"editor":[{"given":"Krzysztof","family":"Nesterowicz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,5,29]]},"references-count":35,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,5,29]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0350556","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,29]]}}}