{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T11:29:49Z","timestamp":1775215789724,"version":"3.50.1"},"reference-count":56,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Research of Korea Centers for Disease Control and Prevention","award":["2024-ER0911-00"],"award-info":[{"award-number":["2024-ER0911-00"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Objectives: This study assessed the effectiveness of a cognitive behavioral therapy (CBT)-based fine dust education program, grounded in the Health Belief Model (HBM), on elementary students\u2019 fine dust knowledge, related behaviors, and mental health (depression, anxiety, stress, sleep quality). Methods: From September to November 2024, 95 students (grades 4\u20136) living near a coal-fired power plant in midwestern South Korea were assigned to either an intervention group (n = 44) or a control group (n = 51). The intervention group completed a three-session CBT-based education program; the control group received stress management education. Assessments were conducted at weeks 1, 2, 4, and 8 using standardized mental health and behavior scales (PHQ: Patient Health Questionnaire, GAD: Generalized Anxiety Disorder Assessment, PSS: Perceived Stress Scale, ISI: Insomnia Severity Index). Results: A chi-square test was conducted to compare pre- and post-test changes in knowledge and behavior related to PM2.5. The intervention group showed significant improvements in seven fine dust-related knowledge and behavior items (e.g., PM2.5 awareness rose from 33.3% to 75.0%; p &lt; 0.05). The control group showed limited gains. Regarding mental health, based on a mixed-design ANCOVA, anxiety scores significantly declined over time in the intervention group, with group and interaction effects also significant (p &lt; 0.05). Depression scores showed time effects, but group and interaction effects were not significant. No significant changes were observed for stress, sleep, or group \u00d7 PM2.5 interactions. Conclusions: The CBT-based education program effectively enhanced fine dust knowledge, health behaviors, and reduced anxiety among students. It presents a promising, evidence-based strategy to promote environmental and mental health in school-aged children.<\/jats:p>","DOI":"10.3390\/children12081015","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T06:37:47Z","timestamp":1754030267000},"page":"1015","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effects of Cognitive Behavioral Therapy-Based Educational Intervention Addressing Fine Particulate Matter Exposure on the Mental Health of Elementary School Children"],"prefix":"10.3390","volume":"12","author":[{"given":"Eun-Ju","family":"Bae","sequence":"first","affiliation":[{"name":"Department of Psychology, Graduate School, Dankook University, Cheonan 31116, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seobaek","family":"Cha","sequence":"additional","affiliation":[{"name":"Department of Psychology, Graduate School, Dankook University, Cheonan 31116, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4023-3269","authenticated-orcid":false,"given":"Dong-Wook","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Occupationl and Environmental Medicine, Inha University Hospital, Inha University, Incheon 22332, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hwan-Cheol","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Occupationl and Environmental Medicine, Inha University Hospital, Inha University, Incheon 22332, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8027-835X","authenticated-orcid":false,"given":"Jiho","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Occupationl and Environmental Medicine, Ulsan University Hospital, Ulsan University, Ulsan 44033, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7629-3511","authenticated-orcid":false,"given":"Myung-Sook","family":"Park","sequence":"additional","affiliation":[{"name":"Institute of Environmental Medicine, Seoul National University Medical Research Center, Seoul 03080, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2927-370X","authenticated-orcid":false,"given":"Woo-Jin","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, College of Medicine, Kangwon National University, Chuncheon 24341, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumi","family":"Chae","sequence":"additional","affiliation":[{"name":"Department of Healthcare Policy Research, Korea Institute for Health and Social Affairs, Sejong 30147, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4974-5180","authenticated-orcid":false,"given":"Jong-Hun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Social and Preventive Medicine, School of Medicine, Sungkyunkwan University, Suwon 16419, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0672-6430","authenticated-orcid":false,"given":"Young Lim","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Psychology, Graduate School, Dankook University, Cheonan 31116, Republic of Korea"},{"name":"Department of Psychology and Psychotherapy, College of Health Science, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan 31116, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5370-4376","authenticated-orcid":false,"given":"Myung Ho","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Psychology, Graduate School, Dankook University, Cheonan 31116, Republic of Korea"},{"name":"Department of Psychology and Psychotherapy, College of Health Science, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan 31116, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,1]]},"reference":[{"key":"ref_1","unstructured":"United States Environmental Protection Agency (2025, June 25). 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