The present study piloted a brief, single-session behavioral intervention to prevent stress-related illnesses in college students. Participants were recruited at a large public university (N =213). A total of 132 participants completed in-person research sessions and were randomly assigned to one of three conditions (two control and one intervention), and another 81 participants completed measures online (online control) without any face-to-face contact. The intervention consisted of brief, one-on-one diaphragmatic breathing training, delivered by trained research assistants. Data were collected at baseline and 2-week follow-up. Participants receiving the intervention provided positive ratings of intervention acceptability and reported utilizing diaphragmatic breathing during the 2-week period. They also reported significant improvements in perceived stress, anxiety, and depressive symptoms. When compared with the control conditions, however, the Intervention condition produced superior improvement in depressive symptoms only. Results suggest that diaphragmatic breathing training can be offered by trained peers to college students to help reduce stress-related symptoms.
HuntJEisenbergD.Mental health problems and help-seeking behavior among college students. J Adolesc Health2010;
46: 3–10.
3.
AuerbachRPAlonsoJAxinnWG, et al.
Mental disorders among college students in the WHO World Mental Health Surveys. Psychol Med2016;
46: 2955–2970.
4.
EisenbergDHuntJSpeerN, et al.
Mental health service utilization among college students in the United States. J Nerv Ment Dis2011;
199: 301–308.
5.
MowbrayCTMegivernDMandibergJM, et al.
Campus mental health services: recommendations for change. Am J Orthopsychiatry2006;
76: 226–237.
6.
DvořákováKKishidaMLiJ, et al.
Promoting healthy transition to college through mindfulness training with first-year college students: pilot randomized controlled trial. J Am Coll Health2017;
65: 259–267.
7.
ShatkinJPDiamondUZhaoY, et al.
Effects of a risk and resilience course on stress, coping skills, and cognitive strategies in college students. Teach Psychol2016;
43: 204–210.
8.
DeckroGRBallingerKMHoytMW, et al.
The evaluation of a mind/body intervention to reduce psychological distress and perceived stress in college students. J Am Coll Health2002;
50: 281–287.
9.
RäsänenPLappalainenPMuotkaJ, et al.
An online guided ACT intervention for enhancing the psychological wellbeing of university students: a randomized controlled clinical trial. Behav Res Ther2016;
78: 30–42.
10.
RegehrCGlancyDPittsA.Interventions to reduce stress in university students: a review and meta-analysis. J Affect Disord2013;
148: 1–11.
11.
RichardsonKMRothsteinHR.Effects of occupational stress management intervention programs: a meta-analysis. J Occup Health Psychol2008;
13: 69–93.
12.
RauschSMGramlingSEAuerbachSM.Effects of a single session of large-group meditation and progressive muscle relaxation training on stress reduction, reactivity, and recovery. Int J Stress Manag2006;
13: 273–290.
13.
JainSShapiroSSwanickS, et al.
A randomized controlled trial of mindfulness meditation versus relaxation training: effects on distress, positive states of mind, rumination, and distraction. Ann Behav Med2007;
33: 11–21.
14.
Hazlett-StevensHCraskeMG.Breathing retraining and diaphragmatic breathing. In: O'DonohueWTFisherJE (eds) General principles and empirically supported techniques of cognitive behavior therapy.
Hoboken, NJ:
Wiley, 2009, pp.166–172.
15.
VarvogliLDarviriC.Stress management techniques: evidence-based procedures that reduce stress and promote health. Health Sci J2011;
5: 74–89.
16.
KaushikRKaushikRMMahajanSK, et al.
Biofeedback assisted diaphragmatic breathing and systematic relaxation versus propranolol in long term prophylaxis of migraine. Complement Ther Med2005;
13: 165–174.
17.
WallaceEV.Managing stress: what consumers want to know from health educators. Am J Health Stud2007;
22: 56–58.
18.
BellKMMeadowsEA.Efficacy of a brief relaxation training intervention for pediatric recurrent abdominal pain. Cogn Behav Pract2013;
20: 81–92.
19.
MyrvikMPCampbellADButcherJL.Single-session biofeedback-assisted relaxation training in children with sickle cell disease. J Pediatr Hematol/Oncol2012;
34: 340–343.
20.
WellsROuthredTHeathersJAJ, et al.
Matter over mind: a randomised-controlled trial of single-session biofeedback training on performance anxiety and heart rate variability in musicians. PLoS One2012;
7: e46597.
21.
PatelVFlisherAJHetrickS, et al.
Mental health of young people: a global public-health challenge. Lancet2007;
369: 1302–1313.
22.
KlengelTBinderEB.Epigenetics of stress-related psychiatric disorders and gene × environment interactions. Neuron2015;
86: 1343–1357.
23.
KelleyMHefferRGreshamF, et al.
Development of a modified treatment evaluation inventory. J Psychopathol Behav Assess1989;
11: 235–247.
24.
CohenSWilliamsonG. Perceived stress in a probability sample of the US. In: Spacapam S and Oskamp S (eds) The social psychology of health: Claremont symposium on applied social psychology. Newbury Park, CA: Sage, 1988, pp.31–67.
25.
KroenkeKSpitzerRLWilliamsJBW, et al.
The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic review. Gen Hosp Psychiatry2010;
32: 345–359.
BurkeHMDavisMCOtteC, et al.
Depression and cortisol responses to psychological stress: a meta-analysis. Psychoneuroendocrinology2005;
30: 846–856.
28.
BaskinTWTierneySCMinamiT, et al.
Establishing specificity in psychotherapy: a meta-analysis of structural equivalence of placebo controls. J Consult Clin Psychol2003;
71: 973–979.
29.
LaskaKMGurmanASWampoldBE.Expanding the lens of evidence-based practice in psychotherapy: a common factors perspective. Psychotherapy2014;
51: 467–481.
30.
HymmenPStalkerCACaitC-A.The case for single-session therapy: does the empirical evidence support the increased prevalence of this service delivery model?J Ment Health2013;
22: 60–71.
