Wei Ren1, Pei Zhang2,*, Pei Sun2
1The Department of Youth Work, China Youth University of Political Studies, Beijing 100089, China
2Faculty of Health and Wellness, City University of Macau, Macau 999078, China
AbstractGraduate students worldwide face a significant mental health crisis, with high rates of anxiety, depression, and burnout, which collectively undermine their subjective well-being (SWB). However, empirical studies on enhancing their positive psychological qualities remain scarce. This randomized controlled trial examined the efficacy of a 10-week integrative group hypnosis intervention on SWB and its core components among 39 Chinese graduate students, who were allocated to either an experimental group (N = 19) receiving the intervention or a wait-list control group (N = 20). Assessments at pre-intervention, post-intervention, and one-month follow-up showed that the intervention significantly improved SWB (time × group interaction: F = 5.681, P = 0.005, η² = 0.133) and positive affect (F = 6.772, P = 0.002, η² = 0.155). At posttest, the experimental group demonstrated significantly higher SWB, positive affect, subjective vitality, and life satisfaction, along with lower negative affect than the control group. The follow-up data revealed a differential trajectory, whereby the initial surge in positive affect was not fully maintained, contrasting with the more stable improvements in cognitive and energy-related components. Despite this, the integrative group hypnosis intervention effectively enhanced graduate students' overall SWB and produced beneficial effects, offering empirical evidence and a practical pathway for universities to promote positive mental health development.
KeywordsAkın, A. (2012). The relationships between internet addiction, subjective vitality, and subjective happiness. Cyberpsychology, Behavior and Social Networking, 15(8), 404-410. https://doi.org/10.1089/cyber.2011.0609
Bakhsh, M. M., Wajidi, F. A., Billoo, T. A., Iftikhar, K. M., & Imtiaz, F. (2024). General well being among graduate and undergraduate students of business institute, Karachi: retrospective cross sectional study. Voyage Journal of Educational Studies, 4(1), 97-109. https://doi.org/10.58622/vjes.v4i1.125
Betriana, F., Sunarno, S., Nurwidyaningtyas, W., & Ganefianty, A. (2025). A critical advantage of hypnobirthing to ameliorate antenatal depression: A systematic review and meta-analysis. Healthcare, 13(7), 705. https://doi.org/10.3390/healthcare13070705
Bissonnette, J., Guertin, M. C., Pinard, A. M., Ogez, D., & Rainville, P. (2025). Music and hypnosis for well-being in retirement homes: A pilot study. American Journal of Clinical Hypnosis, 67(3), 244-261. https://doi.org/10.1080/00029157.2024.2435953
Cao, F., Zhang, L., Li, M., & Xie, Z. (2024). Subjective well-being among PhD students in mainland China: The roles of psychological capital and academic engagement. Frontiers in Psychology, 15, 1354451. https://doi.org/10.3389/fpsyg.2024.1354451
Çınaroğlu, M., Yılmazer, E., Ülker, S. V., & Çinar, F. (2025). Effects of ericksonian hypnotherapy versus cognitive behavioral therapy on prolonged grief among university students: A randomized clinical trial. International Journal of Clinical and Experimental Hypnosis, 1-28. https://doi.org/10.1080/00207144.2025.2464747
Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95(3), 542-575. https://doi.org/10.1037/0033-2909.95.3.542
Diener, E. (1994). Assessing subjective well-being: Progress and opportunities. Social Indicators Research, 31(2), 103-157. https://doi.org/10.1007/BF01207052
Diener, E. (2000). Subjective well-being: The science of happiness and a proposal for a national index. American Psychologist, 55(1), 34-43. https://doi.org/10.1037/0003-066X.55.1.34
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71-75. https://doi.org/10.1207/s15327752jpa4901_13
Diener, E., Oishi, S., & Lucas, R. E. (2003). Personality, culture, and subjective well-being: Emotional and cognitive evaluations of life. Annual review of psychology, 54, 403-425. https://doi.org/10.1146/annurev.psych.54.101601.145056
Diener, E., Oishi, S., & Tay, L. (2018). Advances in subjective well-being research. Nature Human Behaviour, 2(4), 253-260. https://doi.org/10.1038/s41562-018-0307-6
Diener, E., Suh, E. M., Lucas, R. E., & Smith, H. L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125(2), 276-302. https://doi.org/10.1037/0033-2909.125.2.276
Eaton, L. H., Beck, S. L., & Jensen, M. P. (2021). An audio-recorded hypnosis intervention for chronic pain management in cancer survivors: A randomized controlled pilot study. International Journal of Clinical and Experimental Hypnosis, 69(4), 422-440. https://doi.org/10.1080/00207144.2021.1951119
Evans, T. M., Bira, L., Gastelum, J. B., Weiss, L. T., & Vanderford, N. L. (2018). Evidence for a mental health crisis in graduate education. Nature Biotechnology, 36(3), 282-284. https://doi.org/10.1038/nbt.4089
Feng, R., Zhu, L., & Dong, Z. (2022). [Subjective well-being and its relationship with depressive symptoms among graduate students: A survey of 5011 students in a Beijing university]. Education Exploration, (1), 69-71.
Fergusson, D. M., McLeod, G. H., Horwood, L. J., Swain, N. R., Chapple, S., & Poulton, R. (2015). Life satisfaction and mental health problems (18 to 35 years). Psychological Medicine, 45(11), 2427-2436. https://doi.org/10.1017/S0033291715000422
Fernandez, A., Urwicz, L., Vuilleumier, P., & Berna, C. (2021). Impact of hypnosis on psychophysiological measures: A scoping literature review. American Journal of Clinical Hypnosis, 64(1), 36-52. https://doi.org/10.1080/00029157.2021.1873099
Finn, M. T. M., & McKernan, L. C. (2019). Clinical hypnosis in postoperative, adult-onset dysphagia: A 2-year empirical case study. International Journal of Clinical and Experimental Hypnosis, 67(3), 297-312. https://doi.org/10.1080/00207144.2019.1612672
Fisch, S., Trivaković-Thiel, S., Roll, S., Keller, T., Binting, S., Cree, M., Brinkhaus, B., & Teut, M. (2020). Group hypnosis for stress reduction and improved stress coping: A multicenter randomized controlled trial. BMC Complementary Medicine and Therapies, 20(1), 344. https://doi.org/10.1186/s12906-020-03129-6
Franch, M., Alarcón, A., & Capafons, A. (2023). Applications of hypnosis as an adjuvant in oncological settings: A systematic review. International Journal of Clinical and Experimental Hypnosis, 71(1), 1-24. https://doi.org/10.1080/00207144.2022.2160255
Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56(3), 218-226. https://doi.org/10.1037/0003-066X.56.3.218
Gambolò, L., Pireddu, R., D’Angelo, M., Ticozzi, E. M., Bellini, L., Solla, D., Fagoni, N., & Stirparo, G. (2025). Exploring mental health of Italian college students: A systematic review and meta-analysis. Discover Mental Health, 5(1), 91. https://doi.org/10.1007/s44192-025-00229-y
Gloria, C. T., & Steinhardt, M. A. (2016). Relationships among positive emotions, coping, resilience and mental health. Stress and Health, 32(2), 145-156. https://doi.org/10.1002/smi.2589
Guzmán, J., Green, J. G., Oblath, R., & Holt, M. K. (2020). Life satisfaction mediates the association between mental health risk and perceptions of school functioning among children and adolescents. Contemporary School Psychology, 24(4), 389-399. https://doi.org/10.1007/s40688-019-00257-w
Hammer, C. M., Scholz, M., Bischofsberger, L., Paulsen, F., & Burger, P. H. M. (2020). Feasibility of clinical hypnosis for test anxiety in first-year medical students. International Journal of Clinical and Experimental Hypnosis, 68(4), 511-520. https://doi.org/10.1080/00207144.2020.1799379
Hu, Q., Yang, N., Huang, Q., Cheng, C., Xiao, L., Gao, X., & Zhang, F. (2024). Mobile phone addiction and psychological capital mediates the relationship between life satisfaction and learning burnout in Chinese medical postgraduate students: A structural equation model analysis. Psychology Research and Behavior Management, 17, 3169-3180. https://doi.org/10.2147/PRBM.S466422
Huang, Z., Zhang, L., Wang, J., Xu, L., Liu, Z., Wang, T., Guo, M., Xu, X., & Lu, H. (2021). Social support and subjective well-being among postgraduate medical students: The mediating role of anxiety and the moderating role of alcohol and tobacco use. Heliyon, 7(12), e08621. https://doi.org/10.1016/j.heliyon.2021.e08621
Jin, Y., He, M., & Li, J. (2016). [The relationship between meaning in life and subjective well-being in China: A Meta-analysis]. Advances in Psychological Science, 24(12), 1854-1863.
Kok, B. E., Coffey, K. A., Cohn, M. A., Catalino, L. I., Vacharkulksemsuk, T., Algoe, S. B., Brantley, M., & Fredrickson, B. L. (2013). How positive emotions build physical health: Perceived positive social connections account for the upward spiral between positive emotions and vagal tone. Psychological Science, 24(7), 1123-1132. https://doi.org/10.1177/0956797612470827
Krackow, E., Rashed, J., & Thompson, I. (2025). Does hypnosis aid memory retrieval? : A review of steven jay Lynn's research. International Journal of Clinical and Experimental Hypnosis, 73(3), 381-390. https://doi.org/10.1080/00207144.2025.2508410
Liu, M., Zhang, X., & Zhao, Y. (2019). [Survey of graduate students' achievement motivation and life satisfaction]. Academic Degrees & Graduate Education, (11), 50-55. https://doi.org/10.16750/j.adge.2019.11.009
Liu, S., Song, M., & Teng, H. (2023). Postgraduates' time management disposition and mental health: Mediating role of life satisfaction and moderating role of core self-evaluations. BMC Psychology, 11(1), 316. https://doi.org/10.1186/s40359-023-01349-2
Liu, Y. (2018). [An investigation and analysis of life satisfaction among full-time master's students]. Journal of Shanxi Institute of Energy, 31(3), 99-102.
Miksza, P., Evans, P., & McPherson, G. E. (2021). Wellness among university-level music students: A study of the predictors of subjective vitality. Musicae Scientiae, 25(2), 143-160. https://doi.org/10.1177/1029864919860554
Milling, L. S., Valentine, K. E., LoStimolo, L. M., Nett, A. M., & McCarley, H. S. (2021). Hypnosis and the alleviation of clinical pain: A comprehensive meta-analysis. International Journal of Clinical and Experimental Hypnosis, 69(3), 297-322. https://doi.org/10.1080/00207144.2021.1920330
Montgomery, G. H., Green, J. P., Apelian, C., Zahedi, A., Polizzi, C. P., Terhune, D. B., & Lynn, S. J. (2025). Hypnosis at the crossroads: A primer of the past and visions for the future. International Journal of Clinical and Experimental Hypnosis, 73(3), 342-380. https://doi.org/10.1080/00207144.2025.2508407
Montgomery, G. H., Sucala, M., Dillon, M. J., & Schnur, J. B. (2017). Cognitive-behavioral therapy plus hypnosis for distress during breast radiotherapy: A randomized trial. American Journal of Clinical Hypnosis, 60(2), 109-122. https://doi.org/10.1080/00029157.2017.1335635
Na, H., Ekanayake, V., Padilla, V., & Elkins, G. R. (2022). Pilot study of hypnotic relaxation therapy for well-being (HRT-WB): A new intervention to enhance well-being and positive affect. International Journal of Clinical and Experimental Hypnosis, 70(4), 328-349. https://doi.org/10.1080/00207144.2022.2124375
Ozgunay, S. E., Kasapoglu Aksoy, M., Deniz, K. N., Onen, S., Onur, T., Kilicarslan, N., Eminoglu, S., & Karasu, D. (2024). Effect of hypnosis on pain, anxiety, and quality of life in female patients with fibromyalgia: Prospective, randomized, controlled study. International Journal of Clinical and Experimental Hypnosis, 72(1), 51-63. https://doi.org/10.1080/00207144.2023.2277853
Pachaiappan, S., Tee, M. Y., & Low, W. Y. (2023). Hypnosis interventions for reducing test anxiety among students: A systematic review. Cogent Psychology, 10(1), 2281745. https://doi.org/10.1080/23311908.2023.2281745
Pang, J. W. V., Subramaniam, P., Amit, N., Wahab, S., & Moustafa, A. A. (2024). Hypnotherapy as treatment for depression: A scoping review. International Journal of Clinical and Experimental Hypnosis, 72(2), 155-188. https://doi.org/10.1080/00207144.2024.2317193
Ramondo, N., Gignac, G. E., Pestell, C. F., & Byrne, S. M. (2021). Clinical hypnosis as an adjunct to cognitive behavior therapy: An updated meta-analysis. International Journal of Clinical and Experimental Hypnosis, 69(2), 169-202. https://doi.org/10.1080/00207144.2021.1877549
Ruysschaert N. (2014). The use of hypnosis in therapy to increase happiness. The American journal of clinical hypnosis, 56(3), 269–284. https://doi.org/10.1080/00029157.2013.846845
Ryan, R. M., & Frederick, C. (1997). On energy, personality, and health: Subjective vitality as a dynamic reflection of well-being. Journal of Personality, 65(3), 529-565. https://doi.org/10.1111/j.1467-6494.1997.tb00326.x
Shen, C. (2020). [Current status, problems and countermeasures of emotional intelligence education for postgraduate students]. Journal of Higher Education, (31), 54-57. https://doi.org/10.19980/j.cn23-1593/g4.2020.31.015
Snyder, M., Alldredge, C. T., Stork, S. R., & Elkins, G. R. (2023). Feasibility of a self-administered hypnosis intervention for improving sleep in college students. International Journal of Clinical and Experimental Hypnosis, 71(4), 297-312. https://doi.org/10.1080/00207144.2023.2249047
Suseno, B., & Yuniarti, K. W. (2025). Hypnosis for enhancing subjective well-being in ischemic heart diseases: A feasibility study. American Journal of Clinical Hypnosis, 67(4), 361-377. https://doi.org/10.1080/00029157.2025.2517170
Syropoulos, S., Wu, D. J., Burrows, B., & Mercado, E. (2021). Psychology doctoral program experiences and student well-being, mental health, and optimism during the COVID-19 pandemic. Frontiers in Psychology, 12, 629205. https://doi.org/10.3389/fpsyg.2021.629205
Valentine, K. E., Milling, L. S., Clark, L. J., & Moriarty, C. L. (2019). THE EFFICACY OF HYPNOSIS AS A TREATMENT FOR ANXIETY: A META-ANALYSIS. The International journal of clinical and experimental hypnosis, 67(3), 336–363. https://doi.org/10.1080/00207144.2019.1613863
VandenBos, G. R. (Ed.). (2015). APA dictionary of psychology (2nd ed.). American Psychological Association.
Wang, P., Xiong, Z., & Yang, H. (2018). Relationship of mental health, social support, and coping styles among graduate students: Evidence from Chinese universities. Iranian Journal of Public Health, 47(5), 689-697.
Wan, Z., & Chen, S. (2021). [Influence of psychological strengths on life satisfaction among university students: Mediating roles of self-efficacy and coping styles]. Sichuan Mental Health, 34(3), 247-251.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-1070. https://doi.org/10.1037/0022-3514.54.6.1063
Wolf, T. G., Kellerhoff, K. N., Schmalz, G., & Schmierer, A. (2025). Application and perception of hypnosis in dental practice: A cross-sectional survey in German-speaking regions. International Journal of Clinical and Experimental Hypnosis, 73(2), 214-224. https://doi.org/10.1080/00207144.2025.2469846
Yan, W., Jiang, Z., Zhang, P., Liu, G., & Peng, K. (2023). Mindfulness practice versus physical exercise in enhancing vitality. International Journal of Environmental Research and Public Health, 20(3), 2537. https://doi.org/10.3390/ijerph20032537
Yu, G., & Wang, X. (2024). [Basic conditions and educational countermeasures of mental health problems in Chinese graduate students]. China Higher Education Research, (7), 80-87. https://doi.org/10.16298/j.cnki.1004-3667.2024.07.12
Zhou, J., Sun, P., & Yang, L. (2015). [Medical students multidimensional life satisfaction on and analysis of the impact of mental health]. Chongqing medicine, 44(5), 681-683.
Zhang, Y., Jia, Y., MuLaTiHaJi, M., Mi, Y., Mei, Y., Sun, T., Shi, H., Zhang, Y., Zhang, Y., Zou, R., Niu, L., & Dong, S. (2024). A cross-sectional mental-health survey of Chinese postgraduate students majoring in stomatology post COVID-19 restrictions. Frontiers in Public Health, 12, 1376540. https://doi.org/10.3389/fpubh.2024.1376540
Zhang, Z., Li, Z., Ma, Y., Zheng, M., Wang, Y., Tan, W, Li, Z., & Ho, R. (2025). Group hypnosis intervention on anxiety among college students. Applied & Educational Psychology, 6(1), 49-56. https://doi.org/10.23977/appep.2025.060108
Zhao, Y., Wang, H., Yin, H., & Zhang, X. (2020). [Emotional intelligence and life satisfaction of master’s students: Multiple mediating effects of attribution for social success and failure]. Journal of Higher Education, (8), 38-40. https://doi.org/10.19980/j.cn23-1593/g4.2020.08.013
Copyright: © International Society for Translational Science, except Open Access articles