Journal Browser
Search
View All
Efficacy of integrative group hypnosis on subjective well-being in Chinese graduate students: A randomized controlled trial

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



Well-bing Sciences Review 2026, 2(1); https://doi.org/10.54844/wsr.2025.1103
Submitted19 Mar 2026
Revised19 Mar 2026
Accepted19 Mar 2026
Published19 Mar 2026
+
Cite This Article
Abstract

Graduate 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.

REFERENCES
  1. Akın, A. (2012). The relationships between internet addiction, subjective vitality, and subjective happiness. CyberpsychologyBehavior and Social Networking15(8), 404-410. https://doi.org/10.1089/cyber.2011.0609

  2. 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 Studies4(1), 97-109. https://doi.org/10.58622/vjes.v4i1.125

  3. Betriana, F., Sunarno, S., Nurwidyaningtyas, W., & Ganefianty, A. (2025). A critical advantage of hypnobirthing to ameliorate antenatal depression: A systematic review and meta-analysis. Healthcare13(7), 705. https://doi.org/10.3390/healthcare13070705

  4. 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 Hypnosis67(3), 244-261. https://doi.org/10.1080/00029157.2024.2435953

  5. 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 Psychology15, 1354451. https://doi.org/10.3389/fpsyg.2024.1354451

  6. 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

  7. Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95(3), 542-575. https://doi.org/10.1037/0033-2909.95.3.542

  8. Diener, E. (1994). Assessing subjective well-being: Progress and opportunities. Social Indicators Research31(2), 103-157. https://doi.org/10.1007/BF01207052

  9. Diener, E. (2000). Subjective well-being: The science of happiness and a proposal for a national index. American Psychologist55(1), 34-43. https://doi.org/10.1037/0003-066X.55.1.34

  10. Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment49(1), 71-75. https://doi.org/10.1207/s15327752jpa4901_13

  11. Diener, E., Oishi, S., & Lucas, R. E. (2003). Personality, culture, and subjective well-being: Emotional and cognitive evaluations of life. Annual review of psychology54, 403-425. https://doi.org/10.1146/annurev.psych.54.101601.145056

  12. Diener, E., Oishi, S., & Tay, L. (2018). Advances in subjective well-being research. Nature Human Behaviour2(4), 253-260. https://doi.org/10.1038/s41562-018-0307-6

  13. Diener, E., Suh, E. M., Lucas, R. E., & Smith, H. L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin125(2), 276-302. https://doi.org/10.1037/0033-2909.125.2.276

  14. 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 Hypnosis69(4), 422-440. https://doi.org/10.1080/00207144.2021.1951119

  15. 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 Biotechnology36(3), 282-284. https://doi.org/10.1038/nbt.4089

  16. 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.

  17. 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 Medicine45(11), 2427-2436. https://doi.org/10.1017/S0033291715000422

  18. Fernandez, A., Urwicz, L., Vuilleumier, P., & Berna, C. (2021). Impact of hypnosis on psychophysiological measures: A scoping literature review. American Journal of Clinical Hypnosis64(1), 36-52. https://doi.org/10.1080/00029157.2021.1873099

  19. 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 Hypnosis67(3), 297-312. https://doi.org/10.1080/00207144.2019.1612672

  20. 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 Therapies20(1), 344. https://doi.org/10.1186/s12906-020-03129-6

  21. 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 Hypnosis71(1), 1-24. https://doi.org/10.1080/00207144.2022.2160255

  22. Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist56(3), 218-226. https://doi.org/10.1037/0003-066X.56.3.218

  23. 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 Health5(1), 91. https://doi.org/10.1007/s44192-025-00229-y

  24. Gloria, C. T., & Steinhardt, M. A. (2016). Relationships among positive emotions, coping, resilience and mental health. Stress and Health32(2), 145-156. https://doi.org/10.1002/smi.2589

  25. 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 Psychology24(4), 389-399. https://doi.org/10.1007/s40688-019-00257-w

  26. 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 Hypnosis68(4), 511-520. https://doi.org/10.1080/00207144.2020.1799379

  27. 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 Management17, 3169-3180. https://doi.org/10.2147/PRBM.S466422

  28. 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. Heliyon7(12), e08621. https://doi.org/10.1016/j.heliyon.2021.e08621

  29. 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 Science24(12), 1854-1863.

  30. 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 Science24(7), 1123-1132. https://doi.org/10.1177/0956797612470827

  31. 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 Hypnosis73(3), 381-390. https://doi.org/10.1080/00207144.2025.2508410

  32. 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

  33. 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 Psychology11(1), 316. https://doi.org/10.1186/s40359-023-01349-2

  34. 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.

  35. Miksza, P., Evans, P., & McPherson, G. E. (2021). Wellness among university-level music students: A study of the predictors of subjective vitality. Musicae Scientiae25(2), 143-160. https://doi.org/10.1177/1029864919860554

  36. 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 Hypnosis69(3), 297-322. https://doi.org/10.1080/00207144.2021.1920330

  37. 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 Hypnosis73(3), 342-380. https://doi.org/10.1080/00207144.2025.2508407

  38. 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 Hypnosis60(2), 109-122. https://doi.org/10.1080/00029157.2017.1335635

  39. 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 Hypnosis70(4), 328-349. https://doi.org/10.1080/00207144.2022.2124375

  40. 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 Hypnosis72(1), 51-63. https://doi.org/10.1080/00207144.2023.2277853

  41. Pachaiappan, S., Tee, M. Y., & Low, W. Y. (2023). Hypnosis interventions for reducing test anxiety among students: A systematic review. Cogent Psychology10(1), 2281745. https://doi.org/10.1080/23311908.2023.2281745

  42. 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 Hypnosis72(2), 155-188. https://doi.org/10.1080/00207144.2024.2317193

  43. 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 Hypnosis69(2), 169-202. https://doi.org/10.1080/00207144.2021.1877549

  44. Ruysschaert N. (2014). The use of hypnosis in therapy to increase happiness. The American journal of clinical hypnosis56(3), 269–284. https://doi.org/10.1080/00029157.2013.846845

  45. Ryan, R. M., & Frederick, C. (1997). On energy, personality, and health: Subjective vitality as a dynamic reflection of well-being. Journal of Personality65(3), 529-565. https://doi.org/10.1111/j.1467-6494.1997.tb00326.x

  46. 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

  47. 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 Hypnosis71(4), 297-312. https://doi.org/10.1080/00207144.2023.2249047

  48. Suseno, B., & Yuniarti, K. W. (2025). Hypnosis for enhancing subjective well-being in ischemic heart diseases: A feasibility study. American Journal of Clinical Hypnosis67(4), 361-377. https://doi.org/10.1080/00029157.2025.2517170

  49. 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 Psychology12, 629205. https://doi.org/10.3389/fpsyg.2021.629205

  50. Valentine, K. E., Milling, L. S., Clark, L. J., & Moriarty, C. L. (2019). THE EFFICACY OF HYPNOSIS AS A TREATMENT FOR ANXIETY: A META-ANALYSISThe International journal of clinical and experimental hypnosis67(3), 336–363. https://doi.org/10.1080/00207144.2019.1613863

  51. VandenBos, G. R. (Ed.). (2015). APA dictionary of psychology (2nd ed.). American Psychological Association.

  52. 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 Health47(5), 689-697.

  53. 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 Health34(3), 247-251.

  54. 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 Psychology54(6), 1063-1070. https://doi.org/10.1037/0022-3514.54.6.1063

  55. 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 Hypnosis73(2), 214-224. https://doi.org/10.1080/00207144.2025.2469846

  56. 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 Health20(3), 2537. https://doi.org/10.3390/ijerph20032537

  57. 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

  58. 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.

  59. 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 Health12, 1376540. https://doi.org/10.3389/fpubh.2024.1376540

  60. 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 Psychology6(1), 49-56. https://doi.org/10.23977/appep.2025.060108

  61. 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: © by the authors. Licensee ISTS. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/)
TOP