Integrated Physical Education for Mental Health: Enhancing Emotional Regulation, Self-Esteem, and Stress Resilience in Adolescents through Sports, Mindfulness, and Reflection
DOI:
https://doi.org/10.18662/rrem/17.3/1023Keywords:
emotional regulation, mental health promotion, psychological resilience, educational psychology, school-based interventionAbstract
This research explored how a planned physical education program, which combined team sports, mindfulness activities, and reflective exercises, could support the mental health of high school adolescents. Using a quasi-experimental design with pre- and post-assessments, the study included 60 teenagers (30 boys and 30 girls, aged 15–17) who were randomly divided into an experimental group (n = 30) and a control group (n = 30). Over eight weeks, the intervention group participated in structured sessions focused on emotional regulation, while the control group continued with standard physical education. Psychological outcomes were assessed using the Emotional Balance Scale (EBS), Self-Esteem Inventory (SEI), and Perceived Stress Scale (PSS). Analyses included Shapiro-Wilk tests, Cronbach’s alpha, paired t-tests, and a 2×2 Mixed-Design ANOVA. The intervention group showed significant improvements in emotional balance (M = 2.90 to 4.60; p < 0.01, d = 2.002), self-esteem (M = 41.00 to 57.50; p < 0.001, d = 2.134), and reduced stress (M = 19.80 to 12.10; p < 0.01, d = –2.432). No significant changes occurred in the control group. ANOVA confirmed significant Group × Time interactions (p < 0.001) with large effect sizes (η² > 0.38). These findings demonstrate that integrating emotional development strategies into physical education can significantly enhance adolescents’ psychological well-being. The results support incorporating structured, multidimensional programs into school curricula to improve emotional regulation, self-esteem, and stress resilience.
References
Aouani H, Selmi W, Hammami A, Ceylan H İ, Hammami R, Bayrakdaroğlu S, …& Stefanica V (2024). Meditative pathways to emotional intelligence in athletes: Narrative review study. Journal of Men's Health, 20(9), 25–31. https://doi.org/10.22514/jomh.2024.145
Badau, D., Badau, A., Joksimović, M., Oancea, B. M., Manescu, C. O., Graur, C., Cornea, G. G., Ene-Voiculescu, V., Cojanu, F., Stefanica, V., Cojocaru, A., Mocanu, G. & Silisteanu, S. C. (2023). The effects of a 6-week program of physical therapeutic exergames on cognitive flexibility focused by reaction times in relation to manual and podal motor abilities. Balneo and PRM Research Journal, 14(3), 570. https://doi.org/10.12680/balneo.2023.570
Ben Ezzdine, L., Dhahbi, W., Dergaa, I., Ceylan, H. İ., Guelmami, N., Ben Saad, H., Chamari, K., Stefanica, V., & El Omri, A. (2025). Physical activity and neuroplasticity in neurodegenerative disorders: A comprehensive review of exercise interventions, cognitive training, and AI applications. Frontiers in Neuroscience, 19. https://doi.org/10.3389/fnins.2025.1502417
Biddle, S. J. H., Ciaccioni, S., Thomas, G. & Vergeer, I. (2019). Physical activity and mental health in children and adolescents: An updated review of reviews and an analysis of causality. Psychology of Sport and Exercise, 42, 146–155. https://doi.org/10.1016/j.psychsport.2018.08.011
Clarbour, J., & Roger, D. (2004). The construction and validation of a new scale for measuring emotional response style in adolescents. Journal of Child Psychology and Psychiatry, 45(3), 496–509. https://doi.org/10.1111/j.1469-7610.2004.00240.x
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. https://doi.org/10.2307/2136404
De Nys, L., Anderson, K., Ofosu, E., F., Ryde, G., C., Connelly, J., & Whittaker, A., C. (2022). The effects of physical activity on cortisol and sleep: A systematic review and meta-analysis. Psychoneuroendocrinology, 143, 105843. https://doi.org/10.1016/j.psyneuen.2022.105843
Do, B., Zuniga, K., E., Gerke, D., Keller, A., & Conroy, D., E. (2023). Investigating associations between physical activity, stress experience, and affective well-being during an examination period using experience sampling and accelerometry. Scientific Reports, 13, 13456. https://doi.org/10.1038/s41598-023-40466-1
Edwards, N., & Hooper, P. (2023). The park physical activity questionnaire (PARK-PAQ): A reliable measurement tool for park-based and total physical activity. Health & Place, 83, 103085. https://doi.org/10.1016/j.healthplace.2023.103085
Guddal, M., H., Stensland, S., Ø., Småstuen, M., C., Johnsen, M., B., Zwart, J.,-A. & Storheim, K. (2019). Physical activity and sport participation among adolescents: Associations with mental health in different age groups. Results from the Young-HUNT study: A cross-sectional survey. BMJ Open, 9(9), e028555. https://doi.org/10.1136/bmjopen-2018-028555
Han, G., S., & Park, J., A. (2020). Role of the flow in the physical education class between school life stress and aggressiveness among adolescents. Sustainability, 12, 4241. https://doi.org/10.3390/su12104241
Hills, P., R., Francis, L., J., & Jennings, P. (2011). The school short-form Coopersmith Self-Esteem Inventory: Revised and improved. Canadian Journal of School Psychology, 26(1), 62–71. https://doi.org/10.1177/0829573510397127
Hosker, D., K., Elkins, M., & Potter, M., P. (2018). Promoting mental health and wellness in youth through physical activity, nutrition, and sleep. Child and Adolescent Psychiatric Clinics of North America, 27(1), 21–35. https://doi.org/10.1016/j.chc.2018.11.010
Leisterer, S. & Jekauc, D. (2019). Students' emotional experience in physical education: A qualitative study for new theoretical insights. Sports, 7(1), 10. https://doi.org/10.3390/sports7010010
Li, J., Huang, Z., Si, W. & Shao, T. (2022). The effects of physical activity on positive emotions in children and adolescents: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 19(21), 14185. https://doi.org/10.3390/ijerph192114185
Liu J, Gao, S., & Zhang, L. (2022). Effects of physical exercises on emotional regulation: A meta-analysis. MedRxiv preprint. https://doi.org/10.1101/2022.07.04.22277120
Lubans, D., Richards, J., Hillman, C., Faulkner, G., Beauchamp, M., Nilsson, M., Kelly, P., Smith, J., Raine, L., & Biddle, S. (2016). Physical activity for cognitive and mental health in youth: A systematic review of mechanisms. Pediatrics, 138(3), e20161642. https://doi.org/10.1542/peds.2016-1642
Xu, M., Fralick, D., Zheng, J., Z., Wang, B., & Feng, C. (2017). The differences and similarities between two-sample t-test and paired t-test. Shanghai Archives of Psychiatry, 29(3), 184. https://doi.org/10.11919/j.issn.1002-0829.217070
Martinez, A., G., Gietzen, L., & McDaniel, V., F. (2024). Exploring the role of physical activity influencing emotional regulation and mental health in adolescents. Pacific Journal of Health, 7(1). https://doi.org/10.56031/2576-215X.1046
Muntean, R., I., Stefanica, V., Rosu, D., Boncu, A., Stoian, I., & Oravitan, M. (2024). Examining the interplay between mental health indicators and quality of life measures among first-year law students: A cross-sectional study. PeerJ, 12, e18245. https://doi.org/10.7717/peerj.18245
Murana, S., & Rahimin, R. (2021). Application of SPSS software in statistical learning to improve student learning outcomes. In-do-MathEdu Intellectuals Journal, 2(1), 12–23. https://doi.org/10.54373/imeij.v2i1.22
Pascoe, M., C., Hetrick, S., E., & Parker, A., G. (2020). The impact of stress on students in secondary school and higher education. International Journal of Adolescence and Youth, 25(1), 104–112. https://doi.org/10.1080/02673843.2019.1596823
Plastoi, C., Butu, I., Ţîrcă, D., M., Ferrario, B., Mihai, I., Chivu, D., & Guţă, E., L. (2020). Physical education, quality of breathable air and their effects on the formation of high school students as sustainability in maintaining the lifestyle: Is the physical education lesson enough to create such valences? Sustainability, 12(3), 1106. https://doi.org/10.3390/su12031106
Popescu-Bradiceni, I., Plăstoi, C., D., Mihai, I., Mihăilescu, L., Buţu, I., Cătuna, G., C., & Teodorescu, A., S. (2021). Sport in society as a binder in social communication of human's emotions. Postmodern Openings, 12(3), 121–133. https://doi.org/10.18662/po/12.3/331
Rodriguez-Ayllon, M., Cadenas-Sanchez, C., Estevez-Lopez, F., Munoz, N., E., Mora-Gonzalez, J., Migueles, J., H., Molina-Garcia, P., Henriksson, H., Mena-Molina, A., & Martinez-Vizcaino, V. (2019). Role of physical activity and sedentary behavior in the mental health of preschoolers, children and adolescents: A systematic review and meta-analysis. Sports Medicine, 49, 1383–1410. https://doi.org/10.1007/s40279-019-01099-5
Rosu, D., Enache, I., S., Muntean, R., I., & Stefanica, V. (2024). Effects of Kin Ball initiation: Pre- and post-pandemic impact on palmar muscle strength, endurance, and coordination in non-athlete participants. Sports, 12(6), 158. https://doi.org/10.3390/sports12060158
Sanchez-Núñez, M., T., Portero, G., A., Garcia-Rubio, N., & Fernandez-Berrocal, P. (2023). Mental health and its relationship with physical activity and emotional regulation strategies in Spanish adolescents. Ansiedad y Estrés, 29(1), 63–70. https://doi.org/10.5093/anyes2023a7
Sheikh, M., A., Ekelund, U., Lagerros, Y., T., Koupil, I., & Löf, M. (2021). Momentary associations between stress and physical activity among children using ecological momentary assessment. Psychology of Sport and Exercise, 55, 101928. https://doi.org/10.1016/j.psychsport.2021.101928
Stefanica, V., Mercea, I., T., Ursu, V., E., Gorban, C., F., Dragoş, G., C., Mihaiu, C., & Groza, G., G. (2024). Developing psychomotor skills and social attributes through integrated psychomotor and unified football training: A Special Olympics intervention study. Revista Românească pentru Educaţie Multidimensională, 16(3), 224–242. https://doi.org/10.18662/rrem/16.3/892
Stefanica, V., Ceylan, H., I., Mihailescu, L., Badau, D., Joksimović, M., & Rosu, D. (2025). Impact of CrossFit intervention on mental health and well-being among first-year law students. Humanities and Social Sciences Communications, 12, 971. https://doi.org/10.1057/s41599-025-05311-y
Vasilopoulos, F., & Ellefson, M., R. (2021). Investigation of the associations between physical activity, self-regulation and educational outcomes in childhood. PLOS ONE, 16(4), e0250984. https://doi.org/10.1371/journal.pone.0250984
Wright, L., J., Veldhuijzen van Zanten, J., J., C., S., & Williams, S., E. (2023). Examining the associations between physical activity, self-esteem, perceived stress, and internalizing symptoms among older adolescents. Journal of Adolescence, 95, 1274–1287. https://doi.org/10.1002/jad.12201
Wright, L., J., Williams, S., E., & Veldhuijzen van Zanten, J., J., C., S. (2021). Physical activity protects against the negative impact of coronavirus fear on adolescent mental health and well-being during the COVID-19 pandemic. Frontiers in Psychology, 12, 580511. https://doi.org/10.3389/fpsyg.2021.580511
Zhu, Y., Li, J., Zhang, M., Li, C., Lau, E., & Tao, S. (2022). Physical activity participation and physical aggression in children and adolescents: A systematic review and meta-analysis. Psychology of Sport and Exercise, 63, 102288. https://doi.org/10.1016/j.psychsport.2022.102288
Zhou, Y., MacDonald, H., Z., & Esposito, L., E. (2022). The synergistic effects of mindfulness and physical activity on emotion regulation in adolescents: A randomized controlled trial. Mental Health and Physical Activity, 22, 100440. https://doi.org/10.1016/j.mhpa.2022.100440
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