Background: Menopause represents a significant physiological and psychological transition, often accompanied by negative attitudes and considerable challenges in health adjustment.
Objectives: This study aimed to investigate the effectiveness of mindfulness training in improving attitudes toward menopause and health adjustment among menopausal women.
Methods: This quasi-experimental study employed a pre-test, post-test design with a control group. The statistical population included menopausal women referred to a health center in Ahvaz, Iran, in 2024. A sample of 30 eligible women aged 51-65 years was selected using convenience sampling and randomly allocated into two equal groups (experimental, n = 15; control, n = 15). The experimental group received eight 70-minute sessions of mindfulness training, while the control group was placed on a waitlist. Data were collected using the Attitudes Toward Menopause Questionnaire and the Health Adjustment subscale of the Bell Adjustment Inventory. Data were analyzed using Chi-square and Multivariate Analysis of Covariance (MANCOVA) via SPSS 25.
Results: Initial analysis indicated no significant differences in age and educational level between the two groups (P > 0.05). The MANCOVA results showed that the mindfulness intervention significantly improved both attitudes toward menopause (η²p = 0.60) and health adjustment (η²p = 0.57) in the experimental group compared to the control group (P < 0.001), with large effect sizes.
Conclusion: The findings suggest that mindfulness training is an effective, non-pharmacological intervention for enhancing psychological resilience and improving women's adaptation during the menopausal transition. Specialists and therapists are encouraged to incorporate mindfulness protocols into women's health promotion and counseling programs.