Kontakt X:X | DOI: 10.32725/kont.2025.054
Enhancing mental health in primary school children: a review of social emotional learning interventions with acceptance and commitment therapy componentsSocial Sciences in Health - Review article
- Masaryk University, Faculty of Education, Institute for Research in Inclusive Education, Brno, Czech Republic
Background: A robust social-emotional learning (SEL) repertoire in children has the potential to reduce mental health-related challenges impacting conduct problems, emotional distress, and academic achievement. However, achieving consensus around the key components of SEL-based interventions in primary schools remains challenging.
Methods: This scoping review aimed to investigate the applications and efficacy of evidence-based SEL practice, specifically acceptance and commitment therapy (ACT) interventions, in primary school settings. A comprehensive literature search identified six studies that incorporated ACT-based interventions within primary school contexts. The selected studies were analyzed using content analysis.
Results: The findings suggest a positive but tentative influence of ACT interventions on SEL outcomes and mental health of children. Variability in intervention implementation and outcome assessments was noted, indicating the need for more standardized approaches to evaluating ACT-based SEL programs in primary schools.
Conclusion: The review underscores the need for future studies to develop better alignment between ACT-based interventions, person-centered planning, and generalizability to enhance primary school students' emotional and psychological resilience. Further research should focus on refining intervention strategies, improving fidelity assessments, and ensuring sustainable long-term impacts of ACT-based SEL programs.
Keywords: Acceptance and commitment therapy; Mental health; Primary education; Social-emotional learning
Grants and funding:
The authors would like to acknowledge the financial support of a grant funded by the Technology Agency of the Czech Republic within the SIGMA Program, reg. n. TQ01000106, http://www.tacr.cz/.
Conflicts of interest:
The authors have no conflict of interest to declare with respect to the research, authorship, and/or publication of this work.
Received: February 14, 2025; Revised: July 30, 2025; Accepted: October 17, 2025; Prepublished online: November 7, 2025
References
- Arnold T, Haubrick KK, Klasko-Foster LB, Rogers BG, Barnett A, Ramirez-Sanchez NA, Bertone Z (2022). Acceptance and Commitment Therapy informed behavioral health interventions delivered by non-mental health professionals: A systematic review. J Contextual Behav Sci 24: 185-196. DOI: 10.1016/j.jcbs.2022.05.005.
Go to original source...
Go to PubMed... - Baer DM, Wolf MM, Risley TR (1968). Some current dimensions of applied behavior analysis. J Appl Behav Anal 1(1): 91-97. DOI: 10.1901/jaba.1968.1-91.
Go to original source...
Go to PubMed... - Bai Z, Luo S, Zhang L, Wu S, Chi I (2020). Acceptance and Commitment Therapy (ACT) to reduce depression: A systematic review and meta-analysis. J Affect Disord 260: 728-737. DOI: 10.1016/j.jad.2019.09.040.
Go to original source...
Go to PubMed... - Blewitt C, Fuller-Tyszkiewicz M, Nolan A, Bergmeier H, Vicary D, Huang T, et al. (2018). Social and emotional learning associated with universal curriculum-based interventions in early childhood education and care centers: A systematic review and meta-analysis. JAMA Netw Open 1(8): e185727. DOI: 10.1001/jamanetworkopen.2018.5727.
Go to original source...
Go to PubMed... - Claes C, Van Hove G, Vandevelde S, van Loon J, Schalock RL (2010). Person-centered planning: Analysis of research and effectiveness. Intellect Dev Disabil 48(6): 432-453. DOI: 10.1352/1934-9556-48.6.432.
Go to original source...
Go to PubMed... - Dixon MR (2014). ACT: For children with autism and emotional challenges. Shawnee, KS: Shawnee Scientific Press, 400 p.
- Dixon MR, Hayes SC, Stanley C, Law S, al-Nasser T (2020). Is acceptance and commitment training or therapy (ACT) a method that applied behavior analysts can and should use? Psychol Rec 70(4): 559-579. DOI: 10.1007/s40732-020- 00436-9.
Go to original source... - Dusenbury L, Weissberg RP (2017). Social emotional learning in elementary school: Preparation for success. Educ Dig 83(1): 36.
- Enoch MR, Dixon MR (2017). The use of a child-based acceptance and commitment therapy curriculum to increase attention. Child Fam Behav Ther 39(3): 200-224. DOI: 10.1080/07317107.2017.1338454.
Go to original source... - Fang S, Ding D (2020). A meta-analysis of the efficacy of acceptance and commitment therapy for children. J Contextual Behav Sci 15: 225-234. DOI: 10.1016/j.jcbs.2020.01.007.
Go to original source... - Frye KE, Boss DL, Anthony CJ, Du H, Xing W (2022). Content analysis of the CASEL framework using K-12 state SEL standards. Sch Psychol Rev 53(3): 208-222. DOI: 10.1080/2372966X.2022.2030193.
Go to original source... - Gutman LM, Schoon I (2015). Preventive interventions for children and adolescents: A review of meta-analytic evidence. Eur Psychol 20(4): 231-241. DOI: 10.1027/1016-9040/a000232.
Go to original source... - Haddaway NR, Page MJ, Pritchard CC, McGuinness LA (2022). PRISMA2020: An R package and Shiny app for producing PRISMA 2020-compliant flow diagrams, with interactivity for optimised digital transparency and Open Synthesis. Campbell Syst Rev 18(2): e1230. DOI: 10.1002/cl2.1230.
Go to original source...
Go to PubMed... - IES - Institute of Education Sciences (2021). Systematic review protocol for social, emotional, and behavioral interventions. [online] [cit. 2024-12-22]. Available from: https://ies.ed.gov/ncee/WWC/Docs/ReferenceResources/SEB_Synthesis_Protocol_4.1.pdf
- Keinonen K, Lappalainen P, Kotamäki-Viinikka S, Lappalainen R (2023). Magis - A magical adventure: Using a mobile game to deliver an ACT intervention for elementary school children in classroom settings. J Contextual Behav Sci 27: 26-33. DOI: 10.1016/j.jcbs.2022.12.003.
Go to original source... - Liu CH, Doan SN (2020). Psychosocial stress contagion in children and families during the COVID-19 pandemic. Clin Pediatr 59(9-10): 853-855. DOI: 10.1177/0009922820928052.
Go to original source... - Mondi CF, Giovanelli A, Reynolds AJ (2021). Fostering socio-emotional learning through early childhood intervention. Int J Child Care Educ Policy 15: 6. DOI: 10.1186/s40723-021- 00084-8.
Go to original source... - Mundy LK, Canterford L, Moreno-Betancur M, Hoq M, Viner RM, Bayer JK, et al. (2023). Learning outcomes in primary school children with emotional problems: A prospective cohort study. Child Adolesc Ment Health 28(3): 377-384. DOI: 10.1111/camh.12604.
Go to original source...
Go to PubMed... - Murrell AR, Coyne LW, Wilson KG (2004). ACT with children, adolescents, and their parents. In: Hayes SC, Strosahl K (Eds). Acceptance and commitment therapy: A clinician's guide. New York: Springer, pp. 249-271.
Go to original source... - Murrell AR, Steinberg DS, Connally ML, Hulsey T, Hogan E (2015). Acting out to ACTing on: A preliminary investigation in youth with ADHD and co-morbid disorders. J Child Fam Stud 24(7): 2174-2181. DOI: 10.1007/s10826-014-0020-7.
Go to original source... - Nemati S, Pourtaleb N, BadriGargari R, Hashemi T, Deetjen R, Shojaeian N (2023). The effectiveness of acceptance and commitment training program on the level of academic stress and academic burnout in students with specific learning disability. Adv Neurodev Disord 7(4): 502-511. DOI: 10.1007/s41252-022-00307-0.
Go to original source... - Parmar A, Esser K, Barreira L, Miller D, Morinis L, Chong YY, et al. (2021). Acceptance and commitment therapy for children with special health care needs and their parents: A systematic review and meta-analysis. Int J Environ Res Public Health 18(15): 8205. DOI: 10.3390/ijerph18158205.
Go to original source...
Go to PubMed... - PBS News Hour (2021). Childhood mental health issues rise globally amid pandemic. [online] [cit. 2024-12-22]. Available from: https://www.pbs.org/newshour/world/childhood-mental-health-issues-rise-globally-amid-pandemic
- Pourtaleb N (2020). Developing the Acceptance and Commitment Education Program and evaluation of its effectiveness on academic resilience, academic stress and academic burnout for students with specific learning disorder. Unpublished PhD Dissertation. Tabriz University.
- Schonert-Reichl KA, Kitil MJ, Hanson-Peterson J (2017). To reach the students, teach the teachers: A national scan of teacher preparation and social and emotional learning. A report prepared for CASEL. Vancouver, BC: University of British Columbia. [online] [cit. 2024-12-22]. Available from: https://files.eric.ed.gov/fulltext/ED582029.pdf
- Tracey D, Gray T, Truong S, Ward K (2018). Combining acceptance and commitment therapy with adventure therapy to promote psychological wellbeing for children at-risk. Front Psychol 9: 1565. DOI: 10.3389/fpsyg.2018.01565.
Go to original source...
Go to PubMed... - Ura SK, Castro-Olivo SM, d'Abreu A (2020). Outcome measurement of school-based SEL intervention follow-up studies. Assess Eff Interv 46(1): 76-81. DOI: 10.1177/1534508419862619.
Go to original source... - Wilson AN, Dzugan E, Hutchinson VD (2021). Using a nonconcurrent multiple-baseline across-participants design to examine the effects of individualized ACT at school. Behav Anal Pract 15(1): 141-154. DOI: 10.1007/s40617-021-00558-8.
Go to original source...
Go to PubMed... - WHO (2021). Adolescent mental health. [online] [cit. 2024-12-22]. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health
- Yang C, Chan MK, Ma TL (2020). School-wide social emotional learning (SEL) and bullying victimization: Moderating role of school climate in elementary, middle, and high schools. J Sch Psychol 82: 49-69. DOI: 10.1016/j.jsp.2020.08.002.
Go to original source...
Go to PubMed... - Yang KH (2014). The WebQuest model effects on mathematics curriculum learning in elementary school students. Comput Educ 72: 158-166. DOI: 10.1016/j.compedu.2013.11.006.
Go to original source...
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


ORCID...