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Effectiveness of Deconstructive Meditative Practices in Improving Mental Health and Well-being: A Systematic Review

Paulina Lamas-Morales, Carlos García-rubio, María Beltrán-ruiz, Alberto Barceló-soler, Yolanda López-del-hoyo, Javier García-campayo

Mindfulness March 27, 2026 DOI: 10.1007/s12671-026-02825-7 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Systematic review Randomized Peer reviewed
Sample size 2,457
Population Adults
Interventions Vipassana insight meditation)
Topics Meditation
Keywords Generalizability theory Mental health Psychological intervention Intervention counseling Randomized controlled trial Meta-analysis Inclusion mineral Psycinfo Clinical psychology Perception Public health Psychotherapist Systematic review Medline Applied psychology Research design
Key findings Deconstructive meditative practices may improve mental health and psychological well-being, though methodological heterogeneity and few randomized trials limit generalizability.

Abstract

Abstract Objectives Deconstructive meditative practices (DMPs) aim to transform the perception of the self by fostering an understanding of its constructed and impermanent nature through self-inquiry. This systematic review evaluated the effectiveness of DMPs in improving mental health and psychological well-being among adults.

Method: Following PRISMA guidelines, a comprehensive search was conducted in PubMed, PsycINFO, Scopus, and Web of Science until October 2025. Eligible studies included randomized and non-randomized trials of DMPs (e.g., Vipassana and insight meditation). The primary outcomes addressed mental health and psychological well-being, while secondary outcomes included psychological processes related to DMPs, such as mindfulness, emotion regulation, and detachment. Risk of bias was assessed using RoB 2.0 and ROBINS-I tools.

Results: Eighteen studies ( n = 2457) met the inclusion criteria. Most reported significant improvements in depression, anxiety, stress, and psychological well-being, although findings varied depending on study design and intervention characteristics. Mindfulness, non-attachment, and insight were identified as possible mechanisms of change. Preliminary patterns suggest that variability in effects may be partially explained by contextual factors such as intervention duration and type of design. However, methodological heterogeneity and the limited number of randomized controlled trials limit the generalizability of the results.

Conclusions: The results suggest that DMPs may be effective in improving mental health and psychological well-being. The methodological quality of studies needs to be improved to strengthen the evidence and inform clinical applications. This review can serve as a guide to drive future studies on DMPs. Preregistration This review was prospectively registered in PROSPERO (ID: CRD42024559841).

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