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A randomized controlled trial of mindfulness: effects on academic stress, academic burnout, and psychological resilience in university students.

Shanwei Chen, Xiuzhi Qi

Frontiers in Psychology November 27, 2025 DOI: 10.3389/fpsyg.2025.1722669 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 153
Population Chinese undergraduate and graduate university students
Intervention Mindfulness training
Duration 8-week intervention, 2-week follow-up
Topics Meditation
Keywords Randomized controlled trial Academic stress University students Psychological resilience Mindfulness training Academic burnout
Key findings At Week 8, mindfulness training reduced academic stress (B = 14.79, d = -1.89) and academic burnout (B = 11.31, d = -1.26) and increased psychological resilience (B = -18.42, d = 2.02) relative to a minimal-contact control group, with effects largely sustained at a 2-week follow-up. The authors argue these results support integrating mindfulness-based programs into higher education mental health initiatives.

Abstract

Introduction: Academic stress, academic burnout, and reduced psychological resilience are prevalent among university students, particularly during examination periods. This study evaluated the effectiveness of an 8-week structured mindfulness training program in improving these outcomes.

Methods: A randomized controlled trial (RCT) was conducted with 153 undergraduate and graduate students who were randomly assigned to a mindfulness intervention group (n = 77) or a minimal-contact control group (n = 76). Intention-to-treat (ITT) analysis was performed using linear mixed models with likelihood-based estimation under the missing-at-random assumption.

Results: At the primary endpoint (Week 8), the intervention group showed significantly lower academic stress compared with the control group (B = 14.79, 95% CI [12.96, 16.62], p < 0.001, Cohen's d = -1.89). Secondary outcomes demonstrated parallel benefits, including reduced academic burnout (B = 11.31, 95% CI [8.62, 14.00], p < 0.001, d = -1.26) and increased psychological resilience (B = -18.42, 95% CI [-20.94, -15.90], p < 0.001, d = 2.02). These effects were largely sustained at the 2-week follow-up.

Discussion: The findings indicate that structured mindfulness training significantly decreases academic stress and burnout while enhancing psychological resilience among Chinese university students. These results support the value of integrating mindfulness-based programs into higher education mental health initiatives.

Comparable studies

Other randomized controlled trials on meditation, most cited first.

Study Year Design Participants
Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment 2003 Randomized controlled trial n = 41
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults 2008 Randomized controlled trial n = 139
Short-term meditation training improves attention and self-regulation Undergraduate Chinese students 2007 Randomized controlled trial n = 40
Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients 2004 Randomized controlled trial n = 73

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