The relationship between mindfulness, anxiety and depression during the COVID-19 pandemic: A meta-analysis of correlational studies
Fuming Xu, Wanling Zhu, Qian Chen, Youmei Tang
Frontiers in Psychology February 15, 2023 DOI: 10.3389/fpsyg.2023.994205 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Systematic review and meta-analysis Peer reviewed |
|---|---|
| Sample size | 10,940 |
| Population | General public during the COVID-19 pandemic |
| Topics | Anxiety Depression Meditation |
| Keywords | Covid-19 Mental health |
| Key findings | Mindfulness was negatively correlated with anxiety (r = −0.330) and depression (r = −0.353) during the COVID-19 pandemic. |
Abstract
BackgroundThe emergence of the COVID-19 pandemic has created an environment in which numerous determinants of poor mental health are intensified. Lockdown, re-lockdown, and media coverage of the spread of the virus, have the potential to contribute to increased levels of anxiety and depression. Mindfulness may act as a buffer against COVID-19-related depressive and anxiety disorders.MethodsWe conducted a systematic review and meta-analysis by searching PubMed, PsycINFO, Web of Science, and Google Scholar for any study published between January 2020 and March 2022. In this study, Comprehensive Meta-Analysis Version 3.3 software was applied to evaluate the effect size by random effect model. In addition, the heterogeneity analysis was evaluated using indicators Q and I2 indicators. Three methods were used to test for publication bias: funnel plot, Classic Fail-safe N, and Egger’s linear regression. According to the features of the included articles, subgroup analysis was utilized for the moderator analysis of this study.ResultsThe analysis finally included 12 articles (16 samples, N = 10,940) and obtained 26 independent effect sizes. In accordance with the meta-analysis, in the random effect model, the correlation between mindfulness and anxiety was −0.330 (p < 0.001), and the correlation between mindfulness and depression was −0.353 (p < 0.001), which supported the effect of mindfulness on anxiety and depression. In the meta-analysis of the correlation between mindfulness and anxiety, study region had an essential moderating effect (p < 0.001). The Sample type did not produce a significant moderating effect (p = 0.190). The mode of action of mindfulness was a significant moderator (p = 0.038). In the meta-analysis of the linkage between mindfulness and depression, regional differences had a significant moderating effect (p < 0.001). The sample type had no discernible moderating impact (p = 0.213). The mode of action of mindfulness was a significant moderator (p = 0.003).ConclusionOur meta-analysis indicated that there was an essential correlation between public mindfulness and mental health. Our systematic review added evidence supporting the beneficial nature of mindfulness. A cascading development of beneficial traits that improve mental health may start with mindfulness.
Comparable studies
Other systematic reviews and meta-analyses on anxiety, most cited first.
Citations in the library
Cited by 4
- The relationship between mindfulness and mental distress in Chinese people during the COVID-19 pandemic: Moderating effects of infection severity of region and mediating effects of resilience and self-efficacy Journal of Pacific Rim Psychology 2023
- Tele-Mindfulness Program for Mental Health in Previously Hospitalized COVID-19 Patients: A quasi-experimental study. Advances in rehabilitation science and practice 2024
- The effectiveness of mindfulness-based interventions in reducing anxiety and depression among students: a systematic review and meta-analysis Clinical Psychologist February 9, 2026
- The Role of Mindfulness in Reducing Depression During COVID-19 At-home Treatment. Disaster medicine and public health preparedness April 16, 2025
Cites 8
- Using Self-Report Assessment Methods to Explore Facets of Mindfulness Assessment January 27, 2006
- Mindfulness: A proposed operational definition. Clinical Psychology Science and Practice 2004
- The State of Dispositional Mindfulness Research Mindfulness March 18, 2022
- Fear of COVID-19 and Mental Health: The Role of Mindfulness in During Times of Crisis. International Journal of Mental Health and Addiction April 26, 2021
- Mindfulness, Age and Gender as Protective Factors Against Psychological Distress During COVID-19 Pandemic Frontiers in Psychology September 1, 2020
and 3 more in the library