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Teacher-Guided vs. Self-Guided Mindfulness in Higher Education: Comparable Effects on Emotion Regulation, Trait Mindfulness, and Adverse Effects

Ivana Buric, Lucija Žderić, Susan M. Bögels, Esther Krijnen-de Bruin

Mindfulness March 1, 2026 DOI: 10.1007/s12671-026-02779-w (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Non-randomised controlled trial Peer reviewed
Sample size 161
Population University students across two cohorts (2022 and 2023)
Duration 7-week course; baseline and post-intervention measures
Topics Meditation
Key findings Audio-recorded meditations with self-guided inquiry produced comparable improvements in emotion regulation and trait mindfulness to live teacher-guided meditation, with no significant differences between formats. Live guidance was linked to greater reductions in mental health problems than controls. Neither format changed perceived stress or well-being, and most participants reported at least one mild, transient adverse effect.

Abstract

Abstract Objectives This study compared two formats of a curriculum-embedded mindfulness course among university students to examine if outcomes differed when meditations and inquiry were guided live by a teacher or delivered via audio recordings and self-guided inquiry.

Method: A non-randomised controlled trial was conducted across two cohorts (2022 and 2023; N = 161). The 7-week mindfulness course consisted of weekly lectures and recommended at-home practice, and was identical across formats except for in-class meditation delivery (Format A, live teacher guidance with group inquiry; Format B, audio recordings with written self-inquiry). Participants completed baseline and post-intervention measures including emotion regulation (primary), and trait mindfulness, mental health, well-being, perceived stress, adverse effects, and practice frequency (secondary).

Results: No significant differences were observed between formats in emotion regulation; both experimental groups showed greater improvements than controls ( d [Format A] = 0.72; d [Format B] = 0.68). Both formats were also linked with increases in trait mindfulness ( d [Format A] = −0.70; d [Format B] = −0.76), but neither with changes in perceived stress or well-being. Format A participants reported more reductions in mental health problems compared to controls. Across both formats, most students reported at least one adverse effect, typically mild and transient (e.g. symptoms of anxiety or heightened emotional sensitivity), with no serious or lasting impairment. Practice frequency was not related to changes in emotion regulation.

Conclusions: Audio-recorded meditations with self-guided inquiry showed comparable outcomes to in-person guidance in terms of emotion regulation and trait mindfulness among university students, but in-person guidance may be linked to greater improvements in mental health. Further research and institutional implementation of curriculum-embedded mindfulness courses are warranted.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

Citations in the library

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