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Mindfulness programmes

Structured mindfulness-based programmes, mostly group courses of around 8 weeks, produce small to moderate improvements in anxiety, low mood, distress and well-being scores in adults compared with taking no action, though effects vary by setting and they have not been shown to beat other active options such as exercise or other behavioural programmes. Trials and newer network meta-analyses suggest a modest benefit for self-reported sleep quality, including in older adults, with small effects for digital programmes. A minority of practitioners report unwanted effects such as anxiety or low mood, although in one digital programme trial such experiences were about as common in participants who did not meditate.

  • Mind
  • Sleep

Evidence retrieved up to

What the research shows

Unwanted effects during or after meditation practice, most often anxiety and low mood, are reported in a minority of practitioners, at an estimated overall rate of about 8 percent across studies, lower in experimental studies than in observational ones; in a 2026 trial of a digital programme such experiences were about as common in participants who did not meditate, so not every reported effect is caused by the practice.

Low certaintyFurther research is likely to change this.
Take care: see the safety noteRisk

Who this is about

adults practising meditation, including in meditation-based programmes

Practical note

Graded low: pooled from 83 heterogeneous studies (experimental, observational and case reports) with inconsistent harm monitoring; the estimate was 3.7 percent in experimental studies and 33.2 percent in observational studies. NCCIH notes the overall rate is similar to that reported for psychological therapies. Two 2026 trials of a self-guided app in distressed adults found that 10 to 28 percent reported at least one adverse experience, and in the larger, preregistered trial the rate was similar whether or not participants completed the guided meditations; one author founded the nonprofit behind the app.

Safety note

Adverse events have been reported in people with no previous history of mental health problems. Participants who feel worse during a programme can pause and speak with the teacher or a health professional; people living with a mental health condition are generally advised to discuss a programme with their health professional first.

Sources

In adults in non-clinical settings such as workplaces and universities, structured mindfulness-based programmes improved average anxiety, low mood, psychological distress and mental well-being scores compared with taking no action, with small to moderate effects that varied between settings.

Moderate certaintyFurther research may change the size of the effect.
No known concerns at usual amountsBenefit

Who this is about

adults in non-clinical settings

Practical note

Graded moderate: many randomised trials (136 trials, 11,605 participants in the 2021 meta-analysis) agree in direction, but the review's own GRADE ratings ranged from moderate to very low because of inconsistency and high risk of bias, and only the effect on distress held when higher-risk trials were excluded. Trials mostly studied in-person, expert-led group programmes, often about 8 weeks long.

Safety note

Reviews of meditation studies report unwanted effects such as anxiety or low mood in a minority of participants, including people with no previous mental health history; people living with a mental health condition are generally advised to discuss a programme with their health professional first.

Sources

When compared with other active options such as exercise or other behavioural programmes, mindfulness and meditation programmes have not been shown to give larger benefits for psychological stress outcomes.

Low certaintyFurther research is likely to change this.
No known concerns at usual amountsNo clear effect

Who this is about

adults taking part in randomised trials of meditation or mindfulness programmes

Practical note

Graded low: two meta-analyses agree, but head-to-head comparisons are fewer and imprecise, and absence of evidence of superiority is not evidence of equivalence. The literature supports mindfulness as one reasonable option among several for stress, not a uniquely effective one.

Sources

In adults with disturbed sleep, mindfulness meditation programmes modestly improved self-reported sleep quality compared with time-matched control activities, and in older adults also compared with sleep hygiene education, but did not clearly differ from established sleep-focused programmes; digital mindfulness programmes gave small improvements.

Low certaintyFurther research is likely to change this.
No known concerns at usual amountsBenefit

Who this is about

adults with disturbed sleep, including older adults

Practical note

Graded low: the 2019 meta-analysis pooled 18 trials with 1654 participants and rated the evidence moderate against non-specific controls and low (no difference) against specific active controls. A 2026 network meta-analysis of 45 studies in older adults ranked meditation highest among mind-body therapies, and a 2026 network meta-analysis of 96 digital trials rated the digital mindfulness effect on sleep-complaint scores low-certainty and below the minimal clinically important difference. Downgraded for imprecision, mostly self-reported outcomes and indirect comparisons.

Safety note

Persistent sleep problems are worth raising with a health professional.

Sources