Mindfulness-Based Interventions for Anxiety Symptoms in Children and Adolescents: A Systematic Review
International Journal of Applied Behavioral Sciences,
Vol. 12 No. 4 (2025),
20 December 2025
,
Page 1-15
https://doi.org/10.22037/ijabs.v12i4.47725
Abstract
Introduction: Anxiety disorders are highly common among children and adolescents. Conventional treatments like cognitive-behavioral therapy (CBT) encounter accessibility and efficacy barriers, prompting interest in mindfulness-based interventions (MBIs) as adaptable, cost-effective alternatives. This systematic review synthesizes evidence on the effectiveness of MBIs for anxiety in youth, examining outcomes across diverse populations and settings.
Methods: A systematic search of PubMed, Web of Science, and Scopus up to November 2024, identified 28 studies meeting inclusion criteria. Data extraction included study design, population, intervention details, and outcomes, analyzed across clinical and non-clinical cohorts. Risk of bias was assessed using ROB and ROBINS-I.
Results: This review includes 28 studies from 13 countries, primarily the U.S. (n=9), Australia (n=4), and Iran (n=3). MBIs demonstrated mixed efficacy, with significant anxiety reductions in 62% of studies, particularly in clinical populations. Modified MBCT programs, such as MBCT-C showed robust effects with sustained benefits at follow-up. MBSR resulted in variable outcomes, from large reductions to non-significant changes. Longer interventions (≥12 weeks) and cultural adaptations enhanced efficacy, while school-based programs showed attenuated effects. Clinical populations showed greater improvements than non-clinical groups, likely due to higher baseline distress and structured delivery.
Conclusion: MBIs show promise for reducing anxiety symptoms, particularly when tailored to clinical needs, developmental stages, and cultural contexts. Effectiveness is moderated by intervention duration, baseline symptom severity, and adaptability.
- Adolescent; Anxiety; Children; Mindfulness; Systematic review
How to Cite
References
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