Effectiveness of providing university students with a mindfulness-based intervention to increase resilience to stress: 1-year follow-up of a pragmatic randomised controlled trial
Open accessAbstract
BACKGROUND: There is concern that increasing demand for student mental health services reflects deteriorating student well-being. We designed a pragmatic, parallel, single-blinded randomised controlled trial hypothesising that providing mindfulness courses to university students would promote their resilience to stress up to a year later. Here we present 1-year follow-up outcomes. METHODS: University of Cambridge students without severe mental illness or crisis were randomised (1:1, remote software-generated random numbers), to join an 8-week mindfulness course adapted for university students (Mindfulness Skills for Students (MSS)), or to mental health support as usual (SAU). RESULTS: We randomised 616 students; 53% completed the 1-year follow-up questionnaire. Self-reported psychological distress and mental well-being improved in the MSS arm for up to 1 year compared to SAU (p<0.001). Effects were smaller than during the examination period. No significant differences between arms were detected in the use of University Counselling Service and other support resources, but there was a trend for MSS participants having milder needs. There were no differences in students' workload management; MSS participants made more donations. Home practice had positive dose-response effects; few participants meditated. No adverse effects related to self-harm, suicidality or harm to others were detected. CONCLUSION: Loss to follow-up is a limitation, but evidence suggests beneficial effects on students' average psychological distress that last for at least a year. Effects are on average larger at stressful times, consistent with the hypothesis that this type of mindfulness training increases resilience to stress. TRIAL REGISTRATION NUMBER: ACTRN12615001160527.
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Ward, L. O., Bailey, C., Wattanatakulchat, P., Stone, B., Bürger, A., Kaplan, D. M., Alvarez, S. J. A., Joyce, C., Eclair, A., Dam, N. T. V., et al. (2026) · JMIR Research Protocols · doi:10.2196/85110 · Cited by 1 · see citing works
Self-citationLatent profile and network analysis of anxiety and depressive symptoms among undergraduates
Li, C., Yang, S., Liu, H., 李, 超., 李, 雅., 李, 雅., Li, L., & Dou, H. (2026) · Psychiatry Research · doi:10.1016/j.psychres.2026.117512
- Authors
- Galante, J., Stochl, J., Dufour, G., Vainre, M., Wagner, A. P., & Jones, P. B.
- Affiliations
- University of Cambridge (GB)
- Department of Psychiatry, University of Cambridge, Cambridge, UK
- MRC Cognition and Brain Sciences Unit (GB)
- University of East Anglia (GB)
- Corresponding author
- Galante, Julieta
- Venue
- Journal of Epidemiology and Community Health
- Publisher
- BMJ
- Published
- 2020-09-10
- Volume
- 75
- Issue
- 2
- Pages
- 151-160
- ISSN
- 0141-7681 (ISSN-L)
- 0143-005X
- 1470-2738
- PMC
- PMC7116569
- OpenAlex
- W3084193168
- Cited by
- 68
- References
- 37
- Citations by year
- 2026: 9 · 2025: 11 · 2024: 17 · 2023: 14 · 2022: 10 · 2021: 5 · 2020: 2
- FWCI
- 3.10
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Epidemiology & Community Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UEA Digital Repository (University of East Anglia) (acceptedVersion)
- Apollo (University of Cambridge) (submittedVersion, cc-by)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Apollo (cc-by)
- Funders
- University of Cambridge (26462689)
- National Institute for Health Research (RNAG/564)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- mindfulness-based interventions, stress resilience, university students, student mental health, psychological distress, psychological well-being, dose-response relationship, loss to follow-up, student workload
- MeSH terms
- Follow-Up Studies, Humans, Stress, Psychological, Students, Universities, Treatment Outcome, Resilience, Psychological, Mindfulness
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