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Mindfulness-based interventions significantly improve sleep quality in university students with large effect sizesMindfulness May Improve Sleep For University Students

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Key Takeaway
Consider mindfulness-based interventions to improve sleep quality in university students, noting low evidence certainty.

This meta-analysis evaluates the impact of mindfulness-based interventions (MBIs) on sleep quality among university students. The analysis included a total sample size of 638 participants across various settings. The primary finding indicates that MBIs significantly improved sleep quality, with a reported effect size of SMD = -0.97 (95% CI -1.43, -0.51).

Despite the statistically significant improvement in sleep quality, the authors highlight significant limitations in the current evidence base. Specifically, the analysis noted substantial heterogeneity among the included studies and a low certainty of evidence. These factors suggest that the magnitude of the effect may vary across different contexts or populations.

Clinically, MBIs may be a viable option for improving sleep quality in university students. However, due to the low certainty of evidence and the heterogeneity of the data, these results should be interpreted with caution. Further high-quality RCTs are needed to confirm these findings and to establish more definitive evidence for clinical practice.

A new meta-analysis looked at whether mindfulness-based interventions can help university students sleep better. The analysis included 638 students from multiple studies. It found that students who took part in mindfulness programs reported significantly better sleep quality than those in control groups. The effect size was large, but the researchers note that the evidence is of low certainty and that the studies varied widely in their results.

The analysis did not report on side effects or safety, so it is not clear whether these programs carry any risks. The main reason to be cautious is that the certainty of the evidence is low, and the researchers say that more high-quality trials are needed to confirm the findings. Also, the studies did not report how long the effects lasted.

For university students struggling with sleep, mindfulness may be a helpful option, but it is not a proven treatment. Students should talk to a healthcare provider about sleep problems, especially if they are persistent or affecting daily life.

What this means for you:
Mindfulness programs may help university students sleep better, but more research is needed to confirm the benefit.

Common questions

How much does mindfulness improve sleep quality?

The analysis found a large improvement, with an effect size of -0.97 on sleep quality measures. However, this is an average across studies, and the evidence is low certainty, so the actual benefit for any one person may vary.

Is mindfulness safe for sleep problems?

The analysis did not report on side effects or safety, so it is not known whether mindfulness programs carry any risks. Generally, mindfulness is considered low risk, but students should consult a doctor if they have concerns.

Who was in the study?

The study included 638 university students. The results may not apply to other groups, such as older adults or people with diagnosed sleep disorders.

How certain is the evidence?

The researchers rated the certainty of the evidence as low, meaning that further research is likely to change the estimate of the effect. They call for more high-quality trials to confirm the findings.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedOct 2026
View Original Abstract ↓
Sleep problems are common among university students due to academic stress, lifestyle factors, and psychological distress and may adversely affect physical and mental health, academic performance, and social functioning. Mindfulness-based interventions (MBIs) have increasingly been used as a non-pharmacological approach to improve sleep health; however, previous findings remain inconsistent, and evidence specifically addressing sleep quality in university students remains limited. This study aimed to systematically evaluate the effects of MBIs on sleep quality in university students and explore factors that may account for variations in intervention effects. We searched seven databases—PubMed, Web of Science, EBSCO, the Cochrane Library, Scopus, Embase, and ScienceDirect—from inception to June 26, 2026. Randomized controlled trials (RCTs) evaluating MBIs for sleep quality in university students were included. Two reviewers independently conducted study selection, data extraction, and risk-of-bias assessment using the RoB 2 tool. Meta-analysis was conducted in Stata 17.0 using a random-effects model. Subgroup analyses, sensitivity analyses, publication bias assessment, and GRADE assessment were also performed. Ten RCTs involving 638 university students were included, with 335 participants in the intervention groups and 303 in the control groups. MBIs significantly improved sleep quality [SMD = −0.97, 95% CI (−1.43, −0.51), p  MBIs may improve sleep quality in university students. However, given the substantial heterogeneity and low certainty of evidence, further high-quality RCTs are needed to confirm these findings. CRD420261458068, https://www.crd.york.ac.uk/PROSPERO/view/CRD420261458068.
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