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Mindfulness program shows specific improvements in learning autonomy and positive affect in migrant studentsTrial shows mindfulness helps some mental health outcomes in students

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Key Takeaway
Note that mindfulness shows specific benefits in learning autonomy but lacks consistent superiority over psychoeducation.

This randomized controlled trial enrolled 259 internal migrant students in China aged 9 to 12. Participants were assigned to either a 16-week school-based mindfulness program or an active psychoeducation control. The primary outcomes included psychological measures such as anxiety-depression symptoms, resilience, and emotional states, with a 1-year follow-up period.

For most primary outcomes, no statistically significant differences were observed between the mindfulness and psychoeducation groups. However, the mindfulness group showed greater improvements in positive affect and learning autonomy compared to the psychoeducation group. Additionally, the mindfulness group demonstrated greater improvements in mindful acceptance at the 1-year follow-up.

Secondary outcomes showed selective results: mindfulness reduced internalizing problems in students with clinical-level symptoms and led to sociocultural gains specifically in fifth-grade girls. Safety data, including adverse events and tolerability, were not reported.

Limitations include the lack of consistent advantages over psychoeducation for most outcomes and the fact that benefits were modest and specific to certain outcomes and subgroups. The findings suggest that while mindfulness has specific benefits, it may not be superior to psychoeducation for general psychological outcomes in this population.

How this fits prior evidence

How this fits prior evidence: This finding addresses a gap in interventions for children facing specific environmental stressors, such as internal migration. While previous evidence indicates that acute exercise can reduce state anxiety in children and adolescents, this study suggests that mindfulness provides specific benefits in learning autonomy and positive affect, though it does not consistently outperform psychoeducation for general anxiety and depression symptoms.

Researchers conducted a 16-week school-based mindfulness program for 259 internal migrant students in China between the ages of 9 and 12. The study compared this program to an active psychoeducation control group to see how it affected anxiety, depression, and other social behaviors.

While the study found that mindfulness did not provide a significant advantage over psychoeducation for most general outcomes, it did show specific improvements. Students in the mindfulness group showed better results in positive affect, learning autonomy, and mindful acceptance. Additionally, students with clinical-level symptoms showed a reduction in internalizing problems. Some specific groups, such as fifth-grade girls, showed gains in sociocultural adjustment.

Because the benefits were modest and only appeared in specific areas or for certain groups, the results are not yet enough to say mindfulness is a superior treatment. The study suggests that while mindfulness has some benefits, it may not replace other standard methods for all students. It highlights the need for targeted strategies that fit the specific needs of migrant students.

What this means for you:
Mindfulness showed specific benefits for student mood and autonomy but did not outperform standard education overall.

Common questions

What specific benefits did the mindfulness program provide?

The mindfulness program showed greater improvements compared to psychoeducation in areas of positive affect, learning autonomy, and mindful acceptance. It also helped reduce internalizing problems in students who showed clinical-level symptoms. Some specific groups, like fifth-grade girls, showed gains in sociocultural adjustment.

Was the mindfulness program better than standard psychoeducation?

For most outcomes, there were no statistically significant differences between the mindfulness program and the psychoeducation control. The benefits of mindfulness were found to be modest and were only specific to certain outcomes and certain subgroups of students.

Who was included in this study?

The study included 259 internal migrant students in China between the ages of 9 and 12. The program was delivered in a school setting over a period of 16 weeks, with a follow-up conducted one year later.

Study Details

Study typeRct
EvidenceLevel 2
Follow-up3.7 mo
PublishedSep 2026
View Original Abstract ↓
Rapid urbanization and unequal urban-rural development have driven large-scale internal migration in low- and middle-income countries, placing internal migrant children at increased risk for psychological distress and sociocultural marginalization. Although schools are critical settings for prevention, targeted interventions that support migrant students' psychological ("feeling well") and sociocultural ("doing well") adaptation remain limited. Mindfulness training shows promise for youth mental health, yet its feasibility among socioeconomically disadvantaged migrant youth remains underexamined. This randomized controlled trial evaluated a 16-week school-based mindfulness program against an active psychoeducation control among 259 internal migrant students in China (ages 9-12; 47.1% female; 68.7% low-income) at risk for anxiety-depression. Psychological outcomes (anxiety-depression symptoms, resilience, emotional states) and sociocultural outcomes (school and sociocultural adjustment), along with parent-reported behavioral functioning, were assessed at baseline, midpoint, postintervention, and 1-year follow-up. Both programs were implemented with high fidelity. Between-group differences were not statistically significant for most outcomes. Compared with psychoeducation, mindfulness showed greater improvements only in positive affect and learning autonomy at mid-test and mindful acceptance at follow-up. Subgroup analyses indicated that effects were confined to a few outcomes in specific groups: reduced internalizing problems among students with clinical-level symptoms and selective sociocultural gains among fifth graders and girls. As schools worldwide serve growing numbers of migrant and immigrant students, equitable approaches are needed to support their adaptation amid structural disadvantage. In internal migrant students, mindfulness training showed no consistent advantage over psychoeducation and only modest, outcome- and subgroup-specific benefits, highlighting the need for context-sensitive, targeted prevention strategies.
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