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Journal of American College Health

ISSN: (Print) (Online) Journal homepage: https://www.tandfonline.com/loi/vach20

Mindfulness, happiness, and anxiety in a sample


of college students before and after taking a
meditation course

Claire Crowley, Laura Ring Kapitula & Dana Munk

To cite this article: Claire Crowley, Laura Ring Kapitula & Dana Munk (2022) Mindfulness,
happiness, and anxiety in a sample of college students before and after taking
a meditation course, Journal of American College Health, 70:2, 493-500, DOI:
10.1080/07448481.2020.1754839

To link to this article: https://doi.org/10.1080/07448481.2020.1754839

Published online: 05 May 2020.

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JOURNAL OF AMERICAN COLLEGE HEALTH
2022, VOL. 70, NO. 2, 493–500
https://doi.org/10.1080/07448481.2020.1754839

MAJOR ARTICLE

Mindfulness, happiness, and anxiety in a sample of college students


before and after taking a meditation course
Claire Crowley, MMa, Laura Ring Kapitula, PhDb, and Dana Munk, PhDa
a
Department of Movement Science, Grand Valley State University, Allendale, Michigan, USA; bDepartment of Statistics, Grand Valley State
University, Allendale, Michigan, USA

ABSTRACT ARTICLE HISTORY


Objective: To explore differences in mindfulness, happiness, and perceived anxiety in a sample of Received 21 May 2019
college students before and after taking a meditation course. Revised 6 February 2020
Participants: Participants were college students at a primarily undergraduate institution enrolled Accepted 29 March 2020
in an experiential meditation class (n ¼ 74) and a non-meditation class comparison group (n ¼ 73).
KEYWORDS
Methods: The study design was a before-after observational study with two groups and three College stress and anxiety;
dependent variables: the Mindfulness Attention Awareness Scale, the State Trait Anxiety Inventory college student well-being;
and the Subjective Happiness Scale. happiness; meditation;
Results: Students in the meditation course increased average subjective happiness and mindful- mindfulness
ness attention awareness. Mindfulness scores increased and anxiety decreased more for students
in the meditation class compared to students in the psychosocial class.
Conclusions: This research provides evidence that taking a semester long meditation course is
associated with improvements in college student well-being.

Introduction class found that mindfulness increased over time among


the students; that there were increases in self-compassion
College students are often overwhelmed with the need to
and positive coping and decreases in anxiety; and that
balance work, school, family, and other life responsibilities
increased mindfulness mediated the changes in self-compassion
in addition to their academic work. Over the last 15 years,
and anxiety.6
college students’ reports of anxiety have nearly doubled. In
the 2019 National College Health Assessment (NCHA), 65%
of students surveyed reported feeling overwhelming anxiety Mindfulness
that negatively impacted their education. Furthermore, 45%
reported feeling so depressed it was difficult to function Mindfulness is considered a core component of meditation
over the past 12 months.1 A study by the Center for Disease and is thought to include two key elements: maintaining
Control also indicated that 15.5% of adults in traditional attention on the immediate experience, and maintaining an
college ages 18–24 reported being diagnosed with a depres- attitude of acceptance toward this experience.7 Although
sive disorder and 13.0% of adults aged 18–24 report fre- attention and awareness are relatively constant features of
quent days of bad mental health.2 normal functioning, mindfulness can be considered an
There is a growing base of literature that shows medita- enhanced attention to and awareness of current experience
tion and its components of mindfulness are associated with or present reality.8 The idea of this practice is to create an
increased experience of momentary positive emotions as attitude of curiosity, openness, and acceptance of ones
well as greater appreciation of, and enhanced responsiveness moment to moment experience without judgment, preoccu-
to, pleasant daily-life activities.3 A 2019 meta-analysis indi- pation or suppression of the experience. During meditation,
cated that compared to control groups, Mindfulness Based practitioners are instructed to identify thoughts, emotions
Interventions had a large and significant effect in decreasing and body sensations as they are occurring and to differenti-
college students’ anxiety and that pre-post comparisons also ate between identifying with the experience as opposed to
showed significant reductions in anxiety.4 A study using simply identifying the experience (i.e. awareness that anxiety
Transcendental Meditation with college students showed a is present instead of “I am anxious”).9
significant decline in stress, anxiety, depression and perfec- A study with fulltime students concluded that regular
tionism, and made recommendations for the use of medita- mindfulness practice is a viable tool to enhance student suc-
tion as an adjunct to the treatment in college population.5 A cess and to enable higher level thinking.10 These students
more recent study of college students enrolled in a meditation reported being better able to focus their attention, experienced

CONTACT Laura Ring Kapitula kapitull@gvsu.edu Department of Statistics, Grand Valley State University, 1 Campus Drive, Allendale, MI 49401.
Present address Claire Crowley Department of Kinesiology, Aquinas College, 1700 Fulton St. E., Grand Rapids, MI 49506, USA.
ß 2020 Taylor & Francis Group, LLC
494 C. CROWLEY ET AL.

less stress and anxiety, and were able to achieve relaxation.10 Studies have shown that meditation can reduce stress and
Studies have also found that participants who scored high on anxiety. One study found that daily meditation is effective
mindfulness also tended to score high on self-compassion, in maintaining lower levels of anxiety indicative of sound
psychological well-being, agreeableness, extraversion, openness, mental health amongst university students.23 Findings have
and conscientiousness, and low on neuroticism.11 Additional also suggested that training college undergraduates in inte-
studies on mindfulness have been related to positive emotions grated meditation programs can reduce their levels of per-
and psychological well-being as well.8,12 There is now docu- ceived stress.24 Furthermore, it has been argued that when
mentation that positive emotions also place people on trajecto- perceived stress and anxiety are reduced it makes room for
ries of growth, leaving them better able to ward off depressive the experience of happiness.25 A study using MBSR also sug-
symptoms and become ever more satisfied with life.12 gested that regular practice of meditation cultivates mindful-
ness skills in everyday life, which in turn leads to improved
psychological functioning such as reduced stress and enhanced
Happiness
well-being.26,27
When the mind rests on sensations, impressions, thoughts This study sought to further study the association
and feelings grounded in the here and now, happiness seems between meditation and well-being in college students. To
to spontaneously arise. Subjective happiness may be one of that aim, a quantitative pre-post-test design with a treatment
the variables which is influenced by mindfulness and has and comparison group was used to further understand the
gained more importance with the positive psychology association between meditation practice and changes in per-
trend.13 It arises from being aware of the experience that is ceived mindfulness, happiness, and anxiety in college stu-
occurring now instead of being preoccupied with past or dents. The specific research questions for this study were
future events.14 When the mind begins to focus on present
moment awareness (often the breath), distractions that come 1. Do college students enrolled in a meditation class
from difficult emotions, judgements, past and future events exhibit increases in mindfulness and happiness, and/or
drop away.15 This leaves room for the pleasantries of each decreases in anxiety?
moment and reduces anxiety and negative affect, augment- 2. Do college students enrolled in a meditation class have
ing the experience of hope, ultimately enhancing the state of larger increases in mindfulness and happiness and larger
well-being.16 decreases in anxiety than college students enrolled in a
Neuroscientific research found a correlation between non-meditation psychosocial comparison class?
meditation and happiness as well as a link to its ability to
reduce reactivity to emotional stimuli therefore enhancing
psychological well-being.17 With the use of PET scans, 8 Methods
monks with between 10,000 and 50,000 h of meditative prac- Participants
tice, and a control group of non-meditating university stu-
dents were studied. Not only did the monks produce 30 The population of interest for this study was undergraduate
times more gamma waves than the control group, but much students at the university level. The convenience sample
larger areas of their brains were activated during meditation, consisted of students enrolled in a 3-credit experiential
especially in the left prefrontal cortex, the part of the brain meditation class (n ¼ 74) and a comparison group of stu-
responsible for positive emotions.18 dents enrolled in 3-credit psychosocial aspects of physical
The impact of mindfulness on everyday affect is an activity and sport class (n ¼ 73). The meditation group had
important area study considering the 2019 NCHA reported 73% female students and the psychosocial group had 48%
that over 50% of students experienced hopelessness and 70% female students. Both types of classes consisted of primarily
felt very sad over the past year.1 Evidence has suggested that upperclassman. See Table 1 for more information on the
mindfulness practice can increase overall positive affect but demographics of the participants. Both classes were open to
also reduce negative affect in response to adverse experien- all students at the university and met for 75 min twice every
ces and daily stressors.19 Considering the hectic life of col- week for one semester. Students self-selected through regis-
lege students, improving daily affect as a coping strategy tration for the courses and were not randomly assigned.
is worthwhile. Some students in both groups dropped or added the classes
late, therefore were unavailable for both the pre- and post-
test and were not a part of the sample. There were a few
Anxiety
students who didn’t complete the forms, further reducing
Stress is a major issue for college students as they cope with the number of participants. There were two psychosocial
a variety of academic, social and personal challenges.20 In group sections fall 2011, and one winter 2012. Sections of
2019, 45% of the students surveyed reported that stress was the meditation class were one winter 2011, one fall 2011,
the most common challenge to their academic performance.1 and one winter 2012. Participants did not a receive any
Stress can handicap abilities for learning, for holding infor- incentives for their participation.
mation in working memory, for reacting flexibly and cre- The meditation course used for this study was taught by
atively, for focusing attention at will, and for planning and the PI and was modeled after the mindfulness discipline of
organizing effectively.21,22 meditation which aims to open and expand one’s awareness
JOURNAL OF AMERICAN COLLEGE HEALTH 495

Table 1. Demographic information on participants. the format of lecture with the same time structure and cred-
Group its accumulation as the meditation class. The courses focus
Psychosocial Meditation was on the psychosocial context of sports, the psychology of
Sample Size 73 74 sport and exercise and its history. Some topics of discussion
Age were the role of personality in sport and exercise, motivation
Mean 21.6 20.6
Median 21.0 21.0
and its influence on participation, achievement, and adher-
SD 2.8 1.4 ence, the relationship between arousal/anxiety/stress and
Section Percentage Percentage performance, the use of mental imagery in sport and exer-
Winter 2012 30.1 33.8
Fall 2012 69.9 33.8
cise, the role of self-confidence in physical activity and
Winter 2013 0.0 32.4 effective goal setting techniques.
Gender
Male 52.1 27.0
Female 47.9 73.0 Procedure
Year at University
Freshman 0.0 14.9
Sophomore 9.6 6.8
Upon InstitutionalReviewBoard (IRB) approval, volunteers
Junior 39.7 24.3 were solicited by the primary investigator (PI). In the medi-
Senior 49.3 52.7 tation class, in which the PI also served as instructor, the
Other 1.4 1.4
Religious Affiliation
study was introduced to all students and it was made clear
Not Answered 5.5 2.7 that participation had no bearing on student’s grades if they
Protestant Christian 24.7 18.9 chose to opt out. It was also explained that they could with-
Roman Catholic 26.0 21.6
Evangelical Christian 12.3 6.8
draw from the study at any time with no consequence.
Muslim 1.4 1.4 Signed consents were then obtained by volunteers. For the
Hindu . 1.4 comparison group, which was a psychosocial aspect of phys-
Buddhist 1.4 1.4
Other 28.8 45.9 ical activity and sport class, the PI worked with the faculty
Race/Ethnicity member teaching the class to complete the same format.
African American 5.5 6.8 Once consent was obtained from all volunteers, they were
Asian American 2.7 2.7
Hispanic 1.4 1.4 given the surveys to complete during class time the first
Middle Eastern 0.0 0.0 week of the semester and again during the twelfth week of
Native American 0.0 0.0 the 15-week semester.
Pacific Islander 0.0 0.0
White 86.3 90.5
Other 4.1 2.7
Not Answered 1.4 1.4 Measures
Indicates statistically significant differences between the psychosocial and
meditation group for that variable, p < 0.01.
Three questionnaires were used for this study. The Mindfulness
Attention Awareness Scale (MAAS), a 15-question scale
designed to assess mindfulness5 aimed at measuring one’s
of thoughts and feelings as they pass through the mind, awareness and attention to the present moment. The MAAS
without focusing on a single purpose. It involves three core items are rated using a Likert scale ranging from 1 (almost
elements: intention, attention, and attitude.20,26 always experiencing a particular scenario) to 6 (almost never
Because this meditation class was structured to meet uni- experiencing a particular scenario), then the MAAS is calcu-
versity criteria, attendance, class participation, weekly written lated by averaging the 6 items. The absolute range of the
contemplations and reading Wherever You Go, There You MAAS goes from 1 to 6 and a higher value implies greater
Are28 were required. Each week different concepts related to levels of mindfulness. Brown and Ryan8 discuss the psycho-
mindfulness meditation were explored including meditation metric properties of the MAAS, they report an observed
on forgiveness, compassion, and present moment awareness. internal item consistency of 0.82 in their student sample and
This was primarily an experiential class with limited lecture an observed intraclass correlation of 0.81 to estimate test-
involved. Much of the material was presented quietly to stu- retest reliability. They also provide additional evidence for the
dents while in meditation for the purpose of contemplation. validity and reliability of the measure, and provide the indi-
There were also long periods of silence to cultivate contem- vidual items. The second survey was the validated, 20-item
plation of the readings. Each bi-weekly class was broken into self-report called the State Trait Anxiety Inventory (STAI).29
2 or 3 meditations per class. Moreover, occasional guided Spielberger29 reported internal consistency between .86 and
meditations and breathing exercises were included. In add- .95 and test-retest reliability coefficients between .65 and .75.
ition to the meditations, students participated in interactive The STAI items are rated on a Likert scale with a range going
work with partners or small groups. This interaction was from 1 (not at all feeling a particular state of mind at this
used to facilitate community and provide opportunities for very moment) to 4 (very much so feeling a particular state of
questions and discussion. Students were also encouraged, but mind at this very moment). The absolute range of the STAI
not required, to practice meditation outside of class. goes from 20 to 80 and a higher value implies greater levels
The comparison (psychosocial) group was a course in the of anxiety. The last survey was a 4-item scale called the
same department with an emphasis on health and wellness Subjective Happiness Scale (SHS).30 This questionnaire uses a
within the context of sport and exercise. This course was in Likert scale ranging from 1 (not a very happy person in
496 C. CROWLEY ET AL.

response to a particular question) to 7 (a very happy person Results


in response to a particular question). Lyumbormisky and
Table 1 gives demographic information on study partici-
Lepper30 give psychometric properties of the measure and
pants. The median age was equivalent in both groups. The
report internal item consistency ranging from .79 to .94
mean for the psychosocial group was slightly higher due to
and test-retest reliability between .55 and .90, where the
a few older students with outlying age. Given the skewness
group with a reliability measure of .55 was tested one year
and outliers in the age variable a Wilcoxon test was used to
apart. They also provide evidence of discriminant and conver-
test for the difference in the medians and there was no stat-
gent validity for the SHS measure. The SHS has an absolute
istically significant difference (w ¼ 5846.5, p ¼ 0.078). The
range from one to seven and a higher value implies greater
treatment group had a larger proportion of females than the
levels of happiness.
comparison group (p ¼ 0.0024, Fisher’s Exact Test (FET)),
and the distribution of year in school had observed differen-
Data analysis ces in distribution as well, (p ¼ 0.0019, FET). There were no
statistically significant differences in religious affiliation
The study design is an observational two group pre- and (p ¼ 0.35, FET) nor for race/ethnicity, (p ¼ 0.97, FET).
post- test design with three dependent variables. The Boxplots and plots of the mean for each dependent vari-
dependent variables are the MAAS, the STAI and the SHS able on the pre- and post-test for the meditation and psy-
scale scores as discussed above. A mixed model approach to chosocial groups are given in Figure 1 and numerical
the analysis of treatment effects in before-after data as dis- summaries are given in Table 2. For easier comparison,
cussed by Gelman31 was used. In this approach time is prior to creating the graphical displays the dependent varia-
included as a covariate in the model and the correlation bles were all rescaled to have a minimum score of 0 and a
between the pre- and post- test scores is modeled via the maximum score of 100. Correlation between the dependent
variance structure. The mixed model approach with a het- variables at each time point for the treatment and compari-
erogeneous unstructured variance/covariance matrix allowed son group are given in Table 3. Using a likelihood ratio test
for the modeling of correlation between the three dependent there is evidence of a group difference in the variance/
variables at the two different times points, and across time covariance matrix between the groups, Examination of the
points and also allowed for different variance/covariance for correlation matrix shows negative correlation between anx-
the two groups. Gelman31 discusses how in the presence of iety and both happiness, and mindfulness on the pretest in
treatment effects we would expect more correlation between both types of class, with correlations ranging from -0.25 to
pre- and post- measures in the comparison group and less -0.55. The strength of the linear relationship between the
correlation in the treatment group. A mixed model with full pre- and post- test scores is smaller in the meditation class
factorial fixed effects for variable, time and group, a random group compared to the psychosocial group especially for the
effect for variable by group by course section, and an mindfulness measure (r¼.38 meditation, r¼.79 psychosocial)
unstructured variance/covariance matrix that allows for and to a lesser extent for state trait anxiety (r¼.39 for medi-
between group differences was fit to the data. The model is tation, and r¼.53 for psychosocial). This pattern of correla-
written below tions is consistent with what would be expected given
yvgtsi ¼ lvgt þ cvgs þ evgti , treatment effects from the meditation class.
To address research question 1, additional testing looked
where yvgtsi ¼ the score on variable v, for person i, in at the differences between the pretest and the post-test on
group g and section s, at time t, v ¼ the dependent variable each of the dependent variables for the meditation group
(MAA, STAI or SHS), g ¼ group (meditation or psycho- and the psychosocial group individually. For the meditation
social), t ¼ time (pre- or post-), s ¼ section (1,2,3) for the group average differences were observed between pre- and
three different sections of each class taught for each group, post- for mindfulness, t (71.3) ¼2.60, p ¼ 0.011, and for hap-
i ¼ person, lvgt ¼ the mean for each variable, group and piness, t (73) ¼2.39, p ¼ 0.020, mean differences and 95%
time, cvgs ¼ a random effect for each section since students confidence intervals are given in table 3. Results found a
are nested within sections, and evgti ¼ the error term for slight average decline in mindfulness for the psychosocial
each person for variable v. The error term has mean zero group, t (70.6) =-2.08, p ¼ 0.041.
and an unstructured variance/covariance matrix that allows Hypothesis testing was done to test research question 2,
for differing variance/covariance matrixes for each variable, whether the average change from pre- to post- differed for
group and time and also allows for the modeling of the cor- the psychosocial group compared to the meditation group.
relation between the different dependent variables. All testing was done within the context of the mixed model
PROC MIXED in SAS/STATV R 14.1 was used for the ana- by testing appropriate linear combinations of least squares
lysis. Interaction effects between time and group for each means. Results showed evidence of greater observed mean
variable were used to test for differences in the mean increases for mindfulness for the meditation group com-
changes in scores for the meditation and psychosocial group. pared to the psycho-social group, t(113)¼3.28, p ¼ 0.0014
Furthermore, given the groups differed in the distribution of and evidence of different changes in average anxiety for the
gender and year in school a sensitivity analysis was done to meditation group compared to the psycho-social group,
see if adding gender and year in school as fixed effect cova- t(137) ¼2.22, p ¼ 0.028. Note that the mean differences
riates changed conclusions in any substantive way. between the meditation and comparison group were
JOURNAL OF AMERICAN COLLEGE HEALTH 497

Figure 1. Boxplots and line connected sample means for the Pre- and Post- test for the Meditation (n ¼ 74) and Psychosocial (n ¼ 73) group.
Note: All scores were rescaled to have a minimum possible score of 0 and a maximum possible score of 100 by subtracting off the minimum possible score, dividing
by the range and multiplying by 100. þ represents the mean for the meditation group and 䊊 represents the mean for the psychosocial group.

Table 2. Summary statistics for dependent variables and 95% confidence intervals for means.
Psychosocial (n ¼ 73) Meditation (n ¼ 74)
Mean SD 95% CI Mean SD 95% CI
The Mindfulness Attention Awareness Scale (MAAS) Pre- 4.0 0.7 3.7, 4.5 3.5 0.8 3.2, 3.9
Post- 3.9 0.8 3.5, 4.3 3.8 0.7 3.5, 4.1
Difference 0.1 0.5 0.2, 0.01 0.3 0.9 0.1, 0.5
State Trait Anxiety Inventory (STAI) Pre- 33.2 7.3 30.8, 35.4 37.3 8.2 35.1, 39.6
Post- 34.7 8.7 32.2, 37.2 35.7 8.7 33.4, 38.0
Difference 1.6 7.9 0.3, 3.4 2.0 9.3 3.9, 0.6
Subjective Happiness Scale (SHS) Pre- 5.4 0.9 4.9, 5.7 5.2 0.9 4.9, 5.5
Post- 5.4 0.9 4.9, 5.7 5.4 0.9 5.1, 5.7
Difference 0.0 0.5 0.1, 0.1 0.2 0.7 .03, 0.3
Note:  indicates differences statistically significant at the 0.05 level. SD ¼ standard deviation and CI ¼ Confidence intervals calculated within the context of the
mixed model.

Table 3. Pearson correlation matrix (r) at pretest and post-test.


Pretest Post-test
Meditation Class STAI SHS MAAS STAI SHS MAAS
Pretest
Anxiety(STAI) 1.00 0.39 0.25 0.39 0.29 0.04
Happiness(SHS) 0.39 1.00 0.23 0.27 0.74 0.02
Mindfulness(MAAS) 0.25 0.23 1.00 0.09 0.12 0.38
Post-test
Anxiety(STAI) 0.39 0.27 0.09 1.00 0.34 0.21
Happiness(SHS) 0.29 0.74 0.12 0.34 1.00 0.20
Mindfulness(MAAS) 0.04 0.02 0.38 0.21 0.20 1.00
Psychosocial Class
Pretest
Anxiety(STAI) 1.00 0.44 0.55 0.53 0.43 0.46
Happiness(SHS) 0.44 1.00 0.24 0.36 0.82 0.22
Mindfulness(MAAS) 0.55 0.24 1.00 0.37 0.23 0.79
Post-test
Anxiety(STAI) 0.53 0.36 0.37 1.00 0.39 0.41
Happiness(SHS) 0.43 0.82 0.23 0.39 1.00 0.17
Mindfulness(MAAS) 0.46 0.22 0.79 0.41 0.17 1.00
p < 0.05; p < 0.01.

statistically significantly different despite the fact neither over the course of the semester. There was not a statistically
mean difference was statistically different from zero, this is significant difference in the mean change in subjective hap-
because the observed mean difference for the meditation piness between the two groups, t(140)=-1.78, p ¼ 0.08.
group showed an average drop in anxiety (95% CI of -3.9 to Inclusion of gender and year in school effects for each
0.6) and the observed mean difference for the psychosocial variable as fixed effect covariates in the mixed model made
group showed an increase in anxiety (95% CI of -0.3 to 3.4) no substantive changes to the results, and both effects were
498 C. CROWLEY ET AL.

not statistically significant in the context of the model students in a meditation course showed larger increases in
F(3,26)¼.03, p ¼ 0.97 for gender nested within variable, and mindfulness and larger decreases in anxiety compared to
F(12,191)¼0.70, p ¼ 0.76 for year in school nested students in a psychosocial course. These findings contrib-
within variable). uted to the research record on the impact of meditation in
college students.
Discussion
Limitations
The purpose of this study was to examine (a) whether col-
lege students enrolled in a 15-week meditation class would Although courses for both groups were in the same depart-
exhibit increases in mindfulness, happiness, and/or decreases ment and listed under the broad umbrella of wellness, stu-
in anxiety and (b) if exhibited changes would be larger dents self-selected into the two courses and students in the
than those of a non-meditation psychosocial class compari- meditation course had a higher proportion of females and
son group. underclassmen. The meditation students had higher mean
At the end of the semester, students who took the medi- anxiety and lower reported mindfulness at the start of the
tation course showed statistically significant increases in semester. This suggested that students who perceived them-
mindfulness and happiness compared to the start of the selves as more anxious and less mindful were more likely to
semester. Furthermore, a decrease in anxiety was observed self-select into the meditation course.
for the meditation group, and while the decrease was not Another potential limitation could be that when a treat-
statistically significantly different than zero, it was statistic- ment group is more extreme on a pretest measure, observed
ally significantly different then the change in anxiety in the decreases could potentially be the result of regression toward
psychosocial group because that group had increases in anx- the mean. There does not seem to be evidence that is the
iety over the course of the semester. The meditation group case for observed differences in mindfulness as there was a
was also found to have larger increases in mindfulness than difference in correlation between the two groups and the
the psychosocial group. These findings are consistent with range on the pretest for the two groups was similar (see
previous research which reported increases in mindfulness Figure 1). For the anxiety measure the results were less clear
and happiness with mindfulness-based intervention pro- as the differences in correlation between the two groups was
grams.19,23,31–34 An additional 2017 study also pointed to smaller and the drop in anxiety from pre- to post- for the
both mindfulness meditation and loving-kindness medita- meditation group was not statistically significant.
tion as improving emotional wellbeing.35 Furthermore, this study relied entirely on self-reported
As shown in this study, the 15-week length of time of a
questionnaires and did not include behavioral or physio-
college course allowed time to see the fruition of the medita-
logical measures of the impact of meditation. There also
tion practice in students. Previous studies suggested that a
may have been demand characteristics playing a role for stu-
program with formal meditations and informal practice may
dents in the meditation course. Although students were reas-
be a more promising intervention for university student
sured that these questionnaires would not influence their
stress than one with brief mindfulness exercises and infor-
grade, the participant’s expectation that he or she may
mal practice.36,37 Another study comparing mindfulness
somehow be evaluated given the purpose of the meditation
meditation and transcendental meditation found no differ-
course as well as the questionnaires was fairly transparent.
ence in mindfulness and well-being between the two disci-
Other limitations were that the study took place at one col-
plines. Days per week spent on meditation were the only
lege and students were primarily white upper classmen and
multivariable predictor of both higher mindfulness and
lower perceived stress.38 In addition, one study showed the the teacher for each course was confounded with the course
length of meditation experience is related to higher levels of type. Given these limitations it is not possible to make
mindfulness, which in turn is associated with improved causal claims based on this research. However, the observed
well-being.39 differences can give insight into the association between tak-
It is important to note that specific interventions or ing a meditation class and self-reported mindfulness, anxiety
forms of meditation may not be teaching one aspect of the and happiness in a realistic setting, allow for the exploration
practice but several, such as cultivation of concentration and of possible benefits of meditation on student wellness and
mindfulness, while developing compassion, loving kindness guide future research.
and wisdom. Mindfulness meditation and concentration
practices are not separate experiences but part of a single Conclusions
whole.26 Therefore, the results of the meditation experience
cannot be measured in a singular fashion. It is difficult to The response of college students to meditation is targeted
separate out these different components and practices when and this work contributed empirical data on the association
trying to measure treatment effects.40 of early meditation training and the well-being of students.
While definite cause and effect relationships could not be This study provided evidence of an increase in average mind-
established, this research provided evidence that a medita- fulness and happiness in students who self-selected into a
tion course is associated with improvements in mindfulness meditation course. Furthermore, the change in anxiety was
and increased happiness for students and that on average different between the meditation and the psychosocial group,
JOURNAL OF AMERICAN COLLEGE HEALTH 499

anxiety decreased in the meditation group and increased 7. Bishop SR, Lau M, Shapiro S, et al. Mindfulness: a proposed
slightly in the psychosocial group. operational definition. Clin Psyc Sci Prac. 2006;11(3):230–241.
doi:10.1093/clipsy.bph077.
Future research is still needed to better understand what 8. Brown KM, Ryan RM. The benefits of being present:
factors contribute to the overall effectiveness of a meditation Mindfulness and its role in psychological well-being. J Pers Soc
programs. More studies with diverse populations and larger Psyc. 2003;84(4):822–848. doi:10.1037/0022-3514.84.4.822.
sample sizes are needed. It would also be beneficial to con- 9. Brewer J, Worhunsky P, Gray J, Tang Y, Weber J, Kober H.
Meditation experience is associated with differences in default
duct multi-institutional studies with multiple teachers and
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