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. 2023 Jan 22;20(3):2038. doi: 10.3390/ijerph20032038

Table 1.

Characteristics of included studies (n = 32).

Study Study Design Population (n) Age (Mean ± SD) Duration/Frequency Measures Findings
Wolch et al.
(2021) [29]
RCT Male recreational basketball players
(n = 32)
21.22 ± 2.01 yrs. Two sessions CSAI-2R, TMS, MAAS A 15 min mindfulness intervention appears to have some effects on participants first basketball free-throw shot and state anxiety when performing under pressure.
Shaabani et al.
(2019) [30]
RCT Experienced male basketball players
(n = 72)
28.6 ± 4.0 yrs. Two sessions SAS-2, DISE, DSS, PANAS, CHIME, BSCS, EDMC, TMS A brief mindfulness intervention mitigates the effects of ego depletion in a basketball free-throw task.
Dehghani et al.
(2018) [31]
RCT The women’s basketball team of both Iran and Tehran University of Medical Sciences
(n = 31)
23.44 ± 0.49 yrs.; 22.34 ± 0.34 yrs. Eight sessions SPQ, AAQ, SCAT Mindfulness-Acceptance-Commitment-based approach is an effective intervention to increase athletic performance and reduce experiential avoidance and sports anxiety in athletes.
Gross et al.
(2018) [13]
RCT Women’s basketball players from an NCAA Division III university athletic department in the northeastern United States (n = 22) Nil 7 weeks CCAPS-62, AAQ-II, SPQ, WAI-S, DERS, MAAS, MC-C The MAC is an effective intervention for the mental health and sport performance needs of female collegiate athletes.
Josefsson et al.
(2019) [32]
RCT Competitive elite athletes
(n = 69)
20.9 ± 4.17 yrs. 7 weeks AMQ, DERS MAC approach is a more effective intervention compared to the PST condition in reducing emotion regulation difficulties, as well as enhancing sport-relevant mindfulness skills and perceived athletic training performance in elite sport.
Röthlin et al.
(2016) [33]
RCT Elite athletes from 23 different sports
(n = 133)
23.68 ± 6.12 yrs. Nil CHIME, CAI-T, Self-generated three-item measure Trait mindfulness is related to fewer performance worries and prevents the remaining worries from influencing athletes’ behavior, thereby helping them to perform better.
John et al. (2011) [34] RCT Male elite level shooters
(n = 96)
29.5 ± 4.3 yrs. 4 weeks Measure of shooting accuracy or shooting score MMT may decrease PCS and will enhance PS. It is concluded that 4 weeks of MMT has an effect on HPA-Axis by decreasing the level of SC as a reliable physiological marker of PCS.
Kachanathu et al. (2013) [35] RCT Male elite level shooters
(n = 110)
29.5 ± 4 yrs. 4 weeks Measure of shooting accuracy MMT may decrease PCS and therefore enhance SP.
Glass et al. (2019) [36] RCT University athletes
(n = 52)
19.32 ± 1.25 yrs. 6 weeks DASS-21, SWLS, FFMQ, AAQ-II, DFS-2, SAS, Mindfulness practice summary, SRF, CRF Significant increases in flow, trait mindfulness, satisfaction with life, and self-rated sport performance, along with reductions in worry.
Röthlin et al. (2016) [33] RCT Elite, sub-elite, and recreational athletes
(n = 108)
Nil 5 weeks CAI-S, TOQS, TOPS, FFMQ-SF, AMQ, SEC-27, AAQ-II, EQ, DSS, ANT, TEOSQ, RSC, SCS, and BSI-18 Both PST and MBI are expected to help improve functional behavior in athletes.
Mehrsafar et al. (2019) [37] RCT Elite Wushu athletes
(n = 26)
25.4 ± 2.4 yrs. 8 weeks CSAI-2R and MAAS Mindfulness-based intervention might be associated with a diminished physiological and psychological stress responses to competition.
Carraça et al. (2019) [38] RCT Elite soccer athletes
(n = 57)
25.79 ± 3.3 yrs. 8 weeks AAQ-II, FFMQ, DFS-2, SCS, WBSI, BSI, Athlete’s—FAIP-A MBSoccerP can be effective in enhancing elite soccer performance, self-compassion, psychological flexibility, mindfulness, and flow.
Carraça et al. (2019) [39] RCT Elite soccer athletes
(n = 57)
25.79 ± 3.3 yrs. 8 weeks AAQ-II, FFMQ, DFS-2, SCS, WBSI, BSI, Athlete’s—FAIP-A Mindfulness-Based Soccer Program (MBSoccerP) is effective in increasing the attributes of mindfulness, self-compassion, and psychological flexibility and in terms that mediate the dispositional flow and peak performance on elite soccer players.
Mozafari Zadeh et al. (2019) [40] RCT Amateur soccer players (n = 44) 24.15 (24.86 ± 4.68) (23.77 ± 1.95) yrs. Seven sessions Mindful Sport Performance Questionnaire,
7-point Likert scale (individual and team performance) and
injury occurrence and severity
Mindfulness training shows promise in preventing injury and improving performance.
Röthlin et al. (2020) [41] RCT Athletes from four sports
(n = 95)
24.43 ± 5.15 yrs. 4 weeks FFMQ-SF, TOPS, AAQ-II, SEC-27, TOQS, EQ, and ASOAF6 Both forms of mental training led to improvements in performance-relevant psychological factors, especially concerning the handling of emotions and attention control.
Scott-Hamilton et al. (2016) [42] RCT Cyclists
(n = 47)
39.81 (38.96 ± 12.4; 40.65 ± 10.88) yrs. 8 weeks DFS-2, SAS-2, FFMQ, SASS Mindfulness-based interventions tailored to specific athletic pursuits can be effective in facilitating flow experiences.
Baltar et al. (2018) [43] RCT Elite football players
(n = 40)
23.6 ± 1.4 yrs. 12 weeks ACS, KIMSs-Short Mindfulness meditation does not improve attentional control or mindfulness skills; however, it prevents those variables from showing decreases among elite football players.
Liu et al. (2021) [44] RCT University athletes
(n = 60)
19.7 (19.9 ± 0.7; 19.5 ± 0.8) yrs. Once FFMQ, DFS-2, and RISC Brief mindfulness training could significantly improve athletes flow and resilience; resilience partly mediated the effects of brief mindfulness training on flow.
Norouzi et al. (2020) [45] RCT Retired football players
(n = 40)
34.05 ± 1.72 yrs. 8 weeks PSS, BAI, MADRS, RSPWB MBSR intervention has the potential to reduce symptoms of stress, anxiety, and depression and to increase their psychological well-being.
Coimbra et al. (2021) [46] RCT Elite female volleyball athletes
(n = 30)
<18 yrs. 2 weeks Total Quality Recovery scale, Mental Fatigue Visual Analog Scale,
Physical Fatigue Visual Analog Scale
The mindfulness intervention effectively attenuated the mental fatigue caused by competition in volleyball athletes.
Aherne et al. (2011) [47] RCT Athletes from a University High Performance Centre
(n = 13)
21.00 ± 1.68 yrs. 6 weeks DFS-2, CAMS-R Mindfulness training appears to be an appropriate method to help athletes to achieve a flow state and, therefore, seems likely to be an effective performance enhancement strategy as well.
Jekauc et al. (2016) [48] RCT Students in sport science of Humboldt University Berlin
(n = 46)
23.4 ± 4.1 yrs. 8 weeks MAAS BATL is an effective strategy to increase mindfulness in athletes.
Moen et al. (2015) [49] RCT Norwegian junior athletes in sports
(n = 77)
18 yrs. 12 weeks MAAS, PSS-14, ABQ, ASQ Significant effects from the mindfulness intervention on athlete burnout. There were no significant effects found on perceived stress or perceived performance in school and sports.
Li et al. (2018) [50] RCT University athletes
(n = 63)
21.16 ± 1.79 yrs. Once PSQI, Rating Perceived Exertion Scale, PSAS, Five-item Chinese-translated State Version of the Mindful Attention Awareness Scale, Sleep and Health Research Laboratory’s Sleep Diary The brief mindfulness induction may be an effective approach for decreasing pre-sleep arousal and improving sleep quality after night training among athletes.
Ajilchi et al. (2019) [51] RCT Male amateur basketball players
(n = 30)
22–24 yrs. 6 weeks Mindful Sport Performance Questionnaire, MT, SEIS These findings may have implications on sport mindfulness training in increasing the MT and emotional intelligence of athletes.
Samadi et al. (2021) [52] RCT Male shooters (n = 24) 17–22 yrs. 6 weeks Cortisol with ELISA method The practice of psychological skills, especially mindfulness, can be used to reduce pre-competition stress.
Bagheri et al. (2021) [53] RCT Female recreational runners with patellofemoral Pain
(n = 30)
28.3 ± 7.08 yrs. 8 weeks Pain intensity,
Knee Symptoms and Function, Global Rating of Change Scale, Tampa Scale of Kinesiophobia, Pain Catastrophizing Scale, and Coping Strategies Questionnaire
Mindfulness practice can be an effective adjunct to exercise therapy in the rehabilitation of PFP in recreational female runners.
Ivarsson et al. (2015) [54] RCT Junior elite soccer players
(n = 41)
16.97 ± 0.79 yrs. 7 weeks Nil Applying mindfulness exercises in athletes daily training to help lower injury risk.
Mohebi et al. (2021) [55] RCT Female athletes at national competition level
(n = 40)
22.22 ± 2.40 yrs. 7 weeks MIS, SCS-SF, and SG-S While the active control condition improved dimensions of mindfulness, self-compassion, and grit among female adult athletes, improvements were much stronger in the Mindfulness Acceptance Commitment condition.
Kittler et al. (2022) [56] RCT Pupils of a German elite sports school
(n = 137)
12.23 ± 0.50 yrs. 6 weeks FAIR-2 The results of this study indicate that the Berlin Mindfulness-Based Training for Athletes (BATL) improved both sustained and selective attention in young athletes and that more training in the same amount of time resulted in higher scores in the assessment.
Lundgren et al. (2022) [57] RCT Junior elite ice hockey players
(n = 34)
18.09 ± 0.88 yrs. 4 weeks Coach Ratings,
Version of the credibility questionnaire
Significant effects on both objective performance outcomes (goals, assists, and taken shots) and blinded coach ratings of players performance, focus, and commitment to their development in favor of the ACT group.
Hut et al. (2021) [58] RCT Members of an NCAA Division III Track and Field team
(n = 32)
19.52 yrs. 6 weeks SDFS-2, CDFS-2, DASS-21, SAS-2, PHLMS, MIS, DERS-SF, BEAQ, SRF, PEQ The 24 collegiate athletes who completed post-test measures showed significant improvements in sport anxiety and reported greater sport enjoyment and less influence of negative internal states on current sport performance; the MSPE group reported greater improvements in satisfaction with sport performance compared to PST.

Note. RCT = randomized controlled trial; SD = standard deviation; MAC = Mindfulness-Acceptance-Commitment; PST = psychological skill training; MMT = mindfulness meditation therapy; PCS = Pre-Competition Stress; PS = Performance of Shooting; HPA: Hypothalamic Pituitary Adrenal; SC = Salivary Cortisol; MBI = mindfulness-based intervention; MBSR = mindfulness-based stress reduction; MSPE = mindful sport performance enhancement; CSAI-2R = Competitive Sport Anxiety Inventory-II Revised; TMS = Toronto Mindfulness Scale; MAAS = Mindful Attention Awareness Scale; SAS-2 = Sport Anxiety Scale-2; DISE = Daily Inventory of Stressful Events; DSS = Depletion Sensitivity Scale; CHIME = Comprehensive Inventory of Mindfulness Experiences; BSCS = Brief Self-Control Scale; EDMC = Ego-Depletion Manipulation Check; CAI-T = Competition Anxiety Inventory Trait; DASS-21 = Depression, Anxiety, and Stress Scales-21; SWLS = Satisfaction with Life Scale; FFMQ = Five-Facet Mindfulness Questionnaire; AAQ-II = Acceptance and Action Questionnaire-II; DFS-2 = Dispositional Flow Scale; CRF = Coach’s Rating Form; SRF = Sport Rating Form; TOPS = Test of Performance Strategies; SEC-27 = Self-Assessment of Emotional Competencies; TOQS = Thought Occurrence Questionnaire for Sport; EQ = Experience Questionnaire; ASOAF= Action orientation after failure and state orientation after failure; DFS-2 = Dispositional Flow Scale-2; SASS = Sport Attribution Style Scale; PSS = Perceived Stress Scale; MADRS = Montgomery-Asberg Depression Rating Scale; RSPWB = Ryff Scales of Psychological Well-Being; PSQI = Pittsburgh Sleep Quality Index; PSAS = Pre-sleep Arousal Scale; FAIR-2 = Frankfurt Attention Inventory-2; SDFS = Short Dispositional Flow Scale; CDFS-2 = Core Dispositional Flow Scale-2; PHLMS = Philadelphia Mindfulness Scale; DERS-SF = Difficulties in Emotion Regulation Scale-Short Form; BEAQ = Brief Experiential Avoidance Questionnaire; and PEQ = Program Evaluation Questionnaire.