Overcoming Systemic Barriers to Mindfulness in Health and Education Systems
DOI:
https://doi.org/10.61194/psychology.v2i4.586Keywords:
Mindfulness-Based Intervention, Mental Health, Emotional Regulation, Stress Reduction, Healthcare Workers, Youth Mental Wellness, Psychological ResilienceAbstract
Mindfulness-based interventions (MBIs) have received increasing attention as effective tools for promoting mental health and psychological resilience. This narrative review explores the effectiveness of MBIs in reducing stress and anxiety, improving emotional regulation, and fostering long-term mental well-being across various populations. Literature was gathered from Scopus, PubMed, and Google Scholar using a comprehensive keyword and Boolean search strategy. Studies were selected based on inclusion criteria focusing on empirical research involving healthcare workers, youth, and vulnerable populations. The findings affirm the effectiveness of MBIs in mitigating stress and anxiety, especially during crises such as the COVID-19 pandemic. Emotional regulation was significantly enhanced among individuals engaging in mindfulness, with outcomes varying based on gender, cultural context, and program design. Long-term benefits were closely associated with the consistency of practice, highlighting the importance of routine engagement. Systemic barriers including organizational resistance, limited training, and lack of resources were identified as key challenges to implementation. The discussion emphasizes the need for evidence-based policies, public education, standardized training, and multi-sectoral collaboration. Ultimately, the review recommends the integration of culturally tailored mindfulness programs into national mental health strategies to enhance accessibility and effectiveness. Future research should target longitudinal and inclusive studies to bridge existing gaps in the literature and inform scalable mental health solutions.
References
Benn, R., Akiva, T., Arel, S., & Roeser, R. W. (2012). Mindfulness Training Effects for Parents and Educators of Children With Special Needs. Developmental Psychology, 48(5), 1476–1487. https://doi.org/10.1037/a0027537 DOI: https://doi.org/10.1037/a0027537
Cheng, D., Young, D. K. W., Carlbring, P., Ng, P., & Hung, S. L. (2022). Facilitating Personal Recovery Through Mindfulness-Based Intervention Among People With Mental Illness. Research on Social Work Practice, 33(8), 827–848. https://doi.org/10.1177/10497315221137137 DOI: https://doi.org/10.1177/10497315221137137
Chung, J., Mundy, M., Hunt, I., Coxon, A., Dyer, K. R., & McKenzie, S. (2021). An Evaluation of an Online Brief Mindfulness-Based Intervention in Higher Education: A Pilot Conducted at an Australian University and a British University. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.752060 DOI: https://doi.org/10.3389/fpsyg.2021.752060
Cioe, P. A., Sokolovsky, A. W., Brewer, J. A., & Kahler, C. W. (2023). App-Delivered Mindfulness Training to Reduce Anxiety in People With HIV Who Smoke: A One-Armed Feasibility Trial. International Journal of Environmental Research and Public Health, 20(6), 4826. https://doi.org/10.3390/ijerph20064826 DOI: https://doi.org/10.3390/ijerph20064826
Cloonan, S., Fowers, R., Huberty, J., & Stecher, C. (2023). Meditation App Habits and Mental Health: A Longitudinal Study of Meditation App Users During the COVID-19 Pandemic. Mindfulness, 14(9), 2276–2286. https://doi.org/10.1007/s12671-023-02217-1 DOI: https://doi.org/10.1007/s12671-023-02217-1
Connolly, M. L., Bowden, S. C., Pascoe, M. C., & Van Dam, N. T. (2023). Development and Psychometric Validation of the Mental Health-Related Barriers and Benefits to EXercise (MEX) Scale in Healthy Adults. Sports Medicine - Open, 9(1). https://doi.org/10.1186/s40798-023-00555-x DOI: https://doi.org/10.1186/s40798-023-00555-x
Dubey, N., Podder, P., & Pandey, D. (2020). Knowledge of COVID-19 and Its Influence on Mindfulness, Cognitive Emotion Regulation and Psychological Flexibility in the Indian Community. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.589365 DOI: https://doi.org/10.3389/fpsyg.2020.589365
Finkelstein‐Fox, L., Park, C. L., & Riley, K. E. (2018). Mindfulness and Emotion Regulation: Promoting Well-Being During the Transition to College. Anxiety Stress & Coping, 31(6), 639–653. https://doi.org/10.1080/10615806.2018.1518635 DOI: https://doi.org/10.1080/10615806.2018.1518635
Fuller‐Tyszkiewicz, M., Richardson, B., Little, K., Teague, S., Hartley-Clark, L., Capic, T., Khor, S., Cummins, R. A., Olsson, C. A., & Hutchinson, D. (2020). Efficacy of a Smartphone App Intervention for Reducing Caregiver Stress: Randomized Controlled Trial. Jmir Mental Health, 7(7), e17541. https://doi.org/10.2196/17541 DOI: https://doi.org/10.2196/17541
Garg, S., Uriegas, N. A., Winkelmann, Z. K., Adams, M., & Hand, A. (2024). Effect of Mindful Sport Performance Enhancement in College Athletes for Reducing Sports-Caused Anxiety and Improving Self-Awareness: A Critically Appraised Topic. International Journal of Athletic Therapy & Training, 29(5), 235–239. https://doi.org/10.1123/ijatt.2023-0054 DOI: https://doi.org/10.1123/ijatt.2023-0054
Goodwin, A. M., Chiuzan, C., Friel, C. P., Miller, D., Rodillas, J., Duer-Hefele, J., Cheung, Y. K., & Davidson, K. W. (2024). Protocol for a Personalized (N-of-1) Trial for Testing the Effects of a Mind–body Intervention on Sleep Duration in Middle-Aged Women Working in Health Care. Contemporary Clinical Trials Communications, 41, 101364. https://doi.org/10.1016/j.conctc.2024.101364 DOI: https://doi.org/10.1016/j.conctc.2024.101364
Hernández, D. J. Q., Rojas-Hernández, J., Santana, Á., Suárez, C. C., Silva, M. P., Miró-Barrachina, M. T., Fernández, I. I., López, J. A. E., & Borkel, L. F. (2023). Mindfulness Prevents Depression and Psychopathology in Elderly People With Mild to Moderate Alzheimer’s Disease: A Randomized Clinical Trial. Journal of Alzheimer S Disease, 91(1), 471–481. https://doi.org/10.3233/jad-220889 DOI: https://doi.org/10.3233/JAD-220889
Hershey, M. S., Bouziani, E., Chen, X. Y., Lidoriki, I., Hadkhale, K., Huang, Y., Filippou, T., López‐Gil, J. F., Gribble, A. K., Lan, F., Sotos‐Prieto, M., & Kales, S. N. (2023). Surviving &Amp; Thriving; A Healthy Lifestyle App for New US Firefighters: Usability and Pilot Study Protocol. Frontiers in Endocrinology, 14. https://doi.org/10.3389/fendo.2023.1250041 DOI: https://doi.org/10.3389/fendo.2023.1250041
Höller, I., & Spangenberg, L. (2023). Study Protocol for a Feasibility Study of Microinterventions in Smartphone-Based Assessments to Reduce Depressive Rumination. BMJ Open, 13(12), e076031. https://doi.org/10.1136/bmjopen-2023-076031 DOI: https://doi.org/10.1136/bmjopen-2023-076031
Huang, S.-L., Li, R.-H., Huang, F., & Tang, F. (2015). The Potential for Mindfulness-Based Intervention in Workplace Mental Health Promotion: Results of a Randomized Controlled Trial. Plos One, 10(9), e0138089. https://doi.org/10.1371/journal.pone.0138089 DOI: https://doi.org/10.1371/journal.pone.0138089
Kim, S., Crawford, J., & Hunter, S. B. (2022). Role of an Online Skill-Based Mindfulness Program for Healthcare Worker’s Resiliency During the COVID-19 Pandemic: A Mixed-Method Study. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.907528 DOI: https://doi.org/10.3389/fpubh.2022.907528
Lamb, D., & Cogan, N. (2015). Coping With Work‐related Stressors and Building Resilience in Mental Health Workers: A Comparative Focus Group Study Using Interpretative Phenomenological Analysis. Journal of Occupational and Organizational Psychology, 89(3), 474–492. https://doi.org/10.1111/joop.12136 DOI: https://doi.org/10.1111/joop.12136
Larsen-Barr, M., & Seymour, F. (2021). Service-User Efforts to Maintain Their Wellbeing During and After Successful Withdrawal From Antipsychotic Medication. Therapeutic Advances in Psychopharmacology, 11. https://doi.org/10.1177/2045125321989133 DOI: https://doi.org/10.1177/2045125321989133
Mason, J., Laporte, A., McDonald, J. T., Kurdyak, P., & de Oliveira, C. (2023). Health Reporting from Different Data Sources: Does it Matter for Mental Health? The Journal of Mental Health Policy and Economics, 26(1), 33–57. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85151967631&partnerID=40&md5=83f225b177079f6fddef78b39f24e223
Noble, H., Reid, J., Walsh, I., Ellison, S. E., & McVeigh, C. (2019). Evaluating Mindfulness Training for Medical and PhD Nursing Students. British Journal of Nursing, 28(12), 798–802. https://doi.org/10.12968/bjon.2019.28.12.798 DOI: https://doi.org/10.12968/bjon.2019.28.12.798
Parra, D. C., Wetherell, J. L., Zandt, A. V, Brownson, R. C., Abhishek, J., & Lenze, E. J. (2019). A Qualitative Study of Older Adults’ Perspectives on Initiating Exercise and Mindfulness Practice. BMC Geriatrics, 19(1). https://doi.org/10.1186/s12877-019-1375-9 DOI: https://doi.org/10.1186/s12877-019-1375-9
Ravalier, J., Wegrzynek, P., & Lawton, S. (2016). Systematic Review: Complementary Therapies and Employee Well-Being. Occupational Medicine, 66(6), 428–436. https://doi.org/10.1093/occmed/kqw047 DOI: https://doi.org/10.1093/occmed/kqw047
Remskar, M., Western, M. J., Maynard, O., & Ainsworth, B. (2022). Exercising Body but Not Mind: A Qualitative Exploration of Attitudes to Combining Physical Activity and Mindfulness Practice for Mental Health Promotion. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.984232 DOI: https://doi.org/10.3389/fpsyg.2022.984232
Rosenberg, R., Citrome, L., & Drake, C. L. (2021). Advances in the Treatment of Chronic Insomnia: A Narrative Review of New Nonpharmacologic and Pharmacologic Therapies. Neuropsychiatric Disease and Treatment, Volume 17, 2549–2566. https://doi.org/10.2147/ndt.s297504 DOI: https://doi.org/10.2147/NDT.S297504
Saha, B., Nguyen, T., Phung, D., & Venkatesh, S. (2016). A Framework for Classifying Online Mental Health-Related Communities with an Interest in Depression. IEEE Journal of Biomedical and Health Informatics, 20(4), 1008–1015. https://doi.org/10.1109/JBHI.2016.2543741 DOI: https://doi.org/10.1109/JBHI.2016.2543741
Schreiner, K., Grossoehme, D. H., Friebert, S., Baker, J. N., Needle, J., & Lyon, M. E. (2020). “Living Life as if I Never Had Cancer”: A Study of the Meaning of Living Well in Adolescents and Young Adults Who Have Experienced Cancer. Pediatric Blood & Cancer, 67(10). https://doi.org/10.1002/pbc.28599 DOI: https://doi.org/10.1002/pbc.28599
Schuman‐Olivier, Z., Trombka, M., Lovas, D., Brewer, J. A., Vago, D. R., Gawande, R., Dunne, J. P., Lazar, S. W., Loucks, E. B., & Fulwiler, C. (2020). Mindfulness and Behavior Change. Harvard Review of Psychiatry, 28(6), 371–394. https://doi.org/10.1097/hrp.0000000000000277 DOI: https://doi.org/10.1097/HRP.0000000000000277
Singha, R. (2023). AI, Mindfulness, and Emotional Well-Being. 47–74. https://doi.org/10.4018/979-8-3693-0802-8.ch003 DOI: https://doi.org/10.4018/979-8-3693-0802-8.ch003
Voyce, A. (2019). Unintentional participant observation: a research method to inform peer support in mental health? Mental Health and Social Inclusion, 23(2), 81–85. https://doi.org/10.1108/MHSI-01-2019-0001 DOI: https://doi.org/10.1108/MHSI-01-2019-0001
Zildžić, M., Salihefendic, D., & Mašić, I. (2021). Non-Pharmacological Measures in the Prevention and Treatment of COVID-19 Infection. Medical Archives, 75(4), 307. https://doi.org/10.5455/medarh.2021.75.307-312. DOI: https://doi.org/10.5455/medarh.2021.75.307-312