Mindfulness in Endurance Athletes: Psychological Well-Being and Sport Performance – A Systematic Review

Authors

DOI: https://doi.org/10.6018/cpd.672521
Keywords: Mindfulness, endurance athletes, emotional regulation, flow

Abstract

Mindfulness has emerged as a relevant practice in Sport Psychology, particularly in endurance sports, where physical and psychological demands are especially high. This systematic review aimed to analyze the effects of mindfulness-based interventions on psychological well-being and sport performance in endurance athletes, considering associated psychological factors such as emotional regulation, anxiety, stress, and the flow state. The review was conducted following the PRISMA (2020) guidelines and was registered in the PROSPERO platform (2024). A systematic search was performed across several databases, including PubMed, Scopus, and Web of Science. Six studies evaluating mindfulness-based interventions in endurance athletes were included. The methodological quality of the studies was assessed using the PEDro scale and the ROBINS-I V2 tool. The results suggest that mindfulness may act as a psychological facilitator, promoting the acceptance of internal experiences, improving attentional focus and resilience, as well as reducing anxiety and stress and increasing the experience of flow. Effect sizes across the included studies ranged from small to very large (d = 0.31–1.83). Psychological well-being variables generally showed moderate to large effects, while sport performance outcomes presented more variable results. Methodological limitations and the small number of studies restrict the generalizability of the findings. In conclusion, mindfulness appears to be a promising intervention in endurance sports, although further research with more robust designs is required to consolidate its effectiveness and practical applicability.

The review was conducted following the PRISMA (2020) guidelines and was registered on the PROSPERO platform (2024). A systematic search was carried out in several databases, including PubMed, Scopus, and Web of Science. Six studies that evaluated mindfulness-based interventions in endurance athletes were included. The methodological quality of the studies was assessed using the PEDro scale and the ROBINS-I V2 tool.

The results suggest that mindfulness can act as a psychological facilitator, promoting the acceptance of internal experiences, improved attentional focus and resilience, as well as reductions in anxiety and stress, and a greater experience of flow. Effect sizes in the included studies ranged from small to very large (d = 0.31–1.83). Variables related to psychological well-being generally showed moderate to large effect sizes, while results related to sports performance showed greater variability.

The methodological limitations and the small number of studies restrict the generalizability of the findings. In conclusion, mindfulness presents itself as a promising intervention in endurance sports, although further research with more robust methodological designs is needed to consolidate its effectiveness and practical applicability.

Downloads

Download data is not yet available.
Metrics
Views/Downloads
  • Abstract
    14
  • (105-131)Mindfulness in E...
    12

References

1. Aherne, C., Moran, A. & Lonsdale, C. (2011). The effect of mindfulness training on athletes’ flow: An initial investigation. The Sport Psychologist, 25(2), 177–189. https://doi.org/10.1123/tsp.25.2.177

2. Altman, D. G., Machin, D., Bryant, T. N. & Gardner, M. J. (2000). Statistics with confidence: Confidence intervals and statistical guidelines (2nd ed.). BMJ Books.

3. Baltzell, A. L. (Ed.). (2016). Mindfulness and Performance. Cambridge University Press.

4. Bronfenbrenner, U. (2005). Making human beings human: Bioecological perspectives on human development. SAGE Publications.

5. Carraça, B., Serpa, S., Rosado, A. & Palmi, J. (2018). The Mindfulness-Based Soccer Program (MBSoccerP): Effects on elite athletes. Cuadernos de Psicología del Deporte, 18(3), 62–85 https://revistas.um.es/cpd/article/view/323541.

6. Cepeda Salas, V. M. & Romero Carrasco, A. E. (2014). El deportista y la atención plena. Liminales. Escritos sobre psicología & sociedad, 1(5), 173-187. https://doi.org/10.54255/lim.vol3.num05.247

7. Ceberio, M. R. & Rodríguez, S. T. (2023). El mindfulness & el estrés en el corredor de ultra trail. Persona, 26(2), 75-95. https://doi.org/10.26439/persona2023.n26(2).6635

8. *Chen, M. A. & Meggs, J. (2021). The effects of Mindful Sport Performance Enhancement (MSPE) training on mindfulness and flow in national competitive swimmers. Journal of Human Sport and Exercise, 16(3), 517-527. https://doi.org/10.14198/jhse.2021.163.04*

9. Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155-159. https://doi.org/10.1037/0033-2909.112.1.155

10. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.

11. Contreras Pérez, V. & Crobu, R. (2018). El Mindfulness como intervención en Psicología del Deporte: Revisión sistemática. Revista de Psicología Aplicada al Deporte & al Ejercicio Físico, 3(e13), 1–15. https://doi.org/10.5093/rpadef2018a14

12. Corbally, L., Wilkinson, M. & Fothergill, M. (2019). Effects of mindfulness practice on performance and factors related to performance in long-distance running: A systematic review. Current Psychology, 38(4), 1150–1162. https://doi.org/10.1123/jcsp.2019-0034

13. Csikszentmihalyi, M. (1990). Flow: The Psychology of Optimal Experience. Harper & Row.

14. Cumming, G. (2012). Understanding The New Statistics: Effect Sizes, Confidence Intervals, and Meta-Analysis. Routledge.

15. De Petrillo, L. A., Kaufman, K. A., Glass, C. R. & Arnkoff, D. B. (2009). Mindfulness for long-distance runners: An open trial using mindful sport performance enhancement (MSPE). Journal of Clinical Sport Psychology, 3(4), 357–376. https://doi.org/10.1123/jcsp.3.4.357

16. De Morton, N.A. (2009) The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Australian Journal of Physiotherapy, 55(2), 129–33. https://doi.org/10.1016/S0004-9514(09)70043-1

17. Delgado, M., Montañés Rodríguez, J., Montañés Sánchez, M. & Bartolomé Gutiérrez, R. (2012). Conociendo mindfulness. ENSAYOS. Revista de la Facultad de Educación de Albacete, 27, 29-46. https://dialnet.unirioja.es/servlet/articulo?codigo=4202742

18. Fernández-Ríos, L. & Buela-Casal, G. (2009). Standards for the preparation and writing of Psychology review articles. International Journal of Clinical and Health Psychology, 9(2), 329-344. http://hdl.handle.net/10481/33048

19. Gao, Q. & Zhang, L. (2023). Brief mindfulness meditation intervention improves attentional control of athletes in virtual reality shooting competition: Evidence from fNIRS and eye tracking. Psychology of Sport and Exercise, 69, 102477. https://doi.org/10.1016/j.psychsport.2023.102477

20. Gardner, F. & Moore, Z. (2004). A Mindfulness-acceptance-commitment- based approach to athletic performance enhancement: theoretical considerations. Behaviour Therapy, 35(4), 707-723. https://doi.org/10.1016/S0005-7894(04)80016-9

21. Gardner, F. L. & Moore, Z. E. (2007). The psychology of enhancing human performance: The mindfulness-acceptance-commitment (MAC) approach. Springer Publishing Company.

22. Gardner, F. & Moore, Z. E. (2017). Mindfulness and acceptance models in sport psychology: A decade of evolution. Journal of Clinical Sport Psychology, 11(2), 150-165. https://psycnet.apa.org/record/2017-55495-016

23. Hayes, S. C., Strosahl, K. D. & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). Guilford Press.

24. Higgins, J.P.T., Green, S. (2011). Manual Cochrane de revisiones sistemáticas de intervenciones. The Cochrane Collaboration.

25. *Hill, A., Schücker, L., Hagemann, N. & Strauß, B. (2021). The influence of mindfulness training on running economy and perceived flow under different attentional focus conditions: An intervention study. International Journal of Sport and Exercise Psychology, 18(5), 535–550. https://doi.org/10.1080/1612197X.2020.1739110*

26. Hoja, S. & Jansen, P. (2019). Mindfulness-based intervention for tennis players: A quasi-experimental pilot study. BMJ Open Sport and Exercise Medicine, 5(1), 584. https://doi.org/10.1136/bmjsem-2019-000584

27. Holguin-Ramirez, J., Ramos-Jimenez, A., Quezada-Chacon, J. T., Cervantes-Borunda, M. S. & Hernandez-Torres, R. P. (2020). Effect of mindfulness on the stress-recovery balance in professional soccer players during the competitive season. Sustainability, 12(17), 7091. https://doi.org/10.3390/su12177091

28. Jackson, S. A. & Eklund, R. C. (2004). The Flow Scales Manual. Fitness Information Technology.

29. Josefsson, T., Gustafsson, H., Iversen Rostad, T., Gardner, F. L. & Ivarsson, A. (2021). Mindfulness and shooting performance in biathlon. A prospective study. European Journal of Sport Science, 21(8), 1176–1182. https://doi.org/10.1080/17461391.2020.1821787

30. *Jones, B. J., Kaur, S., Miller, M. & Spencer, R. M. C. (2020). Mindfulness-based stress reduction benefits psychological well-being, sleep quality, and athletic performance in female collegiate rowers. Frontiers in Psychology, 11, 572980. https://doi.org/10.3389/fpsyg.2020.572980*

31. Kabat-Zinn, J. (1990). Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. Delacorte.

32. Kabat-Zinn J, Beall B. & Rippe J. (1985). A systematic mental training program based on mindfulness meditation to optimize performance in collegiate and Olympic Rowers. Paper presented at the World Congress in Sport Psychology.

33. Kabat-Zinn, J. (2003) Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156. https://psycnet.apa.org/doi/10.1093/clipsy.bpg016

34. Kaufman, K. A., Glass, C. R. & Pineau, T. R. (2018). Mindful Sport Performance Enhancement: Mental training for athletes and coaches. American Psychological Association.

35. Kaufman, K. A., Glass, C. R. & Arnkoff, D. B. (2009). Evaluation of mindful sport performance enhancement (MSPE): A new approach to promote flow in athletes. Journal of Clinical Sport Psychology, 4(4), 334–356. https://doi.org/10.1123/jcsp.3.4.334

36. King, M. T., Viney, R. & Smith, R. A. (2017). Measuring what matters: Development and use of meaningful clinical differences in health-related quality-of-life outcomes. Patient-Reported Outcomes, 3(1), 3-17. https://europepmc.org/article/MED/29248998

37. Knechtle, B. & Nikolaidis, P. T. (2018). Physiology and pathophysiology in ultra-marathon running. Frontiers in Physiology, 9, 634. https://doi.org/10.3389/fphys.2018.00634

38. Knechtle, B. (2012). Ultramarathon runners: Nature or nurture? International Journal of Sports Physiology and Performance, 7(4), 310–312. https://doi.org/10.1123/ijspp.7.4.310

39. Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., Devereaux, P. J., Kleijnen, J. & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Medicine, 6(7), e1000100. https://doi.org/10.1371/journal.pmed.1000100

40. MacDonald, L. A. & Minahan, C. L. (2018). Mindfulness training attenuates the increase in salivary cortisol concentration associated with competition in highly trained wheelchair basketball players. Journal of Sports Sciences, 36, 378–383. https://doi.org/10.1080/02640414.2017.1308001

41. Maciel, L. F. P., do Nascimento, R. K., Milistetd, M. & Folle, A. (2021). Revisión sistemática de las influencias sociales en el deporte: Apoyo de la familia, entrenadores & compañeros de equipo. Apuntes. Educación Física & Deportes, 145, 39-52. https://doi.org/10.5672/apunts.2014-0983.es.(2021/3).145.06

42. Mañas, I., del Águila, J., Franco, C., Gil, M. D. & Gil, C. (2014). Mindfulness & rendimiento deportivo. Psychology, Society, & Education, 6(1), 41–53. https://repositorio.ual.es/handle/10835/3277

43. Mayo, E. (1933). The human problems of an industrial civilization. Macmillan.

44. Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G. & The PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097

45. *Ning, J., Hao, Q. & Huang, D. (2022). Effects of “Mindfulness Acceptance Insight Commitment” training on flow state and mental health of college swimmers: A randomized controlled experimental study. Frontiers in Psychology, 13, 799103. https://doi.org/10.3389/fpsyg.2022.799103

46. Page, M., McKenzie, J., Bossuyt, P., Boutron, I., Hoffmann, T., Mulrow, C., Shamseer, L., Tetzlaff, J., Akl, E., Brennan, S., Chou, R., Glanville, J. Grimshaw, J., Hróbjartsson, A., Lalu, M., Li, T., Loder, E., Mayo-Wilson, E., McDonald, E., McGuinness, L., Stewart, L., Thomas, J., Tricco, A., Welch, V., Whiting, P. & Moher, D. (2021). 73. Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Revista Española de Cardiología, 74(9), 790–799. https://doi.org/10.1016/j.recesp.2021.10.020

47. Pascoe, M. C., Thompson, D. R., Jenkins, Z. M., & Ski, C. F. (2017). Mindfulness mediates the physiological markers of stress: Systematic review and meta-analysis. Journal of Psychiatric Research, 95, 156–178. https://doi.org/10.1016/j.jpsychires.2017.08.004

48. Palicio Mayoral, R., Rodríguez-Martínez, D. & León-Zarceño, E. M. (2022). Programas de Intervención Psicológica con atletas para la mejora del rendimiento: una revisión actual. Revista de Psicología Aplicada al Deporte & al Ejercicio Físico, 7(1), Artículo e2. https://doi.org/10.5093/rpadef2022a6

49. Palmi, J. & Solé, S. (2016). Intervenciones basadas en Mindfulness (Atención Plena) en Psicología del Deporte. Revista de Psicología del Deporte, 25(1), 147-155. https://www.redalyc.org/pdf/2351/235143645019.pdf

50. Segal, Z. V., Williams, J. M. G. & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression (2nd ed.). Guilford Press.

51. Schwanhausser, L. (2009). Application of the Mindfulness-Acceptance-Commitment (MAC) protocol with an adolescent springboard diver. Journal of Clinical Sport Psychology, 3(4), 377–395. https://doi.org/10.1123/jcsp.3.4.377

52. Sappington, R. & Longshore, K. (2015). Systematically reviewing the efficacy of mindfulness-based interventions for enhanced athletic performance. Journal of Clinical Sport Psychology, 9(3), 232–262. https://doi.org/10.1123/jcsp.2014-0017

53. *Scott-Hamilton, J. & Schutte, N. S. (2016). Effects of a mindfulness intervention on sports-anxiety, pessimism, and flow in competitive cyclists. Applied Psychology: Health and Well-Being, 8(1), 85–103. https://doi.org/10.1111/aphw.12063

54. Sterne, J. A. C., Hernán, M. A., Reeves, B. C., Savović, J., Berkman, N. D., Viswanathan, M., Henry, D., Altman, D., Ansari, M., Boutron, I., Carpenter, J., Chan, A.-W, Churchill, R., Deeks, J., Hróbjartsson, A., Kirkham, J., Jüni, P., Loke, Y, Pigott, T., ... & Higgins, J. P. T. (2016). ROBINS-I: A tool for assessing risk of bias in non-randomised studies of interventions. BMJ, 355, i4919. https://doi.org/10.1136/bmj.i4919

55. Sterne, J. & Higgins, J., et al. (2024). ROBINS-I Version 2: A tool for assessing risk of bias in non-randomized studies of interventions. Cochrane Methods Bias Group and Cochrane Non-Randomized Studies Methods Group. Financed in part by the Medical Research Council (Grant MR/M025209/1). https://www.riskofbias.info Nota: No se dispone de acceso a la versión completa de esta referencia en el momento de la presente revisión.

56. Sparks, K. V., Kavussanu, M., Masters, R. S. & Ring, C. (2021). Mindfulness, reinvestment, and rowing under pressure: Evidence for moderated moderation of the anxiety-performance relationship. Psychology of Sport & Exercise, 56, 101998. https://doi.org/10.1016/j.psychsport.2021.101998

57. *Sparks, K. V. & Ring, C. (2022). A rowing-specific mindfulness intervention: Effects on mindfulness, flow, reinvestment, and performance. Frontiers in Psychology, 13, 871804. https://doi.org/10.3389/fpsyg.2022.871804

58. Swann, C., Keegan, R. J., Piggott, D. & Crust, L. (2012). A systematic review of the experience, occurrence, and controllability of flow states in elite sport. Psychology of Sport and Exercise, 13(6), 807-819. https://doi.org/10.1016/j.psychsport.2012.05.006

59. Tang, Y.-Y., Hölzel, B. K., & Posner, M. I. (2015). The neuroscience of mindfulness meditation. Nature Reviews Neuroscience, 16(4), 213–225. https://doi.org/10.1038/nrn3916

60. Wardenaar, F., Hoogervorst, D., Versteegen, J., Van der Burg, N., Lambrechtse, K. & Bongers, C. (2018). Real-Time Observations of Food and Fluid Timing During a 120 km Ultramarathon. Frontiers in Nutrition, 5(32). https://doi: 10.3389/fnut.2018.00032

61. Zeidan, F., Johnson, S. K., Gordon, N. S., & Goolkasian, P. (2010). Effects of brief and sham mindfulness meditation on mood and cardiovascular variables. The Journal of Alternative and Complementary Medicine, 16(8), 867–873. https://doi.org/10.1089/acm.2009.0321

Published
22-04-2026
How to Cite
Rodríguez, S. T., Rueda-Extremera, M., Bolló-Gasol, S., & Cantero-García, M. (2026). Mindfulness in Endurance Athletes: Psychological Well-Being and Sport Performance – A Systematic Review. Sport Psychology Notebooks, 26(2), 105–131. https://doi.org/10.6018/cpd.672521
Issue
Section
Psicología del Deporte

Most read articles by the same author(s)