Autism & Developmental

Mindfulness for Children and Adults with Autism Spectrum Disorder and Their Caregivers: A Meta-analysis.

Hartley et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Mindfulness lifts mood for autistic clients and caregivers, but add acceptance skills if you also want to cut stress.

✓ Read this if BCBAs running parent groups or adult day programs who want a low-cost wellbeing boost.
✗ Skip if Clinicians seeking large, controlled trials with clear behavioral targets.

01Research in Context

01

What this study did

Hartley et al. (2019) pooled 10 mindfulness studies for autistic people and their caregivers.

The team looked at how everyone felt after learning to pause, breathe, and notice thoughts.

They checked if the good feelings lasted at least three months later.

02

What they found

Mindfulness raised subjective wellbeing for both the autistic person and the caregiver.

The boost was still there three months after classes ended.

Only a handful of studies used control groups, so the evidence is thin but hopeful.

03

How this fits with other research

Lee et al. (2022) looked at 37 parent programs and saw tiny gains in confidence, yet stress stayed flat. Hartley et al. (2019) shows mindfulness lifts mood, but it may not touch daily stress.

Sutton et al. (2022) ran the AMOR group—mindfulness plus acceptance—and got big drops in parent stress. Adding acceptance skills may be the missing piece the 2019 pool lacked.

Lunsky et al. (2025) gave autistic adults a six-week virtual mindfulness course and saw the same wellbeing jump. The benefit spreads beyond caregivers to the autistic people themselves.

Andrés-Gárriz et al. (2025) tracked parents for a year and found high mindfulness shielded them from stigma harm. Mindfulness may work by building a buffer, not by removing the stressor.

04

Why it matters

You can add a short mindfulness routine to parent training or adult groups without extra gear. Pair it with acceptance tools if you want to cut stress, not just lift mood. Start with five quiet minutes at the top of your next session and track how everyone feels.

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→ Action — try this Monday

Open your next parent group with five minutes of guided breathing and ask each caregiver to name one pleasant sensation they noticed.

02At a glance

Intervention
not applicable
Design
meta analysis
Sample size
233
Population
autism spectrum disorder
Finding
positive

03Original abstract

Mindfulness-based therapies are rising in popularity. However, evidence for their effectiveness in reducing psychological distress and enhancing wellbeing for families living with autism spectrum disorder (ASD) is limited. A systematic search identified 10 independent studies, involving a pooled sample of 233 children and adults with ASD and 241 caregivers. Hedges' g effect sizes with associated 95% confidence intervals, in addition to heterogeneity, were calculated using a random-effects model. Caregivers, children and adults who received mindfulness all reported significant gains in subjective wellbeing immediately post-intervention. Available data indicated intervention effects were maintained at 3-month follow-up. Mindfulness presents a promising intervention strategy in ASD populations, however more controlled research is required to determine its precise efficacy for affected families and subgroups.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-019-04145-3