Effectiveness of Mindfulness Training in an Individual with Generalized Anxiety Disorder: A Single-Subject Experiment
Downloads
Generalized Anxiety Disorder (GAD) is characterized by excessive and difficult-to-control worry accompanied by cognitive, emotional, physiological, and behavioral symptoms that can interfere with daily functioning. Mindfulness training is one psychological approach used to support anxiety management. This study aimed to examine the effectiveness of mindfulness training in reducing GAD symptoms in one individual. A quantitative single-subject experimental approach was employed. The participant was a 21-year-old woman who met the criteria for GAD based on psychological assessment. The intervention comprised breathing meditation, body sensation awareness, compassionate body scan, open awareness, acceptance of thoughts and emotions, wanting release, and the application of mindfulness in daily life. Evaluation used observation, interviews, exercise-evaluation sheets, and pre-test/post-test measurement. The intervention was associated with positive within-subject changes, including greater awareness of thoughts and emotional responses, more adaptive coping, and reduced intensity of several anxiety symptoms. The participant’s mindfulness knowledge score increased from 13 at pre-test to 15 at post-test. Breathing meditation was perceived as the most useful technique because it was easy to practice and produced the clearest relaxation effect. These findings suggest that structured mindfulness practice may support anxiety self-regulation in this participant, although the single-case design limits generalization.
World Health Organization, “Anxiety disorders,” Sep. 8, 2025. [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/anxiety-disorders. Accessed: Aug. 17, 2026.
Kementerian Kesehatan Republik Indonesia, “Kesehatan jiwa sebagai prioritas global,” Jakarta, Indonesia, 2009. [Online]. Available: https://www.kemkes.go.id/article/print/394/kesehatan-jiwa-sebagai-prioritas-global.html.
American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 5th ed., text rev. Washington, DC, USA: American Psychiatric Association Publishing, 2022.
A. T. Beck and D. A. Clark, “An information processing model of anxiety: Automatic and strategic processes,” Behaviour Research and Therapy, vol. 35, no. 1, pp. 49–58, 1997, doi: 10.1016/S0005-7967(96)00069-1.
S. R. Bishop et al., “Mindfulness: A proposed operational definition,” Clinical Psychology: Science and Practice, vol. 11, no. 3, pp. 230–241, 2004, doi: 10.1093/clipsy.bph077.
J. Kabat-Zinn, Wherever You Go, There You Are: Mindfulness Meditation in Everyday Life. New York, NY, USA: Hyperion, 1994.
S. G. Hofmann, A. T. Sawyer, A. A. Witt, and D. Oh, “The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review,” Journal of Consulting and Clinical Psychology, vol. 78, no. 2, pp. 169–183, 2010, doi: 10.1037/a0018555.
E. A. Hoge et al., “Randomized controlled trial of mindfulness meditation for generalized anxiety disorder: Effects on anxiety and stress reactivity,” Journal of Clinical Psychiatry, vol. 74, no. 8, pp. 786–792, 2013, doi: 10.4088/JCP.12m08083.
S. Evans, S. Ferrando, M. Findler, C. Stowell, C. Smart, and D. Haglin, “Mindfulness-based cognitive therapy for generalized anxiety disorder,” Journal of Anxiety Disorders, vol. 22, no. 4, pp. 716–721, 2008, doi: 10.1016/j.janxdis.2007.07.005.
B. K. Hölzel et al., “Neural mechanisms of symptom improvements in generalized anxiety disorder following mindfulness training,” NeuroImage: Clinical, vol. 2, pp. 448–458, 2013, doi: 10.1016/j.nicl.2013.03.011.
E. A. Hoge, E. Bui, M. Mete, M. A. Dutton, A. W. Baker, and N. M. Simon, “Mindfulness-based stress reduction vs escitalopram for the treatment of adults with anxiety disorders: A randomized clinical trial,” JAMA Psychiatry, vol. 80, no. 1, pp. 13–21, 2023, doi: 10.1001/jamapsychiatry.2022.3679.
S. Ghahari, K. Mohammadi-Hasel, S. K. Malakouti, and M. Roshanpajouh, “Mindfulness-based cognitive therapy for generalised anxiety disorder: A systematic review and meta-analysis,” East Asian Archives of Psychiatry, vol. 30, no. 2, pp. 52–56, 2020, doi: 10.12809/eaap1885.
H. Haller, P. Breilmann, M. Schröter, G. Dobos, and H. Cramer, “A systematic review and meta-analysis of acceptance- and mindfulness-based interventions for DSM-5 anxiety disorders,” Scientific Reports, vol. 11, Art. no. 20385, 2021, doi: 10.1038/s41598-021-99882-w.
A. E. Kazdin, Single-Case Research Designs: Methods for Clinical and Applied Settings, 2nd ed. New York, NY, USA: Oxford University Press, 2011.
R. L. Tate et al., “The Single-Case Reporting Guideline In BEhavioural Interventions (SCRIBE) 2016 statement,” Physical Therapy, vol. 96, no. 7, pp. e1–e10, 2016, doi: 10.2522/ptj.2016.96.7.e1.
P. Grossman, L. Niemann, S. Schmidt, and H. Walach, “Mindfulness-based stress reduction and health benefits: A meta-analysis,” Journal of Psychosomatic Research, vol. 57, no. 1, pp. 35–43, 2004, doi: 10.1016/S0022-3999(03)00573-7.
B. Khoury, M. Sharma, S. E. Rush, and C. Fournier, “Mindfulness-based stress reduction for healthy individuals: A meta-analysis,” Journal of Psychosomatic Research, vol. 78, no. 6, pp. 519–528, 2015, doi: 10.1016/j.jpsychores.2015.03.009.
J. Gu, C. Strauss, R. Bond, and K. Cavanagh, “How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies,” Clinical Psychology Review, vol. 37, pp. 1–12, 2015, doi: 10.1016/j.cpr.2015.01.006.
S. C. Hayes, J. B. Luoma, F. W. Bond, A. Masuda, and J. Lillis, “Acceptance and commitment therapy: Model, processes and outcomes,” Behaviour Research and Therapy, vol. 44, no. 1, pp. 1–25, 2006, doi: 10.1016/j.brat.2005.06.006.
Copyright (c) 2026 Riska Dwi Mitasari, Isrida Yul Arifiana, Ratih Wahyu Saputri

This work is licensed under a Creative Commons Attribution 4.0 International License.
In submitting the manuscript to the International Journal on Integrated Education (IJIE), the authors certify that:
- They are authorized by their co-authors to enter into these arrangements.
- The work described has not been formally published before, except in the form of an abstract or as part of a published lecture, review, thesis, or overlay journal.
- That it is not under consideration for publication elsewhere,
- The publication has been approved by the author(s) and by responsible authorities – tacitly or explicitly – of the institutes where the work has been carried out.
- They secure the right to reproduce any material that has already been published or copyrighted elsewhere.
- They agree to the following license and copyright agreement.
License and Copyright Agreement
Authors who publish with International Journal on Integrated Education (IJIE) agree to the following terms:
Authors retain copyright and grant the International Journal on Integrated Education (IJIE) right of first publication with the work simultaneously licensed under Creative Commons Attribution License (CC BY 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.





