Autistic adults who participated in a modified group-based program of mindfulness-based stress reduction (MBSR) experienced significant reductions in stress levels and improved coping skills. This finding is the result of a study conducted by researchers at the Karolinska Institutet, published in the journal Autism in Adulthood. Stress is a prevalent issue among autistic individuals, often triggered by sensory overload, social interactions, financial pressures, or sudden changes in routine.
The study aimed to assess the effectiveness of MBSR specifically for autistic adults, a relatively underexplored area in stress management research. Tatja Hirvikoski, an associate professor at the Department of Women’s and Children’s Health and a research group leader at KIND (Center of Neurodevelopmental Disorders at Karolinska Institutet), noted, “Many autistic adults feel uncertain about whether they will be able to cope with everyday stressors.” The research sought to determine if MBSR could serve as a safe and effective approach to alleviate this stress.
In total, 77 autistic adults participated in the study, which randomly assigned them to either an eight-week MBSR program or standard care. The MBSR sessions were conducted in groups exclusively for autistic participants, featuring mindfulness practices such as breathing exercises and body scans. These sessions were tailored to the participants’ needs, incorporating clear instructions, predictable routines, and a low-sensory environment. The instructors were experienced in working with autistic individuals and had received formal training in MBSR consistent with international standards.
Participants in the MBSR group reported a notable reduction in stress compared to those receiving traditional care. Furthermore, many individuals felt better equipped to tackle daily challenges that had previously been overwhelming. The study also revealed a greater decrease in symptoms of anxiety and depression among those who underwent the MBSR program.
Qualitative analyses highlighted the importance of the group setting, with participants expressing that the environment felt safe and socially inclusive. Many emphasized the effectiveness of hands-on, practical exercises over theoretical content. Hirvikoski commented, “Practicing mindfulness is not always easy, but participants appreciated the clarity, the group’s sense of safety, and that the program offered more than a technique – it offered a new way of relating to stress.”
Participants reported gaining insights into their thoughts and emotional responses, allowing them to approach their reactions with greater nuance and less judgment. However, some expressed concern about their ability to maintain mindfulness practices after the program concluded. The researchers indicated that this area warrants further exploration.
Currently, the research team is developing an internet-based mindfulness program called I-Mindfulness to assess whether similar benefits can be achieved through a digital format. The study received funding from ALF funds from Region Stockholm and the Promobilia Foundation.
Overall, this study underscores the potential of mindfulness-based interventions in supporting the mental well-being of autistic adults, paving the way for future research and program development aimed at enhancing quality of life in this population.


































