Social anxiety disorder, as one of the prevalent, long-lasting issues significantly affecting interpersonal relationships and mental health, has garnered substantial attention in the academic field both domestically and internationally, becoming a research hotspot in recent years. Previous studies on social anxiety disorder have primarily focused on intervention methods such as cognitive-behavioral therapy, attention bias training, and music therapy. However, research on integrating mindfulness meditation with music listening to regulate social anxiety in university students remains relatively limited. This paper reviews theories related to social anxiety disorder and existing studies on mindfulness meditation and music listening, highlighting current research limitations and suggesting future directions. Although the combination of mindfulness meditation and music listening has shown preliminary efficacy in alleviating anxiety and improving emotional regulation, issues such as small sample sizes and lack of personalized intervention methods restrict its generalizability and effectiveness. This study aims to provide theoretical support and practical insights for further exploration in this field.