Effects of Yoga Nidra on Physical, Mental, and Emotional Health Outcomes: A Systematic Review of Randomized Controlled Trials
Keywords:
Emotional health, Integrative medicine, Mental health, Physical health, Randomized controlled trials, Yoga NidraAbstract
Background: Yoga Nidra, a guided relaxation practice that originated in ancient Indian traditions, facilitates profound relaxation while maintaining awareness. Despite increasing interest in its benefits for physical, mental, and emotional health, previous reviews have often incorporated combined interventions, thereby diluting evidence regarding its standalone effects. This systematic review synthesized randomized controlled trials (RCTs) evaluating isolated Yoga Nidra to address these gaps. Materials and Methods: A systematic search was conducted across databases, including PubMed, Embase, Cochrane, Scopus, Web of Science, and PsycINFO, from inception to April 2025. Eligible RCTs included adults with health conditions, standalone Yoga Nidra interventions, and comparators. Two reviewers screened the studies, extracted data, and assessed bias using RoB 2. A narrative synthesis outlined the physical, mental, and emotional outcomes, while heterogeneity precluded a meta-analysis. Subgroup/sensitivity analyses and GRADE certainty ratings were also performed. Results: Fifteen RCTs were included to address hypertension, stress, insomnia, and menstrual disorders. The physical benefits included reductions in blood pressure and improvements in heart rate variability in 10 studies. The mental outcomes indicated a decrease in anxiety and depression in 11 studies. Emotional enhancement was observed in six studies. No adverse events were reported; RoB was low in four studies, with some concerns in 11. Conclusion: This systematic review demonstrated that Yoga Nidra exerts a positive influence on physical, mental, and emotional health, with a particular emphasis on reducing anxiety. Despite the limitations posed by study heterogeneity, Yoga Nidra has emerged as a promising evidence-based approach to health promotion. Rigorous and diverse RCTs are necessary to confirm long-term effects and expand the application of integrative care.
Downloads
References
Saraswati SS. Yoga nidra. Munger, India: Bihar School of Yoga; 1984.
Pandi-Perumal SR, Spence DW, Srinivasan N, Kanchibhotla D, Kumar K, Sharma GS, Gupta R, Batmanabane G. The origin and clinical relevance of Yoga nidra. Sleep Vigil. 2022;6(1):61-84. doi: 10.1007/s41782-022-00202-7
Choudhary A. The insight of yoga nidra: Scientific basis. Cent India J Med Res. 2023;2(3):1-2. doi: 10.58947/cijmr.v2i03.148
Kumari P, Kumar K, Tripathi JS. A multidimensional perspective of yoga nidra as a neuropsychological and therapeutic tool on consciousness, mental health, and psychophysiological healing. Int J Med Health Res. 2025;11:70-6.
Nayak K, Verma K. Yoga-nidra as a mental health booster: A narrative review. J Ayurveda Integr Med. 2023;14:100842. doi: 10.1016/j.jaim.2023.100842
Kjaer TW, Bertelsen C, Piccini P, Brooks D, Alving J, Lou HC. Increased dopamine tone during meditation-induced change of consciousness. Brain Res Cogn Brain Res. 2002;13(2):255-9. doi: 10.1016/s0926-6410(01)00106-9
Kavi PC. Conscious entry into sleep: Yoga nidra and accessing subtler states of consciousness. Prog Brain Res. 2023;280:43-60. doi: 10.1016/bs.pbr.2022.12.012
Lou HC, Kjaer TW, Friberg L, Wildschiodtz G, Holm S, Nowak M. A 15O-H2O PET study of meditation and the resting state of normal consciousness. Hum Brain Mapp. 1999;7(2):98-105. doi: 10.1002/(SICI)1097-0193(1999)7:2<98::AID-HBM3>3.0.CO;2-M
Kachera V, Seetharam MR, McDermott K, Rosenkranz MA, Davidson RJ. The effects of yoga nidra practice on EEG: A systematic review. medRxiv. 2025. doi: 10.1101/2025.06.16.25329676
Amita S, Prabhakar S, Manoj I, Harminder S, Pavan T. Effect of yoga-nidra on blood glucose level in diabetic patients. Indian J Physiol Pharmacol. 2009;53(1):97-101.
Kumar K, Pandya P. A study on the impact on ESR level through yogic relaxation technique yoga nidra. Indian J Tradit Knowl. 2012;11(2):358-61.
Anand DN, George LS, Raj A. Effectiveness of yoga nidra on quality of sleep among cancer patients. Manipal J Nurs Health Sci (MJNHS). 2015;1:30-3.
Giridharan S. Yoga nidra: A promising complementary therapy for enhancing cancer care. Cureus. 2024;16:e70536. doi: 10.7759/cureus.70536
Malviya S, Saoji AA, Pravalika B. Yoga nidra for mental health: A systematic review of current evidence. J Spiritual Ment Health. 2025;27(1):70-96. doi: 10.1080/19349637.2023.2294607
Stankovic L. Transforming trauma: A qualitative feasibility study of integrative restoration (iRest) yoga nidra on combat-related post-traumatic stress disorder. Int J Yoga Therap. 2011;21(1):23-37.
Pence PG, Katz LS, Huffman C, Cojucar G. Delivering integrative restoration-yoga nidra meditation (iRest®) to women with sexual trauma at a veteran’s medical center: A pilot study. Int J Yoga Therap. 2014;24(1):53-62.
Rani K, Tiwari S, Singh U, Agrawal GG, Ghildiyal A, Srivastava N. Impact of yoga nidra on psychological general wellbeing in patients with menstrual irregularities: A randomized controlled trial. Int J Yoga. 2011;4(1):20-5.
Ferreira-Vorkapic C, Borba-Pinheiro CJ, Marchioro M, Santana D. The impact of yoga nidra on meditation and well-being: A systematic review. J Altern Complement Med. 2018;24(9-10):871-81. doi: 10.1089/acm.2017.0356
Kumar K. A study on the impact on stress and anxiety through Yoga nidra. Indian J Tradit Knowl. 2008;7(3):401-4.
Rajalekshmy PR, Saraganacharya SV. A review on the therapeutic effects of yoga nidra. Int J Biol Pharm Allied Sci. 2022;11:515-28. doi: 10.31032/ijbpas/2022/11.3.1060
Musto S, Hazard Vallerand A. Exploring the uses of yoga nidra: An integrative review. J Nurs Scholarsh. 2023;55(6):1164-78. doi: 10.1111/jnu.12906
World Health Organization. World Mental Health Report: Transforming Mental Health for All. Switzerand: World Health Organization; 2022.
23. Singh J. Mental rejuvenation through yoga nidra. Int J Yogic Hum Mov Sports Sci. 2022;7(2):109-12.
24. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi: 10.1136/bmj.n71
25. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210. doi: 10.1186/s13643-016-0384-4
26. Sterne JA, Savović J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366:l4898. doi: 10.1136/bmj.l4898
27. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: An emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336(7650):924-6. doi: 10.1136/bmj.39489.470347.AD
28. Anjana K, Archana R, Mukkadan JK. Effect of om chanting and yoga nidra on blood pressure and lipid profile in hypertension—a randomized controlled trial. J Ayurveda Integr Med. 2022;13(4):100657. doi: 10.1016/j.jaim.2022.100657
29. Das P, Shetty P. Effect of yoga nidra (psychic sleep) in patients with alcoholic hypertensives—a randomized controlled trial. J Ayurveda Integr Med Sci. 2023;8(1):18-27. doi: 10.21760/jaims.8.1.3
30. Jhinkwan A, Sharma N, Suryawanshi K. Effect of yoga nidra in alleviating burnout among school teachers: A randomized controlled trial. Int J Yogic Hum Mov Sports Sci. 2024;9(1):399-402.
31. Gunjganvi M, Rai S, Awale R, Mishra P, Gupta D, Gurjar M. Efficacy of yoga nidra on depression, anxiety, and insomnia in frontline COVID-19 healthcare workers: A pilot randomized controlled trial. Int J Yoga Therap. 2023;33:3. doi: 10.17761/2023-D-22-00011
32. Ferreira-Vorkapic C, Borba-Pinheiro CJ, Marchioro M, Santana D. The impact of yoga nidra and seated meditation on the mental health of college professors. Int J Yoga. 2018;11(3):215-23. doi: 10.4103/ijoy.IJOY-57-1
33. Moszeik EN, Von Oertzen T, Renner KH. Effectiveness of a short yoga nidra meditation on stress, sleep, and well-being in a large and diverse sample. Curr Psychol. 2022;41(8):5272-86. doi: 10.1007/s12144-020-01042-2
34. Moszeik EN, Rohleder N, Renner KH. The effects of an online yoga nidra meditation on subjective well‐being and diurnal salivary cortisol: A randomised controlled trial. Stress Health. 2025;41(3):e70049. doi: 10.1002/smi.70049
35. Monika, Singh U, Ghildiyal A, Kala S, Srivastava N. Effect of yoga nidra on physiological variables in patients of menstrual disturbances of reproductive age group. Indian J Physiol Pharmacol. 2012;56(2):161-7.
36. Rani K, Tiwari SC, Singh U, Singh I, Srivastava N. Yoga nidra as a complementary treatment of anxiety and depressive symptoms in patients with menstrual disorder. Int J Yoga. 2012;5(1):52-6. doi: 10.4103/0973-6131.91715
37. Rani M, Singh U, Agrawal GG, Natu SM, Kala S, Ghildiyal A, Srivastava N. Impact of yoga nidra on menstrual abnormalities in females of reproductive age. J Altern Complement Med. 2013;19(12):925-9. doi: 10.1089/acm.2010.0676
38. Datta K, Tripathi M, Verma M, Masiwal D, Mallick HN. Yoga nidra practice shows improvement in sleep in patients with chronic insomnia: A randomized controlled trial. Natl Med J India. 2021;34(3):143-50. doi: 10.25259/NMJI-63-19
39. Sharpe E, Butler MP, Clark-Stone J, Soltanzadeh R, Jindal R, Hanes D, Bradley R. A closer look at yoga nidra—early randomized sleep lab investigations. J Psychosom Res. 2023;166:111169. doi: 10.1016/j.jpsychores.2023.111169
40. Nuzhath FJ, Patil NJ, Sheela SR, Manjunath GN. A randomized controlled trial on pranayama and yoga nidra for anxiety and depression in patients with cervical cancer undergoing standard of care. Cureus. 2024;16(3):e55890. doi: 10.7759/cureus.55871
41. Kılıçlı A, Doğan A. The effect of yoga nidra on pain, mobilization, first walking distance and care satisfaction after cesarean section: A randomized controlled trial. Anatol J Health Res. 2024;5(3):234-43.
42. Markil N, Whitehurst M, Jacobs PL, Zoeller RF. Yoga nidra relaxation increases heart rate variability and is unaffected by a prior bout of Hatha yoga. J Altern Complement Med. 2012;18(10):953-8. doi: 10.1089/acm.2011.0331
43. Ahuja N, Bhardwaj P, Pathania M, Sethi D, Kumar A, Parchani A, et al. Yoga nidra for hypertension: A systematic review and meta-analysis. J Ayurveda Integr Med. 2024;15(2):100882. doi: 10.1016/j.jaim.2023.100882