Effects of Yoga Nidra on Physical, Mental, and Emotional Health Outcomes: A Systematic Review of Randomized Controlled Trials

Authors

  • Selvaraj Giridharan Department of Medical Oncology, Tawam Hospital, Al Ain, UAE Author
  • Bhuvana Pandiyan Department of Psychiatry, Herefordshire and Worcestershire Health and Care NHS Trust, Hereford, UK. Author
  • Mrunmai Godbole Department of Psychology, School of liberal Arts and Social Sciences, JSPM University, Pune, Maharashtra, India Author

DOI:

https://doi.org/10.48165/IRJAY.2025.80714

Keywords:

Emotional health, Integrative medicine, Mental health, Physical health, Randomized controlled trials, Yoga Nidra

Abstract

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

Download data is not yet available.

References

1. Saraswati, S. S. (1984). Yoga Nidra. Munger, India: Bihar School of Yoga.

2. Pandi-Perumal, S. R., Spence, D. W., Srinivasan, N., Kanchibhotla, D., Kumar, K., Sharma, G. S., Gupta, R., & Batmanabane, G. (2022). The origin and clinical relevance of yoga nidra. Sleep and Vigilance, 6(1), 61–84. https://doi.org/10.1007/s41782-022-00202-7

3. Choudhary, A. (2023). The insight of yoga nidra: Scientific basis. Central India Journal of Medical Research, 2(3), 1–2. https://doi.org/10.58947/cijmr.v2i03.148

4. Kumari, P., Kumar, K., & Tripathi, J. S. (2025). A multidimensional perspective of yoga nidra as a neuropsychological and therapeutic tool on consciousness, mental health, and psychophysiological healing. International Journal of Medical and Health Research, 11, 70–76.

5. Nayak, K., & Verma, K. (2023). Yoga-nidra as a mental health booster: A narrative review. Journal of Ayurveda and Integrative Medicine, 14, 100842. https://doi.org/10.1016/j.jaim.2023.100842

6. Kjaer, T. W., Bertelsen, C., Piccini, P., Brooks, D., Alving, J., & Lou, H. C. (2002). Increased dopamine tone during meditation-induced change of consciousness. Brain Research: Cognitive Brain Research, 13(2), 255–259. https://doi.org/10.1016/s0926-6410(01)00106-9

7. Kavi, P. C. (2023). Conscious entry into sleep: Yoga nidra and accessing subtler states of consciousness. Progress in Brain Research, 280, 43–60. https://doi.org/10.1016/bs.pbr.2022.12.012

8. Lou, H. C., Kjaer, T. W., Friberg, L., Wildschiodtz, G., Holm, S., & Nowak, M. (1999). A 15O-H2O PET study of meditation and the resting state of normal consciousness. Human Brain Mapping, 7(2), 98–105. https://doi.org/10.1002/(SICI)1097-0193(1999)7:2<98::AID-HBM3>3.0.CO;2-M

9. Kachera, V., Seetharam, M. R., McDermott, K., Rosenkranz, M. A., & Davidson, R. J. (2025). The effects of yoga nidra practice on EEG: A systematic review. medRxiv. https://doi.org/10.1101/2025.06.16.25329676

10. Amita, S., Prabhakar, S., Manoj, I., Harminder, S., & Pavan, T. (2009). Effect of yoga-nidra on blood glucose level in diabetic patients. Indian Journal of Physiology and Pharmacology, 53(1), 97–101.

11. Kumar, K., & Pandya, P. (2012). A study on the impact on ESR level through yogic relaxation technique yoga nidra. Indian Journal of Traditional Knowledge, 11(2), 358–361.

12. Anand, D. N., George, L. S., & Raj, A. (2015). Effectiveness of yoga nidra on quality of sleep among cancer patients. Manipal Journal of Nursing and Health Sciences (MJNHS), 1, 30–33.

13. Giridharan, S. (2024). Yoga nidra: A promising complementary therapy for enhancing cancer care. Cureus, 16, e70536. https://doi.org/10.7759/cureus.70536

14. Malviya, S., Saoji, A. A., & Pravalika, B. (2025). Yoga nidra for mental health: A systematic review of current evidence. Journal of Spirituality in Mental Health, 27(1), 70–96. https://doi.org/10.1080/19349637.2023.2294607

15. Stankovic, L. (2011). Transforming trauma: A qualitative feasibility study of integrative restoration (iRest) yoga nidra on combat-related post-traumatic stress disorder. International Journal of Yoga Therapy, 21(1), 23–37.

16. Pence, P. G., Katz, L. S., Huffman, C., & Cojucar, G. (2014). Delivering integrative restoration-yoga nidra meditation (iRest®) to women with sexual trauma at a veteran’s medical center: A pilot study. International Journal of Yoga Therapy, 24(1), 53–62.

17. Rani, K., Tiwari, S., Singh, U., Agrawal, G. G., Ghildiyal, A., & Srivastava, N. (2011). Impact of yoga nidra on psychological general wellbeing in patients with menstrual irregularities: A randomized controlled trial. International Journal of Yoga, 4(1), 20–25.

18. Ferreira-Vorkapic, C., Borba-Pinheiro, C. J., Marchioro, M., & Santana, D. (2018). The impact of yoga nidra on meditation and well-being: A systematic review. Journal of Alternative and Complementary Medicine, 24(9–10), 871–881. https://doi.org/10.1089/acm.2017.0356

19. Kumar, K. (2008). A study on the impact on stress and anxiety through Yoga nidra. Indian Journal of Traditional Knowledge, 7(3), 401–404.

20. Rajalekshmy, P. R., & Saraganacharya, S. V. (2022). A review on the therapeutic effects of yoga nidra. International Journal of Biological and Pharmaceutical Allied Sciences, 11, 515–528. https://doi.org/10.31032/ijbpas/2022/11.3.1060

21. Musto, S., & Hazard Vallerand, A. (2023). Exploring the uses of yoga nidra: An integrative review. Journal of Nursing Scholarship, 55(6), 1164–1178. https://doi.org/10.1111/jnu.12906

22. World Health Organization. (2022). World Mental Health Report: Transforming Mental Health for All. Geneva, Switzerland: World Health Organization.

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, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. 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, Cates CJ, Cheng HY, Corbett MS, Eldridge SM, Emberson JR, Hernán MA, Hopewell S, Hróbjartsson A, Junqueira DR, Jüni P, Kirkham JJ, Lasserson T, Li T, McAleenan A, Reeves BC, Shepperd S, Shrier I, Stewart LA, Tilling K, White IR, Whiting PF, Higgins JPT. 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, Schünemann HJ, GRADE Working Group. 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. Gunjiganvi 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-57-17

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: Arandomized 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, Chandel A, Phadke A. Yoga nidra for hypertension: A systematic review and meta-analysis. JAyurveda Integr Med. 2024;15(2):100882. doi: 10.1016/j.jaim.2023.100882

Downloads

Published

2025-08-05

How to Cite

Giridharan, S., Pandiyan, B., & Godbole, M. (2025). Effects of Yoga Nidra on Physical, Mental, and Emotional Health Outcomes: A Systematic Review of Randomized Controlled Trials . International Research Journal of Ayurveda & Yoga, 8(7), 69-76. https://doi.org/10.48165/IRJAY.2025.80714