Stress, anxiety and low mood: big effects in weak studiesMixed evidence
A 2026 review pooled 73 studies with 5,201 people and found large effects on stress, anxiety and depression. But only 22 studies were randomised trials, and 17 of those were at high risk of bias, mostly because people rated their own symptoms knowing which group they were in. The authors say the effects likely reflect inflated estimates and that yoga nidra should be an add-on to established treatment, not a replacement. Only 2 studies each were in people diagnosed with an anxiety or depressive disorder.
Source 1
The largest trial: small effectsEmerging evidence
In Germany, 362 adults (81% women) listened online to an 11 or 30 minute recording, ideally every day for 2 months, or to music, or waited. Compared with waiting, the effects on stress, anxiety, low mood, rumination and sleep disturbance were small: at most about a fifth of a standard deviation, which researchers count as a small effect (an effect size of 0.19 for stress with the 30-minute recording). Most of the change lasted to the 3-month follow-up. Compared with music, only low mood differed, and the longer recording wasn't clearly better than the shorter one.
Source 3
Sleep: very low certaintyMixed evidence
A 2026 meta-analysis found only 2 trials each on sleep quality and insomnia; neither pooled result was statistically significant, and the certainty was very low. A review of 6 small trials found most reported better sleep, at moderate to high risk of bias.
In 41 people with chronic insomnia, yoga nidra and CBT for insomnia both improved sleep; yoga nidra wasn't shown to be better. In 41 novices, 4 weeks of practice was followed by a little more of the night spent asleep and about 20 minutes less time awake after first falling asleep, in a study without a comparison group.
In 144 people with heart disease (89% men), 35-minute sessions over 12 weeks plus sleep advice were compared with advice alone. At 12 weeks, on a wrist monitor, the yoga nidra group spent 82% of their time in bed asleep, against 64% with advice alone, in an open trial registered after it started. In a sleep laboratory, one 30-minute session didn't help 22 people with insomnia fall asleep faster.
Sources 4, 5, 22, 23, 6, 19
Against music, a body scan or a sham recordingMixed evidence
After hospital care for COVID-19, 30 minutes a day of yoga nidra or music both did better than usual care in 90 people, and music helped sleep quality more. In 23 people with chronic pain, one session of yoga nidra or a body scan eased pain equally. In 50 people with functional seizures, adding a yoga nidra recording did no better than a sham recording at 6 months.
Other small trials, in health workers, students and people having cancer treatment, reported benefits.
Sources 24, 25, 26, 27, 28, 29
Pain and blood pressure: weak evidenceMixed evidence
Across 12 studies of pain (1,176 people), yoga nidra beat no treatment by an implausibly large amount in low-quality studies and made no clear difference against other active treatments. Blood pressure reviews report falls, about 12 mmHg in the top number in one review of 482 people, but from studies at high risk of bias.
The National Institute for Health and Care Excellence (NICE) removed relaxation therapies from its high blood pressure guidance because there was less evidence for them than for other lifestyle changes or medicines, while saying people can still try them. Our exercise for high blood pressure guide covers what helps.
Sources 30, 31, 32, 33
Dopamine and cortisol claimsMixed evidence
One 2002 brain-scan study estimated a 65% rise in dopamine release in one brain area during yoga nidra in experienced practitioners. Cortisol, a stress hormone, changed a little in two trials. Each finding comes from a single study, so they don't show health effects.
Sources 21, 3, 22
Who has been studied
Most trials were in India. In the 73-study review, 1,580 women and 741 men took part among those whose sex was reported (68% women), and more than a quarter of studies didn't say whether an instructor was present. An earlier review of 29 studies found yoga nidra helped in most, but they were too varied to draw firm conclusions.
Sources 1, 34, 4