Mood and physiological arousal
Evidence basis: randomised trials
Daily cyclic sighing improved mood in one preliminary randomized trial.
Population: Adults in a remote one-month breathwork trial; the contextual review included 12 stress trials and 785 adults.
Research details
Summary
A remote trial compared five minutes daily of cyclic sighing, box breathing or cyclic hyperventilation with mindfulness meditation over one month. Exhale-focused cyclic sighing improved mood and reduced respiratory rate relative to meditation. A meta-analysis of other breathwork protocols supports the general direction but cannot isolate this technique.
Why this certainty
Limited because the direct evidence is a single preliminary trial. Broader breathwork studies use heterogeneous techniques and mostly moderate risk of bias.
Limitations
The cyclic-sighing study was exploratory, retrospectively registered and had limited control over how participants practised. Short follow-up and subjective mood measures do not establish treatment of anxiety disorders or durable clinical benefit.

