Sleep quality, sleep duration and insomnia symptoms
Evidence basis: randomised trials
One small randomised trial in chronic insomnia found yoga nidra improved sleep, including on polysomnography, but it was tested against CBT rather than placebo.
Population: 41 adults with chronic insomnia (20 CBT for insomnia, 21 yoga nidra) in a single-centre randomised trial conducted 2012-16; 362 adults randomised to 11-minute yoga nidra, 30-minute yoga nidra, music control or waitlist in the online trial; clinical studies summarised in a narrative review.
Research details
Summary
In a randomised parallel-design trial, 41 patients with chronic insomnia received either cognitive behavioural therapy for insomnia (n = 20) or yoga nidra (n = 21), with outcomes measured by sleep diary and polysomnography. Both interventions improved subjective total sleep time, sleep efficiency, wake after sleep onset, total wake duration and subjective sleep quality, and both objectively improved total sleep time and total wake duration; yoga nidra specifically showed marked improvement in the percentage of N2 and N3 sleep, and salivary cortisol fell significantly after yoga nidra (p = 0.041). The authors concluded that yoga nidra can be used for the treatment of chronic insomnia after supervised practice sessions. The larger randomised trial of online yoga nidra in a general adult sample included sleep among its psychological outcomes but reported effect sizes of only d = 0.08 to 0.16 for the 11-minute group against waitlist, which is at the very small end. A narrative review of the yoga nidra literature notes positive physiological changes across clinical studies but also observes that reductions in mild depression and anxiety did not extend to severe depression or severe anxiety in an experimental study.
Why this certainty
A randomised trial with objective polysomnographic outcomes is unusually good evidence for a relaxation practice, and its direction matches the small effects seen in the larger online trial, so this is not Very limited. It is held at Limited because the trial is tiny with partial objective data, no retrieved study compares the practice against a placebo or waitlist in an insomnia population, and the larger randomised trial's effect sizes are so small that they would not be noticeable to most individuals.
Limitations
The insomnia trial is small (41 participants), and polysomnography was repeated only in participants who volunteered, which introduces selection bias into the objective findings. Its comparator is CBT for insomnia, an active treatment, which is a strength for fairness but means the trial cannot show whether yoga nidra beats doing nothing, and the abstract reports no between-group statistics for most sleep outcomes. The online trial's effects are extremely small in absolute terms and come from a pre-recorded audio intervention rather than supervised teaching. No retrieved trial tested yoga nidra or NSDR as a treatment for insomnia against a placebo or usual-care control, and no retrieved source reports long-term follow-up beyond the trial periods.
Effect estimate
Yoga nidra showed marked improvement in the percentage of N2 and N3 of total sleep time, while both arms improved in subjective and objective total sleep time and total wake duration with no between-group statistics reported (Datta 2021, n = 41 adults with chronic insomnia); salivary cortisol fell significantly with yoga nidra (p = 0.041)

