Autogenic Training Research

8 peer-reviewed studies supporting this intervention. Evidence rating: B

8 Studies
2 RCTs
3 Meta-analyses
2000-2023 Year Range

Study Comparison

Study Year Type Journal Key Finding
Breznoscakova D et al. 2023 Review International journal of environmental research and public health Autogenic training shows promise as an adjunctive therapy for anxiety, depression, insomnia, and somatoform disorders, though high-quality evidence remains limited for most psychiatric conditions.
Kohlert A et al. 2022 Meta-analysis International journal of behavioral medicine Autogenic training produces a small but significant reduction in chronic pain intensity compared to control conditions across randomized controlled trials.
Dobos D et al. 2021 RCT Frontiers in behavioral neuroscience Eight weeks of autogenic training significantly reduced migraine frequency and altered brain activation patterns in fear-processing regions, suggesting neuroplastic mechanisms underlying clinical improvement.
Seo E et al. 2020 Meta-analysis Journal of Korean Academy of Nursing Systematic review and meta-analysis of 21 studies found autogenic training significantly reduces anxiety and depression while increasing heart rate variability in adults.
Manzoni GM et al. 2008 Meta-analysis BMC Psychiatry Progressive muscle relaxation and other relaxation techniques show medium to large effect sizes for anxiety reduction across 27 studies.
Kanji N et al. 2006 RCT Journal of advanced nursing Eight weeks of autogenic training significantly reduced both state and trait anxiety in nursing students compared to laughter therapy and no-intervention controls.
Stetter F et al. 2002 Study Applied Psychophysiology and Biofeedback Meta-analysis of 60 studies found autogenic training produces medium-to-large effects for anxiety, depression, and functional disorders.
Ernst E et al. 2000 Study Complementary Therapies in Medicine Systematic review found autogenic training moderately effective for stress and anxiety reduction, though methodological quality of studies was variable.

Study Details

Breznoscakova D, Kovanicova M, Sedlakova E, et al.

International journal of environmental research and public health

Key Finding: Autogenic training shows promise as an adjunctive therapy for anxiety, depression, insomnia, and somatoform disorders, though high-quality evidence remains limited for most psychiatric conditions.
View Summary

This narrative review examined the available evidence for autogenic training (AT) across a range of mental health disorders, including anxiety disorders, depression, insomnia, somatoform disorders, and stress-related conditions. The authors synthesized findings from clinical trials, case series, and observational studies spanning several decades of AT research.

The strongest evidence was found for AT in reducing anxiety symptoms and improving sleep quality, with multiple controlled studies showing significant benefits. For depression, the evidence was more mixed, with some studies showing improvements in mood as part of multimodal treatment programs. AT also showed potential benefits for somatoform disorders and psychosomatic complaints, likely through its effects on autonomic nervous system regulation.

The review highlighted several gaps in the literature, including a lack of large-scale RCTs, inconsistent intervention protocols, and limited long-term follow-up data. The authors concluded that AT is a safe, low-cost, and accessible intervention that deserves further rigorous investigation as a complementary therapy in psychiatric care, particularly for conditions involving autonomic dysregulation and chronic stress.

Kohlert A, Wick K, Rosendahl J

International journal of behavioral medicine

Key Finding: Autogenic training produces a small but significant reduction in chronic pain intensity compared to control conditions across randomized controlled trials.
View Summary

This systematic review and meta-analysis evaluated the effectiveness of autogenic training (AT) for reducing chronic pain. The authors searched multiple databases and identified randomized controlled trials comparing AT to passive or active control conditions in adults with chronic pain lasting at least three months.

The pooled analysis found a small but statistically significant effect of autogenic training on pain reduction (Hedges g = -0.58) compared to control groups. The effect was more pronounced when AT was compared to passive controls (e.g., waitlist) than active controls (e.g., other relaxation techniques). Subgroup analyses suggested benefits across various chronic pain conditions, though heterogeneity between studies was notable.

The authors noted that while the evidence supports AT as a useful adjunct for chronic pain management, the overall quality of included trials was moderate, with several studies showing unclear or high risk of bias. They called for larger, more rigorous RCTs with standardized AT protocols and longer follow-up periods to strengthen the evidence base.

Dobos D, Szabo E, Baksa D, et al.

Frontiers in behavioral neuroscience

Key Finding: Eight weeks of autogenic training significantly reduced migraine frequency and altered brain activation patterns in fear-processing regions, suggesting neuroplastic mechanisms underlying clinical improvement.
View Summary

This randomized controlled trial investigated whether regular autogenic training (AT) practice could reduce migraine frequency and whether clinical improvements correlated with measurable changes in brain activity. Migraine patients were randomly assigned to an 8-week AT intervention or a waitlist control group, with functional MRI (fMRI) scans conducted before and after the intervention period.

Participants in the AT group experienced a significant reduction in monthly migraine days compared to controls. The fMRI data revealed that AT practice was associated with altered brain activation in response to fearful visual stimuli, particularly in regions involved in emotional processing and autonomic regulation, including the amygdala, insula, and prefrontal cortex. These neural changes correlated with the degree of clinical improvement.

The findings provide neuroimaging evidence that autogenic training may work partly by modulating the brain fear and stress-response circuitry, which is thought to play a role in migraine pathophysiology. The study supports AT as a non-pharmacological intervention for migraine prevention, with measurable effects on both clinical outcomes and underlying neural mechanisms.

Seo E, Kim S

Journal of Korean Academy of Nursing

Key Finding: Systematic review and meta-analysis of 21 studies found autogenic training significantly reduces anxiety and depression while increasing heart rate variability in adults.
View Summary

This systematic review and meta-analysis evaluated the effectiveness of autogenic training (AT) for managing stress responses in adults. The researchers searched eight electronic databases (Embase, CENTRAL, Medline, CINAHL, PsycInfo, DBpia, KISS, RISS) and used RevMan 5.3.5 for meta-analysis.

From 950 initially identified studies, 21 met inclusion criteria for the systematic review and 11 were included in the meta-analysis. Results showed that autogenic training significantly reduced anxiety scores by 1.37 points in short-term interventions with healthy adults. Depression scores decreased by 0.29 points in longer-term studies involving patient groups. The intervention also increased heart rate variability high-frequency components, indicating improved parasympathetic nervous system activity.

The authors concluded that autogenic training is an effective stress management tool for adults and recommended that nurses incorporate AT programs for workplace stress relief. The findings support AT as a low-cost, accessible intervention that produces measurable physiological changes alongside psychological benefits.

Manzoni GM, Pagnini F, Castelnuovo G, Molinari E

BMC Psychiatry

Key Finding: Progressive muscle relaxation and other relaxation techniques show medium to large effect sizes for anxiety reduction across 27 studies.
View Summary

This systematic review and meta-analysis examined 10 years of research on relaxation training for anxiety. The analysis included 27 studies with various relaxation techniques, with progressive muscle relaxation being the most commonly studied.

Results showed consistent and significant anxiety reduction with relaxation training, with medium to large effect sizes. PMR was effective across different anxiety presentations and populations.

Kanji N, White A, Ernst E

Journal of advanced nursing

Key Finding: Eight weeks of autogenic training significantly reduced both state and trait anxiety in nursing students compared to laughter therapy and no-intervention controls.
View Summary

This randomized controlled trial evaluated whether autogenic training could reduce anxiety in nursing students, a population facing significant educational and clinical stress. The study enrolled 93 nursing students aged 19-49 at a UK university college in 1998.

Participants were randomized into three groups: autogenic training (eight weekly sessions), laughter therapy (active control), and no intervention (passive control). Researchers measured state and trait anxiety, burnout, blood pressure, and pulse rate at baseline and multiple follow-up points.

The autogenic training group showed statistically significantly greater reductions in both State Anxiety (P<0.001) and Trait Anxiety (P<0.001) compared to both control groups immediately after the 8-week intervention. Blood pressure and pulse rate also improved significantly (P<0.01 to P<0.002). The findings demonstrated that autogenic training has at least a short-term effect in alleviating stress in nursing students, supporting its use as a practical, low-cost anxiety management technique in educational settings.

Stetter F, Kupper S

Applied Psychophysiology and Biofeedback

Key Finding: Meta-analysis of 60 studies found autogenic training produces medium-to-large effects for anxiety, depression, and functional disorders.
View Summary

This comprehensive meta-analysis evaluated the clinical effectiveness of autogenic training (AT) across 60 controlled studies with over 4,000 participants.

AT showed medium-to-large effect sizes for reducing anxiety (d = 0.58), depression (d = 0.62), and various functional/psychosomatic disorders. The technique was particularly effective for tension headaches, mild-to-moderate hypertension, and sleep problems.

The results support AT as an evidence-based relaxation technique with broad clinical applications, comparable in effectiveness to other established psychological interventions.

Ernst E, Kanji N

Complementary Therapies in Medicine

Key Finding: Systematic review found autogenic training moderately effective for stress and anxiety reduction, though methodological quality of studies was variable.
View Summary

This systematic review evaluated randomized controlled trials of autogenic training (AT) for stress and anxiety management.

Autogenic training involves a series of mental exercises using self-suggestions of heaviness, warmth, and calm to induce a state of relaxation. The review found moderate evidence supporting AT's effectiveness for reducing stress and anxiety symptoms.

The technique showed particular promise for stress-related conditions and general anxiety, though effects were generally smaller than pharmacological interventions but comparable to other relaxation techniques.

Evidence Assessment

B Moderate Evidence

This intervention has moderate evidence from some randomized trials and consistent observational data, though more research would strengthen conclusions.