Each card shows what the study actually found, and its limits.
Moderate evidence
A systematic review linking breathing slower than 10 breaths per minute with higher heart rate variability and a calmer emotional state.
Limitation: Only 15 studies, and they differ widely.
Zaccaro, A., Piarulli, A., Laurino, M., et al. (2018). How breath-control can change your life: a systematic review on psycho-physiological correlates of slow breathing. Frontiers in Human Neuroscience. doi:10.3389/fnhum.2018.00353
Moderate evidence
A randomized study in which five minutes a day of breathing with a long exhale went along with a clearer positive change in mood over a month than the same time of mindfulness meditation.
Limitation: About 100 participants, conducted remotely, lasted one month.
Balban, M. Y., Neri, E., Kogon, M. M., et al. (2023). Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Reports Medicine. doi:10.1016/j.xcrm.2022.100895
Strong evidence
A meta-analysis of 223 studies finding that the rest-related part of heart rate variability rises during and after voluntary slow breathing.
Limitation: A physiological finding; it does not measure mood or anxiety.
Laborde, S., Allen, M. S., Borges, U., et al. (2022). Effects of voluntary slow breathing on heart rate and heart rate variability: a systematic review and a meta-analysis. Neuroscience & Biobehavioral Reviews. doi:10.1016/j.neubiorev.2022.104711
Strong evidence
A meta-analysis of 47 randomized trials finding small to moderate effects of mindfulness meditation programs on anxiety, low mood and pain.
Limitation: Not found superior to other active approaches such as exercise.
Goyal, M., Singh, S., Sibinga, E. M. S., et al. (2014). Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA Internal Medicine. doi:10.1001/jamainternmed.2013.13018