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Research Library

What the research actually says.

Published studies on Reiki, described plainly, with the promising findings and the null results in the same place. If you are evaluating this for your organization or for yourself, you should be able to read the evidence yourself and reach your own conclusion.

Read This First

How to hold this evidence.

  • Reiki is a complementary wellness practice. It is not a medical or mental health treatment and it does not replace clinical care, therapy, HR support, or appropriate workplace interventions.
  • The research base is real but young. Most trials are small, and the field's central open question is how much of the observed benefit comes from Reiki specifically rather than from rest, attention, and care.
  • The federal evidence summary from NCCIH concludes Reiki has not been clearly shown to be effective for any health related purpose. That statement belongs on this page as much as the promising findings do.
  • What is not in question is that thirty quiet, private, undemanding minutes is good for a person in the middle of a working day. That alone is worth offering your team.

Evidence

Stress and anxiety

The largest pooled analyses to date look at anxiety, alongside placebo controlled work measuring the physiological stress response.

2024  /  Meta-analysis of controlled studies

Therapeutic effects of Reiki on interventions for anxiety: a meta-analysis

Zhang Y · BMC Palliative Care 23:147

What it studied. Pooled results across controlled trials measuring anxiety before and after Reiki sessions.

What it found. Reports a favorable pooled effect of Reiki on anxiety. As with most Reiki literature, the included trials are small and vary in design, so the authors call for larger and more rigorous trials.

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2004  /  Blinded randomized three arm trial, n = 45

Autonomic nervous system changes during Reiki treatment: a preliminary study

Mackay N, Hansen S, McFarlane O · Journal of Alternative and Complementary Medicine 10(6)

What it studied. Reiki compared against both rest only and a placebo condition, measuring heart rate, blood pressure and breathing rate.

What it found. Systolic blood pressure fell significantly in the Reiki group relative to both control groups. Other measures did not differ significantly, so the effect is real but modest.

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2021  /  Pilot randomized, double blinded, placebo controlled trial

The effects of Reiki on heart rate, blood pressure, body temperature, and stress levels

Bat N · Complementary Therapies in Clinical Practice 43:101328

What it studied. Physiological measures and self reported stress in participants receiving Reiki, sham Reiki, or no intervention.

What it found. Reports reductions in stress measures following Reiki. It is a pilot study, so it is best read as a signal worth testing at scale rather than a settled result.

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Evidence

Burnout and the working professional

The most directly relevant research for organizations comes from nursing and healthcare, where burnout has been studied closely.

2011  /  Controlled experimental study

The application of Reiki in nurses diagnosed with burnout syndrome has beneficial effects on concentration of salivary IgA and blood pressure

Diaz-Rodriguez L, Arroyo-Morales M, et al. · Revista Latino-Americana de Enfermagem 19(5)

What it studied. Nurses formally diagnosed with burnout syndrome, measuring salivary IgA, alpha amylase and blood pressure after a single session.

What it found. A single Reiki session produced measurable immediate changes in immune and blood pressure markers compared with a sham control. A companion paper by the same team reported changes in heart rate variability, cortisol and body temperature.

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2011  /  Controlled experimental study

Immediate effects of Reiki on heart rate variability, cortisol levels, and body temperature in health care professionals with burnout

Diaz-Rodriguez L, Arroyo-Morales M, et al. · Biological Research for Nursing 13(4)

What it studied. Healthcare professionals with burnout, measuring autonomic and endocrine markers immediately after a session.

What it found. Reiki was associated with changes in heart rate variability and cortisol relative to a placebo session, suggesting a shift toward parasympathetic activity.

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2022  /  Randomised controlled single blind trial

The effect of distant Reiki on the stress and fatigue levels of nurses working in COVID-19 clinics

Holistic Nursing Practice · Holistic Nursing Practice

What it studied. Nurses working in COVID-19 clinics receiving twenty minutes of distant Reiki daily for four days, compared with no intervention.

What it found. Stress and fatigue scores decreased in the Reiki group. The trial is small and studied distant rather than in person sessions.

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2023  /  Pragmatic within subject pilot trial, no control group

Evaluation of a distance Reiki program for frontline healthcare workers' health related quality of life during the COVID-19 pandemic

Dyer NL, Baldwin AL, Pharo R, Gray F · Global Advances in Integrative Medicine and Health 12

What it studied. Frontline healthcare workers enrolled in a distance Reiki program, measuring self reported quality of life and wellbeing.

What it found. Participants reported improvements in wellbeing measures. Without a control group these results cannot be separated from expectation and time effects.

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2024  /  Mixed methods pilot study, n = 21, no control group

The effects of Reiki on the stress of Japanese nurses: mixed methods pilot study

Journal of Holistic Nursing · Journal of Holistic Nursing

What it studied. Pulse, respiration, blood pressure and salivary measures alongside nurses' own accounts of stress before and after sessions.

What it found. Both physiological measures and nurses' qualitative reports moved in a restorative direction. Small, uncontrolled, and exploratory.

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Evidence

Quality of life and wellbeing

The most recent pooled analysis looks specifically at randomized trials measuring quality of life.

2025  /  Meta-analysis of randomized controlled trials

Effects of Reiki therapy on quality of life: a meta-analysis of randomized controlled trials

Liu K, Qin Z, Qin Y, Li Y, Liu Q, Gao F, Zhang P, Wang W · Systematic Reviews

What it studied. Pooled quality of life outcomes across randomized trials of Reiki therapy.

What it found. Reports a positive pooled effect of Reiki on quality of life measures. Read the paper directly for effect sizes and the authors' stated limitations.

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2007  /  Pilot randomized crossover trial

Pilot crossover trial of Reiki versus rest for treating cancer related fatigue

Tsang KL, Carlson LE, Olson K · Integrative Cancer Therapies 6(1)

What it studied. Reiki compared with rest for cancer related fatigue and mood.

What it found. Fatigue and mood improved during the Reiki arm, though improvements also appeared with rest alone, which the authors flag directly.

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Evidence

Pain

Pain research includes some of the strongest designs in the field, and some of the clearest null results.

2011  /  Double blinded randomized controlled trial

The effect of distant Reiki on pain in women after elective Caesarean section: a double blinded randomized controlled trial

vanderVaart S, Berger H, Tam C, et al. · BMJ Open 1(1):e000021

What it studied. Distant Reiki versus sham for post operative pain and opioid use.

What it found. No significant difference between Reiki and sham on pain scores or pain medication use. A clear null result, included here because honest evidence includes what did not work.

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2014  /  Literature review of randomized trials with effect size calculations

Effect of Reiki therapy on pain and anxiety in adults: an in depth literature review of randomized trials with effect size calculations

Cohen SM · Pain Management Nursing 15(4)

What it studied. Randomised trials of Reiki for pain and anxiety in adults.

What it found. Finds evidence of benefit in a portion of trials, with wide variation in quality and effect size across the literature.

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2017  /  Systematic review and meta-analysis of randomized trials

Is Reiki or prayer effective in relieving pain during hospitalization for cesarean? A systematic review and meta-analysis of randomized controlled trials

Ferraz GAR, Rodrigues MRK, Lima SAM, et al. · Sao Paulo Medical Journal 135(2)

What it studied. Reiki and prayer as adjuncts for pain during hospitalisation for caesarean.

What it found. Concludes the available trials are too few and too heterogeneous to support firm claims.

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Limitations and Criticism

The case against, in full.

These reviews and assessments are the most rigorous work in the field, and they are cautious to skeptical. They belong on this page as much as the encouraging findings do.

2015  /  Cochrane systematic review

Reiki for depression and anxiety

Joyce J, Herbison GP · Cochrane Database of Systematic Reviews CD006833

What it studied. Whether Reiki is effective for depression or anxiety.

What it found. Only three small trials met the inclusion criteria and the evidence was rated very low quality. The review concludes there is insufficient evidence to say whether Reiki is effective for depression or anxiety, and calls for more rigorous trials.

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Current  /  Official federal evidence summary

Reiki

National Center for Complementary and Integrative Health · NCCIH, US National Institutes of Health

What it studied. The overall state of the evidence for Reiki.

What it found. States plainly that "Reiki hasn’t been clearly shown to be effective for any health-related purpose," and notes that most studies are small, poorly designed, or carry a high risk of bias.

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2022  /  Systematic review

Does Reiki benefit mental health symptoms above placebo?

Zadro S, Stapleton P · Frontiers in Psychology 13:897312

What it studied. Whether Reiki outperforms placebo or sham conditions for depression, anxiety and related symptoms.

What it found. Examines the placebo question directly, which is the central methodological challenge in this field. Worth reading in full before drawing conclusions in either direction.

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2008  /  Cochrane systematic review

Touch therapies for pain relief in adults

So PS, Jiang Y, Qin Y · Cochrane Database of Systematic Reviews CD006535

What it studied. Healing Touch, Therapeutic Touch and Reiki for pain relief in adults.

What it found. Found only limited and mixed evidence across small, heterogeneous trials, and the conclusions are not specific to Reiki.

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2017  /  Narrative review

Reiki is better than placebo and has broad potential as a complementary health therapy

McManus DE · Journal of Evidence-Based Complementary & Alternative Medicine 22(4)

What it studied. Clinical studies with more than twenty participants in the Reiki arm that controlled for placebo.

What it found. Argues that Reiki outperforms placebo across several conditions. Noted here with a disclosure: the author is affiliated with a Reiki association, which is a conflict of interest worth weighing when reading it.

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