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THERAPIES & TRADITIONS · GUIDE

Chanting, Mantra and Drumming: Traditions and Research

Chanting, mantra repetition and drumming are practiced in many faiths and cultures; here is what research has and has not measured, with plain limits.

Content last updated . This page has not been medically reviewed.

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What this page covers

Chanting, repeating a sacred word or phrase, and playing or listening to drums are part of the worship, community life and healing practices of many peoples. They are not one tradition. A Buddhist name-chant, a Hindu or yogic mantra, the cantillation of Quran recitation and a West African djembe circle each have their own meaning for the people who practice them. This page does not teach any practice or ceremony. It explains how researchers have studied the sound-and-repetition side of these practices, and where the research stops. For related guides see types of meditation and sound healing and gong baths.

Traditions are one thing, tests are another

For people who practice them, chanting and drumming may be devotion, remembrance, grief work or community. Research cannot measure whether a practice is spiritually true, and we do not try. It can measure things like stress ratings, heart rate or pain scores in a defined group, compared with something else. Those two kinds of knowledge answer different questions.

NCCIH, the US government's center for complementary health research, describes meditation as including practices that focus on a sound or a mantra, which it defines as a repeated word or phrase. [1]

Mantra repetition: what trials measured

A 2022 systematic review and meta-analysis pooled randomized trials of meditation based mainly on repeating mantras, including Transcendental Meditation. Compared with control conditions, it found small-to-moderate reductions in anxiety, depression, stress and post-traumatic stress symptoms. [2] The authors say the evidence is weakened by risk of bias, few studies in people with psychiatric diagnoses and little long-term follow-up. [2] Evidence label: promising but limited.

A single randomized trial of Transcendental Meditation in 80 health care workers (open-label, compared with usual wellness resources) did not find a statistically significant change in its main measure, psychological distress. It did find larger improvements in burnout-related emotional exhaustion, anxiety and insomnia scores at three months. [3] Because people knew which group they were in, expectation may play a part. Transcendental Meditation is a specific taught program; results do not automatically apply to other mantra traditions.

Chanting and group singing

In a small brain-recording study, 21 Buddhists with chanting experience silently chanted the name of a Buddha, chanted "Santa Claus," or stayed silent while viewing disturbing pictures. A late-stage brain response to the pictures rose in the other two conditions but not during the Buddha chant. [4] This measured short-term brain and heart responses in a laboratory, not illness or recovery.

A systematic review of group singing for long-term pain found 13 studies and reported that singing reduced pain intensity in most of them, with weaker support for pain interference and depression. The authors concluded support was only partial, based on limited evidence of varied quality. [5] Singing is not the same as devotional chanting, so treat this as related, not identical, evidence.

Reviews of listening to Quran recitation (mostly in Iran and other Asian countries) report lower anxiety scores in many studies, but call for methodologically stronger trials. [6] One randomized trial in 60 hemodialysis patients compared listening to recitation with no intervention. [7] Listening to a comforting sound and receiving attention are hard to separate from the content of the recitation itself.

Drumming

A 40-minute djembe session lowered stress and anxiety scores right afterward in two small groups, and blood pressure fell in the older group. [8] There was no comparison group. An umbrella review of music and dance participation reported broad health benefits, with drumming among the activities linked to the widest benefits, while noting the evidence base is young and varied. [9]

A laboratory study asked whether drumming paired with "shamanic journeying" instructions did more than relaxing music. In 39 volunteers, stress hormone levels fell in every condition, with no difference between them, although people reported different subjective experiences. [10] This site does not describe shamanic or other ceremonial practice; see Shamanism: a public overview and what is public and what is restricted.

Bottom line

There is reasonable early evidence that repeated-sound practices can reduce self-reported stress and anxiety for some people, and little evidence about disease outcomes. They can sit alongside medical care, not in place of it. For goal overviews see mindfulness and meditation for stress and relaxation techniques.

Frequently asked questions

Is chanting or mantra repetition proven to treat anxiety or depression?

Not proven. A meta-analysis found small-to-moderate improvements in symptom scores, but the authors flagged bias risk and few studies in people with psychiatric diagnoses. [2] It is not a substitute for treatment prescribed by a clinician.

Does drumming heal?

Research has measured short-term changes in stress and anxiety scores after drumming sessions, mostly in small studies without comparison groups. [8] No good evidence shows that drumming treats disease.

Do the results apply to my own tradition?

Not necessarily. Studies test a specific practice in specific people, such as a Buddhist name-chant or a taught Transcendental Meditation course. [4][3]

Can loud drumming or chanting be harmful?

Very loud sound can damage hearing over time. [11] Meditation-type practices can also be distressing for some people. [1]

Should I stop my medicine if chanting helps me feel calmer?

No. Talk with your prescriber before changing any medicine. NCCIH advises against replacing conventional care with meditation practices. [1]

More details: evidence, limits and cautions

The details behind this page: cautions, limits of the evidence and where sources disagree. Open any note to read it.

Safety and good sense
  • Chanting and drumming are generally low-risk, but not risk-free. Loud drumming can harm hearing: NIDCD notes that long or repeated exposure to sounds at or above 85 decibels can cause hearing loss. [11]
  • Mantra meditation can bring up distress for some people. A review cited by NCCIH found about 8 percent of participants had a negative effect from meditation practices, similar to psychological therapies. [1] See meditation difficulties.
  • NCCIH advises not using meditation to replace conventional care or to postpone seeing a health care provider about a medical problem. [1]
  • Some practices are sacred or restricted to a community. Ask permission and learn from community members before joining.
References
  1. NCCIH. Meditation and Mindfulness: Effectiveness and Safety. Read 2026-10-22.
  2. Effectiveness of Mantra-Based Meditation on Mental Health: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2022. PubMed. Read 2026-10-22.
  3. Efficacy of Transcendental Meditation to Reduce Stress Among Health Care Workers: A Randomized Clinical Trial. JAMA Netw Open 2022. PubMed. Read 2026-10-22.
  4. Repetitive Religious Chanting Modulates the Late-Stage Brain Response to Fear- and Stress-Provoking Pictures. Front Psychol 2016. PubMed. Read 2026-10-22.
  5. A systematic review on the effects of group singing on persistent pain in people with long-term health conditions. Eur J Pain 2020. PubMed. Read 2026-10-22.
  6. The Effect of Listening to Holy Quran Recitation on Anxiety: A Systematic Review. Iran J Nurs Midwifery Res 2018. PubMed. Read 2026-10-22.
  7. The Effect of Holy Qur'an Recitation on Anxiety in Hemodialysis Patients: A Randomized Clinical Trial. J Relig Health 2015. PubMed. Read 2026-10-22.
  8. African drumming: a holistic approach to reducing stress and improving health? J Cardiovasc Med 2014. PubMed. Read 2026-10-22.
  9. Performing arts as a health resource? An umbrella review of the health impacts of music and dance participation. PLoS One 2021. PubMed. Read 2026-10-22.
  10. Exploring shamanic journeying: repetitive drumming with shamanic instructions induces specific subjective experiences but no larger cortisol decrease than instrumental meditation music. PLoS One 2014. PubMed. Read 2026-10-22.
  11. NIDCD. Noise-Induced Hearing Loss. Read 2026-10-22.
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.