A randomized controlled trial of bedtime music for insomnia disorder
A randomized controlled trial of bedtime music for insomnia disorder
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DOI：
10.1111/jsr.12817
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发表时间：
2019-08-01
影响因子：
4.4
通讯作者：
Vuust, Peter
中科院分区：
文献类型：
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作者：
Jespersen, Kira Vibe;Otto, Marit;Vuust, Peter
音乐经常被用作缓解失眠的自助工具。为了评估睡前听音乐作为改善失眠的策略的效果，我们进行了一项评估员盲法随机对照试验。57名失眠症患者被随机分为音乐干预组（n = 19）、有声读物对照组（n = 19）和候补对照组（n = 19）。主要结果指标是炎症严重程度指数。此外，我们使用多导睡眠图和活动记录仪来评估睡眠的客观指标，并评估睡眠质量和生活质量。结果显示，音乐对失眠症状没有明显的影响，因为组x时间相互作用仅接近显著性（效应量= 0.71，p = 0.06），尽管音乐组内失眠严重程度有显着改善。关于次要结果，我们发现音乐干预对感知的睡眠改善和生活质量有显著影响，但睡眠的客观指标没有变化。总之，睡前听音乐似乎对睡眠感知和生活质量有积极影响，但对失眠严重程度没有明显影响。音乐是安全且易于管理的，但需要进一步的研究来评估音乐对不同失眠亚型的影响，并作为预防性或预防性干预措施。
Music is often used as a self-help tool to alleviate insomnia. To evaluate the effect of bedtime music listening as a strategy for improving insomnia, we conducted an assessor-blinded randomized controlled trial. Fifty-seven persons with insomnia disorder were included and randomized to music intervention (n = 19), audiobook control (n = 19) or a waitlist control group (n = 19). The primary outcome measure was the Insomnia Severity Index. In addition, we used polysomnography and actigraphy to evaluate objective measures of sleep, and assessed sleep quality and quality of life. The results showed no clear effect of music on insomnia symptoms as the group x time interaction only approached significance (effect size = 0.71, p = .06), though there was a significant improvement in insomnia severity within the music group. With regard to the secondary outcomes, we found a significant effect of the music intervention on perceived sleep improvement and quality of life, but no changes in the objective measures of sleep. In conclusion, music listening at bedtime appears to have a positive impact on sleep perception and quality of life, but no clear effect on insomnia severity. Music is safe and easy to administer, but further research is needed to assess the effect of music on different insomnia subtypes, and as an adjunctive or preventive intervention.