Music to Improve Sleep Quality in Adults With Depression and Insomnia (MUSTAFI)

December 30, 2020 updated by: Helle Nystrup Lund, Aalborg University Hospital

Music to Improve Sleep Quality in Adults With Depression and Insomnia: a Randomized Controlled Trial Using Mixed Methods

Insomnia is a common sleep disorder for patients with depression. This has a major impact on the quality of life for the individual.

The aim is to investigate, whether music intervention is effective in

  1. improving sleep quality,
  2. reducing symptoms of depression and
  3. improving quality of life

Participants use a sound pillow and selected music in the The Music Star app at home as a sleep aid in 4 weeks.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Depression is a common health problem in Denmark with a prevalence for depression of 17-18%. Depression has serious personal and social consequence. Sleep disorders are common in patients with depression. Resolving sleep disturbances in depression may prevent worsening of symptoms and relapse.

Music listening is widely used as a sleep aid. A study from the Cochrane library shows consensus that music may be helpful to improve sleep quality in insomnia. It remains unclear if music listening is helpful to patients with depression as it is to a broader population.

A randomized controlled trial address the use of music as a supplementary treatment to improve sleep in depression.

Study Type

Interventional

Enrollment (Actual)

112

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Aalborg, Denmark, 9000
        • Unit for Depression, Psychiatry

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Out patients in treatment for depression in psychiatry, Unit for Depression, Aalborg University Hospital.
  • ICD-10 diagnosis of unipolar depression F32 or F33.
  • Sleeping problems identified by HAM-D by a total score of 3 on sleep items 4-6, or a single score = 2 on at least one sleep item.
  • Following treatment standards according to national guidelines.(pharmacological treatment, psychotherapy, psycho education, Electro Convulsive Therapy).
  • 4 weeks of treatment and/or in stabilized pharmacological treatment

Exclusion Criteria:

  • ICD-10 diagnosis of depression F32 or F33 and psychotic episodes
  • substance or alcohol abuse
  • sentence to treatment by law
  • restless legs syndrome
  • obstructive sleep apnoea or other organic sleep disorders
  • hearing loss
  • dislike of music

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Experimental Group

Music Intervention: Participants listen to music minimum 30 minutes at bedtime for a period of 4 weeks wearing accelerometer.

Participants are monitored for a 4 week follow up period wearing accelerometer

Music intervention
No Intervention: Waitlist Control Group

No intervention: Participants are monitored for a period of 4 weeks wearing accelerometer.

Participants are monitored for a 4 week follow up period wearing accelerometer.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Sleep Quality - subjective
Time Frame: Change of sleep quality from baseline at 4 weeks
Questionnaire PSQI-DK on self reported sleep measuring subjective sleep quality, sleep latency, sleep duration, sleep disturbances, daytime dysfunctions and use of antidepressant agents
Change of sleep quality from baseline at 4 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Sleep Quality - subjective
Time Frame: Change of sleep quality from baseline at 8 weeks
Questionnaire PSQI-DK on self reported sleep measuring subjective sleep quality, sleep latency, sleep duration, sleep disturbances, daytime dysfunctions and use of antidepressant agents.
Change of sleep quality from baseline at 8 weeks
Sleep Quality - objective
Time Frame: Change of sleep quality from baseline at 4 weeks
Accelerometer Axivity Ax3 data logger carried as a hand wrist bracelet at night. A sleep analysis function by a generic algorithm provide data on sleep estimates.
Change of sleep quality from baseline at 4 weeks
Sleep Quality - objective
Time Frame: Change of sleep quality from baseline at 8 weeks
Accelerometer Axivity Ax3 data logger carried as a hand wrist bracelet at night. A sleep analysis function by a generic algorithm provide data on sleep estimates.
Change of sleep quality from baseline at 8 weeks
Symptoms of depression
Time Frame: Change of depression level from baseline at 4 weeks
The Hamilton Depression Rating Scale (HAM-D17). The scale consist of 17 items. Total score range is 0-52. Higher numbers represent more severe symptoms.
Change of depression level from baseline at 4 weeks
Symptoms of depression
Time Frame: Change of depression level from baseline at 8 weeks
The Hamilton Depression Rating Scale (HAM-D17). The scale consist of 17 items. Total score range is 0-52. Higher numbers represent more severe symptoms.
Change of depression level from baseline at 8 weeks
Quality of life measuring subjective well-being
Time Frame: Change of quality of life from baseline at 4 weeks
The World Health Well-Being Index (WHO-5)
Change of quality of life from baseline at 4 weeks
Quality of life measuring subjective well-being
Time Frame: Change of quality of life from baseline at 8 weeks
The World Health Well-Being Index (WHO-5)
Change of quality of life from baseline at 8 weeks
Quality of life measuring subjective psychological health, physical health, social relationships and environment.
Time Frame: Change of quality of life from baseline at 4 weeks
The World Health Organization Quality of Life (WHOQOL-Bref)
Change of quality of life from baseline at 4 weeks
Quality of life measuring subjective psychological health, physical health, social relationships and environment.
Time Frame: Change of quality of life from baseline at 8 weeks
The World Health Organization Quality of Life (WHOQOL-Bref)
Change of quality of life from baseline at 8 weeks

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Duration of music intervention
Time Frame: 4 week music intervention period
log file data on duration of music intervention
4 week music intervention period

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Study Director: Soeren Risom Kristensen, Professor, Aalborg University, Doctoral School in Medicine, biomedical science and technology

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 23, 2018

Primary Completion (Actual)

December 23, 2020

Study Completion (Actual)

December 23, 2020

Study Registration Dates

First Submitted

August 29, 2018

First Submitted That Met QC Criteria

September 12, 2018

First Posted (Actual)

September 18, 2018

Study Record Updates

Last Update Posted (Actual)

December 31, 2020

Last Update Submitted That Met QC Criteria

December 30, 2020

Last Verified

December 1, 2020

More Information

Terms related to this study

Other Study ID Numbers

  • N-20170055 (Registry Identifier: 296056)

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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