Music to Improve Sleep Quality in Adults With Depression and Insomnia (MUSTAFI)
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
- improving sleep quality,
- reducing symptoms of depression and
- 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
Status
Conditions
Conditions
Intervention / Treatment
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
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Aalborg, Denmark, 9000
- Unit for Depression, Psychiatry
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
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
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / 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
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
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
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
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Soeren Risom Kristensen, Professor, Aalborg University, Doctoral School in Medicine, biomedical science and technology
Publications and helpful links
General Publications
- Fava M. Daytime sleepiness and insomnia as correlates of depression. J Clin Psychiatry. 2004;65 Suppl 16:27-32.
- Jespersen KV, Koenig J, Jennum P, Vuust P. Music for insomnia in adults. Cochrane Database Syst Rev. 2015 Aug 13;2015(8):CD010459. doi: 10.1002/14651858.CD010459.pub2.
- Jespersen KV, Pando-Naude V, Koenig J, Jennum P, Vuust P. Listening to music for insomnia in adults. Cochrane Database Syst Rev. 2022 Aug 24;8(8):CD010459. doi: 10.1002/14651858.CD010459.pub3.
- Lund HN, Pedersen IN, Heymann-Szlachcinska AM, Tuszewska M, Bizik G, Larsen JI, Drago A, Kulhay E, Larsen A, Sorensen HO, Gronbech B, Bertelsen LR, Valentin JB, Mainz J, Johnsen SP. Music to improve sleep quality in adults with depression-related insomnia (MUSTAFI): randomized controlled trial. Nord J Psychiatry. 2022 Jun 13:1-10. doi: 10.1080/08039488.2022.2080254. Online ahead of print.
- Lund HN, Pedersen IN, Johnsen SP, Heymann-Szlachcinska AM, Tuszewska M, Bizik G, Larsen JI, Kulhay E, Larsen A, Gronbech B, Ostermark H, Borup H, Valentin JB, Mainz J. Music to improve sleep quality in adults with depression-related insomnia (MUSTAFI): study protocol for a randomized controlled trial. Trials. 2020 Apr 3;21(1):305. doi: 10.1186/s13063-020-04247-9.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- N-20170055 (Registry Identifier: 296056)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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