The Effects of Quartz Crystal Singing Bowl Music and Guided Relaxation on Mood and Sleep in Rangatahi (Young Adults)

December 7, 2025 updated by: Nicola Starkey, The University of Waikato

The Effects of Quartz Crystal Singing Bowl Music and Guided Relaxation on Mood and Sleep in Young Adults

The number of people reporting poor mental wellbeing is increasing, with rates exceeding 25% of the population. Rates of psychological distress in young people (aged 15-24 years) are rapidly increasing but many cannot access professional help. Self-help options such as meditation and mindfulness are effective in decreasing stress and enhancing mood, but time, practice, self-motivation and patience are required to fully realise the benefits. Thus, there is a need to explore alternate treatment options.

This study seeks to determine if the effects of listening to quartz crystal singing bowl music (CSBs) are equivalent to that of progressive guided muscle relaxation on self-report measures of mood, stress and sleep in young adults at 4- and 8- weeks post intervention. The intervention will be delivered online.

The main question it aims to answer is:

Are the effects of listening to singing bowl music equivalent to that of progressive guided muscle relaxation (PMR) on self-report measures of mood in young adults (Total Mood Disturbance of the POMS) at 4- and 8- weeks post intervention.

Does listening to singing bowls result in improved sleep and stress, similar to the effects of PMR.

Participants will be allocated to either the singing bowls or progressive muscle relaxation group. They will be sent a link to listen to the intervention 3 times a week for the first 4 weeks, and then weekly for the next 4 weeks. They will be asked to compete an online questionnaire at baseline, 4 weeks and 8 weeks.

At the end of the trial (8 weeks), participants will be given access to both singing bowls and progressive muscle relaxation interventions to use as often as they like.

Study Overview

Study Type

Interventional

Enrollment (Actual)

108

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

    • Waikato Region
      • Hamilton, Waikato Region, New Zealand, 3204
        • School of Psychological and Social Sciences

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

  • Child
  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • age 16-25 years

Exclusion Criteria:

  • undergoing psychiatric/psychological treatment
  • participation in guided relaxation more than once a month
  • listened to singing bowls more than once a month

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: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Progressive Muscle Relaxation
A guided progressive muscle relaxation audio (recorded by the NZ Cancer Society https://www.youtube.com/watch?v=Zydrp3rfJdY) and similar to the PMR script from the Anxiety and Phobia Workbook by Edmund Bourne was used. The session took approximately 12 minutes. Participants were instructed to start by sitting or lying comfortably, taking some deep breaths and then tense and relax muscles in a sequential manner from the head to the feet. The audio was presented online via Qualtrics software
Experimental: Quartz Crystal Singing Bowls music
The quartz crystal singing bowls audio track used in the current study was "Tranquility" by Annie Jameson. The audio track was 570 seconds (9.5 minutes) for all sessions. Annie Jameson composed the track herself and gave permission for its use. The full Tranquility track can be found on YouTube (https://www.youtube.com/watch?v=0mX3Vqvo5k4) or Spotify. The audio was accessed online via the Qualtrics platform

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in total mood disturbance (TMD) score between baseline, 4 weeks and 8 weeks
Time Frame: Baseline, 4 weeks and 8 weeks
The TMD is derived from the profile of mood states questionnaire (abbreviated version). Participants are presented with a list of 40 words that describe feelings people have. They are asked to circle the number that best describes how they feel right now from 0 (not at all), 1 (a little), 2 (moderately), 3 (quite a lot) to 4 (extremely). Seven subscales are calculated by summing the relevant items (Tension, Anger, Fatigue, Depression, Esteem related affect, Vigour and Confusion). A Total Mood Disturbance score (TMD) is also calculated by summing the totals for the negative subscales (Tension, Depression, Anger, Fatigue, Confusion), and subtracting the totals for the positive scales (Vigour, Esteem-related Affect [Note that 2 items are reverse scored for the ERA subscale]. A higher score reflects a more negative mood state
Baseline, 4 weeks and 8 weeks
Change in total mood disturbance (TMD) score between baseline, 4 weeks and 8 weeks
Time Frame: Baseline, 4 weeks and 8 weeks
The TMD is derived from the profile of mood states questionnaire (abbreviated version). Participants are presented with a list of 40 words that describe feelings people have. They are asked to circle the number that best describes how they feel right now from 0 (not at all), 1 (a little), 2 (moderately), 3 (quite a lot) to 4 (extremely). Seven subscales are calculated by summing the relevant items (Tension, Anger, ERA-score range 0-24; Fatigue, Vigour, Confusion- score range 0-20; Depression - score range 0-28 ). A Total Mood Disturbance score (TMD) is also calculated by summing the totals for the negative subscales (Tension, Depression, Anger, Fatigue, Confusion), and subtracting the totals for the positive scales (Vigour, Esteem-related Affect). A constant (100) can be added to eliminate negative values. Scores (including the constant) range from 52-216. A higher score reflects a more negative mood state
Baseline, 4 weeks and 8 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in POMS subscale scores at 4 and 8 weeks
Time Frame: Baseline, 4 weeks and 8 weeks
The POMS has seven subscales: Tension, Anger, Fatigue, Depression, Esteem related affect, Vigour and Confusion. For the negative subscales (Tension, fatigue, confusion, depression and anger), a higher score indicates poorer mood. For the positive subscales (vigour and esteem related affect), a high score indicates a more positive mood.
Baseline, 4 weeks and 8 weeks
Overall sleep quality
Time Frame: Baseline, 4 weeks, 8 weeks
Rating of overall sleep quality from the Auckland Sleep questionnaire. Higher ratings (on a 1-4 scale) indicate poorer sleep quality
Baseline, 4 weeks, 8 weeks
Visual analogues scales - immediately before and after a session
Time Frame: Once a week for 8 weeks
To assess the acute effects of the intervention, participants will be asked to complete ratings of overall mood, relaxation, and stress before and after one session one session each week. Participants are asked to rate how they are feeling right now using a visual analogue scale (VAS) from 0 (worst I've ever felt not relaxed, not stressed,) to 100 (very stressed, very relaxed, best I've ever felt)
Once a week for 8 weeks

Collaborators and Investigators

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

Investigators

  • Principal Investigator: Nicola J Starkey, Starkey, University of Waikato
  • Principal Investigator: Michael Jameson, University of Auckland, New Zealand

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.

General Publications

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)

March 22, 2024

Primary Completion (Actual)

October 11, 2024

Study Completion (Actual)

December 31, 2024

Study Registration Dates

First Submitted

November 24, 2025

First Submitted That Met QC Criteria

November 24, 2025

First Posted (Estimated)

December 5, 2025

Study Record Updates

Last Update Posted (Actual)

December 15, 2025

Last Update Submitted That Met QC Criteria

December 7, 2025

Last Verified

December 1, 2025

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

All data are available from the PI upon reasonable request

IPD Sharing Time Frame

Beginning 3 months after publication with no end date

IPD Sharing Access Criteria

Data can be obtained by emailing the PI with a proposal for planned analyses. The request will be reviewed by the co-PIs.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • ICF

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

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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