International Journal of Nursing Studies 51 (2014) 5162

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International Journal of Nursing Studies

journal homepage: www.elsevier.com/ijns

Review

Music therapy improves sleep quality in acute and chronic

sleep disorders: A meta-analysis of 10 randomized studies
Chun-Fang Wang *, Ying-Li Sun, Hong-Xin Zang
Department of Cardiovascular Surgery, Center for Cardiovascular Disease, Pingjin Hospital, Logistics University of Chinese Peoples Armed
Police Forces, Tianjin, PR China

A R T I C L E I N F O

A B S T R A C T

Article history:
Received 14 November 2012
Received in revised form 5 March 2013
Accepted 16 March 2013

Objective: To evaluate the efcacy of music therapy for acute and chronic sleep disorders in
adults.
Design: Systematic review and meta-analysis.
Data sources: A systematic search of publications in PubMed, Embase, and the Cochrane
Library without language restriction was performed.
Review methods: Studies with randomized controlled design and adult participants were
included if music was applied in a passive way to improve sleep quality. Subgroup analysis
was conducted to explore the sources of heterogeneity.
Results: Ten studies involving 557 participants were identied. The sleep quality was
improved signicantly by music (standard mean difference: 0.63; 95% CI: 0.92 to
0.34; p < 0.001), with signicant heterogeneity across studies. Subgroup analysis found
heterogeneity between subgroups with objective or subjective assessing methods of sleep
quality, and between subgroups with difference follow-up durations. No evidence of
publication bias was observed.
Conclusion: Music can assist in improving sleep quality of patients with acute and chronic
sleep disorders. For chronic sleep disorders, music showed a cumulative dose effect and a
follow-up duration more than three weeks is necessary for assessing its efcacy.
2013 Elsevier Ltd. All rights reserved.

Keywords:
Music
Sleep disorders
Sleep quality
Meta-analysis

What is already known about the topic?

 Chronic sleep disorders are associated with adverse
health outcomes.
 Acute sleep disorders of patients after operation or
patients in intensive care unit are associated with worse
prognosis.
 Music has been used to improve the sleep quality from an
ancient time, but prospective clinical trials presented
conicting results.

What this paper adds

 Music can assist in treating both acute and chronic sleep
disorders.
 For chronic sleep disorders, music therapy shows a
cumulative dose effect.
 A follow-up duration more than three weeks is necessary
for assessing the efcacy of music for chronic sleep
disorders.
1. Introduction

* Corresponding author at: Department of Cardiovascular Surgery,

Pingjin Hospital, No. 220 Chenglin Street, 300126 Tianjin, China.
Tel.: +86 022 60577599; fax: +86 022 60577600.
E-mail address: wangchunfangemail@gmail.com (C.-F. Wang).
0020-7489/$ see front matter 2013 Elsevier Ltd. All rights reserved.
http://dx.doi.org/10.1016/j.ijnurstu.2013.03.008

Sleep is a primitive behavior of humans. Unfortunately,

according to epidemiological studies, about one third of
adults reported sleep disorders (Krueger and Friedman,
2009), especially in older and shift-workers (Kronholm

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C.-F. Wang et al. / International Journal of Nursing Studies 51 (2014) 5162

et al., 2008; Rowshan Ravan et al., 2010). As to in-hospital

patients, duo to the change of environments and the noise
of medical equipments, acute sleep deprivation is common, especially in peri-operative patients or patients in
intensive care unit (Hardin, 2009; Kamdar et al., 2012).
Chronic sleep disorders have proved to be associated
with adverse health outcomes, including cardiovascular
disorders (Cappuccio et al., 2011; Chien et al., 2010), total
mortality (Cappuccio et al., 2010a, 2010b; Castro-Costa
et al., 2011; Kronholm et al., 2011), type 2 diabetes
(Cappuccio et al., 2010a, 2010b), respiratory disorders
(Penzel et al., 2007), and obesity (Cappuccio et al., 2008). In
addition, acute sleep deprivation can also worsen the
prognosis.
Pharmacological therapy has been wildly used to treat
sleep disorders, but the potential side effects limit a longterm intervention. Realizing that sleep is affected by both
physiological and psychological factors, people resorted to
kinds of mind-body interventions such as music therapy,
which indeed have been used from a very ancient time
(Cervellin and Lippi, 2011). In fact, music is the most
welcomed method used by nurses to improve the patients
sleep quality (Bouhairie et al., 2006).
Some earlier studies succeeded to prove the efcacy of
music in improving sleep quality (Kullich et al., 2003; Lai
and Good, 2005; Renzi et al., 2000; Zimmerman et al.,
1996). Although a previous meta-analysis (de Niet et al.,
2009) recommended the music-assisted relaxation to
patients with sleep disorders, the evidence was limited
because only 5 studies were available at that time. The
result was challenged by several recent studies with
negative results (Chan et al., 2010; Chang et al., 2012), and
we noticed that only one study included in that mateanalysis showed negative result (Hernandez-Ruiz, 2005).
With accumulating evidence, our goal was to evaluate the
efcacy of music for sleep disorders by conducting a metaanalysis of prospective cohort studies.
2. Methods
2.1. Search strategy and study selection
We attempted to follow the PRISMA (Preferred
Reporting Items for Systematic reviews and Meta-Analyses) guideline to report the present meta-analysis (Moher
et al., 2009). We systematically searched the electronic
databases PubMed, Embase, and the Cochrane Library
without language restriction. The following search terms
were used: sleep, sleep quality, insomnia, music, music
intervention, music relaxation, music therapy. The reference lists of original and review articles were reviewed to
identify any additional relevant studies.
Studies were included in the meta analysis if they met
the following criteria: (1) a randomized controlled design,
(2) adult population over 18 years of age were involved, (3)
music was applied in a passive way to improve sleep
quality, (4) the sleep quality was assessed using a
subjective or objective method. Studies were excluded
if: (1) participants suffering neurological or severe cognitive disorders were enrolled, (2) active use of music was
used as intervention, such as playing instruments. If

multiple published articles from the same study were

available, only the article with the most detailed information was included.
2.2. Data extraction and study quality
Our primary outcome was the sleep quality which was
assessed using subjective methods such as questionnaire, or
objective methods such as polysomnography. All literature
search results were screened independently by two authors
(W-CF and S-YL) for potentially relevant articles, and
uncertainty or disagreement were resolved by discussion
and consensus. Data extraction was performed using a
standardized protocol and data-collection form. Extracted
data included the rst authors name, year of publication,
study population, the sample size, participants age and
gender, duration of follow-up, the intervention for each
group, method to assess the sleep quality, and result in each
group. Studies were assessed for quality by randomization,
blinding, reporting of withdrawals, generation of random
numbers, and concealment of allocation. Trials scored one
point for each area addressed, with a possible score between
0 and 5 (Moher et al., 1998).
2.3. Statistical analysis
Since continuous data from different scales were
extracted, the standardized mean difference (SMD) was
used as the measure of effect and the results were expressed
as a SMD with 95% condence intervals (CIs). SMD is
calculated by dividing the mean difference in each study by
the studys deviation, which makes the results comparable
across studies. It should be noted that SMD is an index
without unit, and the results of 0.2 are usually interpreted as
small, those of 0.5 as moderate and from 0.8 as large.
The heterogeneity among studies was tested by Qstatistic (signicance level at p < 0.10) and I-statistic
(Higgins et al., 2003). The result of I-statistic is I2, which
describes the percentage of total variation across studies
that is due to heterogeneity rather than due to chance,
where high values of the index (I2 > 50%) indicate the
existence of heterogeneity.
The combined SMD were computed using xed-effects
models with no evidence of signicant heterogeneity. In the
presence of heterogeneity, random-effects models are more
appropriate because they assume that the effect being
estimated in the different studies are not identical. Publication bias was assessed with funnel plots and Egger regression
test (Egger et al., 1997). Sensitivity analysis was performed
to explore the inuence of individual studies by deleting 1
study in each turn. Subgroup analysis was conducted to
assess possible sources of heterogeneity by checking the
heterogeneity between subgroups with different average
ages, geographical locations, or follow-up durations, with
acute or chronic sleep disorders, and with subjective or
objective sleep quality assessing methods. Signicant
heterogeneity between subgroups indicates that the subgroup factor may explain part of the total heterogeneity.
A p-value < 0.05 was considered to be statistically
signicant. All statistical analyses were performed using
Stata software (version 11.0; Stata Corporation, College

C.-F. Wang et al. / International Journal of Nursing Studies 51 (2014) 5162

53

Fig. 1. Flow chart of study selection.

Richards-Campbell Sleep Questionnaire (RCSQ), ve studies used the Pittsburgh Sleep Quality Index (PSQI), another
one study used the Verran and Synder-Halpern (VSH)
sleeping scale, and the remaining study used a visual
analog scale (VAS). Two studies used polysomnography to
measure the quality of sleep. Among the objective sleep
measures that polysomnography supplied, we selected the
sleep efciency (total sleep time/total recording time) as
our primary outcome.

Station, TX) and REVMAN software (version 5.0; Cochrane

Collaboration, Oxford, United Kingdom).
3. Results
3.1. Main features of included studies
Two hundred and twenty-seven articles were obtained
from the initial search. Ten studies involving 557
participants were identied based on our criteria (Chan
et al., 2010; Chang et al., 2012; Harmat et al., 2008;
Hernandez-Ruiz, 2005; Kullich et al., 2003; Lai and Good,
2005; Renzi et al., 2000; Richards, 1998; Ryu et al., 2012;
Zimmerman et al., 1996) (Fig. 1). The excluded studies are
listed in the Appendix. All articles were in English except
one in German. Two studies were found to be published
twice in separate articles (Chan, 2011; Chan et al., 2010;
Lai and Good, 2005, 2006), and the most detailed one was
selected. The characteristics of these studies are presented
in Table 1. Four studies focused on post-operative acute
sleep disorders in hospital with the follow-up durations
less than 4 days. The other 6 studies focused on chronic
sleep disorders, 2 of them with the follow-up durations
between 4 and 5 days and the remaining 4 studies with the
durations between 3 and 4 weeks.
Eight studies used subjective, self-rating scale to
measure the quality of sleep. One study used the

3.2. Music and sleep quality

The outcomes with different methods were not
directly comparable. A high PSQI value means a lower
sleep quality, while a high RCSQ, VSH or SE value means
the opposite. The scores of RCSQ, VSH or SE were
converted by subtracting the real score from the maximum score.
The quality of sleep was improved signicantly by
music (SMD: 0.63; 95% CI: 0.92 to 0.34; Z = 4.24,
p < 0.001; Fig.
2) using random-effect model, with
signicant heterogeneity (I2 = 64%; X2 = 24.88, p = 0.003).
Similar effects were shown between subgroups with acute
or chronic sleep disorders ((I2 = 0%; X2 = 0.40, p = 0.53). The
funnel plot was inspected and found to be roughly
symmetrical, and the Egger regression test also showed
no evidence of signicant publication bias (p = 0.42).

Table 1
Characteristics of included studies.
Author

Year

Age
(mean)

Male (%)

Simple
size

Country

Followup
duration

Participants characteristics

Measure

Quality
score

Zimmerman
Richards
Renzi

1996
1998
2000

67
66
46

68
100
60

96
69
86

USA
USA
Italy

2 days
1 day
1 day

RCSQ
PSG
VAS

2
2
3

Kullich
Hernandez-Ruiz
Lai
Harmat
Chan
Chang
Ryu

2003
2005
2005
2008
2010
2012
2012

48
35
67
23
76
32
61

65
28
60
94
42
50
58

Austria
USA
Taiwan
Hungary
Hong Kong
Taiwan
South Korea

3
5
3
3
4
4
1

In hospital, post-CABG
In hospital, CCU
In hospital, post-anorectal
operation
In stationary rehabilitation
Abused women in shelter
In community
Students in university
In community
Volunteer
In hospital, post-coronary angiography

PSQI
PSQI
PSQI
PSQI
PSQI
PSG
VSH

2
2
4
4
4
4
4

63
0
/*
22
45
6
66

weeks
days
weeks
weeks
weeks
days
day

CABG = Coronary artery bypass grafting; CCU = Coronary care unit; RCSQ = Richards-Campbell Sleep Questionnaire; PSG = Polysomnography; VAS = Visual
analog scale; PAQI = Pittsburgh Sleep Quality Index; VSH = Verran and Synder-Halpern sleeping scale.
* Data were not reported.

C.-F. Wang et al. / International Journal of Nursing Studies 51 (2014) 5162

54

Fig. 2. Forest plot shows difference of sleep quality between participants with music therapy and control group, expressed as standardized mean difference
(SMD).

3.3. Sensitivity and subgroup analysis

4. Discussion

Exclusion of any single study did not materially alter the

overall SMD, with a range from 0.55 (95% CI: 0.83 to
0.28) to 0.72(95% CI: 0.98 to 0.47). No heterogeneity
was found between subgroups with different average ages,
participants from hospital or not, or different geographical
locations. Signicant heterogeneity was presented between
studies with different follow-up durations, and with
subjective or objective sleep quality assessing methods.
Signicant pooled effect was only shown in studies with
follow-up duration shorter than 4 days or longer than 2
weeks, and with subjective methods (Table 2).

This study shows music can help to improve the

quality of sleep in a wild range of populations, including
patients after operation with acute sleep disorders, as
well as students in university and elders in community
with chronic sleep disorders. Similar results were shown
in subgroups with different ages or geographical
locations.
Substantial heterogeneity was observed among all
studies. Subgroup analysis found heterogeneity between
subgroups with objective or subjective methods, and with
different follow-up durations, but not between inpatients
and participants out of hospital. The heterogeneity could
mostly be explained by the negative results in studies
which focused on chronic sleep disorders but with the
follow-up durations less than 3 weeks. Actually, a
cumulative dose effect was showed in four of the included
studies (Chan et al., 2010; Harmat et al., 2008; Kullich et
al., 2003; Lai and Good, 2005), and the effect reached no
plateau after 3 weeks. Previous studies also pointed out
that 3 weeks is a recommended period of time for
observing chronic changes of sleep patterns and the
effects of a new intervention on sleep quality (Chan et
al., 2010). It is a follow-up duration less than 3 weeks that
resulted in the absence of positive efcacy of music
therapy for chronic sleep disorders.
Although the results of objective methods have proved
to be closely related to subjective sleep quality, especially
the index of sleep efciency (Akerstedt et al., 1994;
Kushida et
al., 2001), no tool is available for a
comprehensive assessment of sleep quality with varied
objective indices like the subjective questionnaires, which
may explains the slight heterogeneity between them.
The consistence of results between participants from
different geographical locations implies that music is a

Table 2
Subgroup analyses to explore sources of heterogeneity.
Subgroups

Sleep quality
Studies

SMD (95% CI), p for

heterogeneity

Geographic location
USA and Europe
Asia

6
4

0.65( 0.91 to 0.38)

0.61( 1.03 to 0.08)
p = 0.91

Average age (years)

35
3565
>65

3
3
4

0.47( 1.41 to 0.48)

0.81( 1.29 to 0.33)
0.60( 0.91 to 0.29)
p = 0.72

Follow-up duration
<4 days
4 days to 2 weeks
3 weeks to 4 weeks

4
2
4

0.74( 1.13 to 0.34)

0.02( 0.44 to 0.48)
0.79( 1.21 to 0.37)
p = 0.02

Sleep quality assessing methods

Objective
2
Subjective
8
SMD = standardized mean difference.

0.06( 0.60 to 0.48)

0.77( 1.04 to 0.50)
p = 0.02

C.-F. Wang et al. / International Journal of Nursing Studies 51 (2014) 5162

fundamental aspect of human experience and deeply

ingrained in all cultures. Although some studies in Asia
used traditional music other than western classic music
which was mostly used in other studies, these music
pieces are all characterized by a tempo of 6080 beats per
minute, slow stable rhythm, low-frequency tones, and
soothing and relaxing melodies. Familiarity to the
selected music may improve the compliance which
should be considered when implying the music therapy
(Chi and Young, 2011).
The possible underlying mechanisms are not fully
understood. As to acute sleep disorders, previous evidence
showed that music was effective for pre-operative anxiety
(Beccaloni, 2011; Pittman and Kridli, 2011), as well as postoperative pain (Engwall and Duppils, 2009). The improvement of sleep quality presented in the studies with
postoperative patients can be obviously attributed to the
music-induced relief of anxiety and pain, which may cause
acute sleep disorders. Music acts upon the central nervous
system, especially the deeper, more ancient parts of the
brain such as limbic system. In addition, music also has an
effect on the modulation of endogenous opioids and
oxytocin (Bernatzky et al., 2011), which may contribute to
the efcacy of music therapy for chronic sleep disorders.
However, more researches are needed to explore the
mechanisms of kinds of sleep disorders and how music
affects them in different ways.
Music therapy is low cost and safe, is easy to learn, and
could be used readily by nurses in hospital as well as
health-care professionals in community. For peri-operative patients, nurses can offer sleep-inducing music to help
them sleep and relax. The accidence of chronic sleep
disorders is high in elderly people. Health-care professionals can encourage them to listen to appropriate music
as an alternative self-care skill and provide them with
adequate advice, which may help to improve their quality
of sleep and life. It should be noted that our results were
limited because of the relatively small size of each included
study, and the efcacy of music for sleep disorders should
be tested in larger studies involving populations with acute
or chronic sleep disorders separately.
When music is used to improve sleep quality, the key
issues are the selection of music and the protocol to
conduct the intervention. Although the pieces of music
selected in previous studies shared in some common
characteristics, some studies identied that the efcacy of
music is affected by the listeners enjoyment of music
(Nilsson, 2011) and preferred music has the most
benecial effects (Lai, 2004). There is a need to compare
the different types of music on sleep and investigate how
the music affects sleep in a different way. A comprehensive
list of recommended pieces of music should be developed
in the future research, which can offer a wide range of
selection to meet various preferences. Standard protocol or
guideline to conduct the music therapy has not been
established. Future researches are needed to determine the
preferred duration of music playing, the appropriate time
to play the music before bedtime, and how to make a
comfortable condition which is necessary to ensure the
participants paying all their attention on listening to the
music.

55

4.1. Limitations
There are several limitations to our analysis. First, the
nature of this intervention makes a double-blinding design
impossible. Secondly, the sample size in each study is
relatively small. Thirdly, the quality of some studies is
relatively low. Some earlier studies did not detail the
methods to generate the random numbers and/or declare
the concealment of allocation, which got quality scores 2 or
3. Fourthly, substantial heterogeneity was presented.
Although the major source of heterogeneity was detected
through subgroup analysis, uncontrolled or unmeasured
factors potentially produce bias. Fifthly, the longest followup duration was no more than 4 weeks which left it unclear
that whether the efcacy of music can maintain or even be
better after a longer follow-up. Sixthly, although SMD was
used to pool the results, the difference between various
subjective methods used in studies could still induce a
signicant heterogeneity and bias. Finally, various objective indices were presented by polysomnography, but we
only assessed the sleep efciency which may miss some
other useful information.

5. Conclusion
Music appears to be effective in treating acute and
chronic sleep disorders. It is low cost and safe, and could be
used to improve sleep quality in various populations with
different ages and culture backgrounds, in hospital or in
community. Our study also gives an indication that music
shows a cumulative dose effect for chronic sleep disorders.
A follow-up duration more than three weeks is necessary
for assessing the efcacy of music, which have an
implication for the design of trial evaluating the efcacy
of music therapy for chronic sleep disorders.
Conict of interest: None declared.
Funding: None.
Ethical approval: None.

Appendix 1. List of the excluded articles and the

reasons for exclusion
Wrong exposure
Anseld, M.E., Wegner, D.M., Bowser, R., 1996. Ironic
effects of sleep urgency. Behav. Res. Ther. 34 (7), 523531.
(The effects of low mental load music and high mental load
music were compared.)
Gitanjali, B., 1998. Effect of the Karnatic music raga
Neelambari on sleep architecture. Indian J. Physiol.
Pharmacol. 42 (1), 119122.
(Neelambai rage and Kalyani rage (rage is a kind of classic
Indian Karnatic system of music) were compared.)
Lai, H.L., Li, Y.M., Lee, L.H., 2012. Effects of music
intervention with nursing presence and recorded music on
psycho-physiological indices of cancer patient caregivers. J.
Clin. Nurs. 21 (56), 745756.
(Two music interventions (music with and without nursing
presence) were compared.)

56

C.-F. Wang et al. / International Journal of Nursing Studies 51 (2014) 5162

Levin Ia, I., 1997. [Music of the Brain in the treatment of

insomnia patients]. Zh. Nevrol. Psikhiatr. Im. S S Korsakova 97
(4), 3943.
Levin Ya, I., 1998. Brain music in the treatment of patients
with insomnia. Neurosci. Behav. Physiol. 28 (3), 330335.
(The brain music was investigated in these two studies,
which was created by a program that could transform the
spontaneous bioelectrical activity of the brain to music. The
participants in the exprimental group was treated with their
individual brain music, while the participants in the control
group with other ones music.)
Robinson, S.B., Weitzel, T., Henderson, L., 2005. The Sh-hh-h Project: nonpharmacological interventions. Holist. Nurs.
Pract. 19 (6), 263266.
(A complex intervention was assessed, and music was only a
little part of this intervention.)
Wrong outcome
Bonnet, M.H., Arand, D.L., 2000. The impact of music upon
sleep tendency as measured by the multiple sleep latency test
and maintenance of wakefulness test. Physiol. Behav. 71 (5),
485492.
(The ability to remain awake was used as the outcome.)
Bozcuk, H., Artac, M., Kara, A., Ozdogan, M., Sualp, Y.,
Topcu, Z., Karaagacli, A., Yildiz, M., Savas, B., 2006. Does music
exposure during chemotherapy improve quality of life in
early breast cancer patients? A pilot study. Med. Sci. Monit.
12 (5), CR200205.
(The outcome was the quality of life.)
de Niet, G., Tiemens, B., van Achterberg, T., Hutschemaekers, G., 2011. Applicability of two brief evidence-based
interventions to improve sleep quality in inpatient mental
health care. Int. J. Ment. Health Nurs. 20 (5), 319327.
(The appliability of music therapy was assessed.)
Diaz, M., Larsen, B., 2005. Preparing for successful surgery:
an implementation study. Perm. J. 9 (3), 2327.
(Postoperative pain and perioperative anxity but not the
qulity of sleep were evaluated.)
Iwaki, T., Tanaka, H., Hori, T., 2003. The effects of preferred
familiar music on falling asleep. J. Music Ther. 40 (1), 1526.
(The purpose of this study was to examine whether or not
listening to music promotes falling sleep. The quality of sleep was
not assessed.)
Wrong population
de Niet, G., Tiemens, B., Hutschemaekers, G., 2010. Can
mental healthcare nurses improve sleep quality for inpatients? Br. J. Nurs. 19 (17), 11001105.
(The participants were all with severe mental health
problems and in psychiatric admission ward.)
Tan, L.P., 2004. The effects of background music on quality
of sleep in elementary school children. J. Music Ther. 41 (2),
128150.
(Elementary school children were involved in this study.)
Self-control design
Bloch, B., Reshef, A., Vadas, L., Haliba, Y., Ziv, N., Kremer, I.,
Haimov, I., 2010. The effects of music relaxation on sleep
quality and emotional measures in people living with
schizophrenia. J. Music Ther. 47 (1), 2752.
Hughes, C.M., McCullough, C.A., Bradbury, I., Boyde, C.,
Hume, D., Yuan, J., Quinn, F., McDonough, S.M., 2009.
Acupuncture and reexology for insomnia: a feasibility
study. Acupunct. Med. 27 (4), 163168.

Johnson, J.E., 2003. The use of music to promote sleep in

older women. J. Community Health Nurs. 20 (1), 2735.
Lazic, S.E., Ogilvie, R.D., 2007. Lack of efcacy of music to
improve sleep: a polysomnographic and quantitative EEG
analysis. Int. J. Psychophysiol. 63 (3), 232239.
Mornhinweg, G.C., Voignier, R.R., 1995. Music for
sleep disturbance in the elderly. J. Holist. Nurs. 13 (3),
248254.
Ziv, N., Rotem, T., Arnon, Z., Haimov, I., 2008. The effect of
music relaxation versus progressive muscular relaxation on
insomnia in older people and their relationship to personality
traits. J. Music Ther. 45 (3), 360380.
Review
de Niet, G., Tiemens, B., Lendemeijer, B., Hutschemaekers,
G., 2009. Music-assisted relaxation to improve sleep quality:
meta-analysis. J. Adv. Nurs. 65 (7), 13561364.
De Niet, G.J., Tiemens, B.G., Kloos, M.W., Hutschemaekers,
G.J., 2009. Review of systematic reviews about the efcacy of
non-pharmacological interventions to improve sleep quality
in insomnia. Int. J. Evid Based Healthc 7 (4), 233242.
Hellstrom, A., Willman, A., 2011. Promoting sleep by
nursing interventions in health care settings: a systematic
review. Worldviews Evid Based Nurs. 8 (3), 128142.
Kozasa, E.H., Hachul, H., Monson, C., Pinto Jr, L., Garcia,
M.C., Mello, L.E., Tuk, S., 2010. Mind-body interventions for
the treatment of insomnia: a review. Rev. Bras. Psiquiatr. 32
(4), 437443.
Kwekkeboom, K.L., Cherwin, C.H., Lee, J.W., Wanta, B.,
2010. Mind-body treatments for the pain-fatigue-sleep
disturbance symptom cluster in persons with cancer. J. Pain
Symptom Manage. 39 (1), 126138.
Not relevant based on Abstract
Ambesh, S.P., Kumar, A., Sarkar, P., Bajaj, A., 1991.
Emergence phenomena after ketamine anesthesia: the
inuence of music. Can. J. Anaesth. 38 (6), 800.
Aritake-Okada, S., Kaneita, Y., Uchiyama, M., Mishima, K.,
Ohida, T., 2009. Non-pharmacological self-management of
sleep among the Japanese general population. J. Clin. Sleep
Med. 5 (5), 464469.
Arnon, S., Shapsa, A., Forman, L., Regev, R., Bauer, S.,
Litmanovitz, I., Doln, T., 2006. Live music is benecial to
preterm infants in the neonatal intensive care unit environment. Birth 33 (2), 131136.
Azad, N., Byszewski, A., Sarazin, F.F., McLean, W., Koziarz,
P., 2003. Hospitalized patients preference in the treatment of
insomnia: pharmacological versus non-pharmacological.
Can. J. Clin. Pharmacol. 10 (2), 8992.
Bagnall, A.D., McCulloch, K., 2005. The impact of specic
exertion on the efciency and ease of the voice: a pilot study.
J. Voice 19 (3), 384390.
Bellieni, C.V., Cordelli, D.M., Bagnoli, F., Buonocore, G.,
2004. 11- to 15-Year-old children of women who danced
during their pregnancy. Biol. Neonate 86 (1), 6365.
Bentes, C., Pimentel, J., Costa, J., Santos, R., Rolo, V., 2008.
Ictal singing: case report and reappraisal of the literature.
Epileptic Disord. 10 (2), 113118.
Bettermann, H., Amponsah, D., Cysarz, D., van
Leeuwen, P., 1999. Musical rhythms in heart period
dynamics: a cross-cultural and interdisciplinary approach
to cardiac rhythms. Am. J. Physiol. 277 (5 Pt 2), H1762
1770.

C.-F. Wang et al. / International Journal of Nursing Studies 51 (2014) 5162

Beullens, J., 1995. [Light therapy can restore a disturbed

sleep/wake rhythm in dementia: but what is the basis
of its efcacy?]. Tijdschr. Gerontol. Geriatr. 26 (6),
264269.
Blom, J.D., Sommer, I.E., 2010. Auditory hallucinations:
nomenclature and classication. Cogn. Behav. Neurol. 23 (1),
5562.
Bonnefond, A., Tassi, P., Roge, J., Muzet, A., 2004. A critical
review of techniques aiming at enhancing and sustaining
workers alertness during the night shift. Ind. Health 42 (1), 1
14.
Borchgrevink, H.M., 2003. Does health promotion work in
relation to noise? Noise Health 5 (18), 2530.
Bouhairie, A., Kemper, K.J., Martin, K., Woods, C., 2006.
Staff attitudes and expectations about music therapy:
pediatric oncology versus neonatal intensive care unit. J.
Soc. Integr. Oncol. 4 (2), 7174.
Briggs, T., 2011. Musics unspoken messages. Creat. Nurs.
17 (4), 184186.
Brown, D.L., Zahuranec, D.B., Majersik, J.J., Wren, P.A.,
Gruis, K.L., Zupancic, M., Lisabeth, L.D., 2009. Risk of sleep
apnea in orchestra members. Sleep Med. 10 (6), 657660.
Browne, R.A., Catton, D.V., 1973. Awareness during
anesthesia: a comparison of anesthesia with nitrous oxideoxygen and nitrous oxide-oxygen with innovar. Can. Anaesth.
Soc. J. 20 (6), 763768.
Browne, R.A., Catton, D.V., 1973. A study of awareness
during anesthesia. Anesth. Analg. 52 (1), 128132.
Browning, G.G., 2006. Another interesting but preliminary
study. Clin. Otolaryngol. 31 (3), 214215.
Brunborg, G.S., Mentzoni, R.A., Molde, H., Myrseth, H.,
Skouveroe, K.J., Bjorvatn, B., Pallesen, S., 2011. The relationship between media use in the bedroom, sleep habits and
symptoms of insomnia. J Sleep Res. 20 (4), 569575.
Buxton, O.M., Ellenbogen, J.M., Wang, W., Carballeira, A.,
OConnor, S., Cooper, D., Gordhandas, A.J., McKinney, S.M.,
Solet, J.M., 2012. Sleep Disruption Due to Hospital Noises: A
Prospective Evaluation. Ann. Intern. Med.
Cai, G.R., Li, P.W., Jiao, L.P., 2001. [Clinical observation of
music therapy combined with anti-tumor drugs in treating
116 cases of tumor patients]. Zhongguo Zhong Xi Yi Jie He Za
Zhi 21 (12), 891894.
Cain, N., Gradisar, M., 2010. Electronic media use and
sleep in school-aged children and adolescents: A review.
Sleep Med. 11 (8), 735742.
Cairney, S.A., Durrant, S.J., Musgrove, H., Lewis, P.A., 2011.
Sleep and environmental context: interactive effects for
memory. Exp. Brain Res. 214 (1), 8392.
Carlson, L.E., Bultz, B.D., 2008. Mind-body interventions in
oncology. Curr. Treat Options Oncol. 9 (23), 127134.
Carpenter, A., 2010. Toward a history of operatic
psychoanalysis. Psychoanal. Hist. 12 (2), 173194.
Carta, S., 2009. Music in dreams and the emergence of the
self. J. Anal. Psychol. 54 (1), 85102.
Cevasco, A.M., Grant, R.E., 2005. Effects of the pacier
activated lullaby on weight gain of premature infants. J.
Music Ther. 42 (2), 123139.
Chang, F.Y., Huang, H.C., Lin, K.C., Lin, L.C., 2010. The effect
of a music programme during lunchtime on the problem
behavior of the older residents with dementia at an
institution in Taiwan. J. Clin. Nurs. 19 (78), 939948.

57

Chaput, J.P., Klingenberg, L., Astrup, A., Sjodin, A.M., 2011.

Modern sedentary activities promote overconsumption of
food in our current obesogenic environment. Obes. Rev. 12
(5), e1220.
Chau, J.Y., Merom, D., Grunseit, A., Rissel, C., Bauman, A.E.,
van der Ploeg, H.P., 2012. Temporal trends in nonoccupational sedentary behaviors from Australian Time
Use Surveys 1992, 1997 and 2006. Int. J. Behav. Nutr. Phys.
Act 9, 76.
Cheng, T.O., 2001. Brahms illness. Chest 119 (3), 985986.
Chessick, R.D., 1983. The Ring: Richard Wagners dream
of pre-oedipal destruction. Am. J. Psychoanal. 43 (4), 361
374.
Chilvers, R., Corr, S., Singlehurst, H., 2010. Investigation
into the occupational lives of healthy older people through
their use of time. Aust. Occup. Ther. J. 57 (1), 2433.
Cleland, C.C., Swartz, J.D., 1970. The blind retardate three
program suggestions. Train. Sch. Bull. (Vinel) 67 (3), 172177.
Cohen, D.B., 1977. Changes in rem dream content during
the night: implications for a hypothesis about changes in
cerebral dominance across rem periods. Percept. Mot. Skills
44 (3 Pt 2), 12671277.
Connolly, A., 2009. Tradition and the analytical setting: is
there any space for originality in our clinical practice?
Introduction to the Panel. J. Anal. Psychol. 54 (1), 8183.
Corbin, E.I., 1974. The autonomous ego functions in
creativity. J. Am. Psychoanal. Assoc. 22 (3), 568587.
Crichton, P., 1994. Freud and Wagners Meistersinger. J. R.
Soc. Med. 87 (12), 767768.
Cudennec, Y.F., Fratta, A., Poncet, J.L., Rondet, P., Buffe, P.,
1990. [Effects of loud music on the Garde Republicaine
musicians]. Ann. Otolaryngol. Chir. Cervicofac. 107 (6), 393400.
Cuevas Sosa, A., 1979. [The devils trine sonata. Semiology
of dreams of the sick]. Prensa Med. Mex. 43 (12), 2224.
Czabak-Garbacz, R., Skibniewska, A., Mazurkiewicz, P.,
Wisowska, A., 2002. [Hygiene during leisure time among
third year students from the Department of Nursing and
Health Sciences]. Rocz Panstw Zakl Hig 53 (2), 203211.
da Silva Sousa, P., Lin, K., Garzon, E., Sakamoto, A.C.,
Yacubian, E.M., 2005. Self-perception of factors that precipitate or inhibit seizures in juvenile myoclonic epilepsy.
Seizure 14 (5), 340346.
Davis, W.B., 2012. The rst systematic experimentation in
music therapy: the genius of James Leonard Corning. J. Music
Ther. 49 (1), 102117.
DeJesus, S.A., Diaz, V.A., Gonsalves, W.C., Carek, P.J., 2011.
Identication and treatment of depression in minority
populations. Int. J. Psychiatry Med. 42 (1), 6983.
Deylgat, B., Van Lysebeth, L., Brugman, E., Ceuppens, H.,
2011. A tennis ball and music as a patients solution for
pulsatile tinnitus. Acta Chir. Belg. 111 (4), 253255.
Diaz de Chumaceiro, C.L., 1990. The identication of
Wagners Der iegende Hollander in a dream Freud reported.
Am. J. Psychoanal. 50 (4), 337350.
Eggermont, S., Van den Bulck, J., 2006. Nodding off or
switching off? The use of popular media as a sleep aid in
secondary-school children. J. Paediatr. Child Health 42 (78),
428433.
Elger, B.S., 2009. Prison life: television, sports, work, stress
and insomnia in a remand prison. Int. J. Law Psychiatry 32 (2),
7483.

58

C.-F. Wang et al. / International Journal of Nursing Studies 51 (2014) 5162

Elkins, G., Fisher, W., Johnson, A., 2010. Mind-body

therapies in integrative oncology. Curr. Treat Options Oncol.
11 (34), 128140.
Faber, J., Vladyka, V., Subrt, O., 1991. [Consciousness and
the electroencephalogram]. Sb Lek 93 (78), 239248.
Faure, H., Frances, R., Igert, C., 1958. [Musical stimulation
during sleep therapy; experimental study & an attempt at its
therapeutic application]. Ann. Med. Psychol. (Paris) 2 (4),
692733.
Fenwick, P.B., Donaldson, S., Gillis, L., Bushman, J., Fenton,
G.W., Perry, I., Tilsley, C., Seranowicz, H., 1977. Metabolic
and EEG changes during transcendental meditation: an
explanation. Biol. Psychol. 5 (2), 101118.
Field, T., Pickens, J., Prodromidis, M., Malphurs, J., Fox, N.,
Bendell, D., Yando, R., Schanberg, S., Kuhn, C., 2000. Targeting
adolescent mothers with depressive symptoms for early
intervention. Adolescence 35 (138), 381414.
Fletcher, D.J., 1986. Coping with insomnia. Helping
patients manage sleeplessness without drugs. Postgrad.
Med. 79 (2), 265274.
Forster, F.M., Booker, H.E., Gascon, G., 1967. Conditioning in
musicogenic epilepsy. Trans Am Neurol. Assoc. 92, 236237.
Furihata, R., Uchiyama, M., Takahashi, S., Konno, C.,
Suzuki, M., Osaki, K., Kaneita, Y., Ohida, T., 2011. Self-help
behaviors for sleep and depression: a Japanese nationwide
general population survey. J. Affect Disord. 130 (12), 7582.
Gaab, N., Paetzold, M., Becker, M., Walker, M.P., Schlaug,
G., 2004. The inuence of sleep on auditory learning: a
behavioral study. Neuroreport 15 (4), 731734.
Gabbard, G.O., Collins, D.T., 1989. Wagners midsummer
nights dream. Psychoanal. Rev. 76 (4), 543556.
Gadberry, A.L., 2011. Steady beat and state anxiety. J.
Music Ther. 48 (3), 346356.
Gagner-Tjellesen, D., Yurkovich, E.E., Gragert, M., 2001.
Use of music therapy and other ITNIs in acute care. J.
Psychosoc. Nurs. Ment. Health Serv. 39 (10), 2637.
Geoghan, D.A., 2008. Understanding palliative nursing
care. J. Pract. Nurs. 58 (1), 69; quiz 1011.
Godlee, F., 1992. Noise: breaking the silence. BMJ 304
(6819), 110113.
Gordon, A.G., 2001. Musical snoring. Chest 119 (5), 1621
1622.
Gorne, T., Assaf, Y., Goshen-Gottstein, Y., Yeshurun, Y.,
Zisapel, N., 2006. Sleep-anticipating effects of melatonin in
the human brain. Neuroimage 31 (1), 410418.
Granier-Deferre, C., Bassereau, S., Ribeiro, A., Jacquet, A.Y.,
Decasper, A.J., 2011. A melodic contour repeatedly experienced by human near-term fetuses elicits a profound cardiac
reaction one month after birth. PLoS ONE 6 (2), e17304.
Granier-Deferre, C., Ribeiro, A., Jacquet, A.Y., Bassereau, S.,
2011. Near-term fetuses process temporal features of speech.
Dev. Sci. 14 (2), 336352.
Graven, S.N., 2000. Sound and the developing infant in the
NICU: conclusions and recommendations for care. J. Perinatol. 20 (8 Pt 2), S8893.
Gruzelier, J., 2009. A theory of alpha/theta neurofeedback,
creative performance enhancement, long distance functional
connectivity and psychological integration. Cogn. Process. 10
(Suppl 1), S101109.
Hagberg, C., Hagberg, M., Kopp, S., 1994. Musculoskeletal
symptoms and psychosocial factors among patients with

craniomandibular disorders. Acta Odontol. Scand. 52 (3),

170177.
Halstead, M.T., Roscoe, S.T., 2002. Restoring the spirit at
the end of life: music as an intervention for oncology nurses.
Clin. J. Oncol. Nurs. 6 (6), 332336.
Herbert, J.C., 2006. The analytic pair in action nding the
missing mental life: an intersubjective approach. Psychoanal
Study Child 61, 2055.
Hershkowitz, M., 2007. Dreams in neurological diseases.
Med. Health R I 90 (3), 100.
Hung, H.M., Chen, C.H., 2011. [Using alternative therapies
in treating sleep disturbance]. Hu Li Za Zhi 58 (1), 7378.
Huppmann, G., Strobel, W., 1977. [Possibilities of music
therapy in internal medicine]. Med. Klin. 72 (5152), 2186
2199.
Jacobs, G.D., Friedman, R., 2004. EEG spectral analysis of
relaxation techniques. Appl. Psychophysiol. Biofeedback 29
(4), 245254.
Jenkins, J.L., Fredericksen, K., Stone, R., Tang, N., 2007.
Strategies to improve sleep during extended search and
rescue operations. Prehosp. Emerg. Care 11 (2), 230233.
Johnson, C.R., Babbitt, R.L., 1993. Antecedent manipulation in the treatment of primary solid food refusal. Behav.
Modif. 17 (4), 510521.
Joseph, R., 1988. The right cerebral hemisphere: emotion,
music, visual-spatial skills, body-image, dreams, and awareness. J. Clin. Psychol. 44 (5), 630673.
Kaser, V.A., 1986. The effects of an auditory subliminal
message upon the production of images and dreams. J. Nerv.
Ment. Dis. 174 (7), 397407.
Kemper, K., Martin, K., Block, S.M., Shoaf, R., Woods, C.,
2004. Attitudes and expectations about music therapy for
premature infants among staff in a neonatal intensive care
unit. Altern. Ther. Health Med. 10 (2), 5054.
Khalsa, S.B., Cope, S., 2006. Effects of a yoga lifestyle
intervention on performance-related characteristics of
musicians: a preliminary study. Med. Sci. Monit. 12 (8),
CR325331.
Khalsa, S.B., Shorter, S.M., Cope, S., Wyshak, G., Sklar, E.,
2009. Yoga ameliorates performance anxiety and mood
disturbance in young professional musicians. Appl. Psychophysiol. Biofeedback 34 (4), 279289.
Kirsch, I., 1997. Fanciful interpretations of a musical
dream. Am. J. Clin. Hypn. 39 (4), 281282.
Kirsch, I., 1997. Hypnotic suggestion: a musical mathaphor. Am. J. Clin. Hypn. 39 (4), 271277; discussion 277281.
Klapahouk, M.F., 1968. [Franz Schuberts dream. On the
relations between dreams and artistic creation: the
esthetic function of the ego]. Encephale 57 (2), 143180
concl.
Klapahouk, M.F., 1968. [Franz Schuberts dream. On the
relations between the dream and artistic creation: the
esthetic function of the ego]. Encephale 57 (1), 5197 contd.
Kneutgen, J., 1970. [A form of music and its biological
function. Mode of action of the lullaby]. Z Exp. Angew.
Psychol. 17 (2), 245265.
Kneutgen, J., 1971. [Some requirements for effective
music therapy]. Z Klin. Psychol. Psychother. 19 (4), 323353.
Kondo, M., Tokura, H., Wakamura, T., Hyun, K.J., Tamotsu,
S., Morita, T., Oishi, T., 2009. Inuences of twilight on diurnal
variation of core temperature, its nadir, and urinary

C.-F. Wang et al. / International Journal of Nursing Studies 51 (2014) 5162

6-hydroxymelatonin sulfate during nocturnal sleep and

morning drowsiness. Coll. Antropol. 33 (1), 193199.
Koszarny, Z., 2001. [The estimate of well-being and selfassessed health status in urban population in various acoustic
areas]. Rocz Panstw Zakl Hig 52 (2), 165178.
Kotilahti, K., Nissila, I., Nasi, T., Lipiainen, L., Noponen, T.,
Merilainen, P., Huotilainen, M., Fellman, V., 2010. Hemodynamic responses to speech and music in newborn infants.
Hum. Brain Mapp. 31 (4), 595603.
Kreuter, M., Kreuter, C., Herth, F., 2008. [Pneumological
aspects of wind instrument performance physiological,
pathophysiological and therapeutic considerations]. Pneumologie 62 (2), 8387.
Kroth, J., Lamas, J., Pisca, N., Bourret, K., Kollath, M., 2008.
Retrospective dream components and musical preferences.
Psychol. Rep. 103 (1), 9396.
Kumar, A., Bajaj, A., Sarkar, P., Grover, V.K., 1992. The effect
of music on ketamine induced emergence phenomena.
Anesthesia 47 (5), 438439.
Laberge, L., Petit, D., Simard, C., Vitaro, F., Tremblay, R.E.,
Montplaisir, J., 2001. Development of sleep patterns in early
adolescence. J. Sleep Res. 10 (1), 5967.
Lai, H.L., Chen, C.J., Peng, T.C., Chang, F.M., Hsieh, M.L.,
Huang, H.Y., Chang, S.C., 2006. Randomized controlled trial of
music during kangaroo care on maternal state anxiety and
preterm infants responses. Int. J. Nurs. Stud. 43 (2), 139146.
Last, G., 1973. [Therapy of sleep disorders using cradlesongs. Chemistry-sleep or sleep music?]. Ther. Ggw 112 (7),
11071109 passim.
Last, G., Kneutgen, J., 1970. [Music for sleep]. Munch Med.
Wochenschr 112 (44), 20112016.
Lee, H.P., Su, Y.C., Hou, S.Y., 2009. [The application of
relaxation techniques and biofeedback to an outpatient with
depression disorder: a nurses experience]. Hu Li Za Zhi 56
(6), 101108.
Lin, L.C., Lee, W.T., Wu, H.C., Tsai, C.L., Wei, R.C., Jong, Y.J.,
Yang, R.C., 2010. Mozart K.448 and epileptiform discharges:
effect of ratio of lower to higher harmonics. Epilepsy Res. 89
(23), 238245.
Liou, C.M., Kang, H.M., Lai, H.C., Liu, Y.C., Hung, C.J., Wang,
S.J., Tso, H.S., 1994. Will epidural with light general
anesthesia increase the incidence of awareness with recall
or dream postoperatively. Acta Anaesthesiol. Sin. 32 (4), 229
236.
Loewy, J., Hallan, C., Friedman, E., Martinez, C., 2005.
Sleep/sedation in children undergoing EEG testing: a
comparison of chloral hydrate and music therapy. J.
Perianesth. Nurs. 20 (5), 323332.
Loewy, J., Hallan, C., Friedman, E., Martinez, C., 2006.
Sleep/sedation in children undergoing EEG testing: a
comparison of chloral hydrate and music therapy. Am. J.
Electroneurodiagnostic Technol. 46 (4), 343355.
Mabuchi, K., Hayashi, S., Nitta, E., Takamori, M., 1995.
[Auditory disturbance induced by carbamazepine administration in a patient with secondary generalized seizure].
Rinsho Shinkeigaku 35 (5), 553555.
Mancia, M., 2003. Dream actors in the theater of memory:
their role in the psychoanalytic process. Int J. Psychoanal. 84
(Pt 4), 945952.
Margetts, E.L., 1968. African ethnopsychiatry in the eld.
Can. Psychiatr. Assoc. J. 13 (6), 521538.

59

Margoliash, D., 2001. Neuroscience. The song does not

remain the same. Science 291 (5513), 25592561.
Margolis, M.L., 2000. Brahms lullaby revisited. Did the
composer have obstructive sleep apnea? Chest 118 (1), 210
213.
Matsumoto, K., Kaku, R., Nakagawa, K., Kaneko, Z., 1975.
Private school activities and psychosomatic problems in
Japanese children. Child Psychiatry Hum. Dev. 5 (3), 161
165.
Menecier, P., Texier, M.A., Las, R., Ploton, L., 2012. [Can one
talk of benzodiazepine drunkenness? About acute benzodiazepine intoxication, without suicidal or mortiferous
tendencies]. Encephale 38 (1), 2530.
Meng, X., Xu, J., Gu, F., 2001. Generalized dimension of the
intersection between EEGs. Biol. Cybern. 85 (4), 313318.
Merluzzi, F., Arpini, A., Camerino, D., Barducci, M.,
Marazzi, P., 1997. [Auditory thresholds in young Italians
from 1819 years of age]. Med. Lav. 88 (3), 183195.
Meszaros, I., Szabo, C., Csako, R.I., 2002. Hypnotic
susceptibility and alterations in subjective experiences. Acta
Biol. Hung. 53 (4), 499514.
Morgan, A.J., Jorm, A.F., 2008. Self-help interventions for
depressive disorders and depressive symptoms: a systematic
review. Ann. Gen. Psychiatry 7, 13.
Morin, C.M., LeBlanc, M., Daley, M., Gregoire, J.P., Merette,
C., 2006. Epidemiology of insomnia: prevalence, self-help
treatments, consultations, and determinants of help-seeking
behaviors. Sleep Med. 7 (2), 123130.
Muller-Schwefe, G.H., 2011. European survey of chronic
pain patients: results for Germany. Curr. Med. Res. Opin. 27
(11), 20992106.
Neander, K.D., 2004. [Using music in postoperative
nursing: between day and dream]. Pege Z 57 (2), 129132.
Newman, B.Y., 2007. Music in the night or eine kleine
nachtmusik. Optometry 78 (10), 508.
Nurit, W., Michal, A.B., 2003. Rest: a qualitative exploration of the phenomenon. Occup. Ther. Int. 10 (4), 227238.
Odescalchi, C.P., 1970. [Extra-auditory effects of noise.
Noise and work production. Industrial music]. Med. Lav. 61
(12), 629644.
Oehler, J.M., 1993. Developmental care of low birth weight
infants. Nurs. Clin. North Am. 28 (2), 289301.
Ogata, S., 1995. Human EEG responses to classical music
and simulated white noise: effects of a musical loudness
component on consciousness. Percept. Mot. Skills 80 (3 Pt 1),
779790.
Olischar, M., Shoemark, H., Holton, T., Weninger, M., Hunt,
R.W., 2011. The inuence of music on aEEG activity in
neurologically healthy newborns > / = 32 weeks gestational
age. Acta Paediatr. 100 (5), 670675.
Omlin, S., Bauer, G.F., Brink, M., 2011. Effects of noise from
non-trafc-related ambient sources on sleep: review of the
literature of 19902010. Noise Health 13 (53), 299309.
Paci, A., Migliaccio, P., Paci, G., 1999. [Occult child abuse
(opinions, considerations, personal observations)]. Pediatr.
Med. Chir. 21 (6), 249253.
Padilla, R., 2011. Effectiveness of environment-based
interventions for people with Alzheimers disease and related
dementias. Am. J. Occup. Ther. 65 (5), 514522.
Park, J.S., 1992. [A study on Korean concepts of relaxation].
Taehan Kanho 31 (56), 7085.

60

C.-F. Wang et al. / International Journal of Nursing Studies 51 (2014) 5162

Paulson, J.F., Dauber, S., Leiferman, J.A., 2006. Individual

and combined effects of postpartum depression in mothers
and fathers on parenting behavior. Pediatrics 118 (2), 659
668.
Payk, T.R., 1994. Treatment of depression. J. Geriatr.
Psychiatry Neurol. 7 (Suppl 1), S35.
Pea, R., Nass, C., Meheula, L., Rance, M., Kumar, A.,
Bamford, H., Nass, M., Simha, A., Stillerman, B., Yang, S., Zhou,
M., 2012. Media use, face-to-face communication, media
multitasking, and social well-being among 8- to 12-year-old
girls. Dev. Psychol. 48 (2), 327336.
Proudfoot, J., Whitton, A., Parker, G., Doran, J., Manicavasagar, V., Delmas, K., 2012. Triggers of mania and depression
in young adults with bipolar disorder. J. Affect Disord.
Puhan, M.A., Suarez, A., Lo Cascio, C., Zahn, A., Heitz, M.,
Braendli, O., 2006. Didgeridoo playing as alternative treatment for obstructive sleep apnoea syndrome: randomized
controlled trial. BMJ 332 (7536), 266270.
Qidwai, W., Ishaque, S., Shah, S., Rahim, M., 2010.
Adolescent lifestyle and behavior: a survey from a developing
country. PLoS ONE 5 (9), e12914.
Reinhardt, U., 1999. [Investigations into synchronization
of heart rate and musical rhythm in a relaxation therapy in
patients with cancer pain]. Forsch Komplementarmed 6 (3),
135141.
Rey de Castro, J., Gallo, J., Loureiro, H., 2004. [Tiredness
and sleepiness in bus drivers and road accidents in Peru: a
quantitative study]. Rev. Panam Salud Publica 16 (1), 1118.
Richards, K., Nagel, C., Markie, M., Elwell, J., Barone, C.,
2003. Use of complementary and alternative therapies to
promote sleep in critically ill patients. Crit. Care Nurs. Clin.
North Am. 15 (3), 329340.
Richards, K.C., 1996. Sleep promotion. Crit. Care Nurs. Clin.
North Am. 8 (1), 3952.
Rittenberg, S.M., 1987. On charm. Int. J. Psychoanal. 68 (Pt
3), 389396.
Riva, M.A., Sironi, V.A., Tremolizzo, L., Lombardi, C., De
Vito, G., Ferrarese, C., Cesana, G., 2010. Sleepwalking in Italian
operas: a window on popular and scientic knowledge on
sleep disorders in the 19th century. Eur. Neurol. 63 (2), 116
121.
Rockland, L.H., 1970. What Kind of Fool Am I? A study of
popular songs in the analysis of a male hysteric. Psychiatry 33
(4), 516525.
Romanowska, J., Larsson, G., Eriksson, M., Wikstrom, B.M.,
Westerlund, H., Theorell, T., 2011. Health effects on leaders
and co-workers of an art-based leadership development
program. Psychother. Psychosom. 80 (2), 7887.
Rupprecht, C.S., 1990. Our unacknowledged ancestors:
dream theorists of antiquity, the middle ages, and the
renaissance. Psychiatr. J. Univ. Ott. 15 (2), 117122.
Rutter, S., Waring-Paynter, K., 1992. Prebedtime activity
and sleep satisfaction of short and long sleepers. Percept Mot
Skills 75 (1), 122.
Sambeth, A., Ruohio, K., Alku, P., Fellman, V., Huotilainen,
M., 2008. Sleeping newborns extract prosody from continuous speech. Clin. Neurophysiol. 119 (2), 332341.
Sarnoff, C.A., 1972. Symbols in shadows. A study of
shadows in dreams. J. Am. Psychoanal. Assoc. 20 (1), 5991.
Schlez, A., Litmanovitz, I., Bauer, S., Doln, T., Regev, R.,
Arnon, S., 2011. Combining kangaroo care and live harp music

therapy in the neonatal intensive care unit setting. Isr. Med.

Assoc. J. 13 (6), 354358.
Schwitzgebel, E., 2003. Do people still report dreaming in
black and white? An attempt to replicate a questionnaire
from 1942. Percept. Mot. Skills 96 (1), 2529.
Seidner, W., 1968. [On the problem of associative
stimulation of acoustic dreams. (Observations on musicians)]. Psychiatr. Neurol. Med. Psychol. (Leipz) 20 (12), 449
454.
Sherry, D.D., 2008. Amplied musculoskeletal pain:
treatment approach and outcomes. J. Pediatr. Gastroenterol.
Nutr. 47 (5), 693694.
Sidorenko, V.N., 2000. Clinical application of Medical
Resonance Therapy Music in high-risk pregnancies. Integr.
Physiol. Behav. Sci. 35 (3), 199207.
Sieratzki, J.S., Calvert, G.A., Brammer, M., David, A., Woll,
B., 2001. Accessibility of spoken, written, and sign language in
Landau-Kleffner syndrome: a linguistic and functional MRI
study. Epileptic Disord. 3 (2), 7989.
Sierra, M., Berrios, G.E., 1999. Flashbulb memories and
other repetitive images: a psychiatric perspective. Compr.
Psychiatry 40 (2), 115125.
Skingley, A., Vella-Burrows, T., 2010. Therapeutic effects
of music and singing for older people. Nurs. Stand. 24 (19),
3541.
Sliwka, A., Jarosz, A., Nowobilski, R., 2006. [Music therapy
as a part of complex healing]. Pol. Merkur. Lekarski 21 (124),
401405.
Smith, C.E., Dauz, E., Clements, F., Werkowitch, M.,
Whitman, R., 2009. Patient education combined in a music
and habit-forming intervention for adherence to continuous
positive airway (CPAP) prescribed for sleep apnea. Patient
Educ. Couns. 74 (2), 184190.
Stewart, A.C., Thomas, S.E., 1995. Hypnotherapy as a
treatment for atopic dermatitis in adults and children. Br. J.
Dermatol. 132 (5), 778783.
Strunz, F., 1986. [The salvation dream of Richard Wagner].
Psyche (Stuttg) 40 (6), 557562.
Stuck, A., Clark, M.J., Connelly, C.D., 2011. Preventing
intensive care unit delirium: a patient-centered approach to
reducing sleep disruption. Dimens. Crit. Care Nurs. 30 (6),
315320.
Subha, D.P., Joseph, P.K., Acharya, U.R., Lim, C.M., 2010.
EEG signal analysis: a survey. J. Med. Syst. 34 (2), 195212.
Sung, H.C., Chang, A.M., Abbey, J., 2006. [Application of
music therapy for managing agitated behavior in older
people with dementia]. Hu Li Za Zhi 53 (5), 5862.
Svalduz, S., 1975. [Today infants fall asleep listening to the
music of the heart]. Minerva Med. 66 (68 Suppl), 3436.
Tamplin, J., Brazzale, D.J., Pretto, J.J., Ruehland, W.R.,
Buttifant, M., Brown, D.J., Berlowitz, D.J., 2011. Assessment of
breathing patterns and respiratory muscle recruitment
during singing and speech in quadriplegia. Arch. Phys.
Med. Rehabil. 92 (2), 250256.
Theorell, T., Nordemar, R., Michelsen, H., 1993. Pain
thresholds during standardized psychological stress in
relation to perceived psychosocial work situation. Stockholm
Music I Study Group. J. Psychosom. Res. 37 (3), 299305.
Theorell, T., Schuldt, C., Ekholm, J., Michelsen, H., 1995.
Physical strength and endurance in relation to perceived
psychosocial work environment, sleep disturbance and

C.-F. Wang et al. / International Journal of Nursing Studies 51 (2014) 5162

coping strategies in men. Stockholm MUSIC I (MUsculoSkeletal Intervention Center) Study Group, Stockholm. Scand.
J. Rehabil. Med. 27 (2), 6771.
Thomlinson, E., McDonagh, M.K., Crooks, K.B., Lees, M.,
2004. Health beliefs of rural Canadians: implications for
practice. Aust. J. Rural Health 12 (6), 258263.
Tracy, M.F., Chlan, L., 2011. Nonpharmacological interventions to manage common symptoms in patients receiving
mechanical ventilation. Crit. Care Nurse 31 (3), 1928.
Travis, F., Harung, H.S., Lagrosen, Y., 2011. Moral
development, executive functioning, peak experiences and
brain patterns in professional and amateur classical musicians: interpreted in light of a Unied Theory of Performance.
Conscious Cogn. 20 (4), 12561264.
Tryba, M., 1996. Choices in sedation: the balanced
sedation technique. Eur. J. Anaesthesiol. (Suppl 13), 812;
discussion 2215.
Tsenova, B., 1996. [Regulative music therapy and training
as a means for enhancing adaptive potentials and for
overcoming fatigue and stress]. Probl. Khig. 21, 4451.
Tung, A., Tadimeti, L., Caruana-Montaldo, B., Atkins, P.M.,
Mion, L.C., Palmer, R.M., Slomka, J., Mendelson, W., 2001. The
relationship of sedation to deliberate self-extubation. J. Clin.
Anesth. 13 (1), 2429.
Tyler, R.S., Gogel, S.A., Gehringer, A.K., 2007. Tinnitus
activities treatment. Prog. Brain Res. 166, 425434.
Uga, V., Lemut, M.C., Zampi, C., Zilli, I., Salzarulo, P., 2006.
Music in dreams. Conscious Cogn. 15 (2), 351357.
Urponen, H., Vuori, I., Hasan, J., Partinen, M., 1988. Selfevaluations of factors promoting and disturbing sleep: an
epidemiological survey in Finland. Soc. Sci. Med. 26 (4), 443
450.
van der Geer, E.R., Vink, A.C., Schols, J.M., Slaets, J.P., 2009.
Music in the nursing home: hitting the right note! The
provision of music to dementia patients with verbal and vocal
agitation in Dutch nursing homes. Int. Psychogeriatr. 21 (1),
8693.
van Wulfften Palthe, P.M., 1969. The psychogalvanic reex
as alarm system. Psychiatr. Neurol. Neurochir. 72 (1), 161
166.
Vein, A.M., Sudakov, K.V., Levin Ia, I., Iumatov, E.A., Kovrov,
G.V., Strygin, K.N., Posokhov, S.I., Korabelnikova, E.A., 2003.
[Specic features of the structure of sleep and personality
under the conditions of chronic emotional stress and
methods of improving the adaptive abilities of man]. Vestn.
Ross Akad. Med. Nauk. (4), 1317.
Vernet, C., Leu-Semenescu, S., Buzare, M.A., Arnulf, I.,
2010. Subjective symptoms in idiopathic hypersomnia:
beyond excessive sleepiness. J. Sleep Res. 19 (4), 525534.
Waldenstrom, M., Theorell, T., Ahlberg, G., Josephson, M.,
Nise, P., Waldenstrom, K., Vingard, E., 2002. Assessment of
psychological and social current working conditions in
epidemiological studies: experiences from the MUSICNorrtalje study. Scand. J. Public Health 30 (2), 94102.
Walder, B., Haase, U., Rundshagen, I., 2007. [Sleep
disturbances in critically ill patients]. Anaesthesist 56 (1),
717.
Walker, A., 1979. Music and the unconscious. Br. Med. J. 2
(6205), 16411643.
Walter, G., 2009. Nessun Dorma (None Shall Sleep)... At
least not before we digest Treatment of Adolescent Suicide

61

Attempters (TASA). J Am Acad Child Adolesc Psychiatry 48

(10), 977978.
Watson, S., 1998. Noteworthy benets. Elder Care 10 (4),
610.
Williams, P.D., Balabagno, A.O., Manahan, L., Piamjariyakul, U., Ranallo, L., Laurente, C.M., Cajucom, L., Guela, D.,
Kimbrough, M., Williams, A.R., 2010. Symptom monitoring
and self-care practices among Filipino cancer patients. Cancer
Nurs. 33 (1), 3746.
Williams, P.D., Piamjariyakul, U., Ducey, K., Badura, J.,
Boltz, K.D., Olberding, K., Wingate, A., Williams, A.R., 2006.
Cancer treatment, symptom monitoring, and self-care in
adults: pilot study. Cancer Nurs. 29 (5), 347355.
Winstock, A., Mitcheson, L., Ramsey, J., Davies, S.,
Puchnarewicz, M., Marsden, J., 2011. Mephedrone: use,
subjective effects and health risks. Addiction 106 (11),
19911996.
Wittenberg, R., 1980. Aspects of the creative process in
music: a case report. J. Am. Psychoanal. Assoc. 28 (2), 439
459.
Wolf, P.L., 2010. Hector Berlioz and other famous artists
with opium abuse. Front. Neurol. Neurosci. 27, 8491.
Wu, D., Li, C., Yin, Y., Zhou, C., Yao, D., 2010. Music
composition from the brain signal: representing the mental
state by music. Comput. Intell. Neurosci., 267671.
Wu, D., Li, C.Y., Yao, D.Z., 2009. Scale-free music of the
brain. PLoS ONE 4 (6), e5915.
Yeatts, K., Shy, C., Sotir, M., Music, S., Herget, C., 2003. Health
consequences for children with undiagnosed asthma-like
symptoms. Arch. Pediatr. Adolesc. Med. 157 (6), 540544.
Zarowski, M., Vendrame, M., Irons, M., Kothare, S.V., 2011.
Prevalence of sleep problems in Smith-Lemli-Opitz syndrome. Am. J. Med. Genet. A 155A (7), 15581562.
References
Akerstedt, T., Hume, K., Minors, D., Waterhouse, J., 1994. The meaning of
good sleep: a longitudinal study of polysomnography and subjective
sleep quality. Journal of Sleep Research 3 (3), 152158.
Beccaloni, A.M., 2011. The medicine of music: a systematic approach for
adoption into perianesthesia practice. Journal of Perianesthesia Nursing 26 (5), 323330.
Bernatzky, G., Presch, M., Anderson, M., Panksepp, J., 2011. Emotional
foundations of music as a non-pharmacological pain management
tool in modern medicine. Neuroscience and Biobehavioral Reviews 35
(9), 19891999.
Bouhairie, A., Kemper, K.J., Martin, K., Woods, C., 2006. Staff attitudes and
expectations about music therapy: pediatric oncology versus neonatal intensive care unit. Journal of the Society for Integrative Oncology
4 (2), 7174.
Cappuccio, F.P., Taggart, F.M., Kandala, N.B., Currie, A., Peile, E., Stranges,
S., Miller, M.A., 2008. Meta-analysis of short sleep duration and
obesity in children and adults. Sleep 31 (5), 619626.
Cappuccio, F.P., DElia, L., Strazzullo, P., Miller, M.A., 2010. Quantity and
quality of sleep and incidence of type 2 diabetes: a systematic review
and meta-analysis. Diabetes Care 33 (2), 414420.
Cappuccio, F.P., DElia, L., Strazzullo, P., Miller, M.A., 2010. Sleep duration
and all-cause mortality: a systematic review and meta-analysis of
prospective studies. Sleep 33 (5), 585592.
Cappuccio, F.P., Cooper, D., DElia, L., Strazzullo, P., Miller, M.A., 2011.
Sleep duration predicts cardiovascular outcomes: a systematic review
and meta-analysis of prospective studies. European Heart Journal 32
(12), 14841492.
Castro-Costa, E., Dewey, M.E., Ferri, C.P., Uchoa, E., Firmo, J.O., Rocha, F.L.,
Prince, M., Lima-Costa, M.F., Stewart, R., 2011. Association between
sleep duration and all-cause mortality in old age: 9-year follow-up of
the Bambui Cohort Study, Brazil. Journal of Sleep Research 20 (2),
303310.

62

C.-F. Wang et al. / International Journal of Nursing Studies 51 (2014) 5162

Cervellin, G., Lippi, G., 2011. From music-beat to heart-beat: a journey in

the complex interactions between music, brain and heart. European
Journal of Internal Medicine 22 (4), 371374.
Chan, M.F., 2011. A randomised controlled study of the effects of music on
sleep quality in older people. Journal of Clinical Nursing 20 (78),
979987.
Chan, M.F., Chan, E.A., Mok, E., 2010. Effects of music on depression and
sleep quality in elderly people: a randomised controlled trial. Complementary Therapies in Medicine 18 (34), 150159.
Chang, E.T., Lai, H.L., Chen, P.W., Hsieh, Y.M., Lee, L.H., 2012. The effects of
music on the sleep quality of adults with chronic insomnia using
evidence from polysomnographic and self-reported analysis: a randomized control trial. International Journal of Nursing Studies 49 (8),
921930.
Chi, G.C., Young, A., 2011. Selection of music for inducing relaxation and
alleviating pain: literature review. Holistic Nursing Practice 25 (3),
127135.
Chien, K.L., Chen, P.C., Hsu, H.C., Su, T.C., Sung, F.C., Chen, M.F., Lee, Y.T.,
2010. Habitual sleep duration and insomnia and the risk of cardiovascular events and all-cause death: report from a community-based
cohort. Sleep 33 (2), 177184.
de Niet, G., Tiemens, B., Lendemeijer, B., Hutschemaekers, G., 2009. Musicassisted relaxation to improve sleep quality: meta-analysis. Journal of
Advanced Nursing 65 (7), 13561364.
Egger, M., Davey Smith, G., Schneider, M., Minder, C., 1997. Bias in metaanalysis detected by a simple, graphical test. BMJ 315 (7109), 629
634.
Engwall, M., Duppils, G.S., 2009. Music as a nursing intervention for
postoperative pain: a systematic review. Journal of Perianesthesia
Nursing 24 (6), 370383.
Hardin, K.A., 2009. Sleep in the ICU: potential mechanisms and clinical
implications. Chest 136 (1), 284294.
Harmat, L., Takacs, J., Bodizs, R., 2008. Music improves sleep quality in
students. Journal of Advanced Nursing 62 (3), 327335.
Hernandez-Ruiz, E., 2005. Effect of music therapy on the anxiety levels
and sleep patterns of abused women in shelters. Journal of Music
Therapy 42 (2), 140158.
Higgins, J.P., Thompson, S.G., Deeks, J.J., Altman, D.G., 2003. Measuring
inconsistency in meta-analyses. BMJ 327 (7414), 557560.
Kamdar, B.B., Needham, D.M., Collop, N.A., 2012. Sleep deprivation in
critical illness: its role in physical and psychological recovery. Journal
of Intensive Care Medicine 27 (2), 97111.
Kronholm, E., Partonen, T., Laatikainen, T., Peltonen, M., Harma, M.,
Hublin, C., Kaprio, J., Aro, A.R., Partinen, M., Fogelholm, M., Valve,
R., Vahtera, J., Oksanen, T., Kivimaki, M., Koskenvuo, M., Sutela, H.,
2008. Trends in self-reported sleep duration and insomnia-related
symptoms in Finland from 1972 to 2005: a comparative review and
re-analysis of Finnish population samples. Journal of Sleep Research
17 (1), 5462.
Kronholm, E., Laatikainen, T., Peltonen, M., Sippola, R., Partonen, T., 2011.
Self-reported sleep duration, all-cause mortality, cardiovascular mortality and morbidity in Finland. Sleep Medicine 12 (3), 215221.

Krueger, P.M., Friedman, E.M., 2009. Sleep duration in the United States: a
cross-sectional population-based study. American Journal of Epidemiology 169 (9), 10521063.
Kullich, W., Bernatzky, G., Hesse, H.P., Wendtner, F., Likar, R., Klein, G.,
2003. Music therapy effect on pain, sleep and quality of life in low
back pain. Wiener Medizinische Wochenschrift 153 (910), 217221.
Kushida, C.A., Chang, A., Gadkary, C., Guilleminault, C., Carrillo, O.,
Dement, W.C., 2001. Comparison of actigraphic, polysomnographic,
and subjective assessment of sleep parameters in sleep-disordered
patients. Sleep Medicine 2 (5), 389396.
Lai, H.L., 2004. Music preference and relaxation in Taiwanese elderly
people. Geriatric Nursing 25 (5), 286291.
Lai, H.L., Good, M., 2005. Music improves sleep quality in older adults.
Journal of Advanced Nursing 49 (3), 234244.
Lai, H.L., Good, M., 2006. Music improves sleep quality in older adults.
2004. Journal of Advanced Nursing 53 (1), 134144, discussion 144136.
Moher, D., Pham, B., Jones, A., Cook, D.J., Jadad, A.R., Moher, M., Tugwell, P.,
Klassen, T.P., 1998. Does quality of reports of randomised trials affect
estimates of intervention efcacy reported in meta-analyses? Lancet
352 (9128), 609613.
Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., 2009. Preferred reporting
items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339, b2535.
Nilsson, U., 2011. Music: a nursing intervention. European Journal of
Cardiovascular Nursing 10 (2), 7374.
Penzel, T., Wessel, N., Riedl, M., Kantelhardt, J.W., Rostig, S., Glos, M.,
Suhrbier, A., Malberg, H., Fietze, I., 2007. Cardiovascular and respiratory dynamics during normal and pathological sleep. Chaos 17 (1),
015116.
Pittman, S., Kridli, S., 2011. Music intervention and preoperative anxiety: an integrative review. International Nursing Review 58 (2),
157163.
Renzi, C., Peticca, L., Pescatori, M., 2000. The use of relaxation techniques
in the perioperative management of proctological patients: preliminary results. International Journal of Colorectal Disease 15 (56),
313316.
Richards, K.C., 1998. Effect of a back massage and relaxation intervention
on sleep in critically ill patients. American Journal of Critical Care 7
(4), 288299.
Rowshan Ravan, A., Bengtsson, C., Lissner, L., Lapidus, L., Bjorkelund, C.,
2010. Thirty-six-year secular trends in sleep duration and sleep
satisfaction, and associations with mental stress and socioeconomic
factors results of the Population Study of Women in Gothenburg,
Sweden. Journal of Sleep Research 19 (3), 496503.
Ryu, M.J., Park, J.S., Park, H., 2012. Effect of sleep-inducing music on sleep
in persons with percutaneous transluminal coronary angiography in
the cardiac care unit. Journal of Clinical Nursing 21 (56), 728735.
Zimmerman, L., Nieveen, J., Barnason, S., Schmaderer, M., 1996. The
effects of music interventions on postoperative pain and sleep in
coronary artery bypass graft (CABG) patients. Scholarly Inquiry for
Nursing Practice 10 (2), 153170, discussion 171-154.