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Updated: Feb 11, 2026
Assessing the Effects of Music Listening on Psychobiological Stress in Daily Life
Published on: February 2, 2017
Effects of Tibetan Music on Neuroendocrine and Autonomic Functions in Patients Waiting for Surgery: A Randomized,
Antonella Cotoia1, Floriana Dibello1, Fiorenzo Moscatelli2
1Department of Anesthesia, Intensive Care, and Pain Therapy, University of Foggia, Policlinico "OO. Riuniti", Foggia, Italy.
Background:
The aim of this study was to investigate the effects of listening to Tibetan music on anxiety and endocrine, autonomic, cognitive responses in patients waiting for urologic surgery.
Methods:
Sixty patients waiting for surgery were enrolled to the study. They were randomized in music (M) and control (C) groups. The M group listened to a low-frequency Tibetan music for 30 min (T0-T30) through headphones, and the C group wore headphones with no sound. The State Trait Anxiety Inventory Questionnaire (STAI) Y-1 was administered at T0 and T30. Normalized low (LFnu) and high frequencies (HFnu) of heart rate variability, LF/HF ratio, and galvanic skin response (GRS) data were analyzed at T0, T10, T20, T30, and T35. The salivary α-amylase (sAA) samples were collected at T0, T35, and T45.
Results:
In the M group, the STAI Y-1 score decreased at T30 versus baseline (p < 0.001), sAA levels decreased at T35 versus T0(p=0.004), and GSR remained unchanged. In the C group, the STAI Y-1 score remained unchanged, sAA level increased at T35 versus T0(p < 0.001), and GSR slightly increased at T35 versus baseline (p=0.359). LFnu was lower, and HFnu was significantly higher (T10-T30) in M versus C group. Mean LF/HF ratio slightly reduced in the M group.
Conclusions:
Our results suggest that preoperative listening to relaxing Tibetan music might be a useful strategy to manage preoperative anxiety.
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