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Auditory Biofeedback through Wind Instrument Training: A Breath-Controlled Acoustic Strategy for Modulating Anxiety

Yi Ding¹, KaiLi Jiang²

¹School of Music, Shanghai Normal University, Shanghai, China.

|January 3, 2026

Summary

This summary is machine-generated.

Wind-instrument training, integrating breath control and sound feedback, shows promise for reducing anxiety and improving sleep by regulating the autonomic nervous system and vagal tone.

Keywords:

anxiety disorder biofeedback breathing exercise music therapy sleep-wake disorder

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Area of Science:

Psychoneuroimmunology
Respiratory Medicine
Sleep Science

Background:

Anxiety and sleep disturbances often co-occur, linked to autonomic nervous system dysregulation.
Non-pharmacological interventions are sought to manage these conditions effectively.

Purpose of the Study:

To review the evidence for wind-instrument training as an intervention for anxiety and sleep disturbances.
To explore the mechanistic pathways linking wind-instrument practice to autonomic regulation.

Main Methods:

Systematic review and mechanistic analysis of studies from PubMed, Embase, PsycINFO, and Cochrane Library (2000-2024).
Focused on clinical and experimental research concerning wind-instrument training.
Synthesized data on respiration, auditory processing, and autonomic regulation.

Main Results:

Preliminary findings suggest wind-instrument training may decrease anxiety symptoms.
Evidence indicates potential improvements in heart-rate variability and reduced nocturnal awakenings.
Current studies are often small-scale and short-term.

Conclusions:

Wind-instrument training offers a novel approach by combining breath regulation with auditory feedback.
This practice may enhance emotional regulation and sleep quality through physiological mechanisms.
Larger, multi-center trials are needed to confirm efficacy and establish therapeutic utility.