Effect of Tomatis Auditory Stimulation on Insomnia in Perimenopausal Women

This study aimed to explore the effect of Tomatis music therapy in improving perimenopausal insomnia.

This study included perimenopausal women visiting a tertiary obstetrics and gynaecology hospital from January 2024 to December 2024, screening for those with a Pittsburgh Sleep Quality Index (PSQI) score >7 and a Spiegel Sleep Inventory (SPIEGEL) clinical self-rating score over 12 points. The 120 eligible patients were divided into three groups on the basis of previous treatment: routine nursing (control group 1, n = 41), standard music therapy (control group 2, n = 42) and Tomatis music therapy (Tomatis group, n = 37). Outcomes, such as PSQI, SPIEGEL, modified Kupperman scale, Menopause Rating Scale (MRS) and safety, were compared across groups.

Following the treatment method, a significant reduction in PSQI scores was found in all groups compared with baseline, with the greatest improvement observed in the Tomatis group (P < 0.001). Similarly, the SPIEGEL scores declined significantly in the control and Tomatis groups, though the latter demonstrated superior outcomes (P < 0.001). The modified Kupperman scale scores decreased markedly across all groups, with the most pronounced reduction observed in the Tomatis group (P < 0.001). Additionally, the post-treatment MRS scores were significantly lower than the pre-treatment values in all groups, with the Tomatis group achieving the lowest scores (P < 0.001).

Tomatis sound therapy is associated with improved sleep quality in perimenopausal women with insomnia, relief from menopausal symptoms and enhanced overall well-being.