Five Elements Music As A Dialectical Therapy For Chronic Insomnia:a Randomized Waiting List Controlled Trial

Objective:To explore the feasibility of five elements music as an adjuvant therapy in the dialectical treatment of patients with chronic insomnia through clinical research,and the effectiveness of improving sleep quality,sleep time,anxiety and depression.Methods: In this study,from June 2018 to November 2019,in the Department of Neurology of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,the patient was diagnosed with chronic insomnia and met the study inclusion criteria.According to the random number table,it is randomly divided into three groups,namely the five-element music group(35),the ordinary music group(34),and the waiting list group(33),all of which are treated according to the guidelines.Among them,the five-element music group: choose the traditional five-element music according to the different individuals;the ordinary music group: use ordinary hypnotic music;the waiting list group: do not receive related music treatment,and the participants decide which music to choose after the end of the study period treatment method.After 4 weeks of anticipation,all of them will be followed up for 4 weeks.The main outcome was Pittsburgh sleep quality index(PSQI),the secondary outcome was Self-Rating Anxiety Scale(SAS)and Self-rating depression scale(SDS),Using SPSS21.0 statistical software for statistical analysis,the results were compared within the group,between groups and multiple comparisons,and finally reached a conclusion.Result:The Full Analysis Set(FAS)treatment analysis included a total of 89 participants,including 57 women(64%)and 32 men(36%);the average age was 51.98 ± 13.55 years.The baseline characteristics of the three groups were comparable.1.The total PSQI scores of the three groups were compared within the group.The PSQI total scores of the five-element music group,the general music group,and the waiting list group were all improved after the intervention and follow-up(P <0.05);Multiple analysis between groups after the intervention showed that the five-element music group and the ordinary music group were better than the waiting list group(P <0.05).The improvement between the five-element music group and the ordinary music group was not significant,and there was no statistical significance(P> 0.05).2.PSQI scores of three groups of patients were compared within the group.PSQI scores of the five-element music group,ordinary music group,and waiting list group were all improved after the intervention and follow-up(P <0.05);Multiple analysis between groups after the intervention showed that the five-element music group had better scores in falling sleep time,sleep quality,sleep efficiency,hypnotic drugs,and daytime function than the waiting list group(P <0.05);the general music group improved the sleep time,sleep efficiency,and hypnotic scores better than the waiting list group(P <0.05);the improvement of day function scores of the five-element music group was better than that of the ordinary music group,which was statistically significant(P <0.05).3.Multiple analysis between groups.The comparison of SAS scores between the three groups of patients after the intervention showed that the differences between the five-element music group and the ordinary music group and the waiting list group were statistically significant(P <0.05).The comparison of the groups was statistically significant(P <0.05),indicating that the improvement of the SAS score of the five-element music group was better than the ordinary music group and the waiting list group,and the improvement of the SAS score of the ordinary music group was better than the waiting list group.4.Multiple analysis between groups.The comparison of SDS scores between the three groups of patients after the intervention showed that the five-element music group was compared with the waiting list group,the ordinary music group was compared with the waiting list group,and the difference was statistically significant(P <0.05).Compared with the ordinary music group,the difference was not statistically significant(P> 0.05),indicating that the five-element music group and the ordinary music group improved the SDS score better than the waiting list group,while the five-element music group and the ordinary music group scored patients with SDS.The improvement is not much different.Conclusion:1.The treatment of the five-element music group and the ordinary music group,as an adjuvant therapy for patients with chronic insomnia,has obvious effects in improving the symptoms of patients with insomnia,which indicates that the music-assisted therapy is reliable and not easy to relapse.There are no adverse event reports,which is worthy of clinical promotion.2.The three groups all improved the anxiety level of patients with chronic insomnia.Multiple comparative statistical analysis showed that compared with the ordinary music group and the waiting list group,the five elements music as an adjuvant treatment had better benefits in improving patients' anxiety symptoms.3.The three groups all improved the degree of depression in patients with chronic insomnia.Multiple comparative statistical analysis showed that compared with the waiting list group,five-element music and ordinary music as adjuvant therapy have better effect on patients with depressive symptoms and the difference is not much different.