Comparing the Timbre of Different Musical Sounds used in Music Therapy and its Effect on the Quality of Sleep in Medical Students with Insomnia- A Prospective Interventional Study

Abstract

Introduction: Stress and the pressure to perform in a competitive world has led to a rise in insomnia cases, especially in medical students. Music serves as a great alternative or additional therapy and hence, specifying the details of the type of music and creating a standard set of musical parameters, e.g., a specific value for tempo that sleep music should have. This will make it a more viable and clear option. One of these important but minimally explored aspects is timbre of music. Aim: To assess and compare the effect of timbre of different musical sounds on an individual’s quality of sleep, duration and day time sleepiness. Materials and Methods: This prospective interventional (community trial) study was done in the Department of Physiology, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, India for three weeks. Hundred medical students having insomnia were chosen and split into five groups: Group A-Sitar, B-violin, C-vocal, D-flute and E-control. Groups A-D had to listen to tracks with an assigned timbre for 20 minutes before going to sleep daily for three weeks. Pittsburg Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS) were used to assess sleep quality, duration and day time sleepiness. Kruskal-Wallis test was used to analyse the results. Results: Sleep quality improved with sitar being the one that improved the quality the most, followed by violin, then flute and finally, vocal (p-value=0.001). Sleep duration improved with sitar being the one that showed the most improvement, followed by flute, then violin and finally, vocal (p-value=0.001). Daytime sleepiness decreased with sitar being the one that decreased it the most, followed by violin, then flute and lastly, vocal (p-value=0.021). Conclusion: The most effective timbre in improving sleep quality, duration and reducing day time sleepiness was Sitar and the least effective was vocal.