The Mediating Effects of Digital Music Therapy on Depressive Symptoms in Youth During the COVID-19 Pandemic: A Randomized Controlled Trial
Zhu Y, Tang R, Zhang H, Wang Y, Yu Y, Qin S, Zhang Q, Tu J, Liu R, Wang F
Stress and health : journal of the International Society for the Investigation of Stress · 0 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Natural Science Foundation of Jiangsu Province
- Gobierno
- Jiangsu Provincial Key Research and Development Program
- Gobierno
- National Science Fund for Distinguished Young Scholars
- Gobierno
- National Natural Science Foundation of China-Guangdong Joint Fund
- Gobierno
- Henan Provincial Research and Practice Project for Higher Education Teaching Reform
Según 5 financiadores declarados.
Publicación
- Publicado
- 2026-02-01 · Stress Health · vol. 42 · número 1 · pág. e70156
- Editorial
- Wiley
- Citado
- 0 citas · más que el 10% de estudios similares · 0.0× el promedio de su campo
- Referencias
- 0 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Digital Mental Health Interventions · COVID-19 and Mental Health
- Palabras clave
- depressive symptoms, youth, COVID-19 pandemic, psychological stress, insomnia, mediation, mental health interventions, adolescents
- MeSH
- humans, sleep initiation and maintenance disorders, music therapy, depression, stress, psychological, adolescent, female, male, pandemics, covid-19, sars-cov-2, digital media
10 autores
- Yue Zhu🇨🇳Nanjing Brain Hospital; Nanjing Medical University
- Rui Tang🇨🇳Nanjing Brain Hospital; Nanjing Medical University
- Hongyan Zhang🇨🇳Nanjing Brain Hospital; Nanjing Medical University
- Yang Wang🇨🇳Nanjing Brain Hospital; Nanjing Medical University
- Yuenan Yu🇨🇳Nanjing Brain Hospital; Nanjing Medical University
- Shisen Qin🇨🇳Henan Medical University
- Quan Zhang🇨🇳Tsinghua University
- Juan Tu🇨🇳Collaborative Innovation Center of Advanced Microstructures; Nanjing University
- Rongxun Liu🇨🇳 · autor de correspondenciaHenan Medical University
- Fei Wang🇨🇳 · autor de correspondenciaNanjing Brain Hospital; Nanjing Medical University
Resumen
El texto original del estudio, en el idioma en que se publicó.
The COVID-19 pandemic has become a major psychosocial stressor, exacerbating depressive symptoms among youth. Amid escalating environmental stressors, early intervention is essential. Digital music therapy (dMT) shows promise; however, stress-context randomized controlled trials examining its effectiveness and mechanisms are lacking. A total of 1581 youths were identified with depressive symptoms via survey. In a randomized trial, 105 participants were 1:1 assigned to the dMT or control (CON) group. The dMT group received 3 weeks of intervention, while the CON group received none. The primary outcome will assess depression changes ( Δ${\Delta }$ ) of pre- and post-intervention, compared to CON group. Secondary outcomes will evaluate Δ${\Delta }$ Stress and Δ${\Delta }$ Insomnia, compared to CON group. Mediation analysis examined depressive symptoms' role in mediating stress and insomnia, further assessed dMT efficacy's mediating role in these outcomes. There were significant differences in Δ${\Delta }$ Depression, Δ${\Delta }$ Stress, and Δ${\Delta }$ Insomnia between dMT group (n = 30) and CON group (n = 30). Depressive symptoms directly and indirectly mediated the relationship between stress and insomnia among depressive youth identified via survey. The therapeutic effect of the dMT intervention on Δ${\Delta }$ Depression indirectly mediated the relationship between Δ${\Delta }$ Stress and Δ${\Delta }$ Insomnia. Digital MT-driven depression improvement mediates stress and insomnia alleviation, filling a crucial gap in early-stage mental health interventions with potential social and clinical impact. TRIAL REGISTRATION: The clinical trial registration was ClinicalTrials.gov NCT05949736.
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