Stress Clinical Trial
Official title:
Psychological and Biological Responses to Choral Singing in Mentally Ill, Socially Underprivileged and Privileged Healthy Children and Adolescents: An Open, Single-Arm, Controlled Study
Interventional, three-armed, open, monocentric, medium-term follow-up, pre-test-post-test design, controlled, parallel group study to investigate the effects of a group singing intervention on neuroendocrine (hair cortisol, salivary cortisol, salivary alpha amylase), immune (salivary immunoglobulin A/s-IgA), and psychological (psychological stress, mood, social contacts, emotional and social competence, self-esteem, and quality of life) responses in mentally ill and healthy children and adolescents (N=135, age range 10 -18). Additionally, the child and adolescent psychiatry group (age range 13-18) takes part in three hour creative workshops every two weeks.
Status | Recruiting |
Enrollment | 135 |
Est. completion date | July 2023 |
Est. primary completion date | December 2022 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 10 Years to 18 Years |
Eligibility | Inclusion Criteria (Clinical N): - Written consent to study participation; - Gender: male, female, different; - Age: children and adolescents aged = 10 and = 18 years; - Diagnosis of a psychiatric disorder according to ICD-10; - Patients are admitted regardless of medication status and are allowed to the medication will continue to be used during the study; - Additional therapies and medication are recorded and are not an exclusion criterion; - Musical skills or a certain musical background are not required Inclusion Criteria (Healthy N): - Written consent to study participation; - Gender: male, female, different; - Age: children and adolescents aged = 10 and = 18 years; - Musical skills or a certain musical background are not required Exclusion Criteria (Clinical N): - Age: children and adolescents aged <10 years and > 18 years; - Criteria that prevent an application: hearing loss, states of confusion, inability to verbalize; - Patients with acute externalizing behavior or self-harm/suicidality; - Existing alcohol addiction or abuse of illegal drugs; Exclusion Criteria (Healthy N): - Age: children and adolescents aged <10 years and > 18 years - Criteria that prevent an application: hearing loss, states of confusion, inability to verbalize |
Country | Name | City | State |
---|---|---|---|
Austria | Salzburger Landeskliniken, Universitätsklinik für Kinder- und Jugendpsychiatrie | Salzburg | |
Austria | University Mozarteum Salzburg/University of Salzburg | Salzburg | |
Austria | University of Vienna | Vienna |
Lead Sponsor | Collaborator |
---|---|
University of Salzburg | Paracelsus Medical University, Salzburger Landeskliniken, Universität Mozartuem Salzburg, University of Vienna |
Austria,
Ali N, Nater UM. Salivary Alpha-Amylase as a Biomarker of Stress in Behavioral Medicine. Int J Behav Med. 2020 Jun;27(3):337-342. doi: 10.1007/s12529-019-09843-x. — View Citation
Grebosz-Haring K, Thun-Hohenstein L. Effects of group singing versus group music listening on hospitalized children and adolescents with mental disorders: A pilot study. Heliyon. 2018 Dec 17;4(12):e01014. doi: 10.1016/j.heliyon.2018.e01014. eCollection 2018 Dec. — View Citation
Grebosz-Haring, K., Thun-Hohenstein, L. (2020). Singing for Health and Wellbeing in Children and Adolescents with Mental Disorders. In R. Heydon, D. Fancourt, A. Cohen (Eds.), The Routledge Companion to Interdisciplinary Studies in Singing: Vol 3 Wellbeing. London: Routledge.
Linnemann, A., Schnersch, A., Nater, U. M. (2017). Testing the beneficial effects of singing in a choir on mood and stress in a longitudinal study: The role of social contacts. Musicae Scientiae, 21(2), 195-212.
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change Short-Term Neuroendocrine Stress (Hypothalamic-Pituitary-Adrenal Axis) from pre- to post singing session over six months | Biological Stress Marker: Salivary Cortisol | every two weeks pre- and post singing sessions for six months | |
Primary | Change Short-Term Immune Function from pre- to post singing session over six months | Biological Marker: Salivary Immunoglobulin A | every two weeks pre- and post singing sessions for six months | |
Primary | Change from Baseline Chronic Neuroendocrine Stress (Hypothalamic-Pituitary-Adrenal Axis) at three and six months | Biological Stress Marker: Hair Cortisol | at the beginning of the study, after three months, at the end of the study after six months, at a follow-up after three months, at a follow up after six months | |
Primary | Change Short-Term Neuroendocrine Stress (Autonomic Nervous System) from pre- to post singing session over six months | Salivary Alpha-Amylase | every two weeks pre- and post singing sessions for six months | |
Secondary | Psychological Stress | Stress and Coping Questionnaire for Children and Adolescents (SSKJ 3-8 R; Lohaus, Eschenbeck, Kohlmann, & Klein-Heßling, 2018) | at the beginning of the study, after three months, at the end of the study after six months, at a follow-up after three months, at a follow up after six months | |
Secondary | Mood | Multidimensional Mood State Questionnaire (MDBF, short version; Steyer, Notz, Schwenkmezger, & Eid, 1997) | every week pre- and post singing sessions for six months | |
Secondary | Emotional Skills | Emotional Competence Questionnaire (EKF; Rindermann, 2009) | at the beginning of the study, after three months, at the end of the study after six months, at a follow-up after three months, at a follow up after six months | |
Secondary | Self-Esteem | Selbstwertinventar für Kinder und Jugendliche (SEKJ; Schöne & Stiensmeier-Pelster, 2016) | at the beginning of the study, after three months, at the end of the study after six months, at a follow-up after three months, at a follow up after six months | |
Secondary | Life Quality | Pediatric Quality of Life Inventory (PEDsQL; Varni, 2001) | once a month for six months | |
Secondary | Performance Anxiety | Das State-Trait-Angstinventar (STAI-T adapted; Laux, Glanzmann, Schaffner, & Spielberger 1981) | once at the beginning of the study, once after 6 months | |
Secondary | Social Skills | Strengths and Difficulties Questionnaire (SDQ; Goodman, 1997) | at the beginning of the study, after three months, at the end of the study after six months, at a follow-up after three months, at a follow up after six months | |
Secondary | Evaluation of the choir session | Liking of the session, liking of the songs, familiarity with the songs (5-point Likert scale; Higher scores mean a better outcome) | every week post singing sessions for six months | |
Secondary | Chronical Stress | Fragebogen zu chronischem Stress im Kindesalter (CSiK; Richartz, Hoffmann, & Sallen, 2009) | at the beginning of the study, after three months, at the end of the study after six months, at a follow-up after three months, at a follow up after six months | |
Secondary | Stress Perception | Visual Analogue Scale (VAS; 0-100; higher score means a worse outcome) | every week pre- and post singing sessions for six months | |
Secondary | Prosocial Behavior | Social Network Map (Tracey & Whittaker, 1990) | every two weeks post singing sessions for six months | |
Secondary | Psychological Stability (parents view) | Child Behavior Checklist (CBCL; Achenbach & Arbeitsgruppe Deutsche Child Behavior Checklist, 1994) | at the beginning of the study, after three months, at the end of the study after six months, at a follow-up after three months, at a follow up after six months | |
Secondary | Psychological Stability (children view) | Youth Self-Report (YSR; Achenbach & Arbeitsgruppe Deutsche Child Behavior Checklist, 1994) | at the beginning of the study, after three months, at the end of the study after six months, at a follow-up after three months, at a follow up after six months | |
Secondary | Emotional Control | Fragebogen zur Erhebung der Emotionsregulation bei Kindern und Jugendlichen (FEEL-KJ; Grob & Smolenski, 2005) | at the beginning of the study, after three months, at the end of the study after six months, at a follow-up after three months, at a follow up after six months | |
Secondary | Specific personality and character traits such as curiosity, reward dependency, cooperativity, and self-steering ability | JTCI Junior Temperament and Character Inventory in Children and Adolescents Psychiatry Group Questionnaire | At the beginning of creative workshops, and at a follow-up after three months in the group of children and adolescents with psychiatric disorders | |
Secondary | Current emotional state | Positive and negative affect schedule (PANAS) | Pre and post every creative workshop in the group of children and adolescents with psychiatric disorders |
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