CClinicalTrials.gg
CompletedNCT06008951MOSARTUpdated Jan 1, 2025

The Influence of Music Choice on Pain Tolerance in the Context of Social Background

An interventional study of Listening to music and Listening to a podcast in Pain and Analgesia, sponsored by Markus Klimek. Completed at 1 site in Netherlands. Open to female participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-01-01.

Sponsored by Markus Klimek · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
84
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
Female
01

Study summary

This study will investigate the effect of different music on the pain tolerance during an increasing electric stimulus in healthy individuals, taking social background into account.

Read the detailed description

The implementation of music in health care settings has shown promising results in alleviating stress, anxiety, and pain-related outcomes. However, the heterogeneity in music selection and characteristics across clinical trials has made it difficult to draw direct comparisons between different music interventions. Additionally, the influence of social background on music perception remains largely unexplored, despite its potential significance. Therefore, a collaboration of medical and sociological experts propose a randomized controlled trial to investigate the effects of two different music interventions on pain tolerance, taking into account the participants' social backgrounds. The primary objective of this study is to assess the impact of self-chosen and researcher-chosen music compared to a control intervention (podcast) on pain tolerance among healthy female volunteers at the outpatient clinic of the Center of Pain Medicine, Erasmus Medical Center, Rotterdam.

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Conditions studied

  • Pain
  • Analgesia

Keywords

  • music
  • pain
  • analgesia
  • music-induced analgesia
  • socioeconomic status
  • cultural capital
03

In context

Lead sponsor

This is the only study on the registry with Markus Klimek as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Between 18 and 60 years of age
  • Female
  • Sufficient knowledge of the Dutch language to understand the study documents (in the judgement of the attending physician or researcher)
  • Provision of written informed consent by subject

Exclusion criteria

Exclusion Criteria:

  • Significant hearing impairment
  • Current complaints of tinnitus
  • Current use of analgesic medication
  • Presence of acute or chronic pain
  • Current treatment by a medical specialist or general practitioner
  • History of cardiac disease of arrhythmias
  • (Suspected) pregnancy
  • Diagnosed psychiatric or neurological impairments
  • Electric implants (e.g. pacemakers)
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
84 participants (actual)

Study arms

  • Experimental
    Self-chosen music

    The self-chosen music playlist will be assembled by the participant in advance.

    Other: Listening to music

  • Experimental
    Researcher-chosen music

    The researcher-chosen music playlists will primarily be composed by the Music as Medicine research group from Erasmus Medical Center, based on current expert opinion. The playlist will be created with the goal to help while experiencing pain based on previous literature.

    Other: Listening to music

  • Active comparator
    Podcast (control)

    The choice of podcast will be based on expert opinion of the sociology department of the Erasmus University Rotterdam.

    Other: Listening to a podcast

Interventions

  • OtherListening to music

    All participants will listen to self-chosen or researcher-chosen music with noise-cancelling headphones (JBL Tune 770NC). The music will be administered for 20 minutes before participants receive increasing electric pain stimuli.

  • OtherListening to a podcast

    ln the control condition, participants will listen to a podcast with noise-cancelling headphones (JBL Tune 770NC). The podcast will be administered for 20 minutes before participants receive increasing electric pain stimuli.

06

What researchers measure

Primary outcomes

  1. Pain tolerance in amperage

    The primary object of this study is the pain tolerance by increasing electric stimuli. The measurement will be performed after each intervention while participants are still listening to the music or podcast. Each measurement will be performed three times. Results will be reported in amperage and analyzed with an explorative approach looking at social background.

    Time frame: During the intervention, after listening 20 minutes to the music/ podcast. Measured at the same day as the experiment.

Secondary outcomes

  1. Pain intensity

    Pain intensity will be measured using the Numeric Rating Scale. Values range from 0 to 10, with higher values indicating higher pain intensity.

    Time frame: Immediately after each increasing electric pain stimuli. Measured at the same day as the experiment

  2. Pain unpleasantness

    Pain unpleasantness will be measured using the Numeric Rating Scale. Values range from 0 to 10, with higher values indicating higher pain unpleasantness.

    Time frame: Immediately after each increasing electric pain stimuli. Measured at the same day as the experiment.

  3. Heart rate variability (HRV)

    HRV, the variation in time between adjacent heartbeats, can be used as a marker for autonomic function. Furthermore, an increase of HRV has been found after music interventions, possibly due to the effect on the parasympatic nervous system. HRV will be measured continuously using an Acentas Chest Strap (BM innovations GmbH).

    Time frame: During the intervention. Measured at the same day as the experiment.

  4. Anxiety measured with State-Trait Anxiety Inventory (STAI)-6

    The STAI-6 questionnaire is a validated and frequently used questionnaire to assess anxiety. The questionnaire comprises six items and the total scores ranges from 20 to 80, with higher score indicating a higher level of anxiety.

    Time frame: At baseline and immediately after each increasing electric pain stimuli. Measured at the same day as the experiment.

  5. Affective reaction measures with Self-Assessment Manikin (SAM)

    The SAM is a non-verbal pictorial assessment technique that directly measures the pleasure, arousal, and dominance associated with a person's affective reaction to a wide variety of stimuli. Each measurement value ranges from 1 to 9, which indicates different levels of pleasure, arousal and dominance.

    Time frame: At baseline and immediately after each increasing electric pain stimuli. Measured at the same day as the experiment.

  6. Music listening Questionnaire

    This questionnaire will consist of four items. Participants will be asked to indicate which type of music they believe was the most and least effective for managing pain, and whether they have an explanation for this. Additionally, we will ask for their opinion of the podcast (control condition) and elaborate in which extend the podcast helped to alleviate the pain.

    Time frame: Immediately after the completion of all interventions. Measured at the same day as the experiment.

  7. Music gernes and characteristics

    The self-chosen and researcher-chosen music will be assessed and compared using the Spotify® Application Programming Interface (API).

    Time frame: Immediately after the completion of all interventions. Measured at the same day as the experiment.

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Study locations

1 site
  • Erasmus Medical Center
    Rotterdam, 3015 GD, Netherlands
08

References and documents

Publications

  • Kuhlmann AYR, de Rooij A, Kroese LF, van Dijk M, Hunink MGM, Jeekel J. Meta-analysis evaluating music interventions for anxiety and pain in surgery. Br J Surg. 2018 Jun;105(7):773-783. doi: 10.1002/bjs.10853. Epub 2018 Apr 17. PubMed 29665028 ↗
  • Lunde SJ, Vuust P, Garza-Villarreal EA, Vase L. Music-induced analgesia: how does music relieve pain? Pain. 2019 May;160(5):989-993. doi: 10.1097/j.pain.0000000000001452. No abstract available. PubMed 30507782 ↗
  • Roy WG, Dowd TJ. What Is Sociological about Music? Annual Review of Sociology. 2010;36(1):183-203.
  • Mojtabavi H, Saghazadeh A, Valenti VE, Rezaei N. Can music influence cardiac autonomic system? A systematic review and narrative synthesis to evaluate its impact on heart rate variability. Complement Ther Clin Pract. 2020 May;39:101162. doi: 10.1016/j.ctcp.2020.101162. Epub 2020 Apr 7. PubMed 32379689 ↗
  • de Witte M, Spruit A, van Hooren S, Moonen X, Stams GJ. Effects of music interventions on stress-related outcomes: a systematic review and two meta-analyses. Health Psychol Rev. 2020 Jun;14(2):294-324. doi: 10.1080/17437199.2019.1627897. Epub 2019 Jul 15. PubMed 31167611 ↗
  • Bradt J, Dileo C, Shim M. Music interventions for preoperative anxiety. Cochrane Database Syst Rev. 2013 Jun 6;2013(6):CD006908. doi: 10.1002/14651858.CD006908.pub2. PubMed 23740695 ↗
  • Martin-Saavedra JS, Vergara-Mendez LD, Pradilla I, Velez-van-Meerbeke A, Talero-Gutierrez C. Standardizing music characteristics for the management of pain: A systematic review and meta-analysis of clinical trials. Complement Ther Med. 2018 Dec;41:81-89. doi: 10.1016/j.ctim.2018.07.008. Epub 2018 Jul 11. PubMed 30477868 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06008951
Lead sponsor
Markus Klimek
Collaborators
Erasmus University Rotterdam
Responsible party
Markus Klimek (Vice-Chairman / Director Residency Training Program, Department of Anesthesiology, Erasmus Medical Center) — Sponsor-investigator
First posted
Aug 24, 2023
Start date
Aug 30, 2023
Primary completion
Nov 15, 2024
Completion
Nov 15, 2024
Last update
Jan 1, 2025

Study contacts

Markus Klimek, MD PhD
principal investigator · Erasmus Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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