{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:38:40Z","timestamp":1786649920030,"version":"build-2736575974"},"reference-count":54,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"129","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>Anxiety and sleep disturbances frequently coexist due to common autonomic dysregulation. This review emphasises wind-instrument training as an intervention that integrates intentional breath regulation with self-produced auditory feedback to influence vagal tone and maintain arousal stability. We performed a systematic review and mechanistic analysis, querying PubMed, Embase, PsycINFO and the Cochrane Library (2000\u20132024) for clinical and experimental studies on wind-instrument training, and synthesised pathways connecting respiration, auditory processing and autonomic regulation. Initial evidence indicates a decrease in anxiety symptoms, enhancements in heart-rate variability and a reduction in nocturnal awakenings; nevertheless, the majority of studies are limited in size and duration, necessitating larger multi-centre trials. Incorporating wind-instrument practice into therapeutic frameworks may enhance existing non-pharmacological strategies by aligning respiratory pacing with consistent and self-produced sound, providing a physiological mechanism for improved emotional regulation and sleep.<\/jats:p>","DOI":"10.4103\/nah.nah_112_25","type":"journal-article","created":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T12:00:35Z","timestamp":1767441635000},"page":"692-701","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Auditory Biofeedback through Wind Instrument Training: A Breath-Controlled Acoustic Strategy for Modulating Anxiety and Sleep"],"prefix":"10.4103","volume":"27","author":[{"given":"Yi","family":"Ding","sequence":"first","affiliation":[{"name":"School of Music, Shanghai Normal University, Shanghai, 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