{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:22:26Z","timestamp":1787840546030,"version":"build-2784847793"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"130","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":[[2026,1]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    This study aimed to explore the effect of Tomatis music therapy in improving perimenopausal insomnia.\n                    <jats:bold>Methods:<\/jats:bold>\n                    This study included perimenopausal women visiting a tertiary obstetrics and gynaecology hospital from January 2024 to December 2024, screening for those with a Pittsburgh Sleep Quality Index (PSQI) score &gt;7 and a Spiegel Sleep Inventory (SPIEGEL) clinical self-rating score over 12 points. The 120 eligible patients were divided into three groups on the basis of previous treatment: routine nursing (control group 1,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200941), standard music therapy (control group 2,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200942) and Tomatis music therapy (Tomatis group,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200937). Outcomes, such as PSQI, SPIEGEL, modified Kupperman scale, Menopause Rating Scale (MRS) and safety, were compared across groups.\n                    <jats:bold>Results:<\/jats:bold>\n                    Following the treatment method, a significant reduction in PSQI scores was found in all groups compared with baseline, with the greatest improvement observed in the Tomatis group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). Similarly, the SPIEGEL scores declined significantly in the control and Tomatis groups, though the latter demonstrated superior outcomes (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). The modified Kupperman scale scores decreased markedly across all groups, with the most pronounced reduction observed in the Tomatis group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). Additionally, the post-treatment MRS scores were significantly lower than the pre-treatment values in all groups, with the Tomatis group achieving the lowest scores (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Tomatis sound therapy is associated with improved sleep quality in perimenopausal women with insomnia, relief from menopausal symptoms and enhanced overall well-being.\n                  <\/jats:p>","DOI":"10.4103\/nah.nah_217_25","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T12:00:20Z","timestamp":1773057620000},"page":"103-110","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Tomatis Auditory Stimulation on Insomnia in Perimenopausal 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