{
  "title": "Sound research",
  "chapters": [
    {
      "number": 1,
      "title": "Brain entrainment, sound and gene expression",
      "topics": [
        {
          "id": "i",
          "number": "1.1",
          "title": "Brain entrainment, pain, anxiety and heart-rate variability",
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              "id": "i-pmid-28544507",
              "recordId": "pmid-28544507",
              "title": "The Effect of Binaural Beat Technology on the Cardiovascular Stress Response in Military Service Members With Postdeployment Stress",
              "journal": "Journal of Nursing Scholarship",
              "year": 2017,
              "authors": "Gantt MA, Dadds S, Burns DS, Glaser D, Moore AD.",
              "design": "Double-blind randomized controlled trial",
              "urls": [
                "https://sigmapubs.onlinelibrary.wiley.com/doi/abs/10.1111/jnu.12304"
              ],
              "quotes": [
                [
                  {
                    "text": "“The use of binaural beat technology in the theta brainwave frequency embedded into music decreases physical and psychological indications of stress. Binaural beat technology embedded with beta and delta frequencies may improve cognitive functioning and sleep quality, respectively.”",
                    "emphasis": false
                  }
                ]
              ],
              "citationCount": 11,
              "sourcePages": [
                6
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              "categories": [
                "Brain & nervous system"
              ],
              "doi": "10.1111/jnu.12304",
              "pmid": "28544507",
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                "basis": "The conference abstract and journal report describe the same 74-person military trial, with music plus or minus binaural beats over four weeks. The Sound Mind Warrior register records randomization and participant/investigator masking. These reports count as one trial.",
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                  "https://pubmed.ncbi.nlm.nih.gov/28544507/",
                  "https://clinicaltrials.gov/study/NCT02328690"
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                "basis": "The conference abstract and journal report describe the same 74-person military trial, with music plus or minus binaural beats over four weeks. The Sound Mind Warrior register records randomization and participant/investigator masking. These reports count as one trial.",
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                  "https://pubmed.ncbi.nlm.nih.gov/28544507/",
                  "https://clinicaltrials.gov/study/NCT02328690"
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                "reviewScope": "Primary abstract or specified methods and trial register; comprehensive full-text risk-of-bias assessment not completed."
              },
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                "trialId": "NCT02328690"
              }
            },
            {
              "id": "i-pmid-25452734",
              "recordId": "pmid-25452734",
              "title": "Auditory driving of the autonomic nervous system: Listening to theta-frequency binaural beats post-exercise increases parasympathetic activation and sympathetic withdrawal",
              "journal": "Frontiers in Psychology",
              "year": 2014,
              "authors": "McConnell PA, Froeliger B, Garland EL, Ives JC, Sforzo GA.",
              "design": "randomised controlled trial, double blind",
              "urls": [
                "https://www.frontiersin.org/articles/10.3389/fpsyg.2014.01248/full"
              ],
              "quotes": [
                [
                  {
                    "text": "“Acute exposure to theta-frequency binaural beats in a young, healthy sample of college students resulted in increased parasympathetic activation, increased sympathetic withdrawal, and increased self-reported relaxation post-exercise.”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“Binaural-beat-associated HRV appeared to be more tightly coupled with self-reported relaxation than placebo-associated HRV.”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“These findings support the putative clinical effectiveness of binaural beats in their own right, the effects of which may be synergistically enhanced through combination with other therapeutic factors such as verbal guidance and music.”",
                    "emphasis": false
                  }
                ]
              ],
              "citationCount": 37,
              "sourcePages": [
                6
              ],
              "targets": [],
              "categories": [
                "Heart rate & autonomic",
                "Clinical & self-report"
              ],
              "doi": "10.3389/fpsyg.2014.01248",
              "pmid": "25452734",
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                  "https://pubmed.ncbi.nlm.nih.gov/25452734/",
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                  "https://www.frontiersin.org/articles/10.3389/fpsyg.2014.01248/full"
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            {
              "id": "i-src-e3b0fd44d504",
              "recordId": "src-e3b0fd44d504",
              "title": "Psychophysiological reactivity to auditory Binaural Beats stimulation in the alpha and theta EEG brain-wave frequency bands: A randomized, double–blind and placebo–controlled study in human healthy young adult subjects",
              "journal": "Independent University of Madrid, Department of Biological and Health Psychology",
              "year": null,
              "authors": "",
              "design": "randomised controlled trial, double blind",
              "urls": [
                "https://repositorio.uam.es/handle/10486/663948"
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              "quotes": [
                [
                  {
                    "text": "“Significant change over time in the parasympathetic parameter HRV–HF power derived from ECG was only found under binaural beats”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“Pre– vs. post saliva samples revealed significant increases only under Placebo in stress–related biomarkers (Cortisol, α –Amylase and Salivary Secretory Immunoglobulin A, SIgA), but not under binaural beats”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“The ability of the binaural beat stimulus to decrease arousal levels and induce/boost altered states of consciousness (ASCs) implies applications in several practical–clinical contexts and calls for further field studies.”",
                    "emphasis": false
                  }
                ]
              ],
              "citationCount": 3,
              "sourcePages": [
                7
              ],
              "targets": [],
              "categories": [
                "Molecular biomarkers",
                "Heart rate & autonomic",
                "Brain & nervous system"
              ],
              "doi": null,
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            },
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              "id": "i-src-6d277422d0a0",
              "recordId": "src-6d277422d0a0",
              "title": "The Sound Mind Warrior Study: Using Sound Technology to Combat Stress in Military Service Members",
              "journal": "Sigma Global Nursing",
              "year": null,
              "authors": "",
              "design": "Double-blind randomized controlled trial; conference report",
              "urls": [
                "https://sigma.nursingrepository.org/handle/10755/616141"
              ],
              "quotes": [
                [
                  {
                    "text": "“When placed under an acute stressor after using music embedded with BBT, participants showed a decrease in sympathetic response and an increased in parasympathetic response. Those who used music alone had the opposite effect. In other words, those who did not use the technology exhibited more cardiovascular signs of chronic stress exposure.”",
                    "emphasis": false
                  }
                ]
              ],
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                7
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                "sources": [
                  "https://stti.confex.com/stti/congrs16/webprogram/Paper78473.html",
                  "https://clinicaltrials.gov/study/NCT02328690"
                ],
                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
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                  "https://stti.confex.com/stti/congrs16/webprogram/Paper78473.html",
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                "reviewScope": "Primary abstract or specified methods and trial register; comprehensive full-text risk-of-bias assessment not completed."
              },
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                "trialId": "NCT02328690"
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            },
            {
              "id": "i-pmid-29297265",
              "recordId": "pmid-29297265",
              "title": "Short-Term Effects of Binaural Beats on EEG Power, Functional Connectivity, Cognition, Gait and Anxiety in Parkinson’s Disease",
              "journal": "International Journal of Neural Systems",
              "year": 2018,
              "authors": "Gálvez G, Recuero M, Canuet L, Del-Pozo F.",
              "design": "randomised controlled trial, double blind",
              "urls": [
                "https://www.worldscientific.com/doi/abs/10.1142/S0129065717500551?journalCode=ijns"
              ],
              "quotes": [
                [
                  {
                    "text": "“The use of binaural-rhythm stimulation for Parkinson’s Disease, as designed in this study, seems to be an effective, portable, inexpensive and noninvasive method to modulate brain activity”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“It resulted in a normalization of EEG power (altered in Parkinson’s Disease), normalization of brain FC (also altered in Parkinson’s Disease) and working memory improvement (a normalizing effect)”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“We consider that sound, particularly binaural-rhythmic sound, may be a co-assistant tool in the treatment of Parkinson’s Disease”",
                    "emphasis": false
                  }
                ]
              ],
              "citationCount": 22,
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              "doi": "10.1142/s0129065717500551",
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                  "https://pubmed.ncbi.nlm.nih.gov/29297265/",
                  "https://doi.org/10.1142/s0129065717500551",
                  "https://www.worldscientific.com/doi/abs/10.1142/S0129065717500551?journalCode=ijns"
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                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
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              }
            },
            {
              "id": "i-src-d2427f4063b3",
              "recordId": "src-d2427f4063b3",
              "title": "Hemispheric‐synchronisation during anaesthesia: a double‐blind randomised trial using audiotapes for intra‐operative nociception control",
              "journal": "Wiley Online Library: Anaesthesia",
              "year": null,
              "authors": "",
              "design": "randomised controlled trial, double blind",
              "urls": [
                "https://onlinelibrary.wiley.com/doi/full/10.1046/j.1365-2044.1999.00958.x"
              ],
              "quotes": [
                [
                  {
                    "text": "“In conclusion, our findings demonstrate that patients using intra‐operative Hemi‐Sync tapes whilst undergoing a range of different surgical procedures under standardised general anaesthesia with a laryngeal mask require substantially less fentanyl when compared with controls”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“It is possible that the Hemi‐Sync tapes, used intra‐operatively or with the addition of pre‐ and postoperative tapes, could have longer‐term effects on postoperative recovery, and may even result in cost savings through reduced analgesic requirement and shorter hospital stay.”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“In our study, we found that patients exposed to a Hemi‐Sync audio tape whilst undergoing surgery under ‘light’ general anaesthesia required significantly less analgesia with fentanyl when compared with patients listening to a blank tape or to classical music.”",
                    "emphasis": false
                  }
                ]
              ],
              "citationCount": 66,
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                8
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              "categories": [
                "Methods & context"
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              "doi": "10.1046/j.1365-2044.1999.00958.x",
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                "sources": [
                  "https://onlinelibrary.wiley.com/doi/full/10.1046/j.1365-2044.1999.00958.x"
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              }
            },
            {
              "id": "i-pmid-20117669",
              "recordId": "pmid-20117669",
              "title": "Pilot Feasibility Study of Binaural Auditory Beats for Reducing Symptoms of Inattention in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder",
              "journal": "Journal of Paediatric Nursing",
              "year": 2010,
              "authors": "Kennel S, Taylor AG, Lyon D, Bourguignon C.",
              "design": "randomised controlled trial, double blind",
              "urls": [
                "https://www.sciencedirect.com/science/article/pii/S0882596308003321"
              ],
              "quotes": [
                [
                  {
                    "text": "“parents and adolescents stated that homework problems due to inattention improved during the 3-week study. Parents and participants stated that the modality was easy to use and helpful. Therefore, this modality should be studied over a longer time frame in a larger sample to further its effectiveness to reduce the symptom of inattention in those diagnosed with attention-deficit/hyperactivity disorder”",
                    "emphasis": false
                  }
                ]
              ],
              "citationCount": 42,
              "sourcePages": [
                8
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              "doi": "10.1016/j.pedn.2008.06.010",
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            },
            {
              "id": "i-pmid-16115248",
              "recordId": "pmid-16115248",
              "title": "A prospective, randomised, controlled study examining binaural beat audio and pre‐operative anxiety in patients undergoing general anaesthesia for day case surgery",
              "journal": "Anaesthesia",
              "year": 2005,
              "authors": "Padmanabhan R, Hildreth AJ, Laws D.",
              "design": "randomised controlled trial, double blind",
              "urls": [
                "https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2044.2005.04287.x"
              ],
              "quotes": [
                [
                  {
                    "text": "“offering binaural beat audio before day case procedures might serve to bring about anxiolysis in the majority of patients without impacting adversely on postoperative functioning”",
                    "emphasis": false
                  }
                ]
              ],
              "citationCount": 191,
              "sourcePages": [
                8
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              "doi": "10.1111/j.1365-2044.2005.04287.x",
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            {
              "id": "i-pmid-22171868",
              "recordId": "pmid-22171868",
              "title": "Original sound compositions reduce anxiety in emergency department patients: a randomised controlled trial",
              "journal": "Medical Journal of Australia",
              "year": 2011,
              "authors": "Weiland TJ, Jelinek GA, Macarow KE, Samartzis P, Brown DM, Grierson EM, Winter C.",
              "design": "randomised controlled trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/22171868/"
              ],
              "quotes": [
                [
                  {
                    "text": "“In moderately anxious emergency department patients, state anxiety was reduced by 10%–15% following exposure to purpose‐designed sound interventions.”",
                    "emphasis": false
                  }
                ]
              ],
              "citationCount": 39,
              "sourcePages": [
                9
              ],
              "targets": [],
              "categories": [
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              ],
              "doi": "10.5694/mja10.10662",
              "pmid": "22171868",
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            },
            {
              "id": "i-src-1023e40a3842",
              "recordId": "src-1023e40a3842",
              "title": "The effect of music with and without binaural beat audio on operative anxiety in patients undergoing cataract surgery: a randomized controlled trial",
              "journal": "Nature",
              "year": null,
              "authors": "",
              "design": "randomised controlled trial",
              "urls": [
                "https://www.nature.com/articles/eye2016160"
              ],
              "quotes": [
                [
                  {
                    "text": "“Music, both with and without binaural beat, was proven to decrease anxiety level and lower systolic blood pressure.”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“Patients who received binaural beat audio showed additional decrease in heart rate.”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“Binaural beat embedded musical intervention may have benefit over musical intervention alone in decreasing operative anxiety.”",
                    "emphasis": false
                  }
                ]
              ],
              "citationCount": 26,
              "sourcePages": [
                9
              ],
              "targets": [],
              "categories": [
                "Heart rate & autonomic",
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              ],
              "doi": null,
              "pmid": null,
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                "basis": "Randomized controlled design recorded in the publication-specific design or bibliographic indexing.",
                "sources": [
                  "https://www.nature.com/articles/eye2016160"
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                "assessedAt": "2026-10-27"
              }
            },
            {
              "id": "i-pmid-25635925",
              "recordId": "pmid-25635925",
              "title": "Effects of music in combination with vibration in acupuncture points on the treatment of fibromyalgia",
              "journal": "Journal of Alternative and Complimentary Medicine",
              "year": 2015,
              "authors": "Weber A, Werneck L, Paiva E, Gans P.",
              "design": "randomised controlled trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/25635925/"
              ],
              "quotes": [
                [
                  {
                    "text": "“complete group had the greatest reduction in both Fibromyalgia Impact Questionnaire and Health Assessment Questionnaire, with a significant improvement in Health Assessment Questionnaire, suggesting that the combined use of music, binaural beats and vibration exerts a greater effect on Fibromyalgia symptoms”",
                    "emphasis": false
                  }
                ]
              ],
              "citationCount": 15,
              "sourcePages": [
                9
              ],
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              "categories": [
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              "doi": "10.1089/acm.2014.0199",
              "pmid": "25635925",
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                  "https://doi.org/10.1089/acm.2014.0199"
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            },
            {
              "id": "i-pmid-30073406",
              "recordId": "pmid-30073406",
              "title": "Efficacy of binaural auditory beats in cognition, anxiety, and pain perception: a meta-analysis",
              "journal": "Psychological Research",
              "year": 2019,
              "authors": "Garcia-Argibay M, Santed MA, Reales JM.",
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              "urls": [
                "https://link.springer.com/article/10.1007/s00426-018-1066-8"
              ],
              "quotes": [
                [
                  {
                    "text": "“the findings suggest that binaural-beat exposure before, and before and during the task produces superior results than exposure during the task”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“Time under exposure contributed significantly to the model indicating that longer periods are advisable to ensure maximum effectiveness”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“binaural-beat exposure is an effective way to affect cognition over and above reducing anxiety levels and the perception of pain without prior training, and that the direction and the magnitude of the effect depends upon the frequency used, time under exposure, and the moment in which the exposure takes place”",
                    "emphasis": false
                  }
                ]
              ],
              "citationCount": 14,
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                10
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                "Clinical & self-report",
                "Methods & context"
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                "basis": "Indexed peer-reviewed research; a qualifying randomized controlled design is not established in the reviewed record.",
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                  "https://pubmed.ncbi.nlm.nih.gov/30073406/",
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            },
            {
              "id": "i-doi-98d676644dd46a51",
              "recordId": "doi-98d676644dd46a51",
              "title": "Cumulative effects of theta binaural beats on brain power and functional connectivity",
              "journal": "Biomedical Signal Processing and Control",
              "year": 2018,
              "authors": "Tirdad Seifi Ala; Mohammad Ali Ahmadi-Pajouh; Ali Motie Nasrabadi",
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                    "text": "“Future studies should account for music preference among participants and include age as a factor in outcomes, incentives to foster tape listening, and a physiologic measure of anxiety reduction.”",
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                "basis": "Indexed peer-reviewed research; a qualifying randomized controlled design is not established in the reviewed record.",
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              "id": "i-portal-e25cb1d2bb79",
              "recordId": "portal-e25cb1d2bb79",
              "title": "Theta binaural beats for pain, cognition and anxiety",
              "journal": "EXPLORE",
              "year": 2026,
              "authors": "",
              "design": "Systematic review + meta-analysis of RCTs",
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                "https://doi.org/10.1016/j.explore.2026.103471"
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                "Brain & nervous system",
                "Clinical & self-report"
              ],
              "doi": "10.1016/j.explore.2026.103471",
              "pmid": null,
              "summary": "Across 13 RCTs, theta (4-8 Hz) binaural beats reduced pain, showed anxiety benefit mainly in procedural and chronic-pain settings, and improved episodic memory—supporting focused testing in Universal Mind's 5-8 Hz range.",
              "limitation": "Overall pain evidence was low certainty, outcomes varied, and the review does not establish PTSD efficacy or validate a complete sound layer.",
              "summarySource": {
                "name": "I AM portal",
                "url": "https://doi.org/10.1016/j.explore.2026.103471",
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                  "https://doi.org/10.1016/j.explore.2026.103471"
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                "assessedAt": "2026-10-27"
              }
            },
            {
              "id": "i-pmid-39004412",
              "recordId": "pmid-39004412",
              "title": "Brain wave modulation and EEG power changes during auditory beats stimulation",
              "journal": "Neuroscience",
              "year": 2024,
              "authors": "Dos Anjos T, Di Rienzo F, Benoit CE, Daligault S, Guillot A.",
              "design": "Comparative EEG study",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/39004412/",
                "https://doi.org/10.1016/j.neuroscience.2024.07.014"
              ],
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                "Brain & nervous system",
                "Clinical & self-report"
              ],
              "doi": "10.1016/j.neuroscience.2024.07.014",
              "pmid": "39004412",
              "summary": "In 28 healthy participants, four minutes of isochronic-derived stimulation produced greater gamma-band EEG power changes than gamma binaural beats and white noise, alongside a distinct time-related alpha response.",
              "limitation": "The stimulus alternated audible frequencies rather than using a conventional fixed-carrier isochronic tone and did not test Universal Mind's exact protocol. It measured short-term EEG responses, not a clinical outcome.",
              "summarySource": {
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                "url": "https://pubmed.ncbi.nlm.nih.gov/39004412/",
                "reviewedAt": "2026-08-15"
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                "basis": "Indexed peer-reviewed research; a qualifying randomized controlled design is not established in the reviewed record.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/39004412/",
                  "https://doi.org/10.1016/j.neuroscience.2024.07.014"
                ],
                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "Effectiveness of binaural beats in alleviating anxiety during periodontal flap surgery: A randomized controlled trial.",
              "journal": "Journal of Indian Society of Periodontology",
              "year": 2025,
              "authors": "Madhumitha TK, Esther V, Ravishankar PL, Kalaivani, Kumar G, Rajula PB.",
              "design": "Randomized controlled trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/41450809/",
                "https://doi.org/10.4103/jisp.jisp_73_25",
                "https://pmc.ncbi.nlm.nih.gov/articles/PMC12736686/"
              ],
              "doi": "10.4103/jisp.jisp_73_25",
              "pmid": "41450809",
              "targets": [],
              "categories": [
                "Clinical & self-report"
              ],
              "citationCount": 0,
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                "retrievedAt": "2026-10-26",
                "url": "https://europepmc.org/article/MED/41450809"
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                "category": "peer-reviewed",
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                "sources": [
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                  "https://doi.org/10.4103/jisp.jisp_73_25",
                  "https://pmc.ncbi.nlm.nih.gov/articles/PMC12736686/"
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              },
              "evidence": {
                "intervention": "Binaural beats around periodontal surgery",
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                "evidenceType": "Clinical or experimental outcomes",
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                  "https://doi.org/10.4103/jisp.jisp_73_25",
                  "https://pmc.ncbi.nlm.nih.gov/articles/PMC12736686/"
                ],
                "checkedAt": "2026-10-26",
                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
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                  "https://daytab.com/study/xrm68jj2",
                  "https://europepmc.org/article/MED/41450809"
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              },
              "id": "sound-i-pmid-41450809",
              "recordId": "pmid-41450809",
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              "summary": "In 50 periodontal surgery patients, binaural-beat exposure was associated with lower postoperative anxiety and physiological stress measures than no auditory intervention. Mean anxiety scores in the intervention arm fell from 49.0 to 38.7.",
              "limitation": "The comparison did not control for music, headphones or attention. A small surgical study does not establish a general clinical effect of binaural beats.",
              "paperTrustAssessment": {
                "score": 2,
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                  "https://pubmed.ncbi.nlm.nih.gov/41450809/",
                  "https://doi.org/10.4103/jisp.jisp_73_25",
                  "https://pmc.ncbi.nlm.nih.gov/articles/PMC12736686/"
                ],
                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "Preoperative binaural beats reduce remimazolam dosage and enhance safety in anesthesia induction: A randomized controlled trial.",
              "journal": "PloS one",
              "year": 2026,
              "authors": "Kim HC, Sohn JY, Kim MH, Kim YJ, Chang CH, Seo JH.",
              "design": "Randomized controlled trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/41911215/",
                "https://doi.org/10.1371/journal.pone.0345960",
                "https://pmc.ncbi.nlm.nih.gov/articles/PMC13035112/"
              ],
              "doi": "10.1371/journal.pone.0345960",
              "pmid": "41911215",
              "targets": [],
              "categories": [
                "Clinical & self-report"
              ],
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                "source": "Europe PMC",
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                "url": "https://europepmc.org/article/MED/41911215"
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                "category": "peer-reviewed",
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                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/41911215/",
                  "https://doi.org/10.1371/journal.pone.0345960",
                  "https://pmc.ncbi.nlm.nih.gov/articles/PMC13035112/"
                ],
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                "registeredMaskingBasis": false
              },
              "evidence": {
                "intervention": "1 Hz binaural beats before anaesthesia",
                "comparator": "No binaural intervention",
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                  "https://pubmed.ncbi.nlm.nih.gov/41911215/",
                  "https://doi.org/10.1371/journal.pone.0345960",
                  "https://pmc.ncbi.nlm.nih.gov/articles/PMC13035112/"
                ],
                "checkedAt": "2026-10-26",
                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
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                  "https://daytab.com/study/ggpt8f7w",
                  "https://europepmc.org/article/MED/41911215"
                ],
                "selectionPolicy": "Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.",
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              },
              "id": "sound-i-pmid-41911215",
              "recordId": "pmid-41911215",
              "quotes": [],
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              "summary": "In 72 surgical patients, 30 minutes of 1 Hz binaural beats reduced the mean remimazolam dose required for loss of consciousness from 17.7 to 15.0 mg; hypotension occurred in 6% versus 28% of participants.",
              "limitation": "A single-centre anaesthesia study with no auditory intervention in the comparison arm. EEG differences were not significant, so the proposed entrainment mechanism remains unconfirmed.",
              "paperTrustAssessment": {
                "score": 2,
                "scope": "Paper",
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                "randomizedControlledTrial": true,
                "blinding": "not-confirmed",
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                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/41911215/",
                  "https://doi.org/10.1371/journal.pone.0345960",
                  "https://pmc.ncbi.nlm.nih.gov/articles/PMC13035112/"
                ],
                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "Binaural beat stimulation as a tool to reduce preoperative anxiety in patients undergoing elective surgery and general anesthesia - results from a randomized controlled trial.",
              "journal": "Biomedical physics & engineering express",
              "year": 2025,
              "authors": "Ostertag J, Zinn S, Georgii MT, Niederle MB, Pinto Campos C, Schneider G, Hayden O, Kratzer S, Kreuzer M.",
              "design": "Randomized controlled trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/40795897/",
                "https://doi.org/10.1088/2057-1976/adfa9d"
              ],
              "doi": "10.1088/2057-1976/adfa9d",
              "pmid": "40795897",
              "targets": [],
              "categories": [
                "Clinical & self-report"
              ],
              "citationCount": 0,
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                "source": "Europe PMC",
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                "url": "https://europepmc.org/article/MED/40795897"
              },
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                "category": "peer-reviewed",
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                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/40795897/",
                  "https://doi.org/10.1088/2057-1976/adfa9d"
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                "registeredMaskingBasis": false
              },
              "evidence": {
                "intervention": "Binaural-beat music before surgery",
                "comparator": "Control without binaural stimulation",
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                  "https://pubmed.ncbi.nlm.nih.gov/40795897/",
                  "https://doi.org/10.1088/2057-1976/adfa9d"
                ],
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                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
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                  "https://europepmc.org/article/MED/40795897"
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              "quotes": [],
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              "summary": "Preoperative binaural-beat stimulation produced a greater reduction in reported state anxiety than the control condition. The reported difference in relative anxiety change was approximately six percentage points.",
              "limitation": "The authors identified music and relaxation as plausible contributors. Alpha power did not differ between groups; the trial does not isolate a beat-specific mechanism.",
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                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
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                  "https://pubmed.ncbi.nlm.nih.gov/40795897/",
                  "https://doi.org/10.1088/2057-1976/adfa9d"
                ],
                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "Effects of preoperative binaural beats on the propofol dose for induction of general anesthesia: a randomized controlled trial.",
              "journal": "Canadian journal of anaesthesia = Journal canadien d'anesthesie",
              "year": 2025,
              "authors": "Kim YJ, Choe HW, Yoon SB, Lee H, Kim HS, Seo JH.",
              "design": "Randomized controlled trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/40563070/",
                "https://doi.org/10.1007/s12630-025-02993-5"
              ],
              "doi": "10.1007/s12630-025-02993-5",
              "pmid": "40563070",
              "targets": [],
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                "Clinical & self-report"
              ],
              "citationCount": 2,
              "citationSnapshot": {
                "count": 2,
                "source": "Europe PMC",
                "retrievedAt": "2026-10-26",
                "url": "https://europepmc.org/article/MED/40563070"
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                "category": "peer-reviewed",
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                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/40563070/",
                  "https://doi.org/10.1007/s12630-025-02993-5"
                ],
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                "registeredMaskingBasis": false
              },
              "evidence": {
                "intervention": "1 Hz binaural beats, 432/431 Hz carriers",
                "comparator": "Silent headphones",
                "evidenceType": "Clinical or experimental outcomes",
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                  "https://pubmed.ncbi.nlm.nih.gov/40563070/",
                  "https://doi.org/10.1007/s12630-025-02993-5"
                ],
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                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
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                  "https://europepmc.org/article/MED/40563070"
                ],
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                "trialId": "NCT05431881"
              },
              "id": "sound-i-pmid-40563070",
              "recordId": "pmid-40563070",
              "quotes": [],
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              "summary": "Among 69 surgical patients, 20 minutes of 1 Hz binaural beats reduced the mean propofol dose needed to stop responding to verbal commands from 105 to 87 mg; the difference was -18 mg, with a 95% confidence interval of -32 to -5 mg.",
              "limitation": "Anxiety and frontal EEG bands did not differ significantly. This supports an anaesthetic-dose finding within the tested clinical protocol, rather than a general claim of brainwave entrainment.",
              "paperTrustAssessment": {
                "score": 2,
                "scope": "Paper",
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                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
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                  "https://pubmed.ncbi.nlm.nih.gov/40563070/",
                  "https://doi.org/10.1007/s12630-025-02993-5"
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                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "Immediate effects of binaural beat stimulation on prefrontal cortical activation after cycling exercise: an electroencephalography-based study.",
              "journal": "Experimental brain research",
              "year": 2026,
              "authors": "Hsiao SF, Liu TL, Lin YC, Yen CW, Siu KC, Lin JH.",
              "design": "Randomized crossover experiment",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/42671585/",
                "https://doi.org/10.1007/s00221-026-07387-7"
              ],
              "doi": "10.1007/s00221-026-07387-7",
              "pmid": "42671585",
              "targets": [],
              "categories": [
                "Brain & nervous system"
              ],
              "citationCount": 0,
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                "source": "Europe PMC",
                "retrievedAt": "2026-10-26",
                "url": "https://europepmc.org/article/MED/42671585"
              },
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                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/42671585/",
                  "https://doi.org/10.1007/s00221-026-07387-7"
                ],
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                "registeredMaskingBasis": false
              },
              "evidence": {
                "intervention": "5.5–8.5 Hz binaural beats with pink noise after cycling",
                "comparator": "Sham stimulation",
                "evidenceType": "Clinical or experimental outcomes",
                "sourceURLs": [
                  "https://pubmed.ncbi.nlm.nih.gov/42671585/",
                  "https://doi.org/10.1007/s00221-026-07387-7"
                ],
                "checkedAt": "2026-10-26",
                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
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                  "https://daytab.com/study/sj6r4fqj",
                  "https://europepmc.org/article/MED/42671585"
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              "id": "sound-i-pmid-42671585",
              "recordId": "pmid-42671585",
              "quotes": [],
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              "summary": "In 52 completers, theta-range binaural stimulation with pink noise after cycling increased prefrontal theta and alpha EEG power relative to sham stimulation.",
              "limitation": "This was an immediate physiological experiment in healthy adults. It did not establish improved recovery, cognition or a clinical treatment effect; 60 people were recruited.",
              "paperTrustAssessment": {
                "score": 2,
                "scope": "Paper",
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                "randomizedControlledTrial": true,
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                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/42671585/",
                  "https://doi.org/10.1007/s00221-026-07387-7"
                ],
                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "Effects of binaural beats on acute stress recovery and autonomic regulation in multiple sclerosis: a pilot double-blind randomized controlled trial.",
              "journal": "Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology",
              "year": 2026,
              "authors": "Vaheb S, Hatef B, Mirani A, Shaygannejad V, Pirzad Jahromi G.",
              "design": "Double-blind randomized controlled pilot trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/42307797/",
                "https://doi.org/10.1007/s10072-026-09164-4"
              ],
              "doi": "10.1007/s10072-026-09164-4",
              "pmid": "42307797",
              "targets": [],
              "categories": [
                "Clinical & self-report",
                "Molecular biomarkers"
              ],
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                "source": "Europe PMC",
                "retrievedAt": "2026-10-26",
                "url": "https://europepmc.org/article/MED/42307797"
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                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/42307797/",
                  "https://doi.org/10.1007/s10072-026-09164-4"
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                "registeredMaskingBasis": false
              },
              "evidence": {
                "intervention": "4 Hz binaural beats after a stress challenge",
                "comparator": "Matched-frequency sham stimulation",
                "evidenceType": "Clinical or experimental outcomes",
                "sourceURLs": [
                  "https://pubmed.ncbi.nlm.nih.gov/42307797/",
                  "https://doi.org/10.1007/s10072-026-09164-4"
                ],
                "checkedAt": "2026-10-26",
                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
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                  "https://europepmc.org/article/MED/42307797"
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              "summary": "A pilot involving 30 people with multiple sclerosis and 30 healthy participants reported lower salivary cortisol after 4 Hz binaural stimulation than sham following an experimental stress challenge, alongside autonomic and EEG changes.",
              "limitation": "Small, mixed participant groups and acute follow-up limit generalisation. Cortisol is a hormonal biomarker; this study did not measure gene expression or demonstrate long-term clinical benefit.",
              "paperTrustAssessment": {
                "score": 3,
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                "blinding": "double",
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                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
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                  "https://doi.org/10.1007/s10072-026-09164-4"
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                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "Effect of Binaural Beats on Anxiety and Tolerance in Patients Undergoing Upper Gastrointestinal Endoscopy Without Sedation: A Randomized Controlled Trial.",
              "journal": "Journal of integrative and complementary medicine",
              "year": 2024,
              "authors": "Demirci S, Sezer S.",
              "design": "Randomized controlled trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/39088370/",
                "https://doi.org/10.1089/jicm.2023.0804",
                "https://pmc.ncbi.nlm.nih.gov/articles/PMC11659431/"
              ],
              "doi": "10.1089/jicm.2023.0804",
              "pmid": "39088370",
              "targets": [],
              "categories": [
                "Clinical & self-report"
              ],
              "citationCount": 6,
              "citationSnapshot": {
                "count": 6,
                "source": "Europe PMC",
                "retrievedAt": "2026-10-26",
                "url": "https://europepmc.org/article/MED/39088370"
              },
              "studyDesignAssessment": {
                "category": "peer-reviewed",
                "peerReviewed": true,
                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/39088370/",
                  "https://doi.org/10.1089/jicm.2023.0804",
                  "https://pmc.ncbi.nlm.nih.gov/articles/PMC11659431/"
                ],
                "assessedAt": "2026-10-26",
                "registeredMaskingBasis": false
              },
              "evidence": {
                "intervention": "Binaural-beat music during endoscopy",
                "comparator": "No auditory intervention",
                "evidenceType": "Clinical or experimental outcomes",
                "sourceURLs": [
                  "https://pubmed.ncbi.nlm.nih.gov/39088370/",
                  "https://doi.org/10.1089/jicm.2023.0804",
                  "https://pmc.ncbi.nlm.nih.gov/articles/PMC11659431/"
                ],
                "checkedAt": "2026-10-26",
                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
                "discoverySources": [
                  "https://daytab.com/study/7gtf9kh8",
                  "https://europepmc.org/article/MED/39088370"
                ],
                "selectionPolicy": "Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.",
                "trialId": "NCT06114524"
              },
              "id": "sound-i-pmid-39088370",
              "recordId": "pmid-39088370",
              "quotes": [],
              "sourcePages": [],
              "summary": "In 96 patients undergoing unsedated upper gastrointestinal endoscopy, binaural-beat music was associated with improved anxiety, procedure tolerance and satisfaction compared with no intervention.",
              "limitation": "The trial did not include an otherwise identical music control, so the contribution of the beats is unresolved. Blood pressure and heart rate did not differ significantly.",
              "paperTrustAssessment": {
                "score": 2,
                "scope": "Paper",
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                "randomizedControlledTrial": true,
                "blinding": "not-confirmed",
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                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/39088370/",
                  "https://doi.org/10.1089/jicm.2023.0804",
                  "https://pmc.ncbi.nlm.nih.gov/articles/PMC11659431/"
                ],
                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "Brainwave entrainment to minimise sedative drug doses in paediatric surgery: a randomised controlled trial.",
              "journal": "British journal of anaesthesia",
              "year": 2020,
              "authors": "Schmid W, Marhofer P, Opfermann P, Zadrazil M, Kimberger O, Triffterer L, Marhofer D, Klug W.",
              "design": "Randomized controlled trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/32653082/",
                "https://doi.org/10.1016/j.bja.2020.05.050"
              ],
              "doi": "10.1016/j.bja.2020.05.050",
              "pmid": "32653082",
              "targets": [],
              "categories": [
                "Clinical & self-report"
              ],
              "citationCount": 10,
              "citationSnapshot": {
                "count": 10,
                "source": "Europe PMC",
                "retrievedAt": "2026-10-26",
                "url": "https://europepmc.org/article/MED/32653082"
              },
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                "category": "peer-reviewed",
                "peerReviewed": true,
                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/32653082/",
                  "https://doi.org/10.1016/j.bja.2020.05.050"
                ],
                "assessedAt": "2026-10-26",
                "registeredMaskingBasis": false
              },
              "evidence": {
                "intervention": "Combined auditory and visual entrainment during surgery",
                "comparator": "Standard surgical protocol without audiovisual entrainment",
                "evidenceType": "Clinical or experimental outcomes",
                "sourceURLs": [
                  "https://pubmed.ncbi.nlm.nih.gov/32653082/",
                  "https://doi.org/10.1016/j.bja.2020.05.050"
                ],
                "checkedAt": "2026-10-26",
                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
                "discoverySources": [
                  "https://daytab.com/study/3txf5pmz",
                  "https://europepmc.org/article/MED/32653082"
                ],
                "selectionPolicy": "Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.",
                "trialId": "DRKS00005064"
              },
              "id": "sound-i-pmid-32653082",
              "recordId": "pmid-32653082",
              "quotes": [],
              "sourcePages": [],
              "summary": "In 49 boys undergoing surgery with a caudal block, audiovisual brainwave entrainment reduced the median propofol infusion requirement from 4.2 to 3.0 mg/kg/hour.",
              "limitation": "The intervention combined sound and visual stimulation and cannot establish an isolated binaural-beat effect. Findings concern supervised paediatric anaesthesia, not unsupervised sedation or general wellbeing.",
              "paperTrustAssessment": {
                "score": 2,
                "scope": "Paper",
                "status": "assessed",
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                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/32653082/",
                  "https://doi.org/10.1016/j.bja.2020.05.050"
                ],
                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "The Effect of Binaural Beat Audio on Operative Pain and Anxiety in Cataract Surgery under Topical Anaesthesia: A Randomized Controlled Trial.",
              "journal": "International journal of environmental research and public health",
              "year": 2022,
              "authors": "Loong LJ, Ling KK, Tai ELM, Kueh YC, Kuan G, Hussein A.",
              "design": "Randomized controlled trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/36011825/",
                "https://doi.org/10.3390/ijerph191610194",
                "https://pmc.ncbi.nlm.nih.gov/articles/PMC9408317/"
              ],
              "doi": "10.3390/ijerph191610194",
              "pmid": "36011825",
              "targets": [],
              "categories": [
                "Clinical & self-report"
              ],
              "citationCount": 24,
              "citationSnapshot": {
                "count": 24,
                "source": "Europe PMC",
                "retrievedAt": "2026-10-26",
                "url": "https://europepmc.org/article/MED/36011825"
              },
              "studyDesignAssessment": {
                "category": "peer-reviewed",
                "peerReviewed": true,
                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/36011825/",
                  "https://doi.org/10.3390/ijerph191610194",
                  "https://pmc.ncbi.nlm.nih.gov/articles/PMC9408317/"
                ],
                "assessedAt": "2026-10-26",
                "registeredMaskingBasis": false
              },
              "evidence": {
                "intervention": "Binaural-beat audio during cataract surgery",
                "comparator": "Silent headphones",
                "evidenceType": "Clinical or experimental outcomes",
                "sourceURLs": [
                  "https://pubmed.ncbi.nlm.nih.gov/36011825/",
                  "https://doi.org/10.3390/ijerph191610194",
                  "https://pmc.ncbi.nlm.nih.gov/articles/PMC9408317/"
                ],
                "checkedAt": "2026-10-26",
                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
                "discoverySources": [
                  "https://daytab.com/study/h46xc47s",
                  "https://europepmc.org/article/MED/36011825"
                ],
                "selectionPolicy": "Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review."
              },
              "id": "sound-i-pmid-36011825",
              "recordId": "pmid-36011825",
              "quotes": [],
              "sourcePages": [],
              "summary": "A 61-person cataract-surgery trial reported lower operative pain, anxiety and heart rate with binaural-beat audio than with silent headphones.",
              "limitation": "A small procedure-specific study with a silence comparator. It does not separate beat effects from the effects of hearing calming audio.",
              "paperTrustAssessment": {
                "score": 2,
                "scope": "Paper",
                "status": "assessed",
                "randomizedControlledTrial": true,
                "blinding": "not-confirmed",
                "peerReviewed": true,
                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/36011825/",
                  "https://doi.org/10.3390/ijerph191610194",
                  "https://pmc.ncbi.nlm.nih.gov/articles/PMC9408317/"
                ],
                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "Examining the effects of binaural beat music on sleep quality, heart rate variability, and depression in older people with poor sleep quality in a long-term care institution: A randomized controlled trial.",
              "journal": "Geriatrics & gerontology international",
              "year": 2024,
              "authors": "Lin PH, Fu SH, Lee YC, Yang SY, Li YL.",
              "design": "Single-blind randomized controlled trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/38319068/",
                "https://doi.org/10.1111/ggi.14827"
              ],
              "doi": "10.1111/ggi.14827",
              "pmid": "38319068",
              "targets": [],
              "categories": [
                "Clinical & self-report"
              ],
              "citationCount": 10,
              "citationSnapshot": {
                "count": 10,
                "source": "Europe PMC",
                "retrievedAt": "2026-10-26",
                "url": "https://europepmc.org/article/MED/38319068"
              },
              "studyDesignAssessment": {
                "category": "peer-reviewed",
                "peerReviewed": true,
                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/38319068/",
                  "https://doi.org/10.1111/ggi.14827"
                ],
                "assessedAt": "2026-10-26",
                "registeredMaskingBasis": false
              },
              "evidence": {
                "intervention": "Binaural beats embedded in familiar music",
                "comparator": "The same music without binaural beats",
                "evidenceType": "Clinical or experimental outcomes",
                "sourceURLs": [
                  "https://pubmed.ncbi.nlm.nih.gov/38319068/",
                  "https://doi.org/10.1111/ggi.14827"
                ],
                "checkedAt": "2026-10-26",
                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
                "discoverySources": [
                  "https://daytab.com/study/cgzhnb8z",
                  "https://europepmc.org/article/MED/38319068"
                ],
                "selectionPolicy": "Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review."
              },
              "id": "sound-i-pmid-38319068",
              "recordId": "pmid-38319068",
              "quotes": [],
              "sourcePages": [],
              "summary": "Among 64 older adults with poor sleep in long-term care, binaural beats embedded in familiar music improved sleep measures and selected autonomic measures relative to the same music without beats over 14 days.",
              "limitation": "The short intervention and single institutional setting limit inference about durable sleep improvement. Physiological changes do not establish a molecular mechanism.",
              "paperTrustAssessment": {
                "score": 2,
                "scope": "Paper",
                "status": "assessed",
                "randomizedControlledTrial": true,
                "blinding": "single",
                "peerReviewed": true,
                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/38319068/",
                  "https://doi.org/10.1111/ggi.14827"
                ],
                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "Reduced pain and analgesic use after acoustic binaural beats therapy in chronic pain - A double-blind randomized control cross-over trial.",
              "journal": "European journal of pain (London, England)",
              "year": 2020,
              "authors": "Gkolias V, Amaniti A, Triantafyllou A, Papakonstantinou P, Kartsidis P, Paraskevopoulos E, Bamidis PD, Hadjileontiadis L, Kouvelas D.",
              "design": "Double-blind randomized crossover trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/32564499/",
                "https://doi.org/10.1002/ejp.1615"
              ],
              "doi": "10.1002/ejp.1615",
              "pmid": "32564499",
              "targets": [],
              "categories": [
                "Clinical & self-report"
              ],
              "citationCount": 19,
              "citationSnapshot": {
                "count": 19,
                "source": "Europe PMC",
                "retrievedAt": "2026-10-26",
                "url": "https://europepmc.org/article/MED/32564499"
              },
              "studyDesignAssessment": {
                "category": "peer-reviewed",
                "peerReviewed": true,
                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/32564499/",
                  "https://doi.org/10.1002/ejp.1615"
                ],
                "assessedAt": "2026-10-26",
                "registeredMaskingBasis": false
              },
              "evidence": {
                "intervention": "5 Hz binaural beats for chronic pain",
                "comparator": "Sham stimulation",
                "evidenceType": "Clinical or experimental outcomes",
                "sourceURLs": [
                  "https://pubmed.ncbi.nlm.nih.gov/32564499/",
                  "https://doi.org/10.1002/ejp.1615"
                ],
                "checkedAt": "2026-10-26",
                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
                "discoverySources": [
                  "https://europepmc.org/article/MED/32564499"
                ],
                "selectionPolicy": "Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review."
              },
              "id": "sound-i-pmid-32564499",
              "recordId": "pmid-32564499",
              "quotes": [],
              "sourcePages": [],
              "summary": "A sham-controlled crossover study reported lower pain ratings and analgesic use after 5 Hz binaural stimulation in people with chronic pain, together with increased EEG power at the stimulation frequency.",
              "limitation": "Sample size and participant flow require full-text appraisal. The short treatment periods and crossover design limit conclusions about sustained benefit or wider patient populations.",
              "paperTrustAssessment": {
                "score": 3,
                "scope": "Paper",
                "status": "assessed",
                "randomizedControlledTrial": true,
                "blinding": "double",
                "peerReviewed": true,
                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/32564499/",
                  "https://doi.org/10.1002/ejp.1615"
                ],
                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "Effects of Listening to Binaural Beats on Anxiety Levels and Pain Scores in Male Patients Undergoing Cystoscopy and Ureteral Stent Removal: A Randomized Placebo-Controlled Trial.",
              "journal": "Journal of endourology",
              "year": 2021,
              "authors": "Ölçücü MT, Yılmaz K, Karamık K, Okuducu Y, Özsoy Ç, Aktaş Y, Çakır S, Ateş M.",
              "design": "Randomized controlled trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/33107329/",
                "https://doi.org/10.1089/end.2020.0353"
              ],
              "doi": "10.1089/end.2020.0353",
              "pmid": "33107329",
              "targets": [],
              "categories": [
                "Clinical & self-report"
              ],
              "citationCount": 23,
              "citationSnapshot": {
                "count": 23,
                "source": "Europe PMC",
                "retrievedAt": "2026-10-26",
                "url": "https://europepmc.org/article/MED/33107329"
              },
              "studyDesignAssessment": {
                "category": "peer-reviewed",
                "peerReviewed": true,
                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/33107329/",
                  "https://doi.org/10.1089/end.2020.0353"
                ],
                "assessedAt": "2026-10-26",
                "registeredMaskingBasis": false
              },
              "evidence": {
                "intervention": "Binaural beats during cystoscopy or stent removal",
                "comparator": "Classical music and silent headphones",
                "evidenceType": "Clinical or experimental outcomes",
                "sourceURLs": [
                  "https://pubmed.ncbi.nlm.nih.gov/33107329/",
                  "https://doi.org/10.1089/end.2020.0353"
                ],
                "checkedAt": "2026-10-26",
                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
                "discoverySources": [
                  "https://europepmc.org/article/MED/33107329"
                ],
                "selectionPolicy": "Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review."
              },
              "id": "sound-i-pmid-33107329",
              "recordId": "pmid-33107329",
              "quotes": [],
              "sourcePages": [],
              "summary": "In men undergoing cystoscopy or ureteral stent removal, binaural beats reduced pain compared with classical music and silent headphones; both sound interventions improved anxiety relative to silence.",
              "limitation": "The analysed procedure groups totalled 352 participants after exclusions. Procedure tolerance was less favourable with binaural beats, and results are specific to these urological settings.",
              "paperTrustAssessment": {
                "score": 2,
                "scope": "Paper",
                "status": "assessed",
                "randomizedControlledTrial": true,
                "blinding": "not-confirmed",
                "peerReviewed": true,
                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/33107329/",
                  "https://doi.org/10.1089/end.2020.0353"
                ],
                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "Binaural Beats Reduce Postoperative Morphine Consumption in Older adults After Total Knee Replacement Surgery.",
              "journal": "Alternative therapies in health and medicine",
              "year": 2021,
              "authors": "Tani A, Vagheggini G, Moretti F, Del Colombo V, Lehle J, Campana S, Labate A, Tomaiuolo F.",
              "design": "Randomized controlled trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/32412916/"
              ],
              "doi": null,
              "pmid": "32412916",
              "targets": [],
              "categories": [
                "Clinical & self-report"
              ],
              "citationCount": 9,
              "citationSnapshot": {
                "count": 9,
                "source": "Europe PMC",
                "retrievedAt": "2026-10-26",
                "url": "https://europepmc.org/article/MED/32412916"
              },
              "studyDesignAssessment": {
                "category": "peer-reviewed",
                "peerReviewed": true,
                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/32412916/"
                ],
                "assessedAt": "2026-10-26",
                "registeredMaskingBasis": false
              },
              "evidence": {
                "intervention": "4 Hz binaural beats, 256/260 Hz carriers",
                "comparator": "256 Hz tones in both ears",
                "evidenceType": "Clinical or experimental outcomes",
                "sourceURLs": [
                  "https://pubmed.ncbi.nlm.nih.gov/32412916/"
                ],
                "checkedAt": "2026-10-26",
                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
                "discoverySources": [
                  "https://daytab.com/study/rbmbb92p",
                  "https://europepmc.org/article/MED/32412916"
                ],
                "selectionPolicy": "Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review."
              },
              "id": "sound-i-pmid-32412916",
              "recordId": "pmid-32412916",
              "quotes": [],
              "sourcePages": [],
              "summary": "In 40 older adults undergoing knee replacement, preoperative 4 Hz binaural beats reduced first-day self-administered morphine from 11.85 to 5.75 mg compared with matched tones presented at the same frequency to both ears.",
              "limitation": "Pain ratings did not differ between groups. This small, single-centre trial supports an opioid-consumption finding in a specific surgical protocol, with broader effectiveness still requiring replication.",
              "paperTrustAssessment": {
                "score": 2,
                "scope": "Paper",
                "status": "assessed",
                "randomizedControlledTrial": true,
                "blinding": "not-confirmed",
                "peerReviewed": true,
                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/32412916/"
                ],
                "reviewScope": "Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.",
                "assessedAt": "2026-10-27"
              }
            },
            {
              "title": "Comparing binaural beats and 432 Hz music for reduction of preoperative anxiety in root canal patients: a randomized controlled trial.",
              "journal": "JPMA. The Journal of the Pakistan Medical Association",
              "year": 2025,
              "authors": "Zaki H, Ahmed S, Rehman Qazi FU, Fatima N, Ali YS.",
              "design": "Double-blind randomized controlled trial",
              "urls": [
                "https://pubmed.ncbi.nlm.nih.gov/40269359/",
                "https://doi.org/10.47391/jpma.21023"
              ],
              "doi": "10.47391/jpma.21023",
              "pmid": "40269359",
              "targets": [],
              "categories": [
                "Clinical & self-report"
              ],
              "citationCount": 1,
              "citationSnapshot": {
                "count": 1,
                "source": "Europe PMC",
                "retrievedAt": "2026-10-26",
                "url": "https://europepmc.org/article/MED/40269359"
              },
              "studyDesignAssessment": {
                "category": "peer-reviewed",
                "peerReviewed": true,
                "basis": "Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.",
                "sources": [
                  "https://pubmed.ncbi.nlm.nih.gov/40269359/",
                  "https://doi.org/10.47391/jpma.21023"
                ],
                "assessedAt": "2026-10-26",
                "registeredMaskingBasis": false
              },
              "evidence": {
                "intervention": "Binaural beats or 432 Hz music",
                "comparator": "White noise and the other active audio condition",
                "evidenceType": "Clinical or experimental outcomes",
                "sourceURLs": [
                  "https://pubmed.ncbi.nlm.nih.gov/40269359/",
                  "https://doi.org/10.47391/jpma.21023"
                ],
                "checkedAt": "2026-10-26",
                "reviewScope": "Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.",
                "discoverySources": [
                  "https://europepmc.org/article/MED/40269359"
                ],
                "selectionPolicy": "Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.",
                "trialId": "NCT06349200"
              },
              "id": "sound-i-pmid-40269359",
              "recordId": "pmid-40269359",
              "quotes": [],
              "sourcePages": [],
              "summary": "In 99 root-canal patients, binaural beats and 432 Hz music each reduced preoperative anxiety relative to white noise. Participants and outcome assessors were described as blinded.",
              "limitation": "The two active audio conditions did not differ significantly. The trial does not demonstrate a unique therapeutic property of 432 Hz or superiority of binaural beats over music.",
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              "title": "The effect of alpha binaural beat music on orthodontic pain after initial archwire placement: A randomized controlled trial.",
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              "year": 2023,
              "authors": "Aly AE, Hansa I, Ferguson DJ, Vaid NR.",
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                "https://doi.org/10.1590/2177-6709.27.6.e2221150.oar"
              ],
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              "summary": "In 60 orthodontic patients, alpha binaural-beat music reduced several pain measures late in the first week after appliance placement relative to no music.",
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              "title": "The effect of binaural beat audio on anxiety in patients undergoing fiberoptic bronchoscopy: A prospective randomized controlled trial.",
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              "year": 2022,
              "authors": "Opartpunyasarn P, Vichitvejpaisal P, Oer-Areemitr N.",
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              "title": "Effectiveness of brainwave entrainment on pre-operative fear and anxiety in pediatric dental patients: a randomized controlled trial.",
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              "title": "The effects of neuromodulation through brainwave entrainment on pain in women with fibromyalgia: a randomized controlled clinical trial with follow-up.",
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              "title": "Effects of Auditory Frequency Stimulation on Balance and Rehabilitation Outcomes in Patients With Stroke: A Randomized Case-Control Study.",
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              "authors": "Chen R, Jin L, Song J, Dong J, Li Y.",
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              "title": "Effects of the Alpha, Beta, and Gamma Binaural Beat Brain Stimulation and Short-Term Training on Simultaneously Assessed Visuospatial and Verbal Working Memories, Signal Detection Measures, Response Times, and Intrasubject Response Time Variabilities: A Within-Subject Randomized Placebo-Controlled Clinical Trial.",
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          "context": "Salivary hormones, gene expression in rat brain tissue and outcomes in cultured cells are different measures. Each study retains its own experimental context.",
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              "title": "Effect of 528 Hz Music on the Endocrine System and Autonomic Nervous System",
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              "authors": "",
              "design": "Small participant-masked crossover study",
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                  {
                    "text": "“",
                    "emphasis": false
                  },
                  {
                    "text": " In the 528 Hz condition",
                    "emphasis": true
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                  {
                    "text": " , mean levels of",
                    "emphasis": false
                  },
                  {
                    "text": " cortisol significantly decreased",
                    "emphasis": true
                  },
                  {
                    "text": " ,",
                    "emphasis": false
                  },
                  {
                    "text": " chromogranin A tended to decrease",
                    "emphasis": true
                  },
                  {
                    "text": " , and",
                    "emphasis": false
                  },
                  {
                    "text": " oxytocin doubled after only 5 minutes of music exposure",
                    "emphasis": true
                  },
                  {
                    "text": " . However, no significant change was observed in any salivary biomarkers in the 440 Hz condition.”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "The influence of music on the autonomic nervous system and endocrine system varies depending on the frequency of the music, and furthermore, that",
                    "emphasis": false
                  },
                  {
                    "text": " 528 Hz music has an especially strong stress-reducing effect",
                    "emphasis": true
                  },
                  {
                    "text": " , even",
                    "emphasis": false
                  },
                  {
                    "text": " following only five minutes of exposure",
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              "summary": "After five minutes of 528 Hz music, mean salivary oxytocin rose from 37.57 to 73.58 and cortisol later fell from 0.43 to 0.25; neither change was significant with 440 Hz music.",
              "limitation": "Only nine healthy adults participated. The short comparison is intriguing biomarker evidence, not clinical proof, and requires larger independent preregistered replication.",
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              "title": "Influence of various intensities of 528 Hz sound-wave in production of testosterone in rat’s brain and analysis of behavioral changes",
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              "year": 2019,
              "authors": "Babayi Daylari T, Riazi GH, Pooyan S, Fathi E, Hedayati Katouli F.",
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                    "text": "“sound waves with 528 Hz frequency in 100 dB intensity induce testosterone production in brain by enhancing StAR and SF-1 and reducing P450 aromatase gene expression.”",
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                  }
                ],
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                  {
                    "text": "“Frequency of 528 Hz also reduces total concentration of reactive oxidative species in brain tissue.”",
                    "emphasis": false
                  }
                ],
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                  {
                    "text": "“Prolonged exposure to this sound wave showed reduction of anxiety related behaviors in rats. The results reveal that reduced anxiety is related to increased concentration of testosterone in brain. This study may lead to ascertain a possible therapy in which sounds may be utilized to reduce anxiety in individual.”",
                    "emphasis": false
                  }
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              "title": "The Effects of 528 Hz Sound Wave to Reduce Cell Death in Human Astrocyte Primary Cell Culture Treated with Ethanol",
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                  {
                    "text": "“The current results show that in IC50 of ethanol, the frequency of 528 Hz increased cells viability about 20% and the level of ROS production has been reduced up to 100%.”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“In this research the complex effects of two agents such as ethanol along with 528 Hz sound wave was studied and results of human astrocyte cell culture exposed with ethanol and 528 Hz sound wave showed that the ethanol damages reduced by the sound wave and therefore it can be useful for alcohol addicted peoples.”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“The neural changes induced by alcohol consumption may be related to the disorder of signaling pathways such as protein expression and gene transcription at the cellular level. Therefore, the use of these sound waves can be useful to reduce the toxic effects of ethanol on astrocytes cells culture.”",
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                  }
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              "title": "Neural Coding of High-Frequency Tones",
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                "https://ntrs.nasa.gov/archive/nasa/casi.ntrs.nasa.gov/19760013713.pdf"
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                  {
                    "text": "“Central Nervous System, high frequencies, psychological effects”",
                    "emphasis": false
                  }
                ],
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                  {
                    "text": "‘’the resulting estimated pitch function (where the minimal discharge interval is assumed to occur at 15khz) is in excellent agreement with that psychoacoustically generated function of reference frequency 528hz which may be expected to possess the least bias’’",
                    "emphasis": false
                  }
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          "title": "7.83 Hz and low-frequency electromagnetic research",
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              "id": "iii-pmid-33111597",
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              "title": "Inhibition of B16F10 Cancer Cell Growth by Exposure to the Square Wave with 7.83+/-0.3Hz Involves L- and T-Type Calcium Channels",
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              "year": 2021,
              "authors": "Wang MH, Jian MW, Tai YH, Jang LS, Chen CH.",
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              "urls": [
                "https://doi.org/10.1080/15368378.2020.1839491",
                "https://www.tandfonline.com/doi/abs/10.1080/15368378.2020.183949"
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              "quotes": [
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                  {
                    "text": "“exposure to square wave with 7.83±0.3 Hz (sweep step 0.1 Hz) was shown to inhibit the growth of B16F10 melanoma tumor cells.”",
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              "title": "Effects of extremely low-frequency electromagnetic fields on B16F10 cancer cells",
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              "year": 2019,
              "authors": "Tang JY, Yeh TW, Huang YT, Wang MH, Jang LS.",
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                    "text": "“The results yielded a 17% inhibition rate under 7.83 Hz compared with that of the control group.",
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                  }
                ],
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                    "text": "Moreover, sweep frequencies in narrow intervals (7.83 ± 0.1 Hz for the step 0.05 Hz) caused an inhibition rate of 26.4%, and inhibitory effects decreased as frequency sweep intervals increased.",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "These results indicate that a Schumann resonance frequency of 7.83 Hz can inhibit the growth of cancer cells and that using a specific frequency type can lead to more effective growth inhibition.”",
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              "title": "New Perspectives of Bioelectromagnetics in Biology and in Medicine: DNA Spectra for Diagnostic Purposes",
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              ],
              "quotes": [
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                  {
                    "text": "“The method uses the Schuman frequency, or any ELF, to induce the DNA solution to emit electromagnetic signals in the range 300 - 4000 Hz that are producing spectra that result to be typical for each disease”",
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              "title": "DNA waves and water",
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              "quotes": [
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                  {
                    "text": "“DNA signalling is stimulated by 7 Hz naturally occurring waves on earth. Waves produced by the human brain are also in the range of 7 H z.”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“The stimulation by the electromagnetic background of very low frequency is essential. The background is either produced from natural sources (the Schumann resonances [4] which start at 7.83 Hz) or from artificial sources”",
                    "emphasis": false
                  }
                ],
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                    "text": "“This result shows that, upon 7 H z excitation, the transmission into pure water of the oscillation of the nanostructures initially originated from DNA has been achieved.”",
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              "title": "Transduction of DNA information through water and electromagnetic waves",
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              "urls": [
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              "quotes": [
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                  {
                    "text": "“In particular, it is immediately recognized the observed relevance of extremely low signal (ELS) in the phenomena under study. The stimulation caused by the electromagnetic background of very low frequency is indeed observed to be essential in order for the DNA-water system to emit the EMS. In the experiments, the background ELS is either produced from natural sources (the Schumann resonances which start at 7.83 Hz (Montagnier, A ̈ıssa, Del Giudice, et al., 2011; Nickolaenko and Hayakawa, 2002)) or from artificial sources.”",
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            {
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              "authors": "Montagnier L, Aïssa J, Lavallée C, Mbamy M, Varon J, Chenal H.",
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                  {
                    "text": "“Electromagnetic signals of low frequency have been shown to be durably produced in aqueous dilutions of the Human Immunodeficiency Virus DNA.",
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                  }
                ],
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                  {
                    "text": "In vivo, HIV DNA signals are detected only in patients previously treated by antiretroviral therapy and having no detectable viral RNA copies in their blood.",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "We suggest that the treatment of AIDS patients pushes the virus towards a new mode of replication implying only DNA, thus forming a reservoir insensitive to retroviral inhibitors. Implications for new approaches aimed at eradicating HIV infection are discussed.”",
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                  }
                ]
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              "title": "Analysis and Assessment of Gateway Process",
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                    "text": "“The Gateway Process is a training system for obtaining power, concentration, and consistency of the amplitude and frequency of brain waves between the left and right hemispheres to make consciousness change,”",
                    "emphasis": false
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                ],
                [
                  {
                    "text": "“the entire body, based on its own micromotion, functions as a tuned vibrational system which transfers energy in a range between 6.8 and 7.5 Hertz into the Earth’s ionospheric cavity, which itself resonates at about 7-7.5 Hertz.”",
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              "title": "rTMS of the left dorsolateral prefrontal cortex modulates dopamine release in the ipsilateral anterior cingulate cortex and orbitofrontal cortex",
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              "authors": "Cho SS, Strafella AP.",
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                "https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0006725"
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                    "text": "“This is the first study to provide evidence of extrastriatal DA",
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                  },
                  {
                    "text": " D2 (DRD2 dopamine receptor)",
                    "emphasis": true
                  },
                  {
                    "text": " modulation following",
                    "emphasis": false
                  },
                  {
                    "text": " 10 Hz",
                    "emphasis": true
                  },
                  {
                    "text": " repetitive transcranial magnetic stimulation”",
                    "emphasis": false
                  }
                ]
              ],
              "citationCount": null,
              "sourcePages": [
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              ],
              "targets": [
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              "categories": [
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                "Brain & nervous system"
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                    "text": " ), on 3 separate days. Low frequency rTMS (1 Hz), targeting the insular cortex, significantly decreased",
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                    "text": " iTBS appears to be a promising new treatment for PTSD",
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                [
                  {
                    "text": "“study results are similar to that of some previous studies and has clearly proven that music and music with therapeutic suggestions have a definite role in the improvement on the postoperative events as this group required less rescue analgesics and antiemetics.”",
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                    "text": "“intra‐operative music and music in combination with therapeutic suggestions may have some beneficial effects on postoperative recovery after hysterectomy”",
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              "title": "Comparative Effect of Nature-Based Sounds Intervention and Headphones Intervention on Pain Severity After Cesarean Section: A Prospective Double-Blind Randomized Trial",
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                    "text": "“Nature-based sounds help in the compatibility with emotional stress and stimulation of relaxing reactions by diverting the listeners’ attention from anxiety, pain, and negative experiences to more pleasant one”",
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                    "text": "“The results of our study showed that using nature based sounds can reduce pain.”",
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                    "text": "“listening to music was effective in reducing pain. It is es- sential to note that neither types of music are superior to others for increasing the relaxation of patients. The most important point is interesting in music (25). Most authors suggested that music should be wordless in order to allow the patient to focus on the music rather than the meaning of words (26).”",
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                  {
                    "text": "“two specific music programs significantly reduced burnout symptoms after 5 weeks.”",
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                    "text": "“The effects were maintained over a long time period.”",
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                    "text": "“This newly developed method of receptive music therapy was also evaluated for the treatment of depression and dysthymia, with significant outcomes.”",
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                    "text": "“Music therapy significantly diminished patients' negative symptoms, increased their ability to converse with others, reduced their social isolation, and increased their level of interest in external events”",
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                    "text": "“music therapy treatment improved the following: global and social functioning in schizophrenia and/or serious mental disorders, gait and related activities in Parkinson’s disease, depressive symptoms, and sleep quality.”",
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              "title": "Effects of music relaxation video on pain and anxiety for women with gynaecological cancer receiving intracavitary brachytherapy: a randomised controlled trial",
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              "authors": "Koelsch S, Fuermetz J, Sack U, Bauer K, Hohenadel M, Wiegel M, Kaisers UX, Heinke W.",
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              "title": "Soothing music can increase oxytocin levels during bed rest after open-heart surgery: a randomised control trial",
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              "authors": "Nilsson U.",
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                  {
                    "text": "“Listening to music during bed rest after open-heart surgery has some effects on the relaxation system as regards s-oxytocin and subjective relaxations levels. This effect seems to have a causal relation from the psychological (music makes patients relaxed) to the physical (oxytocin release).”",
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              "title": "Music interventions in patients during coronary angiographic procedures: a randomized controlled study of the effect on patients' anxiety and well-being",
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              "authors": "Weeks BP, Nilsson U.",
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                    "text": "“the use of a specially designed music reduced anxiety and increased well-being in patients during coronary angiographic procedures.”",
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              "title": "Effects of music on patients undergoing a C-clamp procedure after percutaneous coronary interventions: a randomized controlled trial",
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                    "text": "“it soon resembled an African version of the universal \"Got Talent\" series or a combined dance and music copy of \"American Idol.\" Watching frenzied dancers kick up dust in an impromptu contest between Congolese and Burundian troupes, the camp residents cheered and clapped. \"It is wonderful to see them using this forum as positive energy to celebrate their differences,\" said Botelho.”",
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                    "text": "“Every other Saturday, LHI would put on a festival of events and activities, headlined by a Yazidi talent show. Every time, there were at least two or three musical performances, mainstays of a tradition that brought together culture and community to fill the void created by daily refugee life.”",
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                    "text": "“It’s amazing to see the difference between those who do and don’t have access to those kinds of classes,” Katelyn says. “They feel like they accomplished something...it’s almost therapeutic [for them] to even have a schedule.”",
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                    "text": "“For many refugees, the classes are far more than just a creative outlet. Most asylum seekers are fleeing from some sort of war or conflict. Many of them have lost family members and loved ones. As victims of ethnic genocide, many of the Yazidis in Serres experienced unimaginable trauma. And unfortunately, as Katelyn tells me, the traumatic events do not always stop with the arrival at a refugee camp.”",
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                ],
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                    "text": "“Based on the current findings, the blockade of the anxiolytic effects of oxytocin by the simultaneous intra-CeA administration of raclopride can be explained by a lack of facilitatory protomer interactions in D2R-OTR heterocomplexes.”",
                    "emphasis": false
                  }
                ],
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                    "text": "“Dysfunction and/or disruption of such interactions in the central amygdala may lead to anxiety development. Restoration of such interactions may represent a new strategy for development of novel anxiolytic drugs.”",
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              "title": "Oxytocin pathway gene networks in the human brain",
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                  }
                ],
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                    "text": "“Expression of the three selected oxytocin pathway genes was enriched in subcortical and olfactory regions and there was high co-expression with several dopaminergic and muscarinic acetylcholine genes, reflecting an anatomical basis for critical gene pathway interactions.”",
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                    "text": "“Psychological resources—optimism, mastery, and self-esteem—buffer the deleterious effects of stress and are predictors of neurophysiological and psychological health-related outcomes. These resources have been shown to be highly heritable, yet the genetic basis for this heritability remains unknown.”",
                    "emphasis": false
                  }
                ],
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                    "emphasis": false
                  }
                ],
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                    "text": "“OXTR was also associated with depressive symptomatology. Mediation analysis indicates that the effects of OXTR on depressive symptoms may be largely mediated by the influence of OXTR on psychological resources.”",
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                    "text": " nucleotide frequencies",
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                    "text": " in human single-stranded",
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                    "text": " DNA",
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                    "text": " and the famous",
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                    "text": " Fibonacci",
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                    "text": " ’s numbers.",
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                    "text": "“Under these two hypotheses, it is possible to",
                    "emphasis": false
                  },
                  {
                    "text": " predict",
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                  },
                  {
                    "text": " the human",
                    "emphasis": false
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                  {
                    "text": " nucleotide frequencies",
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                  },
                  {
                    "text": " with",
                    "emphasis": false
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                  {
                    "text": " accuracy",
                    "emphasis": true
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                    "text": " .”",
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                    "text": "“This result may be used as evidence to the Fibonacci string model that was proposed to the sequence growth of DNA repetitive sequences.”",
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              "title": "The association between 2D:4D ratio and cognitive empathy is contingent on a common polymorphism in the oxytocin receptor gene (OXTR rs53576)",
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                    "text": "“The current findings show that OXTR rs53576 interacts with 2D:4D to shape one's cognitive empathy aptitude.”",
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              "doi": "10.1016/j.psyneuen.2015.04.007",
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                    "text": "“Oxytocin receptor gene polymorphism modulates effects of social support in the context of stress.”",
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                ],
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                  {
                    "text": "“Social support increases HRV only in carriers of at least one G allele of rs53576.”",
                    "emphasis": false
                  }
                ],
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                  {
                    "text": "“Social support influences HRV specifically during direct social interaction.”",
                    "emphasis": false
                  }
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              "title": "The OXTR Single-Nucleotide Polymorphism rs53576 Moderates the Impact of Childhood Maltreatment on Empathy for Social Pain in Female Participants: Evidence for Differential Susceptibility",
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                ],
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                  }
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                    "text": "“the present study demonstrates an association of childhood maltreatment and empathy for psychological pain which was mediated by rs53576 genotype, suggesting that the A-allele may convey genetic plasticity to environmental factors”",
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              "title": "The association of single-nucleotide polymorphisms in the oxytocin receptor and G protein–coupled receptor kinase 6 (GRK6) genes with oxytocin dosing requirements and labor outcomes",
              "journal": "American Journal of Obstetrics and Gynacology",
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              "title": "Oxytocin receptor gene polymorphism (rs53576) and digit ratio associates with aggression: comparison in seven ethnic groups",
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              "year": 2020,
              "authors": "Butovskaya M, Rostovtseva V, Butovskaya P, Burkova V, Dronova D, Filatova V, Sukhodolskaya E, Vasiliev V, Mesa T, Rosa A, Lazebny O.",
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                  {
                    "text": "“Our data suggest that both oxytocin (OXTR gene polymorphism) and fetal testosterone (2D:4D) may significantly affect emotional (anger) and cognitive (hostility) aggression in humans, given the leveling the role of culture.”",
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              "title": "Common oxytocin receptor gene (OXTR) polymorphism and social support interact to reduce stress in humans",
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                  {
                    "text": "“Differential stress responses between the genotype groups were observed depending on the presence or absence of social support.”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“Only individuals with one or two copies of the G allele of rs53576 showed lower cortisol responses to stress after social support, compared with individuals with the same genotype receiving no social support.”",
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                  }
                ],
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                    "text": "“These results indicate that genetic variation of the oxytocin system modulates the effectiveness of positive social interaction as a protective buffer against a stressful experience.”",
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              "title": "Oxytocin Receptor Polymorphisms are Differentially Associated with Social Abilities across Neurodevelopmental Disorders",
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              "year": 2017,
              "authors": "Baribeau DA, Dupuis A, Paton TA, Scherer SW, Schachar RJ, Arnold PD, Szatmari P, Nicolson R, Georgiades S, Crosbie J, Brian J, Iaboni A, Lerch J, Anagnostou E.",
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              "urls": [
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                    "text": "“The results revealed a significant effect in the interaction between OXTR rs53576 genotype and maternal postpartum depression on externalising problems in children with AA genotype ( β = 0.136, 95% CI 0.032 to 0.240), but not in those with GG/GA genotype.”",
                    "emphasis": false
                  }
                ],
                [
                  {
                    "text": "“This indicates that an interaction of vulnerable genotypes (i.e., A allele of OXTR rs53576) with an environmental burden (i.e. maternal postpartum depression) may be one of the potential elements that predisposes the infant to developing behavioural problems early in life.”",
                    "emphasis": false
                  }
                ],
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                    "text": "“Hence, special attention needs to be paid to children exposed to environmental risks such as maternal postpartum depression, to facilitate the provision of appropriate care.”",
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              "year": 2020,
              "authors": "Wang J, Zhang Y, Zhu D, Yang Z, Liu F, Qin W, Zhu J, Liu B, Jiang T, Yu C.",
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              "title": "A common oxytocin receptor gene (OXTR)polymorphism modulates intranasal oxytocin effects on the neural response to social cooperation in humans",
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              "authors": "Feng C, Lori A, Waldman ID, Binder EB, Haroon E, Rilling JK.",
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              "title": "Polymorphisms of two loci at the oxytocin receptor gene in populations of Africa, Asia and South Europe",
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              "authors": "Butovskaya PR, Lazebny OE, Sukhodolskaya EM, Vasiliev VA, Dronova DA, Fedenok JN, Rosa A, Peletskaya EN, Ryskov AP, Butovskaya ML.",
              "design": "",
              "urls": [
                "https://pmc.ncbi.nlm.nih.gov/articles/PMC4704389/"
              ],
              "quotes": [
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                  {
                    "text": "“It is hypothesized on the base of spatial distribution of the evolutionary novel A alleles of the both OXTR gene loci, that the spread of alleles of rs22542298 and rs53376 SNPs may be associated to some extant with manipulation of parental investment in humans.”",
                    "emphasis": false
                  }
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              "title": "Association of Oxytocin Receptor Gene (OXTR) rs53576 Polymorphism with Sociality: A Meta-Analysis",
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              "year": 2015,
              "authors": "Li J, Zhao Y, Li R, Broster LS, Zhou C, Yang S.",
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              "quotes": [
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                  {
                    "text": "“In conclusion, genetic variation in the rs53576 influences general sociality, which further implies that it is worthy to systematically examine whether the rs53576 is a valid genetic marker for socially related psychiatric disorders.”",
                    "emphasis": false
                  }
                ]
              ],
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              "title": "OXTR rs53576 polymorphism impacts interpersonal adaptability: Dispositional forgiveness as a mediator",
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              "authors": "Zhao J, Yang Y, Li X, Zheng L, Xue M, Zhang M, Wang C, Yu R, Gong P.",
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                    "text": "“The findings highlight the influences of the OXTR gene on adaptive interpersonal interactions, especially when individuals face changing social situations.”",
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                ]
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              "doi": "10.1016/j.psyneuen.2018.12.240",
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              "title": "Examining the link between emotional childhood abuse and social relationships in midlife: The moderating role of the oxytocin receptor gene",
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              "authors": "Ebbert AM, Infurna FJ, Luthar SS, Lemery-Chalfant K, Corbin WR.",
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                    "text": "“Overall, genetic variations of OXTR rs53576 may be an important candidate in understanding the development of social functioning within the context of emotional childhood abuse.”",
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                  }
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                "src-d5dc29829a02",
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                "pmid-24799299",
                "pmid-29055680"
              ],
              "rct": [
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              ],
              "single-blind-rct": [],
              "peer-reviewed": [
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                "pmid-24799299",
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              ]
            },
            "counts": {
              "double-blind-rct": 7,
              "rct": 8,
              "single-blind-rct": 0,
              "peer-reviewed": 7
            },
            "assessedAt": "2026-10-27",
            "basis": "Highest threshold supported by the recorded paper assessments; repeated reports of an identified trial count once."
          }
        }
      ]
    }
  ],
  "source": "Sound Medical Research",
  "sourceSHA256": "e7adb2ee44d4758656ca3c74d0a150bf3b81e75d159874cc7257aa096cdd75fe",
  "paperCount": 306,
  "topicCount": 19,
  "uniquePaperCount": 299
}
