Evidence map›Paper›PMID 36879223›Full record

Trial reportBMC complementary medicine and therapies2023

Effects of music therapy as an alternative treatment on depression in children and adolescents with ADHD by activating serotonin and improving stress coping ability.

Jong-In Park, In-Ho Lee, Seung-Jea Lee, Ryeo-Won Kwon, Eon-Ah Choo, Hyun-Woo Nam, Jeong-Beom Lee

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC complementary medicine and therapies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07594873 (The Acute Effects of Controlled Breathing Exercises and Music Therapy on the Autonomic Nervous System in Anxious Individuals), which is not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
15.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07594873 nacompletednot on this mapstarted 2026, after this paper: background citation

The Acute Effects of Controlled Breathing Exercises and Music Therapy on the Autonomic Nervous System in Anxious Individuals: A Randomized Controlled Study

TypeinterventionalSponsorIstanbul Health and Technology UniversityRan2026 to 2026Enrolled30ConditionsAnxious IndividualsArmsControlled Breathing Exercises Group, Music-Assisted Breathing Group
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
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  15. Article
  16. Specific Rhythm Auditory Stimulation for Attention: A Pilot Randomized Controlled Trial.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2025
    Article
  17. Article
  18. Exploring the Intersection of ADHD and Music: A Systematic Review.Behavioral sciences (Basel, Switzerland) · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Jong-In ParkDepartment of Physiology, College of Medicine, Soonchunhyang University, Cheonan, 31151, Republic of Korea.
In-Ho LeeDepartment of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, 31151, Republic of Korea.
Seung-Jea LeeDepartment of Medical Sciences, Graduate School, Soonchunhyang University, Asan, 31538, Republic of Korea.
Ryeo-Won KwonDepartment of Physiology, College of Medicine, Soonchunhyang University, Cheonan, 31151, Republic of Korea.
Eon-Ah ChooDepartment of Physiology, College of Medicine, Soonchunhyang University, Cheonan, 31151, Republic of Korea.
Hyun-Woo NamDepartment of Medical Sciences, Graduate School, Soonchunhyang University, Asan, 31538, Republic of Korea.
Jeong-Beom LeeDepartment of Physiology, College of Medicine, Soonchunhyang University, Cheonan, 31151, Republic of Korea. leejb@sch.ac.kr.
Soonchunhyang University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to determine the effect of music therapy as an alternative treatment on depression in children and adolescents with attention-deficit hyperactivity disorder (ADHD) by activating serotonin (5-HT) and improving stress coping ability.

methodsThis study is designed based on randomization method. A total of 36 subjects participated in the experiment, consisting of an ADHD control group (n = 18) and ADHD music therapy group (n = 18). The ADHD control group received standard care, while the ADHD music therapy group received music therapy and standard care. The ADHD music therapy group received both active music therapy (improvisation) and receptive music therapy (music listening) for 50 minutes, twice a week, for 3 months: a total of 24 times. From a neurophysiological perspective, changes in depression and stress were tracked by measuring 5-HT secretion, cortisol expression, blood pressure (BP), heart rate (HR), and CDI and DHQ psychological scales.

resultsThe ADHD music therapy group's 5-HT secretion increased (p < 0.001), whereas cortisol expression (p < 0.001), BP (p < 0.001) and HR (p < 0.001) decreased. The CDI and DHQ psychological scales also showed positive changes (p < 0.01 and p < 0.001, respectively). However, the ADHD Con G's (who did not receive music therapy) 5-HT secretion did not increase, whereas cortisol expression, BP, and HR did not decrease. In addition, the CDI and DHQ psychological scales did not display positive changes.

conclusionsIn conclusion, the application of music therapy as an alternative treatment for ADHD children and adolescents showed positive neurophysiological and psychological effects. Therefore, this study would like to propose a new alternative to medicine for preventing and treating depression through various uses of music therapy.

Indexed as

Attention Deficit Disorder with HyperactivityMusic TherapyAdaptation, PsychologicalAdolescentChildDepressionHumansHydrocortisoneSerotoninHydrocortisoneSerotoninAbility to address stressBPChildren and adolescents with ADHDCortisolDepressionHRMusic therapySerotonin (5-HT)

Identifiers

PMID36879223
PMCPMC9987133
OpenAlexW4323313077

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.