Evidence map›Paper›PMID 41815884›Full record

ArticleClinical case reports2026

Effects of Immersive Natural Sound Stimulation With the Spherison Device on Anxiety Symptoms: A Case Series.

Donatella Marazziti, Gerardo Russomanno, Matteo Gambini, Riccardo Gurrieri

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Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Donatella MarazzitiDepartment of Clinical and Experimental Medicine, Section of Psychiatry University of Pisa Pisa Italy.ORCID https://orcid.org/0000-0002-4021-5829
Gerardo RussomannoDepartment of Clinical and Experimental Medicine, Section of Psychiatry University of Pisa Pisa Italy.
Matteo GambiniDepartment of Clinical and Experimental Medicine, Section of Psychiatry University of Pisa Pisa Italy.
Riccardo GurrieriDepartment of Clinical and Experimental Medicine, Section of Psychiatry University of Pisa Pisa Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anxiety disorders are highly prevalent and often associated with incomplete response, poor tolerability, or refusal of pharmacological treatments. Nonpharmacological interventions targeting stress-regulatory systems are therefore increasingly explored. We describe herein the clinical effects of immersive natural sound stimulation delivered via the Spherison device, based on Sound 6D technology, in patients with generalized anxiety disorder (GAD). We report a case series of three adults meeting DSM-5-TR criteria for GAD who refused or discontinued psychotropic medication. All participants underwent three weekly 30-min sessions of passive listening to immersive natural soundscapes using the Spherison device. Anxiety severity was assessed at baseline and during treatment using the Beck Anxiety Inventory (BAI), Hamilton Anxiety Rating Scale (HAM-A), and Clinical Global Impression (CGI). All patients showed a progressive and clinically meaningful reduction in anxiety symptoms across sessions. Improvements were observed on both self-reported and clinician-rated measures, with no adverse effects reported. Two patients remained clinically stable at 6-month follow-up. Immersive natural sound stimulation delivered through the Spherison device may represent a feasible and well-tolerated nonpharmacological intervention for anxiety symptoms. Although limited by the small sample size and uncontrolled design, these findings support further controlled studies to evaluate efficacy and underlying mechanisms.

Indexed as

anxiety disordersimmersive auditory stimulationnatural sound therapynonpharmacological treatmentSpherison

Identifiers

PMID41815884
PMCPMC12971377

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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.