Noise & HealthPub Date : 2025-05-01Epub Date: 2025-06-26DOI: 10.4103/nah.nah_175_24
Xingsun Li, Jiang Li, Zhihui Xu, Yanfen Shang, Haidan Shi
{"title":"Effects of Operating Room Noise on Patient Outcomes and Medical Staff: A Systematic Review.","authors":"Xingsun Li, Jiang Li, Zhihui Xu, Yanfen Shang, Haidan Shi","doi":"10.4103/nah.nah_175_24","DOIUrl":"https://doi.org/10.4103/nah.nah_175_24","url":null,"abstract":"<p><strong>Objective: </strong>High noise levels in operating rooms are a common problem in clinical practice. The aim of this study is to review the current study systematically to clarify the effects of operating room noise on medical staff and patients.</p><p><strong>Methods: </strong>We searched the studies on operating room noise published in PubMed, Web of Science, and Cochrane Library from 2014 to 2024. The study types included randomized controlled trials, case-control studies, and cohort studies. Study languages were not limited. Two researchers screened the study in accordance with inclusion and exclusion criteria and extracted relevant data for quality evaluation.</p><p><strong>Results: </strong>Ten studies were included in this systematic review. They involved 1485 subjects, comprising 888 patients and 597 healthcare workers. In the included studies, the operating room noise level generally exceeded 50 dB, and the recorded highest average noise level was 72.4 dB. Five studies investigated the effects of noise on the psychological state of operating room staff, involving 581 participants, and primarily reported that noise exposure led to adverse psychological effects, such as decreased attention and increased anxiety. Three studies, encompassing 114 participants, examined the physiological effects of noise on operating room staff and found that noise contributed to fatigue, headaches, and increased cortisol secretion. Additionally, five studies explored the influence of noise on surgical patients. Of these studies, four studies documented negative outcomes in patients, including postoperative infections and anxiety, whereas one demonstrated that low-level noise stimulation could beneficially improve postoperative delirium and pain in patients.</p><p><strong>Conclusion: </strong>Noise has a potential negative effect on staff and patients, underscoring the importance of implementing noise control measures in the operating room.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 126","pages":"246-254"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Noise & HealthPub Date : 2025-05-01Epub Date: 2025-06-26DOI: 10.4103/nah.nah_186_24
Juwei Zhong, Fengyun Zhao
{"title":"Music-Assisted Progressive Muscle Relaxation in Patients with Locally Advanced Gastric Cancer Undergoing Concurrent Chemoradiotherapy.","authors":"Juwei Zhong, Fengyun Zhao","doi":"10.4103/nah.nah_186_24","DOIUrl":"https://doi.org/10.4103/nah.nah_186_24","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the effect of music-assisted progressive muscle relaxation on patients with locally advanced gastric cancer (LAGC) undergoing concurrent chemoradiotherapy (CCRT).</p><p><strong>Methods: </strong>A retrospective study was conducted on the medical records of 124 patients with LAGC who received CCRT in Jiaozhou Central Hospital from December 2021 to November 2023. These patients were divided into the conventional care group (n = 65) and the music relaxation group (n = 59) on the basis of different nursing methods. Negative emotions (Hospital Anxiety and Depression Scale [HADS]), sleep quality (Self-Rating Scale of Sleep [SRSS]), and quality of life (Quality-of-Life Questionnaire-Chinese Cancer Chemotherapy Patients) were compared between the two groups before and after treatment.</p><p><strong>Results: </strong>After treatment, the HADS and SRSS scores of the music relaxation group were significantly lower than those of the conventional care group (P < 0.001), and the Quality-of-Life Questionnaire-Chinese Cancer Chemotherapy Patients scores of the music relaxation group were significantly higher than those of the conventional care group (P < 0.001).</p><p><strong>Conclusion: </strong>Music-assisted progressive muscle relaxation can improve the psychological state of patients with LAGC undergoing concurrent radiotherapy, promote sleep quality and help improve quality of life.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 126","pages":"210-216"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Noise & HealthPub Date : 2025-05-01Epub Date: 2025-06-26DOI: 10.4103/nah.nah_179_24
Bérangère Villatte, Charlotte Bigras, Philippe Fournier, Elizabeth Fitzpatrick, Sylvie Hébert
{"title":"Patients with Tinnitus: Their Perspective on Sound Generators.","authors":"Bérangère Villatte, Charlotte Bigras, Philippe Fournier, Elizabeth Fitzpatrick, Sylvie Hébert","doi":"10.4103/nah.nah_179_24","DOIUrl":"https://doi.org/10.4103/nah.nah_179_24","url":null,"abstract":"<p><strong>Objective: </strong>Sound therapy (ST) is a well-known treatment option for tinnitus patients. However, patient perspectives on this option remain scarce. This study investigated the perspectives of first-time sound generator users on ST for chronic tinnitus, focusing on their perceptions of the sound generators and the effects on tinnitus.</p><p><strong>Methods: </strong>The subjects were 29 adult patients with chronic tinnitus who received ST using sound generators for the first time. In the 3-week ST trial, In the 3-week ST trial, hearing aids with built-in sound generators built idelivered broadband noise at a low and individualized sound level. Semistructured interviews were conducted 1 month after the ST trial. Using an interpretive description approach, themes were captured qualitatively to describe patients' subjective experience of the ST.</p><p><strong>Results: </strong>After performing inductive coding on the dataset, five main themes emerged: (1) effects while wearing the generators; (2) effects after removing the generators; (3) perception of the generated noise; (4) untargeted effects; and (5) purchasing sound generators. Each theme was further subdivided into one to three subthemes.</p><p><strong>Conclusions: </strong>The study highlighted uncertainties regarding the overall perceived benefits of short-term ST, with results influenced by initial noise hypersensitivity, hearing loss, and noise appreciation. Future research should examine the benefits of ST after controlling for these variables and compare the effects of different types of tailored sound on each dimension of tinnitus. Understanding how noise physiologically modulates tinnitus both during and after exposure is crucial to better counsel patients on what to expect.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 126","pages":"233-245"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association of Genetic Variations in Energy Metabolism Genes with Noise-Induced Hearing Loss in a Chinese Population: A Case-Control Study.","authors":"Bing Wang, Shanfa Yu, Jie Jiao, Guizhen Gu, Guoshun Chen, Wenhui Zhou, Hui Wu, Yanhong Li, Huanling Zhang","doi":"10.4103/nah.nah_128_24","DOIUrl":"10.4103/nah.nah_128_24","url":null,"abstract":"<p><strong>Objective: </strong>This study explored the relationship between susceptibility to single-nucleotide polymorphisms (SNP) and noise-induced hearing loss (NIHL) in a population exposed to occupational noise.</p><p><strong>Methods: </strong>Workers exposed to noise in a steel enterprise in Henan Province were included in the study. Workers with a hearing threshold of ≥40 dB (A) for binaural high-frequency (3000, 4000, and 6000 Hz) in the pure tone audiometry were included in the case group (393 workers in total). Individuals whose hearing threshold for any frequency (500, 1000, and 2000 Hz) was ≤25 dB (A) and an average hearing threshold of <35 dB (A) for high frequencies were included in the control group (731 individuals in total). A SNPscan multiple SNP typing kit was used for SNP typing, and PLINK software was used in analyzing the correlation between each gene locus and NIHL susceptibility. Cumulative noise exposure (CNE) was stratified as CNE < 97 dB (A) · year and CNE ≥ 97 dB (A) · year.</p><p><strong>Results: </strong>Regarding rs11204100, compared with subjects with the TT genotype, subjects with the TC+CC genotype were less susceptible to NIHL (odds ratio [OR] [95% CI] = 0.712 [0.554, 0.913], P = 0.009). After CNE stratification, subjects with the TC+CC genotype were less susceptible to NIHL than those with the TT genotype in the CNE ≥97 dB (A) · year group (OR [95% CI] = 0.614 [0.433, 0.871], P = 0.007). As for the rs10503675, subjects with the AG+GG genotype were less susceptible to NIHL than subjects with the AA genotype (OR [95% CI] = 0.797 [0.541, 0.925], P = 0.011) in the general population. Haplotype results showed that CGT (rs11204100-rs10503675-rs17412009) is associated with lowered susceptibility to NIHL.</p><p><strong>Conclusion: </strong>The ATP6V1B2 gene plays an important role in the risk of NIHL, and the C allele of rs11204100 and G allele of rs10503675 are associated with lowered susceptibility to NIHL.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 126","pages":"296-304"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Music Therapy as a Tool for Alleviating Anxiety and Pain in Patients Undergoing Gastrointestinal Endoscopy.","authors":"Wei Long, Zhu Yang, Shengju Lu, Huiping Luo, Fang Jiang","doi":"10.4103/nah.nah_184_24","DOIUrl":"https://doi.org/10.4103/nah.nah_184_24","url":null,"abstract":"<p><strong>Abstract: </strong>Objective The purpose of this study was to explore how music therapy impacts anxiety and pain levels in patients undergoing gastrointestinal endoscopy. Methods This was a retrospective study conducted from July 2021 to July 2024. A total of 367 patients who underwent gastrointestinal endoscopy at our hospital were selected as subjects. After excluding 67 cases, 300 patients were finally included. Based on whether they received music therapy or not, patients were divided into a music therapy group (n = 165) and a routine nursing group (n = 135). The music therapy included listening to music with headphones while waiting for and undergoing endoscopy. Before and 5 minutes after the endoscopy, the anxiety status [State-Trait Anxiety Inventory (STAI)], pain level [Numerical Rating Scale (NRS)], and hemodynamic characteristics were compared between the two groups. Results Before the endoscopy, there were no significant differences in STAI scores, NRS scores, and hemodynamic characteristics between the two groups (P > 0.05). After the endoscopy, the State Anxiety Inventory score of the STAI (37.88 ± 8.12) and the NRS score (3.95 ± 0.95) in the music therapy group were significantly lower than the STAI score (40.85 ± 8.38) and NRS score (4.55 ± 1.03) in the routine nursing group, with t-values of 3.106 and 5.239, respectively (P < 0.05). No significant differences in hemodynamic characteristics-pulse oxygen saturation, heart rate, and mean arterial pressure-existed between the two groups after the endoscopy (P > 0.05). Conclusion This study showed that music therapy effectively reduced anxiety and pain in patients undergoing gastrointestinal endoscopy, highlighting its significant clinical value.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 126","pages":"217-222"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Noise & HealthPub Date : 2025-05-01Epub Date: 2025-06-26DOI: 10.4103/nah.nah_165_24
Ming Gao, Jianing Yi, Luyao Liu, Lin Xu
{"title":"Association between Noise Exposure and Hyperthyroidism Risk: A Retrospective Case-Control Study.","authors":"Ming Gao, Jianing Yi, Luyao Liu, Lin Xu","doi":"10.4103/nah.nah_165_24","DOIUrl":"https://doi.org/10.4103/nah.nah_165_24","url":null,"abstract":"<p><strong>Background: </strong>Environmental and lifestyle factors may influence hyperthyroidism prevalence. This research sought to explore the association between noise exposure and the risk of hyperthyroidism.</p><p><strong>Methods: </strong>This retrospective case-control study was conducted in two hospitals in China between January 2022 and December 2023. Among the 128 participants enrolled, 64 were hyperthyroidism patients (the hyperthyroidism group), and 64 had normal thyroid function (the control group). The variables compared between the groups included body mass index (BMI), residence areas (urban/rural), average noise levels, noise compliance rates, iodized salt intake, and anxiety levels (Self-Rating Anxiety Scale, SAS). Multivariable logistic regression was performed to identify the risk factors for hyperthyroidism.</p><p><strong>Results: </strong>The hyperthyroidism group showed significantly higher residential noise level, SAS score, excessive iodized salt intake rate, and urban residential rate compared with the control group (P < 0.05). The hyperthyroidism group also showed a lower noise compliance rate and BMI compared with the control group (P < 0.05). Urban participants exhibited higher noise levels, excessive iodized salt intake rate, hyperthyroidism incidence, SAS score, and lower noise compliance rates compared with the rural participants (P < 0.05). Logistic regression analysis revealed that high noise level (OR = 1.103, 95% CI 1.024-1.187) and high anxiety level (OR = 1.292, 95% CI 1.136-1.329) are risk factors for hyperthyroidism. High noise compliance rate (OR = 0.787, 95% CI 0.060-0.845) and rural residence (OR = 0.643, 95% CI 0.078-0.829) are protective factors for hyperthyroidism.</p><p><strong>Conclusion: </strong>This study underscored noise exposure and anxiety as modifiable risk factors for hyperthyroidism. Strict environmental noise regulations and enhanced public health education are necessary to reduce the risk of hyperthyroidism.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 126","pages":"268-273"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Noise & HealthPub Date : 2025-05-01Epub Date: 2025-06-26DOI: 10.4103/nah.nah_187_24
Zehui Deng, Fei Lin, Ling Zhou, Shaojuan Wang, Jie Li, Longxi He
{"title":"Drug-Therapeutic Strategies for Noise-Induced Hearing Loss: A Narrative Review.","authors":"Zehui Deng, Fei Lin, Ling Zhou, Shaojuan Wang, Jie Li, Longxi He","doi":"10.4103/nah.nah_187_24","DOIUrl":"https://doi.org/10.4103/nah.nah_187_24","url":null,"abstract":"<p><p>With the rapid development of industrialisation, noise exposure is becoming increasingly prevalent. The detrimental effects of noise-induced hearing loss (NIHL) have become clinically relevant. Therefore, effective drug therapeutic strategies for NIHL are urgently needed. This article reviewed the pathophysiology and potential molecular mechanisms of NIHL and classified and summarised the drug therapeutic strategies. Drug therapeutic strategies of NIHL can be further studied in agents such as corticosteroids, antioxidants, neurotrophic factors, herbal medicine, magnesium and statins. Given the current research progress, ongoing positive test results and pilot studies may lead to new pharmacological regimens to alleviate NIHL.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 126","pages":"203-209"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Noise & HealthPub Date : 2025-05-01Epub Date: 2025-06-26DOI: 10.4103/nah.nah_152_24
Bin Wang, Cheng Shu, Lirong Bai
{"title":"Effects of Noise Reduction on the Physical and Mental State of Patients with Lumbar Disc Herniation in an Orthopedic Outpatient Clinic.","authors":"Bin Wang, Cheng Shu, Lirong Bai","doi":"10.4103/nah.nah_152_24","DOIUrl":"https://doi.org/10.4103/nah.nah_152_24","url":null,"abstract":"<p><p>Objective This study aimed to explore the effects of noise reduction on the physical and mental state of patients with lumbar disc herniation (LDH) in an orthopedic clinic.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 120 patients with LDH who received conservative treatment in the orthopedic outpatient clinic of Tsinghua University Hospital from February 2022 to February 2023. The orthopedics department underwent noise reduction renovations in August 2022 and has implemented noise control management since then. Sixty patients admitted before the renovations were assigned to the conventional group, and 60 patients admitted after the renovations were assigned to the noise reduction group. The two groups were compared in terms of noise levels during treatment, subjective negative perceptions of noise, pain level (visual analog scale [VAS] scores), negative emotions (self-rating anxiety scale [SAS] and self-rating depression scale [SDS]], sleep quality (Pittsburgh sleep quality index [PSQI]) and quality of life (36-item short-form health survey [SF-36]) before and after a 2-week treatment.</p><p><strong>Results: </strong>Noise level and negative perception of noise in the noise reduction group were significantly lower than those in the conventional group (P < 0.05). After treatment, the noise reduction group had lower VAS, SAS, SDS, and PSQI scores (P < 0.05) but higher a SF-36 score than the conventional group (P < 0.05).</p><p><strong>Conclusion: </strong>Noise reduction in an orthopedic clinic can reduce pain levels and negative emotions and improve the sleep quality and quality of life of patients with LDH.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 126","pages":"274-281"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Noise & HealthPub Date : 2025-05-01Epub Date: 2025-06-26DOI: 10.4103/nah.nah_182_24
Chunxia Wang, Fang Luo, Mi Song, Renrong Wang, Yun Zhang, Xing Li, Xi Qian
{"title":"Role of Music Therapy Combined with Dyadic Coping in Enhancing Psychosocial Adaptation and Marital Well-being for Young and Middle-aged Patients Returning to Work after Acute Myocardial Infarction.","authors":"Chunxia Wang, Fang Luo, Mi Song, Renrong Wang, Yun Zhang, Xing Li, Xi Qian","doi":"10.4103/nah.nah_182_24","DOIUrl":"https://doi.org/10.4103/nah.nah_182_24","url":null,"abstract":"<p><strong>Background: </strong>Acute myocardial infarction (AMI) poses significant psychosocial challenges to patients during recovery, especially for young and middle-aged patients returning to work. This study examines the effects of music therapy combined with dyadic coping (DC) on the psychosocial adaptation and marital well-being of patients with AMI and their spouses.</p><p><strong>Methods: </strong>This retrospective cohort study included 60 couples of young and middle-aged patients with AMI admitted to Wuxi Second People's Hospital from January 2024 to June 2024 and their spouses. The subjects were divided into the following two groups: 30 couples received DC care (DC group), and 30 couples received music therapy combined with DC care (DCMT group). The treatment course was 2 weeks. Outcomes were measured using the Multidimensional Infarction Assessment Scale (MIDAS), the Psychological Adjustment to Illness Scale Self-report (PAIS-SR), the Dyadic Coping Inventory (DCI), the Locke-Wallace Marital Adjustment Test (LWMAT) and the General Well-Being Schedule (GWBS).</p><p><strong>Results: </strong>Compared with the DC group, the DCMT group demonstrated significant improvements across all measured scales, including higher scores on the physical activity and emotional response dimensions of MIDAS, 10 dimensions of DCI and lower scores of all seven dimensions of PAIS-SR (P < 0.05). The total LWMAT and GWBS scores and the nursing satisfaction level in the DCMT group were higher than those in the DC group (P < 0.05).</p><p><strong>Conclusion: </strong>Music therapy combined with DC significantly enhances psychosocial adaptation and marital well-being in patients with AMI and their spouses.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 126","pages":"223-232"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Noise & HealthPub Date : 2025-05-01Epub Date: 2025-06-26DOI: 10.4103/nah.nah_171_24
Kaya Grocott, Adelle Mansour, Eleanor Shiels, Rebecca Bentley, Kate Mason
{"title":"Mental health effects of exposure to environmental noise at home: A systematic review of potential mediating pathways.","authors":"Kaya Grocott, Adelle Mansour, Eleanor Shiels, Rebecca Bentley, Kate Mason","doi":"10.4103/nah.nah_171_24","DOIUrl":"https://doi.org/10.4103/nah.nah_171_24","url":null,"abstract":"<p><strong>Objective: </strong>Research has established a mental health impact of exposure to environmental noise, but specific mechanisms driving this association are poorly understood. Several plausible mediating factors have been proposed, including noise annoyance and sleep disturbance. We undertook a systematic review of the literature to synthesize the existing evidence on possible mediating pathways between exposure to environmental noise and poor mental health in adults.</p><p><strong>Methods: </strong>We systematically searched Medline, PsycINFO, Embase, and Web of Science databases to identify relevant studies published up to May 2023. Studies of the mental health impact in adults of environmental noise at home that examined at least one mediator were included. Included studies were assessed for risk of bias. Findings from included studies were synthesized narratively. Study heterogeneity and high risk of bias precluded meta-analysis.</p><p><strong>Results: </strong>Of the 892 studies retrieved, 14 met the inclusion criteria. These spanned 13 unique mediators. Some studies examined multiple mediators. The most commonly examined mediators were noise annoyance (nine studies), sleep disturbance (four studies), and physical activity (two studies). Taken together, these studies provide support for noise annoyance and sleep playing a role in the mediation of the noise-mental health association, while evidence was limited or absent for other mediators. The small number of studies and high risk of bias leads to low certainty of evidence.</p><p><strong>Conclusions: </strong>Noise annoyance and sleep disturbance are likely mediators of the relationship between exposure to environmental noise at home and poor mental health. However, higher quality and longitudinal researches are needed to clarify these and other potential mediating pathways.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 126","pages":"255-267"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}