Lin Fei-Wen, Yang Ya-Hui, Wang Jiun-Yi
Department of Healthcare Administration, Asia University, Taichung 413305, Taiwan.
Wuchi District Public Health Center, Taichung 435051, Taiwan.
Healthcare (Basel). 2025 Aug 14;13(16):2002. doi: 10.3390/healthcare13162002.
: Anxiety and stress are common mental health issues that affect both psychological and physiological well-being as well as quality of life. The Tibetan Singing Bowl, which combines sound and vibration, is often used in meditation and relaxation and may offer therapeutic benefits. However, current research findings are scattered and lack systematic integration and quantitative validation. : This study is a systematic review that included 14 quantitative studies from the past 16 years investigating the effects of Tibetan Singing Bowl interventions on adult psychological and physiological health. Data were sourced from six major databases and supplemented through citation tracking. Inclusion criteria were adults aged 18 and over, with interventions primarily involving Tibetan Singing Bowls, and reporting quantitative outcomes related to psychological indicators (e.g., anxiety and depressive symptoms) and physiological indicators (e.g., Heart Rate Variability and brainwave activity). Study quality was assessed using Joanna Briggs Institute (JBI) criteria, and findings were synthesized narratively to identify patterns and trends. : Study populations included general adults, individuals with emotional distress, and patients with cancer or chronic illnesses. Interventions ranged from single sessions to multiple courses, with some incorporating breathing or other practices. Most studies reported significant reductions in anxiety and depressive symptoms, improvements in well-being and quality of life, increases in Heart Rate Variability, and decreases in heart rate. Some studies also found increased Delta and Theta brainwave activity. Due to heterogeneity in study design and limited articles, no meta-analysis was conducted. : Tibetan Singing Bowl interventions demonstrate potential for stress reduction and psychological well-being, offering a non-invasive, low-risk, and widely accepted complementary method supporting therapeutic processes, which can be suitable for clinical and community settings. Future research should focus on rigorously designed controlled trials and consider follow-up assessments to more accurately evaluate the effectiveness of TSB interventions.
焦虑和压力是常见的心理健康问题，会影响心理和生理健康以及生活质量。结合了声音和振动的西藏颂钵常用于冥想和放松，可能具有治疗益处。然而，目前的研究结果分散，缺乏系统整合和定量验证。
本研究是一项系统综述，纳入了过去16年中14项关于西藏颂钵干预对成年人心理和生理健康影响的定量研究。数据来自六个主要数据库，并通过引文追踪进行补充。纳入标准为18岁及以上的成年人，干预主要涉及西藏颂钵，并报告与心理指标（如焦虑和抑郁症状）和生理指标（如心率变异性和脑电波活动）相关的定量结果。使用乔安娜·布里格斯研究所（JBI）标准评估研究质量，并对研究结果进行叙述性综合分析，以识别模式和趋势。
研究人群包括普通成年人、情绪困扰者以及癌症或慢性病患者。干预措施从单次治疗到多疗程不等，有些还结合了呼吸或其他练习。大多数研究报告称焦虑和抑郁症状显著减轻，幸福感和生活质量得到改善，心率变异性增加，心率降低。一些研究还发现δ波和θ波脑电波活动增加。由于研究设计的异质性和文章数量有限，未进行荟萃分析。
西藏颂钵干预显示出减轻压力和促进心理健康的潜力，提供了一种非侵入性、低风险且被广泛接受的辅助方法来支持治疗过程，适用于临床和社区环境。未来的研究应侧重于设计严谨的对照试验，并考虑进行随访评估，以更准确地评估西藏颂钵干预的效果。
