Clinical trial Recruiting at 2 sites Interventional Ages 18 and up

Playing music during ECT to reduce agitation afterward

Official title: the Effect of a MUsic Intervention on poStictal Agitation in Electroconvulsive Therapy Patients: the MUSE Trial

Run by Erasmus Medical Center · NCT06817330 · Data updated 2026-11-12

This trial will try playing recorded music during ECT to see if it reduces agitation after the treatment in adults receiving ECT for severe depression.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment92 (estimated)
SponsorErasmus Medical Center
Academic / other
Locations2 sites (Rotterdam and 1 other locations)
StatusRecruiting
StartedNovember 25, 2025
Main results expectedFebruary 28, 2027
Study endsFebruary 28, 2027
Registry record updatedDecember 17, 2025
Trial IDNCT06817330 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adult patients (≥18) undergoing ECT for depression (including bipolar depression) who receive etomidate anesthesia, understand Dutch, and can provide informed consent are the intended participants.

Probably not a fit

Patients with significant hearing impairment, severe neurological disorders that interfere with music processing, those receiving ECT for schizophrenia, or patients not anesthetized with etomidate are unlikely to benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study compares peri-procedural recorded music played to patients undergoing electroconvulsive therapy with a control condition of headphones without music. Participants who meet inclusion criteria receive ECT under etomidate and are assigned to either the music or silent-headphone condition during the intervention and immediate recovery period. The main outcome is the incidence and severity of postictal agitation, with secondary interest in whether reduced agitation corresponds to less post-treatment cognitive impairment. The rationale is that music has lowered preoperative anxiety and sedative needs in other hospital settings, and a simple, low-risk music intervention could be an easy preventive option if effective.

Why it matters

Potential benefit: If successful, this low-risk, low-cost approach could reduce how often and how severely patients become agitated after ECT and may lower related complications like retrograde amnesia.

How similar studies have gone: Music interventions have shown benefit in reducing preoperative anxiety and sedative or analgesic needs in surgical settings, but using peri-ECT music specifically to prevent postictal agitation is a novel application with limited direct evidence.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients undergoing ECT treatment for depression (including depression as part of bipolar disorder)
* Adult patients (≥18 years)
* Hypnotic agent used is etomidate
* Sufficient understanding of the Dutch language (in judgement of the attending physician or researcher)
* Written informed consent by patient or legal representative

Exclusion Criteria:

* Significant impaired hearing (defined as unable to communicate verbally or listen to music)
* Severe neurological condition (defined as interfering with the ability to process music)
* Patients receiving ECT for treatment of schizophrenic disorders

Where it's running

  • Erasmus Medical Center
    Rotterdam, Netherlands
    Recruiting
  • Antes Parnassia Group
    Rotterdam, Netherlands
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.