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2/28/2026 7:48:47 AM | Browse: 0 | Download: 0
Publication Name World Journal of Critical Care Medicine
Manuscript ID 116487
Country Japan
Received
2025-11-13 04:47
Peer-Review Started
2025-11-13 04:47
First Decision by Editorial Office Director
2025-12-04 09:03
Return for Revision
2025-12-04 09:03
Revised
2025-12-05 00:11
Publication Fee Transferred
Second Decision by Editor
2026-01-07 02:41
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-01-07 06:52
Articles in Press
2026-01-07 06:52
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-02-09 01:02
Publish the Manuscript Online
2026-02-28 07:48
ISSN 2220-3141(online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Emergency Medicine
Manuscript Type Letter to the Editor
Article Title Neurobiological rhythms in critical care: A commentary on intensive care unit music therapy efficacy and mechanism
Manuscript Source Invited Manuscript
All Author List Takahiko Nagamine
ORCID
Author(s) ORCID Number
Takahiko Nagamine http://orcid.org/0000-0002-0690-6271
Funding Agency and Grant Number
Corresponding Author Takahiko Nagamine, MD, PhD, Professor, Psychiatric Internal Medicine, Sunlight Brain Research Center, 4-13-18 Jiyugaoka, Hofu 7470066, Yamaguchi, Japan. anagamine@yahoo.co.jp
Key Words Music therapy; Neuroplasticity; Intensive care unit; Critical care; Brain-derived neurotrophic factor; Anxiety
Core Tip The single 30-minute music therapy session achieved remarkable results, including reduced patient anxiety, pain, and, crucially, lower intensive care unit (ICU) mortality (7.4% vs 19.1%) and a shorter ICU length of stay (4.97 days vs 5.70 days). To justify these powerful, long-term findings, the intervention must engage fundamental neurobiological pathways. Since structural brain changes and the upregulation of factors like brain-derived neurotrophic factor require sustained effort, the study's brief, one-time protocol and unblinded design introduce a major mechanistic conundrum. Future, rigorous trials with repeated sessions and credible sham controls are essential to prove that music's neurobiological power, and not just a strong attention effect, drives recovery in critically ill patients.
Publish Date 2026-02-28 07:48
Citation

Nagamine T. Neurobiological rhythms in critical care: A commentary on intensive care unit music therapy efficacy and mechanism. World J Crit Care Med 2026; 15(1): 116487

URL https://www.wjgnet.com/2220-3141/full/v15/i1/116487.htm
DOI https://dx.doi.org/10.5492/wjccm.v15.i1.116487
Full Article (PDF) WJCCM-15-116487-with-cover.pdf
Manuscript File 116487_Auto_Edited_091240.docx
Answering Reviewers 116487-answering-reviewers.pdf
Audio Core Tip 116487-audio.mp3
Conflict-of-Interest Disclosure Form 116487-conflict-of-interest-statement.pdf
Copyright License Agreement 116487-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 116487-non-native-speakers.pdf
Peer-review Report 116487-peer-reviews.pdf
Scientific Misconduct Check 116487-scientific-misconduct-check.png
Scientific Editor Work List 116487-scientific-editor-work-list.pdf
CrossCheck Report 116487-crosscheck-report.pdf