Dysfunctional BreathingNCT07228910
Respiratory and Anxiety Status of Music Students
An observational study of Dysfunctional Breathing and Breathing Patterns, run by Pamukkale University at 1 site in Turkey (Türkiye).
Trial summary
This study aims to determine the prevalence and patterns of dysfunctional breathing (DB) among music students and to investigate its relationship with music performance anxiety (MPA). Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Dysfunctional Breathing, Breathing Patterns
- How many people
- 275 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Dec 2025to 31 Jan 2026
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: Music department students from three different universities (Munzur University, Gaziantep University and, Mehmet Akif Ersoy University) will be invited to our study.
Who may be able to join
- Being a student of music department
- Playing an instrument for at least 1 year
- Volunteer
Who cannot join
- Having any respiratory disease (Asthma , COPD etc.)
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Gaziantep University
Gaziantep, Şahinbey, 27310
About this study
Official title: Relationship Between Dysfunctional Breathing, Respiratory Patterns, and Performance Anxiety in Music Students
This study aims to determine the prevalence and patterns of dysfunctional breathing (DB) among music students and to investigate its relationship with music performance anxiety (MPA). Dysfunctional breathing, also known as a breathing pattern disorder, refers to maladaptive respiratory patterns not explained by medical conditions such as asthma and is associated with symptoms like hyperventilation, poor breathing control, and abnormal respiratory mechanics. Given that MPA is common among musicians and often accompanied by symptoms such as palpitations, tremor, and shortness of breath, this study explores whether DB contributes to or is influenced by performance-related anxiety in this population.
Read the detailed description
Dysfunctional breathing (DB) represents a spectrum of maladaptive respiratory patterns that cannot be explained by an underlying medical condition. It may involve biomechanical, biochemical, or psychophysiological components, including abnormal breathing mechanics, altered carbon dioxide regulation, and stress-related breathing irregularities. Previous research has suggested that DB can exacerbate symptoms in conditions such as asthma, migraine, orofacial pain, and temporomandibular disorders.
Music performance anxiety (MPA), a common issue among music students and professional musicians, manifests through both psychological and physiological symptoms. Among these, respiratory complaints such as dyspnea, breath-holding, or hyperventilation are frequently reported. Despite this, the potential overlap between DB and MPA has not been adequately investigated.
This cross-sectional study will assess 233 music students using validated self-report questionnaires to evaluate dysfunctional breathing patterns and levels of music performance anxiety. The study seeks to identify the prevalence of DB in this population and to explore possible associations between breathing dysfunction and anxiety related to musical performance. Findings may contribute to a better understanding of respiratory-related mechanisms underlying performance anxiety and inform preventive or therapeutic strategies for musicians.
- Conditions
- Dysfunctional Breathing, Breathing Patterns
- Keywords
- Dysfunctional breathing, Breathing patterns, Music students, Music performance anxiety
What is being measured
The primary outcome is the main question the study is designed to answer.
Dysfunctional breathing
An umbrella term used to describe a harmful adaptation in breathing that cannot be explained by a medical diagnosis such as asthma. The Self Evaluation of Breathing Questionnaire (SEBQ) will be used to assess dysfunctional breathing. The SEBQ is a scale developed to identify the nature of unexplained symptoms commonly reported by individuals with dysfunctional breathing. It was designed to capture all domains of respiratory symptoms, regardless of whether the individual has hyperventilation syndrome. The questionnaire consists of 25 items rated on a 4-point Likert scale ranging from 0 to 3 (0 = never / not true at all, 1 = occasionally / somewhat true, 2 = often / mostly true, 3 = very often / very true). Higher scores indicate a greater degree of breathing dysfunction
Measured: 15 minutes drom enrollment
Breathing pattern
The Breathing Pattern Assessment Tool (BPAT) will be used to assess breathing pattern. The BPAT is a clinician-administered assessment developed to evaluate breathing pattern disorders. Its validity has been confirmed for screening breathing pattern dysfunction in patients with asthma or unexplained dyspnea. During the assessment, the participant is seated in a chair with back support while the clinician evaluates seven components of the breathing pattern: abdominal and chest wall movements, inspiratory and expiratory sounds, sighing or other signs of air hunger, nasal and oral breathing, breathing rate, and rhythmicity of the pattern. Each item is scored from 0 to 2, yielding a total score ranging from 0 to 14. Higher scores indicate a greater likelihood of breathing pattern disorder. A total score of ≥4 is considered a positive screen, with a sensitivity of 92% and specificity of 75%.
Measured: 15-30 minutes from enrollment
Music performance anxiety
The Kenny Music Performance Anxiety Inventory (K-MPAI) will be used to assess the level and underlying causes of music performance anxiety. T. The inventory consists of 25 items grouped under five subscales: (1) Negative Performance Perception (items 5, 6, 10, 11, 13, 14, 15, 16, 18, 19, 22, 23, 24, 25), (2) Psychological Vulnerability (items 1, 2, 3, 7, 8, 9, 12, 21), (3) Somatic Anxiety (item 4), (4) Personal Control (item 17), and (5) Physiological Vulnerability (item 20). Each item is rated on a 7-point Likert scale ranging from 0 (strongly disagree) to 6 (strongly agree), yielding a total score between 0 and 150. Scores of 105 and above indicate high music performance anxiety, whereas scores of 45 and below indicate low anxiety levels.
Measured: 30-45 minutes from enrollment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Nov 2025
- Study start1 Dec 2025
- Primary completion31 Dec 2025
- Study completion31 Jan 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Dysfunctional BreathingStudies of the same condition, open and under way.
- More trials run by Pamukkale UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Cross-sectional
- Enrolment
- 275 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pamukkale University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Erhan KIZMAZ, Pamukkale University
- Investigators
- Erhan KIZMAZ, PhD, Principal investigator, University of Gaziantep
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07228910
- Sponsor's protocol ID
- Music
- Status last verified
- Sep 2026
- First submitted
- 13 Nov 2025
- Last updated
- 18 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 18 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Relationship Between Dysfunctional Breathing, Respiratory Patterns, and Performance Anxiety in Music Students
- ClinicalTrials.gov ID
- NCT07228910
- Acronym / sponsor ID
- Music
- Conditions
- Dysfunctional Breathing, Breathing Patterns
- Keywords
- Dysfunctional breathing, Breathing patterns, Music students, Music performance anxiety
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 275 participants (actual)
- Lead sponsor
- Pamukkale UniversityUniversity, hospital or other
- Study start
- 1 Dec 2025 (actual)
- Primary completion
- 31 Dec 2025 (actual)
- Study completion
- 31 Jan 2026 (actual)
- First posted
- 14 Nov 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to determine the prevalence and patterns of dysfunctional breathing (DB) among music students and to investigate its relationship with music performance anxiety (MPA). Dysfunctional breathing, also known as a breathing pattern disorder, refers to maladaptive respiratory patterns not explained by medical conditions such as asthma and is associated with symptoms like hyperventilation, poor breathing control, and abnormal respiratory mechanics. Given that MPA is common among musicians and often accompanied by symptoms such as palpitations, tremor, and shortness of breath, this study explores whether DB contributes to or is influenced by performance-related anxiety in this population.
Detailed description
Dysfunctional breathing (DB) represents a spectrum of maladaptive respiratory patterns that cannot be explained by an underlying medical condition. It may involve biomechanical, biochemical, or psychophysiological components, including abnormal breathing mechanics, altered carbon dioxide regulation, and stress-related breathing irregularities. Previous research has suggested that DB can exacerbate symptoms in conditions such as asthma, migraine, orofacial pain, and temporomandibular disorders.
Music performance anxiety (MPA), a common issue among music students and professional musicians, manifests through both psychological and physiological symptoms. Among these, respiratory complaints such as dyspnea, breath-holding, or hyperventilation are frequently reported. Despite this, the potential overlap between DB and MPA has not been adequately investigated.
This cross-sectional study will assess 233 music students using validated self-report questionnaires to evaluate dysfunctional breathing patterns and levels of music performance anxiety. The study seeks to identify the prevalence of DB in this population and to explore possible associations between breathing dysfunction and anxiety related to musical performance. Findings may contribute to a better understanding of respiratory-related mechanisms underlying performance anxiety and inform preventive or therapeutic strategies for musicians.
Study design
- Observational model
- Other
- Time perspective
- Cross-sectional
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- Music department students from three different universities (Munzur University, Gaziantep University and, Mehmet Akif Ersoy University) will be invited to our study.
Key inclusion criteria (3 listed)
- Being a student of music department
- Playing an instrument for at least 1 year
- Volunteer
Key exclusion criteria (1 listed)
- Having any respiratory disease (Asthma , COPD etc.)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Dysfunctional breathing
Time frame: 15 minutes drom enrollment
An umbrella term used to describe a harmful adaptation in breathing that cannot be explained by a medical diagnosis such as asthma. The Self Evaluation of Breathing Questionnaire (SEBQ) will be used to assess dysfunctional breathing. The SEBQ is a scale developed to identify the nature of unexplained symptoms commonly reported by individuals with dysfunctional breathing. It was designed to capture all domains of respiratory symptoms, regardless of whether the individual has hyperventilation syndrome. The questionnaire consists of 25 items rated on a 4-point Likert scale ranging from 0 to 3 (0 = never / not true at all, 1 = occasionally / somewhat true, 2 = often / mostly true, 3 = very often / very true). Higher scores indicate a greater degree of breathing dysfunction
Breathing pattern
Time frame: 15-30 minutes from enrollment
The Breathing Pattern Assessment Tool (BPAT) will be used to assess breathing pattern. The BPAT is a clinician-administered assessment developed to evaluate breathing pattern disorders. Its validity has been confirmed for screening breathing pattern dysfunction in patients with asthma or unexplained dyspnea. During the assessment, the participant is seated in a chair with back support while the clinician evaluates seven components of the breathing pattern: abdominal and chest wall movements, inspiratory and expiratory sounds, sighing or other signs of air hunger, nasal and oral breathing, breathing rate, and rhythmicity of the pattern. Each item is scored from 0 to 2, yielding a total score ranging from 0 to 14. Higher scores indicate a greater likelihood of breathing pattern disorder. A total score of ≥4 is considered a positive screen, with a sensitivity of 92% and specificity of 75%.
Music performance anxiety
Time frame: 30-45 minutes from enrollment
The Kenny Music Performance Anxiety Inventory (K-MPAI) will be used to assess the level and underlying causes of music performance anxiety. T. The inventory consists of 25 items grouped under five subscales: (1) Negative Performance Perception (items 5, 6, 10, 11, 13, 14, 15, 16, 18, 19, 22, 23, 24, 25), (2) Psychological Vulnerability (items 1, 2, 3, 7, 8, 9, 12, 21), (3) Somatic Anxiety (item 4), (4) Personal Control (item 17), and (5) Physiological Vulnerability (item 20). Each item is rated on a 7-point Likert scale ranging from 0 (strongly disagree) to 6 (strongly agree), yielding a total score between 0 and 150. Scores of 105 and above indicate high music performance anxiety, whereas scores of 45 and below indicate low anxiety levels.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Sep 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Erhan KIZMAZ, PhD principal investigator
University of Gaziantep
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Dysfunctional Breathing and Breathing Patterns, run by Pamukkale University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Dysfunctional breathing (time frame: 15 minutes drom enrollment). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Sep 2026.