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CTRI Number  CTRI/2025/12/098884 [Registered on: 11/12/2025] Trial Registered Prospectively
Last Modified On: 11/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Sound-Based Meditation for Reducing Exam Stress and Enhancing Mental Health 
Scientific Title of Study   Alleviating Examination Stress Through Sound Meditation-Based Lifestyle Intervention: Impacts on Monoamines and Mental Health in a Randomized Controlled Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Megha Pundir 
Designation  Ph.D Scholar 
Affiliation  Central University of Rajasthan 
Address  Department of Yoga, Room no-6, Psychology lab, Central University of Rajasthan, Ajmer, Rajasthan-305817, India

Ajmer
RAJASTHAN
305817
India 
Phone  08218172780  
Fax    
Email  meghapundeer20899@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sanjib Patra 
Designation  Professor, HOD 
Affiliation  Central University of Rajasthan 
Address  Department of Yoga, Room no- 6, Psychology lab, Central University of Rajasthan, Ajmer, Rajasthan-305817, India

Ajmer
RAJASTHAN
305817
India 
Phone    
Fax    
Email  sanjib.patra@curaj.ac.in  
 
Details of Contact Person
Public Query
 
Name  Vijay Shanker Yadav 
Designation  PhD scholar 
Affiliation  Banaras Hindu University 
Address  Department of Yoga, Room no- 6, Psychology lab, Central University of Rajasthan, Ajmer, Rajasthan-305817, India

Varanasi
UTTAR PRADESH
221005
India 
Phone  09455050889  
Fax    
Email  VIJAYSHANKERAHIR89@GMAIL.COM  
 
Source of Monetary or Material Support  
Department of Yoga, Room no- 6, Psychology lab, Central University of Rajasthan, Ajmer, Rajasthan-305817, India 
 
Primary Sponsor  
Name  Central University of Rajasthan 
Address  Central University of Rajasthan, Bandarsindri, Ajmer, 305817, Idia 
Type of Sponsor  Other [Central University] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Sanjib Patra  Central University of Rajasthan  Department of Yoga, Room no-6, Physiology Lab, Central University of Rajasthan, Ajmer, Rajasthan-305817, India
Ajmer
RAJASTHAN 
8171706983

sanjib.patra@curaj.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Human Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Stress 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  1st group- Meditation  focus on specific sound, 8 Weeks  
Comparator Agent  2nd Group- Wait list Control  No Intervention 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  Healthy Participant
Able to do Yoga and Meditation
Willing to participate 
 
ExclusionCriteria 
Details  Who Taken any type of Drug
Not able to meditate
Any Severe condition of disease 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Serotonin
Dopamine
epinephrine
norepinephrine 
2 times , first and after 8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Psychological well-being sleep quality  2 times , first and after 8 weeks 
 
Target Sample Size   Total Sample Size="37"
Sample Size from India="37" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   25/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="1"
Days="26" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
Alleviating Examination Stress Through Sound Meditation-Based Lifestyle Intervention: Impacts on Monoamines and Mental Health in a Randomized Controlled Study

Background: Academic stress among university students is an escalating public health issue, with implications for mental health and neurophysiological balance. Exam-related stress can disrupt neurotransmitter balance, affecting mood, cognition, and stress responses. Non-pharmacological interventions, particularly contemplative practices such as meditation, offer holistic avenues for enhancing both psychological and biochemical well-being.
Objective: This study aimed to evaluate the effects of an 8-week Sound-Meditation-Based Lifestyle Intervention on monoamine neurotransmitter levels and psychological health in university students with self-reported exam stress.
Methods: In a randomized controlled trial, 37 students (aged 18–25) were assigned to either intervention group (n = 18) or waitlist control group (n = 19). The intervention consisted of daily Nadamay (sound-based) meditation, weekly spiritual counselling, and lifestyle regulation through evening walks. Pre- and post-intervention assessments included serum levels of dopamine, serotonin, epinephrine, and norepinephrine, along with psychological outcomes, exam stress, sleep quality, depression, anxiety, and stress.
Results: The intervention group showed a significant increase in dopamine (p=0.002) and reductions in epinephrine (p=0.003) and norepinephrine (p<0.001) levels. Psychologically, significant improvements were observed in exam stress, depression, anxiety, stress, and sleep quality (all p<0.001). No significant changes occurred in the control group.
Conclusion: The Sound-Meditation-Based Lifestyle Intervention effectively improved monoaminergic function and psychological well-being in students facing academic stress. These effects likely stem from integrated modulation of neuroendocrine systems through contemplative practice, emotional processing, and physical activity.
Keywords: Sound meditation; Monoamine neurotransmitters; Exam stress; Spiritual counselling; University students.
 
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