PROCEEDINGS of the
23rd International Congress on Acoustics
9 to 13 September 2019 in Aachen, Germany

The effect of brown and black noise on persons
suffering from a low frequency soundFrits VAN DEN BERG1,2; Karin DE BOER2
1
2

Mundonovo sound research, the Netherlands

Beta Science Shop, Faculty of Science and Engineering, University of Groningen, the Netherlands

ABSTRACT
Some people suffer from hearing an often untraceable low-pitched sound. To help them two types of low
frequency noise (brown and black noise) were put on CD. Sufferers could obtain this free CD on request.
Over the course of more than 10 years about 200 CD's were sent out. In these 10 years 26 applicants havegiven a spontaneous reaction by e-mail after having used the CD for a shorter or longer period of time.
Twenty three of these comments were (very) positive, two comments stated the CD did not help. In 2018 a
retrospective survey was designed for those that had requested a CD before November 2018. The main goalof this study is to investigate how the complaints have changed over time in relation to the use of the CD.
Further questions examine which other measures participants have taken and how they use(d) the CD inpractical terms (brown and/or black noise, playing time, frequency of use, volume). The study started in
February 2019 and a first analysis will be given in the paper. This may inspire others to help sufferers byusing the same method. This could be an opportunity to include more participants in different areas.
Keywords: Low Frequency Sound, Hum

1. INTRODUCTION
Some people hear an intrusive, low pitched sound or ‘hum’ coming from an unidentified source.
They may have serious health complaints, especially with respect to sleep. A lot of studies have been
done on this topic (1). Nevertheless, no definite answer to the cause or source of such complaints havebeen found. Hypotheses range from a physical, external low frequency sound coming from a variety ofsources to a neurological, internal cause. After about 10 years of research of this phenomenon we
found that, at least in a number of cases, sound measurements did not help to determine the soundcausing complaints nor its source. As a result, physical or technical solutions were not possible.
Measurements had shown (2) that there was no clear difference of low frequency sounds in dwellings
with or without complaints. Sound levels were on average as low as 25 dB(A) in daytime and 24 dB(A)at night, with a low frequency share (< 100 Hz) of 17 and 14 dB(A) respectively. This led to consider
other types of help, based on the hypothesis that the relative absence of sound at night could be an
important factor.
There is a practical reason and there are two considerations to think that adding sound to thedwelling (especially the sleeping room) could be beneficial for a complainant:
1- Many complainants told that added sound could help to cope with the intrusive sound. This
could be from a ventilator or the ventilating system, music, radio, natural sounds and even a
washing machine.
2- In a quiet environment soft sounds may be well audible, even though the level may be below
any official limit. If such a sound has a negative association, it is likely to be a source ofcomplaints.
3- In a quiet environment most elderly perceive tinnitus sounds, and in experiments most normal
hearing persons hear sounds when put in a very quiet room (3). A possible explanation is thatthe absence of physical, external sound may result in picking up electrical noise in the brain
which, in the audiocortex, is interpreted as sound.
11484

g.p.van.den.berg@rug.nl

Thus, adding sound will either distract attention from a soft sound (point 2) or cause a signal in theaudiocortex resulting from real sound (point 3). Both possibilities are supported by point 1. This led tothe idea of producing a CD, in 2004 the most obvious generally available sound carrier, with a noisy
sound at low frequencies. The choice was made for brown and black noise, because pink noise andcertainly white noise to the ear are rather high pitched. In white noise sound energy per Hz is constant,in pink noise it falls with 1/f, in brown noise with 1/f 2 and in black noise with 1/f 3.

2. Study aim and method
2.1 Study aim
Since 2007, over 200 persons have requested the CD at the Beta Science Shop of the University ofGroningen. Comments sent by 26 users showed that most of them (24) felt relief as a result of the blackor brown noise on the CD. In 2018 it was decided to do a survey including all requesters to obtain amore objective view of the effect of the CD. The main study question was:what is the effect of the use of the brown/black noise CD on complaints from the low pitchedsound that troubles the complainant?
For people who had requested the CD in the past, the effect of the CD sound can only be determinedfrom their (remembered) judgement. This is sufficient when considering satisfaction of thecomplainant with the CD. It is not suitable for determining the effect of the CD sound as such, as there
is no objective factor on which to base this effect for this group. However, information about thedevelopment of complaints before and after use of the CD and a comparison with other mitigation
measures may support the existence of the effect of the CD -noise as such.
2.2 Study method and material
The study is based on a survey of all those that requested the CD since 2007. For this period all
requests with e-mail and postal addresses had been kept. It was expected that not all could be contacted
because of a) changes in e-mail and/or postal addresses, b) some had requested the CD for someone
else or for other purposes than self-help, and c) persons could be incapable of taking part in the survey
or even be deceased (as it was expected that a significant part would be elderly persons) .
The questionnaire was divided in four topics: 1) the development of complaints and the use of(other) measures to be less troubled by the intruding sound before the use of the CD; 2) the
development of complaints after the use of the CD; 3) the actual use of the CD with respect to type ofnoise, volume, time and frequency of use; 4) general questions and possible remarks or questions fromthe respondent. The draft questionnaire was sent to four audiological specialists, two professionals
from environmental health services and a team of four researchers in neuropsychology, all familiar
with low frequency noise problems. The questionnaire was adapted according to their comments.
To determine whether respondents were self-selected (e.g. because of a positive effect of the CD)
and not a random part of the study group, a non-response test was added. This test consisted of only
two questions taken from the complete questionnaire: one about the period of use, the other about theperceived effect of the CD.
The questionnaire was made available online and on paper. As a first step all persons with an e-mailaddress would be requested to take part in the survey. Then those with no or an invalid e-mail address
would be sent a request by post. Those not reacting to the first step were sent a reminder. As a last step
all non-responders, i.e. those not having reacted at all, would be sent a second request, either by e -mailor post, to answer the two questions about the use and perceived effect of the CD.
2.3 New study
In a separate study that started in November 2018, we monitor the gravity and frequency ofcomplaints of persons requesting the CD (or a digital file) at three points in time: before use of the CD,
and one and three months after having started to use the CD. This will be done with three sepa rate
questionnaires that together are similar to the single questionnaire in the present study. Results will beavailable in 2020. If more researchers or institutions would like to distribute the CD (or digital soundfiles) and include the survey, the study group could be larger and include possible national differences.

1485

3. RESULTS
3.1 Study group and respondents
As of November 2018 a total of 216 requests for the CD had been received and kept in archive. For
all except 4 e-mail addresses were available, but 18 addresses did not exist anymore. These 22 persons
were sent a postal request.
Table 1 gives an overview of reactions to the request to take part in the survey. For 5 persons there
was no or no correct e-mail and postal address, so these were excluded. 89 persons did not react to thefirst request and they were sent the two questions from the non-response test. 39 responded to thissecond request with a reply to the two questions or even yet the completion of the f ull questionnaire, orthey stated they had not used the CD (which was often why they had not reacted in the first stage). This
leaves 50 persons who did not react at all. It was not possible to determine if these addresses were stillin active use. Also, some could be unwilling to take part or could have moved or even died, so it is notclear how many of them do belong to the study group. If all would be potential respondents, there
would be a 60% response, if none would be, the response would amount to 85% (see table 2).

Table 1 – Number of persons involved in the study and reaction to the first and second request to take part
Number of persons who ordered a CD

216

Number of persons in non-response test89

with two questions
questionnaire completed
Persons

decline completion

100

1

5

2

reacting

not applicable14

to first

deceased3

requestinsufficient contact information

5

total

127

Persons not reacting to first request

89

Persons
reacting
tosecondrequesttwo questions answered15

yet completed full questionnaire

3

2

20

not applicabledeceased

1

total

39

Persons not reacting to second request

50

Notes: 1- because it was too long ago/did not remember (3), questionnaire too complicated, questions did not apply
to complaints; 2 - CD not used

Table 2 – Number of persons and response in study group
Including no reaction at all
Total in study group3

respondents 4
responding non-respondents
no reaction at all

5

excluding no reaction at all

173

100%

123

100%

103

60%

103

85%

20

12%

20

16%

50

29%

Notes: 3 - not included: not applicable, deceased, insufficient contact information; 4 - questionnaire completed;
5 - included: completion denied, non-response questions answered

Figure 1 shows the age and gender of the 103 respondents. The age was determined at the time of
the request for the CD; the median value was 55 years. 33% of the respondents were male.
The number of respondents per question may be less than 103 as not all questions have beenanswered by all respondents. For some questions, answer categories were given but could include a
category ‘other’ that is not included in the results.

1486

Figure 1 – respondents’ distribution over age and gender (N=103)
3.2 Situation respondents before the use of brown/black CD- noise
In nearly all cases (100) the cause of complaints was a low pitched sound or hum. Almost one out of
three respondents (29) were troubled by vibrations as well as a low pitched sound and just over one outof six (18) by pressure on the ears and a low pitched sound. 14 respondents were troubled by all three.
As was indicated in the questionnaire, for convenience the term ‘(disturbing) sound’ would be used,
but it would include the other perceived causes. The same term and meaning will be used here.
When asked to rate the trouble or disturbance caused by the disturbing sound on a scale of 1 (no trouble
at all) to 10 (very much trouble), 89 respondents gave a score of 8, 9 or 10 and only two less than 5.
Respondents have tried to be less troubled by the disturbing sound by taking measures at home. The
question about mitigation measures had three answer categories: no, not tried; yes, but did not help;
yes, and it helped. As figure 2 shows, some measures have been tried by most respondents, such as
using earplugs, using other sound or trying to ignore the sound. Adding sound insulation was the least
applied measure and only helped in two cases. The most effective measure, being effective for 26 outof 49 who tried it, was using a medicine (such as a sleeping drug) to lessen the effect of the disturbing
sound. However, in practice using another sound was more efficient as its was tried by more persons
which led to more positive results: out of 91 respondents who tried it, the use of a sound to lessen theeffect of the disturbing sound helped 40 of them. It follows from figure 2 that respondents found othermeasures, if tried, not very effective. Another place to sleep, using earplugs or trying to ignore thesound only helped a small percentage.

Figure 2 – possible mitigation measures that respondents have tried (or not)before use of the CD and respondents’ judgment on their effect1487

3.3 Situation respondents after the use of brown/black CD-noise
The next subject in the questionnaire was about the situation after starting to use the CD. Again it was
asked to rate the trouble caused by the sound (or other causes) on a scale of 1 to 10, but now for thepresent situation. In this situation the number of respondents was more or less the same for each score.
This is shown in figure 3 together with the distribution of respondents over scores before CD use.

Figure 3 – scores for gravity of complaints before and after use of the CD
Do complaints fade out over time? We can find some information about this if we relate the answer
to the question “How often does the sound trouble you now” to the date the CD was requested (which
normally was close to the first use). In figure 7, with respondents divided in three periods with anapproximately equal number of requests for the CD, the main difference between the three groups isthat the number of respondents being troubled ‘often’ decreases over time, while at the same time thenumber of respondents being troubled ‘sometimes’ increases over time. The result (figure 4) showsthat complaints of a low pitched sound persist over many years, though the frequency of being troubled
by it decreases over time.

Figure 4 – frequency of being troubled by the disturbing soundin relation to the time period the CD was first used
3.4 Effect of the CD with brown/black noise
After use of the CD 7 respondents were more troubled by the sound than before and 34 had not
noticed a difference. In contrast, 32 respondents were somewhat less troubled and 30 were much lesstroubled. Could this be because of the CD? When asked if the CD had contributed to the change in1488

complaints, 23% thought it had contributed a lot and 29% thought it had contributed somewhat to
reduce complaints. 33% thought the CD had not made a contribution, the remaining 12% respondents
did not give a clear answer (table 3, one respondent missing with change in complaints unclear). Thus,
the positive outcome is that after using the CD 60% of the respondents had less complaints. 52%
attributed an improvement to a large or smaller degree to the CD.
Table 3 – Relation between change in complaints and contribution of CD to that change
Contribution of CD tochange in complaints

less complaints

no change

more complaints

a lot

24

23%

somewhat

25

24%

5

5%

2

none

6

6%

23

22%

5

no definite answer

7

7%

5

5%

62

60%

33

32%

sum

7

sum
24

23%

2%

32

31%

5%

34

33%

12

12%

102

99%

7%

Respondents who think the CD helps a lot have used the CD for at least 2 weeks, but most much
longer (> year). On the other hand, just over half of those who think the CD did not help to reducecomplaints have used the CD for no more than a few days, though some tried it for a month or long er.
Figure 5 shows two plots similar to figure 4, but here the four categories of respondents being
troubled are given as percentages per time period. The two plots represent two groups of respondents:
those who think that the CD had helped to reduce their complaints (at left) and those who did not think
the CD had helped (right). The main difference between both plots is for those who requested the CD
between 2.5 and 7 years ago. Respondents from this period and who think the CD helped, are far lesstroubled by the disturbing sound than respondents from the same period who did not think the CD
helped: 80% of those who thought the CD helped are now sometimes or not at all troubled, in contrast
to the 27% of those that thought the CD did not help. In the period after October 2016 there is no clear
difference between the ‘helpful’ and ‘not helpful’ group in the percentage of respondents that are not or
only sometimes troubled. However, there are relatively more respondents in the ‘not helpful’ group
who are (nearly) always troubled when compared to the ‘helpful’ group.
The percentages for those first using the CD in 2007-2012 are rather similar for both groups.
However, one must keep in mind that the number of respondents in a column can be quite small, so
percentages can change considerably (5% to 12%) when only one person is in- or excluded. Also, 12
respondents are not include in figure 9 as they gave no clear answer whether the CD had helped.

Figure 5 – frequency of being troubled by the disturbing sound in relation to the time period the CD was firstused for two groups: those who think the CD contributed somewhat/a lot to reducing complaints (left) andthose who do not think the CD contributed (right). Bottom row: total number of respondents per column.

1489

3.5 Effect of other sounds
Respondents were asked if sound other than the CD-noise had helped reduce their complaints. One
third reported they had used other sounds. Most mentioned noisy sounds (noise machine or app,ventilator, radio static), others nature sounds (rain, water sounds, trees and wind) and music or speech.
50% of them reported less complaints from the disturbing sound. Half of these respondents still
contributed the improvement to the CD, perhaps because some of them used both the CD and anothersound and some others used a noisy sound similar to the CD -noise. Perhaps some respondents
interpreted the question whether the CD had helped in a broader sense, extending it to their helpful
sound. Table 4 shows the relation between the change in complaints and the use of only the CD oranother sound (possibly added to the brown/black noise-CD).
Table 4 – change in being troubled by disturbing sound in relation touse of brown/black noise CD or other sound (not or not only the CD)
Have complaints changed over time?
Sound used

number of
respondents

decreased
a lot

decreasedsomewhatno change

increasedsomewhat

CD

65

100%

21

32%

22

34%

18

28%

4

6%

Other sound 1

36

100%

9

25%

10

28%

15

42%

0

0%

Total

103

100%

30

29%

32

31%

34

33%

7

7%

Note: 1 - possibly together with CD

3.6 Use of CD
At the time of the survey, 60% of the respondents had stopped using the CD, 18% of the
respondents still used the CD and 11% more used it only occasionally (plus 11% unclear).
27% of the respondents only played the track with brown noise, 16% only black noise and 28%
both; 26% did not know or remember. Most (52%) respondents heard the noise from small speakers ofa computer or audio-set; 17% from separate, large speakers; 14% through earphones or a headset; theremaining 17% did otherwise. According to their own judgment, 5% played the sound at a very low
volume, 37% at low volume, 21% soft nor loud, 24% loud and 12% very loud. 82% thought the soundquality was good, 9% thought it wasn’t.
The CD was usually played in the evening (10% of respondents), when going to sleep (42%) or atnight (33%); for some (15%) it could be any time of the day. When respondents started to use the CD,
56% played it (nearly) every day, 23% a few times a week and 19% a few times per month or less. Aftersome time most used the CD a little less (14%) or far less (57%) and only 3% used it more often; for
25% there was no change. Initially, when using the CD, many played it for an hour or more (57%), 24%
played it for less than an hour (but more than 10 minutes) and 19% played it less than 10 minutes. Afterthe initial time, most (58%) continued this playing time, 11% played the CD for a longer time and 8%
shorter. For 23% the playing time varied according to the needs per day.
3.7 Non-response test
After the initial request to take part in the survey and a reminder, 89 persons who ha d not reacted
were asked to help us improve the survey quality by answering just two questions. Both questions weretaken from the full questionnaire. One was about the length of time they had used the CD, the otherwhether the CD had helped in reducing complaints. 39 persons reacted to this non-response test, whichshowed that many of them never had used the CD (see table 1). The 15 persons that gave an answer toboth questions can be compared to the respondents who had given an answer to the same questions.
One conclusion is there are relatively more persons in the non-response group who have used the CD
no more than a few days. The response to the second question shows that the effect of the CD as
perceived by respondents and non-responders is very much the same. Thus, the non-response analysis
shows that relatively more persons that used the CD for a very short time did not respond, but theperception of non-responders of the effect of the CD is similar to respondents.

1490

4. CONCLUSION
In the past some 200 persons requested a CD with brown and black noise. They were asked to takepart in a survey. We could not reach 50 of them and 38 had never used the CD or had died. 103 of therequesters completed a questionnaire. In the early phase, after starting to hear a low pitched sound orhum, it is a great or very great burden to complainants. Over the years this gets less, but about 10 years
later still 38% are often or (nearly) always disturbed by the sound, regardless of whether they found the
CD helpful or not.
Sufferers try to be less troubled, but most of what they try is not very effective. In practice the mosthelpful measures are playing another sound to lessen the effect of the disturbing sound and taking
sleeping drugs. 88% used another sound and this helped 38%. 48% used sleeping drugs and this helped
28%.
54 respondents (52%) reported that the brown or black noise on the CD had helped them somewhat(29%) or a lot (23%) to be less troubled. 34% did not think the CD had helped to reduce complaints and
13% did not provide a clear answer.
Of the 54 respondents who were helped by the CD, 17 (17%) were in fact helped by a similarsound from another source or another sound (in some cases added to the CD). When considering
respondents who requested the CD between about 2.5 and 7 years ago, amongst those who think the
CD helped, at the time of the survey only 19% report to be often/always troubled, in contrast to the
73% amongst those who think the CD did not help.
The conclusion is that using sound to help relieve low frequency noise complaints helps just overhalf the respondents.
The results of this study have led to a better advice to sufferers. We still offer them the CD (ordigital brown and black noise tracks). We now add that others sounds can be tried if the CD is not
helpful or to find a sound that better suits the personal taste. Such other sounds are available on theinternet or via apps.

ACKNOWLEDGEMENTS
This study has been performed with the help of the Beta Science Shop of the Faculty of Science andEngineering of the University of Groningen in the Netherlands. They received requests for a CD withbrown and black noise, sent the CD and kept records of requesters over a period of almost 12 years.
Dorothé Faber gave comments on the set-up and results of the study. Jan de Laat, Niek Versfeld, Henke
Groenwold, Pim van Dijk, Wim Niessen, Dyon Scheijen and the team of Janneke Koerts all helped to
improve the questionnaire.

REFERENCES
1. See proceedings of the International Conferences on Low Frequency Noise and Vibration and its
Control and the Journal of Low Frequency Noise, vibration and active control.
2. Van den Berg F. Low frequency sounds in dwellings: a case control study, J Low Frequency Noise, Vibrand Active Control, Vol. 19 nr 2 (2000), p. 59-71
3. Van den Berg F. Low Frequency Noise and phantom sounds. J Low frequency Noise, Vibration and
Active Control; volume 28 nr 2 (2009), p. 105-116

1491