Baza wiedzy Muzaic

Spis treści

Muzykoterapia w redukcji stresu i relaksacji. 

Muzykoterapia w leczeniu depresji i stanów lękowych. 

Muzyka w terapii bólu 

Muzyka a emocje. 

Muzyka a funkcje poznawcze i koncentracja 

Muzykoterapia w demencji starczej 

Muzyka w terapii bezsenności 

 

 

 

Muzykoterapia w redukcji stresu i relaksacji.

W licznych badaniach wykazano, że muzykoterapia jest skuteczną metodą w zmniejszaniu stresu oraz może ułatwić relaksację ze względu na zintegrowane sposoby przetwarzania muzyki przez mózg i ciało. Zaobserwowano, że muzyka preferowana przez słuchacza może mieć najbardziej korzystny wpływ na relaksację i redukcję stresu u tego słuchacza.  Badania dowodzą, że wykorzystanie tego rodzaju terapii może się sprawdzić także w przypadku hospitalizacji. Dowiedziono, że muzykoterapia okołooperacyjna zmieniła odpowiedź neurohormonalną i immunologiczną na stres w przypadku operacji w trybie dziennym, zwłaszcza gdy rodzaj muzyki został wybrany przez pacjenta. Skuteczność muzykoterapii zwiększa się w połączeniu z innymi formami terapeutycznmi. Duże korzyści w osiągnięciu pełnego odprężenia uzyskano dzięki jednoczesnemu stosowaniu zarówno aromaterapii, jak i muzykoterapii, gdyż w tym przypadku bodźce relaksacyjne docierały do pacjenta poprzez zmysł słuchu i węchu. Praca nad zmysłem słuchu przy odpowiednio dobranych dźwiękach pogłębia stan relaksu. Słuchanie muzyki wpływa na wiele układów, w tym na układ oddechowy, nerwowy, krwionośny i mięśniowy. Muzyka w połączeniu z masażem zmniejszały objawy oparzeń u pacjentów. Pierwsze efekty działania muzykoterapii widac już po pierwszej sesji. Poziom stresu po sesji muzykoteraputycznej zmniejszył się względem stanu wyjściowego (p<0.05), a po 5 sesjach obniżyła się ocena poziomu wypalenia zawodowego (p= 0.02).

 

Wybrane publikacje naukowe:

  1. Martina de Witte, Ana da Silva Pinho, Geert-Jan Stams, Xavier Moonen, Arjan E.R. Bos & Susan van Hooren, Music therapy for stress reduction: a systematic review and meta-analysis [w:] “Health Psychology Review” 2020

Abstract: Music therapy is increasingly being used as an intervention for stress reduction in both medical and mental healthcare settings. Music therapy is characterized by personally tailored music interventions initiated by a trained and qualified music therapist, which distinguishes music therapy from other music interventions, such as ‘music medicine’, which concerns mainly music listening interventions offered by healthcare professionals. To summarize the growing body of empirical research on music therapy, a multilevel meta-analysis, containing 47 studies, 76 effect sizes and 2.747 participants, was performed to assess the strength of the effects of music therapy on both physiological and psychological stress-related

outcomes, and to test potential moderators of the intervention effects. Results showed that music therapy showed an overall medium-to-large effect on stress-related outcomes (d = .723, [.51–.94]). Larger effects were found for clinical controlled trials (CCT) compared to randomized controlled trials (RCT), waiting list controls instead of care as usual (CAU) or other stress-reducing interventions, and for studies conducted in NonWestern countries compared to Western countries. Implications for both music therapy and future research are discussed.

Full text: https://www.tandfonline.com/doi/pdf/10.1080/17437199.2020.1846580

 

  1. S Leardi , R Pietroletti, G Angeloni, S Necozione, G Ranalletta, B Del Gusto, Randomized clinical trial examining the effect of music therapy in stress response to day surgery.

Abstract: Background: Music therapy could reduce stress and the stress response. The aim of this study was to investigate the role of music therapy in alleviating stress during day surgery.Methods: Sixty patients undergoing day surgery were randomized to one of three groups, each containing 20 patients. Before and during surgery, patients in group 1 listened to new age music and those in group 2 listened to a choice of music from one of four styles. Patients in group 3 (control group) heard the normal sounds of the operating theatre. Plasma levels of cortisol and subpopulations of lymphocytes were evaluated before, during and after operation.Results: Plasma cortisol levels decreased during operation in both groups of patients who listened to music, but increased in the control group. Postoperative cortisol levels were significantly higher in group 1 than in group 2 (mean(s.d.) 14.21(6.96) versus 8.63(2.72) ng/dl respectively; P < 0.050). Levels of natural killer lymphocytes decreased during surgery in groups 1 and 2, but increased in controls. Intraoperative levels of natural killer cells were significantly lower in group 1 than in group 3 (mean(s.d.) 212.2(89.3) versus 329.1(167.8) cells/microl; P < 0.050).Conclusion: Perioperative music therapy changed the neurohormonal and immune stress response to day surgery, especially when the type of music was selected by the patient. Copyright (c) 2007 British Journal of Surgery Society Ltd.

Full text: https://pubmed.ncbi.nlm.nih.gov/17636513/

 

  1. The use of aromatherapy and music therapy as a relaxing factor in a beauty salon [w:] “European Journal of Medical Technologies”

Abstract: Contemporary appearance and well-being are an extremely important issue for most people. Unfortunately, long-lasting stress, rush and excess of duties do not work well on our body. Chronic stress and mental stress is conducive to the occurrence of many diseases. First of all, the weakest internal organs are attacked. More and more beauty salons offer services combined with relaxation and improving the mood. The key element is the use of aromatherapy and music therapy, because they affect the senses of the individual.

Full text: http://www.medical-technologies.eu/upload/the_use_of_aromatherapy_and_music_therapy_-_warowna.pdf

 

  1. Jinyi Li, Liang Zhou, Yungui Wang, The effects of music intervention on burn patients during treatment procedures: a systematic review and meta-analysis of randomized controlled trials [w:] “Burn”.

Abstract: Background: The treatment of burn patients is very challenging because burn injuries are one of the most severe traumas that can be experienced. The effect of music therapy on burn patients has been widely reported, but the results have been inconsistent. Thus, we performed a systematic review and meta-analysis of randomized controlled trials in burn patients to determine the effect of music during treatments. Methods: We searched a variety of electronic databases, including MEDLINE (via PubMed), EMBASE, Cochrane Library, Psychinfo, VIP Database for Chinese Technical Periodicals (VIP) and China National Knowledge Infrastructure (CNKI) for relevant trials on the basis of predetermined eligibility criteria. from their first available date through February 2016. Our search focused on two key concepts: music interventions (including music, music therapy and music medicine) and physical activity outcomes (including pain, anxiety, burn characteristics, dressing changes, wound care, debridement and rehabilitation). Two reviewers independently screened records and extracted data from all eligible studies. Statistical heterogeneity was determined using Q-test and the I 2 statistic. The endpoints included standardized mean differences (SMDs) and 95% confidence intervals (CIs). Publication bias was tested by Begg’s funnel plot and Egger’s test. Results: A total of 17 studies met the inclusion criteria, for a total of 804 patients. A statistically significant difference in pain relief was demonstrated between music and non-music interventions (SMD = −1.26, 95% CI [−1.83, −0.68]), indicating that music intervention has a positive effect on pain alleviation for burn patients. The results indicated that music interventions markedly reduced anxiety in individuals compared to non-music interventions (SMD = −1.22, 95% CI [−1.75, −0.69]). Correspondingly, heart rate decreases were found after treatments that included music interventions (SMD = −0.60, 95% CI [−0.84, −0.36]). Conclusion: In summary, a positive correlation was found between treatments including music interventions and pain alleviation, anxiety relief, and heart rate reduction in burn patients. However, additional high-quality studies with carefully considered music interventions for burn patients are still needed.

Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5356403/

 

  1. Filippo Giordanoa, Elide Scarlatab, Mariagrazia Baronic, Eleonora Gentiled, Filomena Puntilloe, Nicola Brienzaf, Loreto Gesualdog, Receptive music therapy to reduce stress and improve wellbeing in Italian clinical staff involved in COVID-19 pandemic: A preliminary study, [w:] “The Arts in Psychoterapy”. 

Abstract: The influence of music therapy (MT) as a support intervention to reduce stress and improve wellbeing in Clinical Staff (CS) working with COVID-19 patients was evaluated. Participants were enrolled as a result of spontaneous agreement (n = 34) and were given remote receptive MT intervention over a 5-week period. Their levels of tiredness, sadness, fear and worry were measured with MTC-Q1 before and after MT intervention. An immediate significant variation in the CS emotional status was observed. The results seem to confirm that in an emergency situation, it is possible to put in place a remote MT support intervention for CS exposed to highly stressful situations.

Full text: https://www.sciencedirect.com/science/article/abs/pii/S0197455620300617

 

  1. Jennifer Fiore, Randomized pilot study exploring an online pre-composed receptive music experience and a mindfulness-based intervention for hospice workers’ stress and professional quality of life [w:] “The Arts in Psychoterapy”.

Abstract: Work stress develops from interactions, job tasks, and heightened stressors. Hospice workers also have frequent death exposure, and manage patient/family dynamics. Prolonged stress can lead to burnout, increasin absenteeism, health problems, costs, and turnover. Coping strategies provide tools to manage stress and burnout potential. A randomized, single session online study compared a receptive music experience and a mindfulness-based intervention for hospice workers’ stress and professional quality of life, using the Stress Overload Scale (SOS), and the Professional Quality of Life (ProQOL). Thirteen patient care hospice workers engaged in either a pre-composed receptive music listening (PRM) experience (n = 9), or a mindfulness-based intervention (MBI) (n = 4). Limited participation and unbalanced groups warranted comparison of means and standard deviations. Dependent t-tests showed PRM participants had minimal decreases in mean Stress Overload Scale (SOS) continuous scores, SOS personal vulnerability, and ProQOL for burnout and secondary traumatic stress. MBI participants had only a minimal decrease in SOS personal vulnerability and ProQOL secondary traumatic stress, with increases in other measures. Both groups had slight decreases in ProQOL compassion satisfaction. Outcomes are inconclusive regarding which condition was more effective for hospice workers’ stress and professional quality of life, with suggestion for repeated practice and dosage being a future consideration. 

Full text: https://www.sciencedirect.com/science/article/abs/pii/S0197455621000423 

 

 

 

Muzykoterapia w leczeniu depresji i stanów lękowych

 

Muzykoterapia i interwencje z zakresu medycyny muzycznej mogą mieć korzystny wpływ na stany lękowe, ból, zmęczenie, tętno, ciśnienie krwi. Dowiedziono, że średnia miara poziomu stanów lękowych była istotnie (p = 0,005) niższa w grupie muzycznej niż w grupie kontrolnej. A częstość występowania nadciśnienia tętniczego związanego z lękiem była istotnie mniejsza (p <0,0001) w grupie muzycznej w porównaniu z grupą kontrolną. W badanej grupie muzykoterapeutycznej pacjentów z chorobą Alzheimera zaobserwowano znaczną poprawę w redukcji poziomu lęku (p <0,01) i depresji (p <0,01).  Co więcej niektóre badania wykazały znaczne zmniejszenie objawów depresji wśród osób korzystających z muzykoterapii

Wybrane publikacje naukowe:

  1. Joke Bradt, Cheryl Dileo, Lucanne Magill, Aaron Teague, Music interventions for improving psychological and physical outcomes in cancer patients, 2016.

Abstract: Background: Having cancer may result in extensive emotional, physical and social suffering. Music interventions have been used to alleviate symptoms and treatment side effects in cancer patients. Objectives: To assess and compare the effects of music therapy and music medicine interventions for psychological and physical outcomes in people with cancer. Search methods: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (2016, Issue 1), MEDLINE, Embase, CINAHL, PsycINFO, LILACS, Science Citation Index, CancerLit, CAIRSS, Proquest Digital Dissertations, ClinicalTrials.gov, Current Controlled Trials, the RILM Abstracts of Music Literature, http://www.wfmt.info/Musictherapyworld/ and the National Research Register. We searched all databases, except for the last two, from their inception to January 2016; the other two are no longer functional, so we searched them until their termination date. We handsearched music therapy journals, reviewed reference lists and contacted experts. There was no language restriction. Selection criteria: We included all randomized and quasi‐randomized controlled trials of music interventions for improving psychological and physical outcomes in adult and pediatric patients with cancer. We excluded participants undergoing biopsy and aspiration for diagnostic purposes. Data collection and analysis: Two review authors independently extracted the data and assessed the risk of bias. Where possible, we presented results in meta‐analyses using mean differences and standardized mean differences. We used post‐test scores. In cases of significant baseline difference, we used change scores. Main results: We identified 22 new trials for inclusion in this update. In total, the evidence of this review rests on 52 trials with a total of 3731 participants. We included music therapy interventions offered by trained music therapists, as well as music medicine interventions, which are defined as listening to pre‐recorded music, offered by medical staff. We categorized 23 trials as music therapy trials and 29 as music medicine trials.The results suggest that music interventions may have a beneficial effect on anxiety in people with cancer, with a reported average anxiety reduction of 8.54 units (95% confidence interval (CI) −12.04 to −5.05, P < 0.0001) on the Spielberger State Anxiety Inventory ‐ State Anxiety (STAI‐S) scale (range 20 to 80) and −0.71 standardized units (13 studies, 1028 participants; 95% CI −0.98 to −0.43, P < 0.00001; low quality evidence) on other anxiety scales, a moderate to strong effect. Results also suggested a moderately strong, positive impact on depression (7 studies, 723 participants; standardized mean difference (SMD): −0.40, 95% CI −0.74 to −0.06, P = 0.02; very low quality evidence), but because of the very low quality of the evidence for this outcome, this result needs to be interpreted with caution. We found no support for an effect of music interventions on mood or distress. Music interventions may lead to small reductions in heart rate, respiratory rate and blood pressure but do not appear to impact oxygen saturation level. We found a large pain‐reducing effect (7 studies, 528 participants; SMD: −0.91, 95% CI −1.46 to −0.36, P = 0.001, low quality evidence). In addition, music interventions had a small to moderate treatment effect on fatigue (6 studies, 253 participants; SMD: −0.38, 95% CI −0.72 to −0.04, P = 0.03; low quality evidence), but we did not find strong evidence for improvement in physical functioning. The results suggest a large effect of music interventions on patients’ quality of life (QoL), but the results were highly inconsistent across studies, and the pooled effect size for the music medicine and music therapy studies was accompanied by a large confidence interval (SMD: 0.98, 95% CI −0.36 to 2.33, P = 0.15, low quality evidence). A comparison between music therapy and music medicine interventions suggests a moderate effect of music therapy interventions for patients’ quality of life (QoL) (3 studies, 132 participants; SMD: 0.42, 95% CI 0.06 to 0.78, P = 0.02; very low quality evidence), but we found no evidence of an effect for music medicine interventions. A comparison between music therapy and music medicine studies was also possible for anxiety, depression and mood, but we found no difference between the two types of interventions for these outcomes. The results of single studies suggest that music listening may reduce the need for anesthetics and analgesics as well as decrease recovery time and duration of hospitalization, but more research is needed for these outcomes. We could not draw any conclusions regarding the effect of music interventions on immunologic functioning, coping, resilience or communication outcomes because either we could not pool the results of the studies that included these outcomes or we could only identify one trial. For spiritual well‐being, we found no evidence of an effect in adolescents or young adults, and we could not draw any conclusions in adults. The majority of studies included in this review update presented a high risk of bias, and therefore the quality of evidence is low. Authors’ conclusions: This systematic review indicates that music interventions may have beneficial effects on anxiety, pain, fatigue and QoL in people with cancer. Furthermore, music may have a small effect on heart rate, respiratory rate and blood pressure. Most trials were at high risk of bias and, therefore, these results need to be interpreted with caution.

Full Text: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006911.pub3/full

 

  1. Gilles Guerrierab, Hendy Abdoulc, Lea Jiletc, Pierre-Raphael Rothschildbd, Jacques Levya, Sylvie Rondeta, Christophe Baillarda, Musical intervention reduces anxiety-related hypertensive events during cataract surgery: A randomized controlled trial, [w:] “Perioperative Care and Operating Room Management”

Abstract: Background; Hypertensive events during cataract surgery may induce complications. We aimed to determine the effect of a musical intervention on anxiety-related hypertensive events during phacoemulsification performed under local anesthesia. Methods; Patients requiring cataract surgery were randomly assigned to either the experimental group (music delivered by earphones) or control group (earphones with no music) for 20 min before surgery. The primary outcome was the change in occurrence of at least one anxiety-related hypertensive event during surgery. Results; A total of 310 patients were randomized in the study (155 in the music group, 155 in the control group). The mean visual measure of anxiety was significantly (p = 0.005) lower in the music group (1.4 ± 2.0) than headphone group (3.1 ± 2.4). The incidence of hypertension related to anxiety was significantly lower (p<0.0001) in the music group (n = 21; 13.6% [8.2–19–1]) compared with the control group (n = 82; 52.9% [45.1–60.8]). The mean number of sedative drug injections required during surgery was 0.04 (±0.24) in the music group versus 0.54 (±0.74) in the control group (p<0.0001). Although not significant, there was a trend in the reduction of the mean duration of surgical procedure in the music group (16.3 ± 7.1 min vs 16.9 ± 5.8 min). Conclusions; A 20-minutes musical intervention before cataract surgery reduces patient’s anxiety levels and anxiety-related hypertension during procedure and decrease the needs for sedative drugs.

Full Text: https://www.sciencedirect.com/science/article/abs/pii/S2405603020300418

 

  1. Sandra L. Siedliecki, Effect of music on power, pain, depression and disability, [w:] “Jan” 2006

Abstract: Aim. This paper reports a study testing the effect of music on power, pain, depression and disability, and comparing the effects of researcher-provided music (standard music) with subject-preferred music (patterning music). Background. Chronic non-malignant pain is characterized by pain that persists in spite of traditional interventions. Previous studies have found music to be effective in decreasing pain and anxiety related to postoperative, procedural and cancer pain. However, the effect of music on power, pain, depression, and disability in working age adults with chronic non-malignant pain has not been investigated. Method. A randomized controlled clinical trial was carried out with a convenience sample of 60 African American and Caucasian people aged 21–65 years with chronic non-malignant pain. They were randomly assigned to a standard music group (n = 22), patterning music group (n = 18) or control group (n = 20). Pain was measured with the McGill Pain Questionnaire short form; depression was measured with the Center for Epidemiology Studies Depression scale; disability was measured with the Pain Disability Index; and power was measured with the Power as Knowing Participation in Change Tool (version II). Results. The music groups had more power and less pain, depression and disability than the control group, but there were no statistically significant differences between the two music interventions. The model predicting both a direct and indirect effect for music was supported. Conclusion. Nurses can teach patients how to use music to enhance the effects of analgesics, decrease pain, depression and disability, and promote feelings of power.

Full text: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2648.2006.03860.x

 

  1. Anna Maratos, Christian GoldXu, WangMike Crawford, Music therapy for depression

Abstract: Background: Depression is a highly prevalent disorder associated with reduced social functioning, impaired quality of life, and increased mortality. Music therapy has been used in the treatment of a variety of mental disorders, but its impact on those with depression is unclear. Objectives: To examine the efficacy of music therapy with standard care compared to standard care alone among people with depression and to compare the effects of music therapy for people with depression against other psychological or pharmacological therapies. Search methods: CCDANCTR‐Studies and CCDANCTR‐References were searched on 7/11/2007, MEDLINE, PsycINFO, EMBASE, PsycLit, PSYindex, and other relevant sites were searched in November 2006. Reference lists of retrieved articles were hand searched, as well as specialist music and arts therapies journals. Selection criteria: All randomised controlled trials comparing music therapy with standard care or other interventions for depression. Data collection and analysis: Data on participants, interventions and outcomes were extracted and entered onto a database independently by two review authors. The methodological quality of each study was also assessed independently by two review authors. The primary outcome was reduction in symptoms of depression, based on a continuous scale.Main results

Five studies met the inclusion criteria of the review. Marked variations in the interventions offered and the populations studied meant that meta‐analysis was not appropriate. Four of the five studies individually reported greater reduction in symptoms of depression among those randomised to music therapy than to those in standard care conditions. The fifth study, in which music therapy was used as an active control treatment, reported no significant change in mental state for music therapy compared with standard care. Dropout rates from music therapy conditions appeared to be low in all studies. Authors’ conclusions: Findings from individual randomised trials suggest that music therapy is accepted by people with depression and is associated with improvements in mood. However, the small number and low methodological quality of studies mean that it is not possible to be confident about its effectiveness. High quality trials evaluating the effects of music therapy on depression are required.

 

  1. Gilles Guerrierab, Hendy Abdoulc, Lea Jiletc Pierre-Raphael, Rothschildbd Jacques Levya, Sylvie Rondeta, Christophe Baillard, Musical intervention reduces anxiety-related hypertensive events during cataract surgery: A randomized controlled trial 2016.

Abstract: Background; Hypertensive events during cataract surgery may induce complications. We aimed to determine the effect of a musical intervention on anxiety-related hypertensive events during phacoemulsification performed under local anesthesia. Methods; Patients requiring cataract surgery were randomly assigned to either the experimental group (music delivered by earphones) or control group (earphones with no music) for 20 min before surgery. The primary outcome was the change in occurrence of at least one anxiety-related hypertensive event during surgery. Results; A total of 310 patients were randomized in the study (155 in the music group, 155 in the control group). The mean visual measure of anxiety was significantly (p = 0.005) lower in the music group (1.4 ± 2.0) than headphone group (3.1 ± 2.4). The incidence of hypertension related to anxiety was significantly lower (p<0.0001) in the music group (n = 21; 13.6% [8.2–19–1]) compared with the control group (n = 82; 52.9% [45.1–60.8]). The mean number of sedative drug injections required during surgery was 0.04 (±0.24) in the music group versus 0.54 (±0.74) in the control group (p<0.0001). Although not significant, there was a trend in the reduction of the mean duration of surgical procedure in the music group (16.3 ± 7.1 min vs 16.9 ± 5.8 min). Conclusions; A 20-minutes musical intervention before cataract surgery reduces patient’s anxiety levels and anxiety-related hypertension during procedure and decrease the needs for sedative drugs.

Full text: https://www.sciencedirect.com/science/article/abs/pii/S2405603020300418

 

Muzyka w terapii bólu

Liczne publikacje naukowe udowadniają, że metoda interwencji muzycznej jest przydatna w radzeniu sobie z bólem przewlekłym i pozwala na znaczne zmniejszenie zużycia leków. 91% badanych przyznaje, że muzyka jest dla nich ważna, 69% odnosi korzyści z słuchania muzyki, a 43% pacjentów zmieniło sposób słuchania muzyki, na taki, który pozwoli im walczyć z bólem. Wyniki badań, przeprowadzonych wśród pacjentów z chronicznym bólem udowodniły korzystne skutki słuchania muzyki w przypadku długotrwałego bólu. Wśród pacjentów, którzy otrzymali interwencję muzyczną, 64% zgłosiło poprawę, 91% poleciłoby interwencję muzyczną, a 64% chciałoby kontynuować terapię. Udowodniono, że słuchanie muzyki jest skuteczną (wysoce istotną statystycznie – p = 0,001) interwencją pielęgniarską, w celu zmniejszenia przewlekłego bólu, związanego z chorobą zwyrodnieniową stawów, u osób starszych.  Badania pokazują, że 20 minutowa terapia muzyczna może zmniejszyć  intensywność bólu o 33% u osób z chronicznym bólem, a o 31,6% u kobiet w czasie porodu.

 

Wybrane publikacje naukowe:

  1. The Use of Music in the Chronic Pain Experience: An Investigation into the Use of Music and Music therapy by Patients and Staff at a Hospital Outpatient Pain Clinic, Katie Fitzpatrick, Hilary Moss, Dominic Colman Harmon (2019) Abstract: This study uses mixed methodology research to examine the use of music in the chronic pain experience. One hundred and seven adult patients attending an outpatient pain clinic at a general hospital completed a patient survey. 91% rated music as somewhat important to them, 69% benefit from music listening and 43% changed their use of music due to chronic pain. 56% of respondents had an interest in availing of music therapy as part of their treatment. Three themes found in the qualitative results (music for relaxation, positive response to music and music for coping) corresponded with the highly rated reasons for listening to music in the quantitative survey (enjoyment, relaxation and tension relief). Music listening was more common than active participation in music. Seven staff members completed surveys on their use of music and thoughts on music therapy in this setting. Staff rated music as very beneficial for people with chronic pain and 100% saw a role for music therapy in the treatment of patients with chronic pain.This study is one of few to map how people with chronic pain use music to self-care and to explore the role of music therapy in a hospital out-patient pain department. It offers potential for music therapy to be offered as a non-pharmacological intervention to assist people in developing music-based resources and strategies for managing chronic pain. Further investigation is recommended.

Full text: http://mmd.iammonline.com/index.php/musmed/article/view/639/pdf

 

  1. A survey investigation of the effects of music listening on chronic pain, Laura A. Mitchell Raymond A.R. MacDonald, Christina Knussen (2007)

Abstract: Research interest into alternatives to analgesic medication has grown substantially during the past two decades. Moreover, a number of studies have provided empirical evidence that music listening, and in particular listening to our own preferred music, may provide an emotionally engaging distraction capable of reducing both the sensation of pain itself and the accompanying negative affective experience. The current study is a survey of 318 chronic pain sufferers, which aimed to (i) give a detailed description of the music listening behaviour of this group and relate this to experience of pain and quality of life, and (ii) indicate the numbers who consider music listening to be part of their pain management and investigate their perceptions of the benefits. Results indicated distraction and relaxation to be the most frequently perceived benefits of music reported by participants. Both frequent music listening and a perception of music as personally important were further found to relate to higher quality of life. Also, personal importance of music was significantly related to listening to help pain. These findings suggest beneficial effects of music listening to long-term pain.

Full text: https://journals.sagepub.com/doi/abs/10.1177/0305735607068887

 

  1. Effect of music on chronic osteoarthritis pain in older people, Ruth McCaffrey, Christine E. Lynn (2003)

Abstract: Background. Osteoarthritis is the most common degenerative disease in humans. It usually begins in middle age and is progressive. Chronic pain in older people presents a significant obstacle in maintaining function and independence. Previous studies have shown that music can improve motivation, elevate mood, and increase feelings of control in older people.

Purpose. The purpose of this randomized clinical trial was to examine the influence of music as a nursing intervention on osteoarthritis pain in elders.

Method. Data were collected using the short form of the McGill Pain Questionnaire with 66 elders suffering from chronic osteoarthritis pain. Differences in perceptions of pain were measured over 14 days in an experimental group who listened to music for 20 minutes daily and a control group who sat quietly for 20 minutes daily. All participants completed the Short Form McGill Pain Questionnaire (SF‐MPQ) on day 1, 7, and 14 of the study.
Results. Results of t‐tests indicated that those who listened to music had less pain on both the Pain Rating Index on day 1 (P = 0·001), day 7 (P = 0·001) and day 14 (P = 0·001) and on the Visual Analogue Scale on day 1 (P = 0·001), day 7 (P = 0·001) and day 14 (P = 0·001), when compared with those who sat quietly and did not listen to music. A repeated measure analysis of variance controlling for pretest measures demonstrated a significant decrease in pain among experimental group participants when compared with the control group on the pain descriptor section of the SF‐MPQ (P = 0·001) and the visual analogue portion of the SF‐MPQ (P = 0·001).
Conclusion. Listening to music was an effective nursing intervention for the reduction of chronic osteoarthritis pain in the community‐dwelling elders in this study.
Full text: https://onlinelibrary.wiley.com/doi/full/10.1046/j.0309-2402.2003.02835.x

  1. Effectiveness of a music intervention on pruritus: an open randomized prospective study, S. Demirtas  C. Houssais  J. Tanniou  L. Misery  E. Brenaut (2019)
    Abstract: Background: Pruritus is a common symptom in many skin diseases. Music interventions have demonstrated their efficacy in different symptoms or diseases such as pain, depression and anxiety.
    Objective: To evaluate the effects of a music intervention on pruritus.
    Patients and methods: A randomized controlled trial was conducted from November 2018 to April 2019. Fifty inpatients with pruritus intensity ≥3/10 in various chronic skin diseases were randomized in a music group or an emollient group. The primary endpoint was the evolution of pruritus as measured by the Numerical Rating Scale before and one hour after the procedure. The secondary judgement criteria were the effects on patient anxiety, the impact of pruritus on the quality of life and patient satisfaction (NCT 03701971).
    Results: Fifty patients with chronic pruritus were included, 62% were male, and the average age was 60.7 years. The most common diseases were psoriasis (N = 10), atopic dermatitis (N = 8) and contact eczema (N = 6). The average ItchyQol score was 64.8/110, showing a significant impact on quality of life. The intensity of pruritus decreased more significantly in the music intervention group than in the emollient group: 2.3 (SD 2.1) and 1.2 (SD 1.7), respectively (P < 0.05). There was a decrease in anxiety in both groups, with no statistical significant difference between groups. Among patients who received the music intervention, 64% reported feeling an improvement, 91% would recommend the music intervention, and 64% would like to continue this practice.
    Discussion: Pruritus management is complex and requires first‐line aetiological treatment. Aetiological or symptomatic treatments do not always provide enough relief; it is useful to find other therapeutic options. The music intervention has shown interest in our study. Its repeated use over the long term will be interesting to evaluate. As in pain, music may work by activating inhibitory neural circuits. The use of music is a simple method to manage chronic pruritus.
    Full text: https://onlinelibrary.wiley.com/doi/full/10.1111/jdv.16149

 

  1. Evaluation of the Standardized MUSIC CARE© App in the Treatment of Pain: The U-Shape Composing Technique, Stéphane Guétin, Daniela Falvay, Gérald Chanques, Samir Jaber, Sylvie de Lattre, Bruno Souche, Patrick Giniès, MarieChristine Picot, Christian Hérisson, Luc Brun, Emmanuelle de Diego, Jacques Touchon (2014)
    Abstract: Numerous studies emphasize the application of music therapy and music medicine in the treatment of pain. The MUSIC CARE© app that was designed at the University Hospital of Montpellier applies the U-shape music composing technique taking into account the available evidence of the literature on relaxation paradigms. The main objective of this article is to summarize recent research on the standardization and evaluation of this new app of music medicine in the treatment of pain. Following a comprehensive review of the literature, a series of controlled, randomized, multi-centered studies were conducted including patients seeking care in such diverse setting as rheumatology, functional rehabilitation, oncology, geriatrics, anesthesiology and intensive care, neurology, obstetrics, pediatrics and general pain treatment. The effect of the MUSIC CARE© app has been evaluated on different types of acute and chronic pain of various origins (i.e. mechanical, inflammatory and neurological fibromyalgia). Physiological effects on hemodynamic and respiratory markers as well as psychological outcomes, including the relationship between care-provider and patient have been emphasized within multiple trials. The MUSIC CARE© app reduces pain, anxiety and depression to a significant degree and decreases the need for anxiolytics and antidepressants. Our first randomized controlled trials demonstrate the benefit of using MUSIC CARE© application in the management of pain. Future directions for the use of the app in various settings are discussed.
    Full text:
    https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.1006.8752&rep=rep1&type=pdf

 

  1. Vocal Music Therapy for Chronic Pain: A Mixed Methods Feasibility Study, Ming Yuan Low , Clarissa Lacson , Fengqing Zhang , Amy Kesslick , Joke Bradt (2020)
    Abstract: Objective: The purpose of this study was to determine the feasibility and preliminary effects of a vocal music therapy (VMT) program on chronic pain management. Design: A mixed methods intervention design was used in which qualitative data were embedded within a randomized controlled trial. Setting: An urban nurse-management health center on the East Coast of the United States. Subjects: Participants (N = 43) were predominantly Black (79%) and female (76.7%) with an average pain duration of 10 years. Intervention: Participants were randomly allocated to a 12-week VMT program or a waitlist control. Outcome measures: We tracked consent rate (percentage of participants enrolled out of total number screened), attrition rate, and treatment adherence. We used PROMIS® (Patient Reported Outcomes Measurement Information System) tools to measure pain interference, pain-related self-efficacy, pain intensity, depression, anxiety, positive effect, and well-being, ability to participate in social activities, and satisfaction with social roles at baseline and week 12. VMT participants also completed the Patient Global Impression of Change Scale. We conducted semistructured interviews to better understand participants’ experience of the intervention. Results: The consent rate was 56%. The attrition rate was 23%. Large treatment effects (partial eta squared) were obtained for self-efficacy (0.20), depression (0.26), and ability to participate in social activities (0.24). Medium effects were found for pain intensity (0.10), anxiety (0.06), positive effect, and well-being (0.06), and small effects for pain interference (0.03) and satisfaction with social roles (0.03). On average, participants felt moderately better after completion of the VMT program (M = 4.93, standard deviation = 1.98). Qualitative findings suggest that VMT resulted in better self-management of pain, enhanced psychological well-being, and stronger social and spiritual connections. Conclusions: Recruitment into the 12-week program was challenging, but quantitative and qualitative findings suggest significant benefits of VMT for chronic pain management.
    Full text: https://pubmed.ncbi.nlm.nih.gov/31750726/

 

  1. A Smartphone-Based Music Intervention to Reduce Pain and Anxiety in Women before or during Labor (2018)
    Abstract: Introduction Music Care is a smartphone-based music intervention for pain and anxiety management that has previously been evaluated in large variety of patients with primary chronic painful conditions. The objective of this study was to evaluate the use of the app to reduce pain and anxiety in women attending an obstetrics before or during labor. Methods This observational study describes the first evaluation of the app in 62 women before or during labor in a department of obstetrics. Results Participants reported a significant reduction of pain intensity and anxiety after the use of the intervention, with small to moderate effect-size for pain reduction (ES 0.32) and large effect size for anxiety reduction (ES 0.76). Responder rates (> = 33% pre-post reduction of pain/anxiety) for ratings of pain intensity were at 31.6% (n = 19) and 50% for anxiety (n = 31). In general, participants rated high satisfaction with the intervention. Conclusion Overall, these data support the use of the Music Care app as adjuvant tool – in particular for the reduction of pain and anxiety in women in labor. More large-scaled and well-controlled studies are needed to further evaluate the effectiveness of this intervention.
    Full text:
    https://www.researchgate.net/publication/325597125_A_Smartphone-Based_Music_Intervention_to_Reduce_Pain_and_Anxiety_in_Women_before_or_during_Labor

 

  1. A patient-controlled, smartphone-based music intervention to reduce pain—A multi-center observational study of patients with chronic pain, Stéphane Guétin, Daniela Falvay, Gérald Chanques, Samir Jaber, Sylvie de Lattre, Bruno Souche, Patrick Giniès, MarieChristine Picot, Christian Hérisson, Luc Brun, Emmanuelle de Diego, Jacques Touchon (2016)
    Abstract: Introduction: Music is widely used to reduce patients’ pain and discomfort within clinical settings. The smartphone-based, patient-controlled Music Care application has previously been evaluated in Alzheimer’s type dementia, patients with chronic low back pain, mechanical inflammatory, non-malignant, musculoskeletal, or neurological pain, as well as for its use to reduce acute pain in the intensive care unit.
    Methods: The aim of the present, multi-center observational study was to evaluate the feasibility and general usability of the application in a sample of patients with different chronic pain conditions, and to conduct a preliminary exploration of potential predictors of outcome response. Fifty-three patients from two university hospitals (Centre Hospitalier Universitaire; CHU) de La Réunion in France participated in the trial. Patients completed several questionnaires on their musical preferences and experiences and provided self-reports on pain intensity, anxiety and satisfaction with the intervention before and after the use of the application. Each patient used the application at least once (data for 7 sessions reported).
    Results: Listening to self-selected music for 20 min, significantly reduced pain and anxiety. Responders (defined by a 33% reduction of pain intensity) reported significantly greater satisfaction with the intervention. Analysis of responder characteristics further revealed that patients who indicated to play a musical instrument were unlikely to report a clinically relevant decrease in pain intensity.
    Discussion/conclusions: The use of the Music Care application within this setting proved good feasibility. The limitations of the present study and recommendations for future evaluations incorporating physiological outcome measurements are discussed.
    Full text: https://www.sciencedirect.com/science/article/abs/pii/S1876382016300026

 

  1. A Brief Music App to Address Pain in the Emergency Department: Prospective Study

Abstract: Background: Emergency physicians face the challenge of relieving acute pain daily. While opioids are a potent treatment for pain, the opioid epidemic has ignited a search for nonopioid analgesic alternatives that may decrease the dose or duration of opioid exposure. While behavioral therapies and complementary medicine are effective, they are difficult to deploy in the emergency department. Music is a potential adjunctive therapy that has demonstrated effectiveness in managing pain.
Objective: Our objective was to understand the feasibility and potential for an effect of a novel music app to address acute pain and anxiety in patients admitted to an emergency department observation unit.
Methods: This prospective cohort study enrolled patients admitted to an emergency department observation unit with pain who had received orders for opioids. We gathered baseline pain and psychosocial characteristics including anxiety, sleep disturbance, and pain catastrophizing using validated questionnaires. Participants received a smartphone-based music intervention and listened to the music in either a supervised (research assistant–delivered music session 3 times during their stay) or unsupervised manner (music used ad lib by participant). The app collected premusic and postmusic pain and anxiety scores, and participants provided qualitative feedback regarding acceptability of operating the music intervention.
Results: We enrolled 81 participants and randomly assigned 38 to an unsupervised and 43 to a supervised group. Mean pain in both groups was 6.1 (1.8) out of a possible score of 10. A total of 43 (53%) reported previous use of music apps at home. We observed an overall modest but significant decrease in pain (mean difference –0.81, 95% CI –0.45 to –1.16) and anxiety (mean difference –0.72, 95% CI –0.33 to –1.12) after music sessions. Reduction of pain and anxiety varied substantially among participants. Individuals with higher baseline pain, catastrophizing (about pain), or anxiety reported greater relief. Changes in pain were correlated to changes in anxiety (Pearson ρ=0.3, P=.02) but did not vary between supervised and unsupervised groups. Upon conclusion of the study, 46/62 (74%) reported they liked the music intervention, 57/62 (92%) reported the app was easy to use, and 49/62 (79%) reported they would be willing to use the music intervention at home.
Conclusions: A smartphone-based music intervention decreased pain and anxiety among patients in an emergency department observation unit, with no difference between supervised and unsupervised use. Individuals reporting the greatest reduction in pain after music sessions included those scoring highest on baseline assessment of catastrophic thinking, suggesting there may be specific patient populations that may benefit more from using music as an analgesic adjunct in the emergency department. Qualitative feedback suggested that this intervention was feasible and acceptable by emergency department patients.
Full Text: https://www.jmir.org/2020/5/e18537/

  1. The Effects of Music Intervention in the Management of Chronic Pain: A Single-Blind, Randomized, Controlled Trial, “The Clinical Journal of Pain”
    Abstract: Objective: A music intervention method in the management of pain was recently developed while taking account of recommendations in the scientific literature. The objective of this study was to assess the usefulness of this music intervention to the management of patients with chronic pain.
    Methods: A controlled, single-blind, randomized trial was used. Eighty-seven patients presenting with lumbar pain, fibromyalgia, inflammatory disease, or neurological disease were included in the study. During their hospitalization, the intervention arm (n=44) received at least 2 daily sessions of music listening between D0 and D10, associated with their standard treatment, and then pursued the music intervention at home until D60 using a multimedia player in which the music listening software program had been installed. The control arm received standard treatment only (n=43). The end points measured at D0, D10, D60, and D90 were: pain (VAS), anxiety-depression (HAD) and the consumption of medication.
    Results: At D60 in the music intervention arm, this technique enabled a more significant reduction (P<0.001) in pain (6.3±1.7 at D0 vs. 3±1.7 at D60) when compared with the arm without music intervention (6.2±1.5 at D0 vs. 4.6±1.7 at D60). In addition, music intervention contributed to significantly reducing both anxiety/depression and the consumption of anxiolytic agents.
    Discussion: These results confirm the value of music intervention to the management of chronic pain and anxiety/depression. This music intervention method appears to be useful in managing chronic pain as it enables a significant reduction in the consumption of medication.
    Full Text:
    https://journals.lww.com/clinicalpain/Abstract/2012/05000/The_Effects_of_Music_Intervention_in_the.8.aspx

 

  1. Treating chronic disease and pain with music-mediated imagery. American Psychological Association.

Abstract: Describes the use of improvised music and imagery in the management of chronic pain and disease. Music is produced to reflect and guide clients’ natural images toward mental healing states. Improvised music, due to its immediate and intimate nature, has been found to achieve higher initial patient empathy and imagery entrainment, although taped improvisations aid in subsequent practice at home. Entrainment is described as the pull that one dynamic system has on another, which is manifested as resonance of oscillatory systems and explained in physics as nature’s way of preferring the most efficient energy state. Three case studies illustrate the relationship between music-mediated imagery, catharsis, and disease. 

Full Text:
https://www.sciencedirect.com/science/article/abs/pii/019745568790044X?via%3Dihub

  1. Music-induced analgesia in chronic pain conditions: a systematic review and meta-analysis
    Abstract: Music is increasingly used as an adjuvant for chronic pain management as it is not invasive, inexpensive, and patients usually report positive experiences with it. However, little is known about its clinical efficacy in chronic pain patients. In this systematic review and meta-analysis, we investigated randomized controlled trials (RCTs) of adult patients that reported any type of music intervention for chronic pain, chosen by the researcher or patient, lasting for any duration. Searches were performed using PsycINFO, Scopus and PubMed for RTCs published until the end of May 2016. The primary outcome was reduction in self-reported pain using a standardized pain measurement instrument reported post-intervention. The secondary outcomes were: quality of life measures, depression and anxiety measures, among others. The study was pre-registered with PROSPERO (CRD42016039837) and the meta-analysis was done using RevMan. We identified 768 titles and abstracts, and we included 14 RTCs that fulfilled our criteria. The sample size of the studies varied between 25 and 200 participants. We found that music reduced chronic pain, and depression, with higher effect size on pain and depression. We also found music had a higher effect when the participant chose the music in contrast with researcher-chosen music. The sample size of RCTs was small and sometimes with different outcome measures. Our analysis suggests that music may be beneficial as an adjuvant for chronic pain patients, as it reduces self-reported pain and its common co-morbidities. Importantly, the analgesic effect of music appears higher with self-chosen over researcher-chosen music.
    Full Text: .https://www.biorxiv.org/content/10.1101/105148v1.full

 

  1. The Cognitive Mechanisms in Music Listening Interventions for Pain: A Scoping Review, “Journal of Music Therapy”

Abstract: Music interventions have been introduced in a range of pain management contexts, yet considerable inconsistencies have been identified across evaluation studies. These inconsistencies have been attributed to a lack of clarity around the prospective cognitive mechanisms of action underlying such interventions. The current systematic scoping review was conducted to examine the theoretical rationales provided in the literature for introducing music listening interventions (MLIs) in pain contexts. 3 search terms (music, listening, and pain) were used in four electronic databases, and 75 articles were included for analysis. Content analysis was used to identify that more intensive listening schedules were associated with chronic and cancer pain compared with procedural pain. The degree to which patients had a choice over the music selection could be categorized into 1 of 5 levels. Thematic synthesis was then applied to develop 5 themes that describe the cognitive mechanisms involved in MLIs for pain. These mechanisms were brought together to build the Cognitive Vitality Model, which emphasizes the role of individual agency in mediating the beneficial effects of music listening through the processes of Meaning-Making, Enjoyment, and Musical Integration. Finally, content analysis was used to demonstrate that only a small proportion of studies were explicitly designed to examine the cognitive mechanisms underlying MLIs and we have suggested ways to improve future practice and empirical research. We call on researchers to design and evaluate MLIs in line with the Cognitive Vitality Model of music listening interventions for pain.

Full text: https://academic.oup.com/jmt/article-abstract/57/2/127/5816307

 

 

 

Muzyka a emocje

Wpływ muzyki na emocje można zbadać przy wykorzystaniu różnych urządzeń. Najczęściej stan emocjonalny pacjenta badany jest przy użyciu funkcjonalnego rezonansu magnetycznego (fMRI). Zaobserwowano znaczącą różnicę w obrazie fMRi, między muzyką wesołą i smutną. Tekst lub jego brak nie miał wpływu na wynik badania. Udowodniono, że muzyka może zmieniać stan emocjonalny słuchaczy, co z kolei może wpływać na ich zdolności poznawcze.

Wybrane publikacje naukowe:

A functional MRI study of happy and sad emotions in music with and without lyrics
Abstract: Musical emotions, such as happiness and sadness, have been investigated using instrumental music devoid of linguistic content. However, pop and rock, the most common musical genres, utilize lyrics for conveying emotions. Using participants’ self-selected musical excerpts, we studied their behavior and brain responses to elucidate how lyrics interact with musical emotion processing, as reflected by emotion recognition and activation of limbic areas involved in affective experience. We extracted samples from subjects’ selections of sad and happy pieces and sorted them according to the presence of lyrics. Acoustic feature analysis showed that music with lyrics differed from music without lyrics in spectral centroid, a feature related to perceptual brightness, whereas sad music with lyrics did not diverge from happy music without lyrics, indicating the role of other factors in emotion classification. Behavioral ratings revealed that happy music without lyrics induced stronger positive emotions than happy music with lyrics. We also acquired functional magnetic resonance imaging data while subjects performed affective tasks regarding the music. First, using ecological and acoustically variable stimuli, we broadened previous findings about the brain processing of musical emotions and of songs versus instrumental music. Additionally, contrasts between sad music with versus without lyrics recruited the parahippocampal gyrus, the amygdala, the claustrum, the putamen, the precentral gyrus, the medial and inferior frontal gyri (including Broca’s area), and the auditory cortex, while the reverse contrast produced no activations. Happy music without lyrics activated structures of the limbic system and the right pars opercularis of the inferior frontal gyrus, whereas auditory regions alone responded to happy music with lyrics. These findings point to the role of acoustic cues for the experience of happiness in music and to the importance of lyrics for sad musical emotions.
Full Text: https://www.frontiersin.org/articles/10.3389/fpsyg.2011.00308/full

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  1. Identifying musical pieces from fMRI data using encoding and decoding models

Abstract: Encoding models can reveal and decode neural representations in the visual and semantic domains. However, a thorough understanding of how distributed information in auditory cortices and temporal evolution of music contribute to model performance is still lacking in the musical domain. We measured fMRI responses during naturalistic music listening and constructed a two-stage approach that first mapped musical features in auditory cortices and then decoded novel musical pieces. We then probed the influence of stimuli duration (number of time points) and spatial extent (number of voxels) on decoding accuracy. Our approach revealed a linear increase in accuracy with duration and a point of optimal model performance for the spatial extent. We further showed that Shannon entropy is a driving factor, boosting accuracy up to 95% for music with highest information content. These findings provide key insights for future decoding and reconstruction algorithms and open new venues for possible clinical applications.
Full Text: https://www.nature.com/articles/s41598-018-20732-3

  1. Neural Correlates of Familiarity in Music Listening: A Systematic Review and a Neuroimaging Meta-Analysis
    Abstract: Familiarity in music has been reported as an important factor modulating emotional and hedonic responses in the brain. Familiarity and repetition may increase the liking of a piece of music, thus inducing positive emotions. Neuroimaging studies have focused on identifying the brain regions involved in the processing of familiar and unfamiliar musical stimuli. However, the use of different modalities and experimental designs has led to discrepant results and it is not clear which areas of the brain are most reliably engaged when listening to familiar and unfamiliar musical excerpts. In the present study, we conducted a systematic review from three databases (Medline, PsychoINFO, and Embase) using the keywords (recognition OR familiar OR familiarity OR exposure effect OR repetition) AND (music OR song) AND (brain OR brains OR neuroimaging OR functional Magnetic Resonance Imaging OR Position Emission Tomography OR Electroencephalography OR Event Related Potential OR Magnetoencephalography). Of the 704 titles identified, 23 neuroimaging studies met our inclusion criteria for the systematic review. After removing studies providing insufficient information or contrasts, 11 studies (involving 212 participants) qualified for the meta-analysis using the activation likelihood estimation (ALE) approach. Our results did not find significant peak activations consistently across included studies. Using a less conservative approach (p < 0.001, uncorrected for multiple comparisons) we found that the left superior frontal gyrus, the ventral lateral (VL) nucleus of the left thalamus, and the left medial surface of the superior frontal gyrus had the highest likelihood of being activated by familiar music. On the other hand, the left insula, and the right anterior cingulate cortex had the highest likelihood of being activated by unfamiliar music. We had expected limbic structures as top clusters when listening to familiar music. But, instead, music familiarity had a motor pattern of activation. This could reflect an audio-motor synchronization to the rhythm which is more engaging for familiar tunes, and/or a sing-along response in one’s mind, anticipating melodic, harmonic progressions, rhythms, timbres, and lyric events in the familiar songs. These data provide evidence for the need for larger neuroimaging studies to understand the neural correlates of music familiarity.
    Full Text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6183416/

 

  1. Investigating brain response to music: A comparison of different fMRI acquisition schemes
    Abstract: Functional magnetic resonance imaging (fMRI) in auditory experiments is a challenge, because the scanning procedure produces considerable noise that can interfere with the auditory paradigm. The noise might either mask the auditory material presented, or interfere with stimuli designed to evoke emotions because it sounds loud and rather unpleasant. Therefore, scanning paradigms that allow interleaved auditory stimulation and image acquisition appear to be advantageous. The sparse temporal sampling (STS) technique uses a very long repetition time in order to achieve a stimulus presentation in the absence of scanner noise. Although only relatively few volumes are acquired for the resulting data sets, there have been recent studies where this method has furthered remarkable results. A new development is the interleaved silent steady state (ISSS) technique. Compared with STS, this method is capable of acquiring several volumes in the time frame between the auditory trials (while the magnetization is kept in a steady state during stimulus presentation). In order to draw conclusions about the optimum fMRI procedure with auditory stimulation, different echoplanar imaging (EPI) acquisition schemes were compared: Continuous scanning, STS, and ISSS. The total acquisition time of each sequence was adjusted to about 12.5 min. The results indicate that the ISSS approach exhibits the highest sensitivity in detecting subtle activity in sub-cortical brain regions
    Full Text: https://scihubtw.tw/10.1016/j.neuroimage.2010.08.029

 

 

 

Muzyka a funkcje poznawcze i koncentracja

Muzyka staje się coraz częściej zagadnieniem rozważanym w neuronaukach kognitywnych. Głównym odkryciem w tej dziedzinie badań jest to, że praktyka muzyczna wiąże się ze strukturalną i funkcjonalną plastycznością mózgu. Pojawił się nowy model, który pozwala nam skutecznie badać i stosować muzykę jako złożony bodziec multisensoryczny do rehabilitacji funkcji poznawczych. Opiera się on na nowym kierunku, który łączy badania percepcji muzyki (w kontekście poznawczym) z modelami muzyki i uczenia się, a wreszcie, łącząc naukę muzyki z przekwalifikowaniem uszkodzonego mózgu. Bazując na odkryciach naukowych, opracowano „muzykoterapię neurologiczną” (NMT) jako systematyczną metodę leczenia, mającą na celu poprawę czuciowo-ruchowych, językowych i poznawczych dziedzin funkcjonowania za sprawą muzyki. Wstępne badanie dotyczące wpływu NMT na rehabilitację poznawczą ujawniło obiecujące wyniki w poprawie funkcji poznawczych wraz z poprawą dostosowania emocjonalnego oraz zmniejszeniem depresji i lęku. Tymczasowe zmiany pobudzenia lub nastroju, spowodowane słuchaniem muzyki, mogą przynieść szereg korzyści poznawczych, od poprawy twórczego rysowania u dzieci, po zdolności wzrokowo-przestrzenne u dorosłych. Dostępne dowody wskazują również, że każda ulubiona przez słuchacza muzyka może chwilowo poprawić pobudzenie lub nastrój i podnieść wydajność poznawczą. Trening i praktyka muzyczna to bogate doświadczenia sensomotoryczne i multimodalne, które mogą kształtować zarówno strukturę, jak i funkcje ludzkiego mózgu, a także wiążą się z korzyściami poznawczymi. Muzykoterapię można uznać za interwencję niefarmakologiczną, która może mieć potencjalny wpływ na zmniejszenie pogorszenia funkcji poznawczych, poprawę objawów neuropsychiatrycznych i poprawę jakości życia osób z chorobą Alzheimera

 

 

Wybrane publikacje naukowe:

  1. Music and cognitive abilities. E. Glenn Schellenberg and Michael W. Weiss
    Abstract: In this chapter, the authors review the available evidence concerning associations between music and cognitive abilities. The authors use the term „cognitive abilities” to refer to all aspects of cognition, e.g., memory, language, visuospatial abilities including general intelligence. The authors use the term „music” as an all-encompassing one that includes music aptitude, music listening, and music lessons, and we use the term „associations” because it does not imply causation. The authors focus is on documented associations regardless of the direction of causation between cognitive abilities, on the one hand, and music aptitude, music listening, and music lessons, on the other. In each case, the authors examine the possibility of a causal relationship between music and cognition. The chapter is divided into four main sections: music aptitude and cognitive abilities, cognitive abilities after music listening, the so-called Mozart effect, background music and cognitive abilities, and music training and cognitive abilities i.e., cognitive abilities as a function of music training. The authors’ review focuses on articles published in English with behavioral outcome measures. (PsycINFO Database Record (c) 2016 APA, all rights reserved).
    Full text:
    https://www.researchgate.net/publication/239523632_Music_and_Cognitive_Abilities

 

  1. Neurologic Music Therapy in Cognitive Rehabilitation. Author(s): Michael H. Thaut
    Abstract: NEUROLOGIC MUSIC THERAPY LAST CAME INTO research and clinical focus via cognitive rehabilitation. New imaging techniques studying higher cognitive functions in the human brain 'in vivo’ and theoretical advancements in music and brain function have facilitated this development. There are shared cognitive and perceptual mechanisms and shared neural systems between musical cognition and parallel nonmusical cognitive functions that provide access for music to affect general nonmusical functions, such as memory, attention, and executive function. The emerging clinical literature shows substantial support for these effects in rehabilitative retraining of the injured brain. Key findings relevant for clinical applications of neurologic music therapy to cognitive rehabilitation are presented and discussed below.
    Full text:
    https://online.ucpress.edu/mp/article-abstract/27/4/281/62461/Neurologic-Music-Therapy-in-Cognitive?redirectedFrom=fulltext

 

  1. Music-based cognitive remediation therapy for patients with traumatic brain injury

Abstract: Traumatic brain injury (TBI) is one of the common causes of disability in physical, psychological, and social domains of functioning leading to poor quality of life. TBI leads to impairment in sensory, motor, language, and emotional processing, and also in cognitive functions such as attention, information processing, executive functions, and memory. Cognitive impairment plays a central role in functional recovery in TBI. Innovative methods such as music therapy to alleviate cognitive impairments have been investigated recently. The role of music in cognitive rehabilitation is evolving, based on newer findings emerging from the fields of neuromusicology and music cognition. Research findings from these fields have contributed significantly to our understanding of music perception and cognition, and its neural underpinnings. From a neuroscientific perspective, indulging in music is considered as one of the best cognitive exercises. With “plasticity” as its veritable nature, brain engages in producing music indulging an array of cognitive functions and the product, the music, in turn permits restoration and alters brain functions. With scientific findings as its basis, “neurologic music therapy” (NMT) has been developed as a systematic treatment method to improve sensorimotor, language, and cognitive domains of functioning via music. A preliminary study examining the effect of NMT in cognitive rehabilitation has reported promising results in improving executive functions along with improvement in emotional adjustment and decreasing depression and anxiety following TBI. The potential usage of music-based cognitive rehabilitation therapy in various clinical conditions including TBI is yet to be fully explored. There is a need for systematic research studies to bridge the gap between increasing theoretical understanding of usage of music in cognitive rehabilitation and application of the same in a heterogeneous condition such as TBI.

Full text: https://www.frontiersin.org/articles/10.3389/fneur.2014.00034/full

  1. Combining Ict-based Assessment And Nonpharmacologic Stimulation Approaches For The Management Of Frail Or Cognitively Impaired Elderly Individuals At Home

Abstract: Background: Many clinical parameters may contribute to the loss of autonomy in aging (cognitive decline, psychological and behavioural disturbances, gait and motricity disturbances). These parameters may be difficult to identify in daily routine. the use of Information and Communication Technologies (ICT) may provide additionnal values in the monitoring of frail elderly individuals and could potentially contribute to decrease the risk of institutionalization. The SafEE (Safe and Easy Environment) project aim is to improve the safety, autonomy and quality of life of elderly people at risk or suffering from Alzheimer’s disease and related disorders. More specifically the SafEE project: – focuses on specific clinical targets in three domains: behavior, motricity and cognition – merges assessment and non pharmacological help/interventions (to limit the use of psychotropic agents in elderly populations) – proposes easy ICT device solutions for the end users.
Methods: the SafEE project has developed: 1/ an ICT-based behavior analysis platform able to detect, recognize and assess daytime (such as agitation) and nighttime (such as sleep disturbances) behavioral patterns (BEHAVIOR), walking/balancing capabilities (MOTRICITY), orientation and procedural memory (COGNITION) 2/ Tailored non pharmacological therapeutic responses: -for anxiety, sleep and related behavioral disturbances, using stimulation aromatherapy automatic fragrance release system tailored to the clinical patterns detected within the assessment phase -for orientation, procedural memory and feeling of control for ICT devices, using a training interface based on Kinect sensor and tactile tablet/Smartphone. Results 3 community-dwelling individuals with frailty syndrome and 6 institutionalized (nursing home) individuals with a diagnosis of AD have been included so far. The SafEE platform has been recording data during respectively 6 months at home and 3 months in nursing home. Preliminary results regarding ICT-based monitoring and non pharmacologic solutions will be presented. Conclusions: Our main result is that user acceptability for community-dwelling and instutionalized individuals was good, as well as professional carers usability.

Full text:
https://www.sciencedirect.com/science/article/pii/S1552526017311652

  1. Effects of standardized musical intervention on refusal of care and aggression during toileting in people with institutionalized neurocognitive disorders

Full text: https://sci-hubtw.hkvisa.net/10.1016/j.rehab.2018.09.001

  1. Music drives brain plasticity

Abstract: Music is becoming more and more of an issue in the cognitive neurosciences. A major finding in this research area is that musical practice is associated with structural and functional plasticity of the brain. In this brief review, I will give an overview of the most recent findings of this research area.

Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2948283/

  1. Music and brain plasticity [w:] The Oxford Handbook of Music Psychology

Full text:
https://books.google.pl/books?hl=pl&lr=&id=uho2CwAAQBAJ&oi=fnd&pg=PA325&dq=music+and+brain+plasticity&ots=P-5VptH0G-&sig=x-aSvec1f9C-5JEVa9-ERozRQOg&redir_esc=y#v=onepage&q=music%20and%20brain%20plasticity&f=false

  1. Music and brain plasticity [w:] The Oxford Handbook of Music Psychology

Full text:
https://books.google.pl/books?hl=pl&lr=&id=uho2CwAAQBAJ&oi=fnd&pg=PA325&dq=music+and+brain+plasticity&ots=P-5VptH0G-&sig=x-aSvec1f9C-5JEVa9-ERozRQOg&redir_esc=y#v=onepage&q=music%20and%20brain%20plasticity&f=false

  1. Effects of Music Training on the Child’s Brain and Cognitive Development
    Abstract: Research has revealed structural and functional differences in the brains of adult instrumental musicians compared to those of matched nonmusician controls, with intensity/duration of instrumental training and practice being important predictors of these differences. Nevertheless, the differential contributions of nature and nurture to these differences are not yet clear. The musician–nonmusician comparison is an ideal model for examining whether and, if so, where such functional and structural brain plasticity occurs, because musicians acquire and continuously practice a variety of complex motor, auditory, and multimodal skills (e.g., translating visually perceived musical symbols into motor commands while simultaneously monitoring instrumental output and receiving multisensory feedback). Research has also demonstrated that music training in children results in long-term enhancement of visual–spatial, verbal, and mathematical performance. However, the underlying neural bases of such enhancements and whether the intensity and duration of instrumental training or other factors, such as extracurricular activities, attention, motivation, or instructional methods can contribute to or predict these enhancements are yet unknown. Here we report the initial results from our studies examining the brain and cognitive effects of instrumental music training on young children in a longitudinal study and a cross-sectional comparison in older children. Further, we present a comparison of the results in these children’s studies with observations from our cross-sectional studies with adults.

Full text:
http://musicianbrain.gottfriedschlaug.org/papers/Schlaug_Music_Child_Brain_NYAS2005.pdf

  1. The effects of music on brain functional networks: A network analysis

Abstract: The human brain can dynamically adapt to the changing surroundings. To explore this issue, we adopted graph theoretical tools to examine changes in electroencephalography (EEG) functional networks while listening to music. Three different excerpts of Chinese Guqin music were played to 16 non-musician subjects. For the main frequency intervals, synchronizations between all pair-wise combinations of EEG electrodes were evaluated with phase lag index (PLI). Then, weighted connectivity networks were created and their organizations were characterized in terms of an average clustering coefficient and characteristic path length. We found an enhanced synchronization level in the alpha2 band during music listening. Music perception showed a decrease of both normalized clustering coefficient and path length in the alpha2 band. Moreover, differences in network measures were not observed between musical excerpts. These experimental results demonstrate an increase of functional connectivity as well as a more random network structure in the alpha2 band during music perception. The present study offers support for the effects of music on human brain functional networks with a trend toward a more efficient but less economical architecture.

Full text:
https://www.sciencedirect.com/science/article/abs/pii/S0306452213005265

 

  1. Music therapy is a potential intervention for cognition of Alzheimer’s Disease: a mini-review

Abstract: Alzheimer’s Disease (AD) is a global health issue given the increasing prevalence rate and the limitations of drug effects. As a consequent, non-pharmacological interventions are of importance. Music therapy (MT) is a non-pharmacological way with a long history of use and a fine usability for dementia patients. In this review, we will summarize different techniques, diverse clinical trials, and the mechanisms of MT as it is helpful to the cognition in AD, providing reference for future research. Many articles have demonstrated that MT can reduce cognitive decline especially in autobiographical and episodic memories, psychomotor speed, executive function domains, and global cognition. MT is a promising intervention for strategy of dementia especially of AD and it must be started as early as possible. However, more evidences with prospective, randomized, blinded, uniform and rigorous methodological investigations are needed. And we should consider to combine MT with other cognitive stimulations such as dance, physical exercise, video game, art and so on.

Full text:
https://translationalneurodegeneration.biomedcentral.com/articles/10.1186/s40035-017-0073-9

 

 

Muzykoterapia w demencji starczej 

Wśród publikacji naukowych można odnaleźć dowody na to, że zindywidualizowany program muzyczny przyczynia się do zmniejszenia stosowania leków przeciwpsychotycznych, leków przeciwlękowych i objawów BPSD (behawioralne i psychologiczne symptomy demencji) wśród rezydentów domów opieki długoterminowej z ADRD (Alzheimer’s disease and related dementias). Zarówno śpiew, jak i słuchanie muzyki poprawiają nastrój, orientację i odległą pamięć epizodyczną oraz, w mniejszym stopniu, także uwagę i funkcję wykonawczą oraz ogólne poznanie u badanych seniorów. Ostatnie odkrycia, potwierdzające że trening muzyczny opóźnia spadek funkcji poznawczych i promuje plastyczność w starszym mózgu, są obiecujące. Muzyka jest powszechnie dostępna, łatwa do wykorzystania i lubiana przez większość ludzi. Jej wyjątkowa zdolność do wywoływania zarówno emocji, jak i wspomnień oznacza, że może potencjalnie stanowić połączenie z przeszłością słuchających, a także pozwala promować poczucie wzajemnego połączenia z opiekunami i innymi osobami cierpiącymi na demencję. To sprawia, że jest to idealny bodziec, który warto dostarczać osobom z demencją.

W jaki sposób i dlaczego muzyka jest korzystna dla osób z upośledzeniem funkcji poznawczych oraz w jakim stopniu skuteczność muzyki przewyższa skuteczność innych przyjemnych czynności pozostaje do wyjaśnienia. Niemniej jednak z dostępnych danych jasno wynika, że muzyka odgrywa istotną rolę w działaniu funkcji poznawczych i że muzykoterapia może być potencjalnie korzystna dla niektórych pacjentów z demencją.

 

 

Wybrane publikacje naukowe:

  1. Individualized Music Program is Associated with Improved Outcomes for U.S. Nursing Home Residents with Dementia

Abstract: Objectives: The objective of this study was to compare resident outcomes before and after implementation of an individualized music program, MUSIC & MEMORY (M&M), designed to address the behavioral and psychological symptoms associated with dementia (BPSD).

Setting: 98 nursing homes trained in the M&M program during 2013 and 98 matched-pair comparisons.Participants: Long-stay residents with Alzheimer’s disease and related dementias (ADRD) residing in M&M participating facilities (N = 12,905) and comparison facilities (N = 12,811) during 2012–2013.

Intervention: M&M is a facility-level quality improvement program that provides residents with music specific to their personal histories and preferences. Measurements: Discontinuation of anxiolytic and antipsychotic medications, and reductions in behavioral problems and depressed mood in 2012 (pre-intervention) and 2013 (intervention), calculated using Minimum Data Set (MDS) assessments.Results: The proportion of residents who discontinued antipsychotic medication use over a 6-month period increased from 17.6% to 20.1% among M&M facilities, while remaining stable among comparison facilities (15.9% to 15.2%). The same trend was observed for anxiolytic medications: Discontinuation of anxiolytics increased in M&M facilities (23.5% to 24.4%), while decreasing among comparison facilities (24.8% to 20.0%). M&M facilities also demonstrated increased rates of reduction in behavioral problems (50.9% to 56.5%) versus comparison facilities (55.8% to 55.9%). No differences were observed for depressed mood.Conclusions: These results offer the first evidence that the M&M individualized music program is associated with reductions in antipsychotic medication use, anxiolytic medication use, and BPSD symptoms among long-stay nursing home residents with ADRD.
Full text: https://www.ajgponline.org/article/S1064-7481(17)30285-3/abstract

 

  1. Deepa Vinoo*, Jove May Santos, Milana Leviyev, Paul Quimbo, Jennifer Dizon, Frankie Diaz, Christopher Wittman, Ioana Dulgheru, Robert

Hughes, Leah Matias, Floyd R Long, Susan Tadique and Monserrate Nieves-MartinezMusic and Memory in Dementia Care [w:] “International Journal of Neurorehabilitation”

Full text:

https://www.hilarispublisher.com/open-access/music-and-memory-in-dementia-care-2376-0281-1000255.pdf

 

  1. Cognitive, Emotional, and Social Benefits of Regular Musical Activities in Early Dementia: Randomized Controlled Study [w:] “The gerontologist”

Abstract: Purpose of the Study: During aging, musical activities can help maintain physical and mental health and cognitive abilities, but their rehabilitative use has not been systematically explored in persons with dementia (PWDs). Our aim was to determine the efficacy of a novel music intervention based on coaching the caregivers of PWDs to use either singing or music listening regularly as a part of everyday care. Design and Methods: Eighty-nine PWD–caregiver dyads were randomized to a 10-week singing coaching group (n = 30), a 10-week music listening coaching group (n = 29), or a usual care control group (n = 30). The coaching sessions consisted primarily of singing/listening familiar songs coupled occasionally with vocal exercises and rhythmic movements (singing group) and reminiscence and discussions (music listening group). In addition, the intervention included regular musical exercises at home. All PWDs underwent an extensive neuropsychological assessment, which included cognitive tests, as well as mood and quality of life (QOL) scales, before and after the intervention period and 6 months later. In addition, the psychological well-being of family members was repeatedly assessed with questionnaires. Results: Compared with usual care, both singing and music listening improved mood, orientation, and remote episodic memory and to a lesser extent, also attention and executive function and general cognition. Singing also enhanced short-term and working memory and caregiver well-being, whereas music listening had a positive effect on QOL. Implications: Regular musical leisure activities can have long-term cognitive, emotional, and social benefits in mild/moderate dementia and could therefore be utilized in dementia care and rehabilitation.

Full text: https://academic.oup.com/gerontologist/article/54/4/634/650429

 

  1. Music and Dementia: An Overview [w:] “Practical Neurology”

Full text: https://practicalneurology.com/articles/2017-june/music-and-dementia-an-overview

 

 

 

Muzyka w terapii bezsenności

Wpływ interwencji muzycznej na problemy z zasypianiem szczególnie widoczny jest u niemowląt. Badania z udziałem niemowląt i małych dzieci, w których porównano sedację farmakologiczną z muzykoterapią na potrzeby testów medycznych dostarczają wyraźnych przykładów tego, jak muzyka może poprawić sen. Interwencja muzyczna spowodowała, że tętno dziecka stało się niższe podczas kołysanki (P <0,001), a także muzyka zmniejszyła percepcję stresu rodzicielskiego (P <0,001). Muzyka może zmniejszyć stres (86%) i płacz (79%) oraz poprawić sen (79%) u wcześniaków. Wpływ muzykoterapii na jakość snu zaobserwowano także wśród dorosłych pacjentów. Osoby słabo śpiące (PSQI> 5) osiągnęły zdrowy sen (PSQI <5) w ciągu 3 tygodni od regularnej interwencji muzycznej.

 

 

Wybrane publikacje naukowe:

  1. Jespersen KV, Koenig J, Jennum P, Vuust P, Music for insomnia in adults, 2015.

Abstract: Review question This review assessed the effects of listening to music on insomnia in adults and the impact of factors that may influence the effect. Background: Worldwide, millions of people experience insomnia. People can have difficulties getting to sleep, staying asleep or may experience poor sleep quality. Poor sleep affects people’s physical and mental health. The consequences of poor sleep are costly, for both individuals and society. Many people listen to music to improve their sleep, but the effect of listening to music is unclear. Study characteristics. We searched electronic databases and music therapy journals to identify relevant studies. We included six studies with a total of 314 participants. The studies compared the effect of listening to music alone or with standard care to standard care alone or no treatment. The studies examined the effect of listening to pre-recorded music daily, for 25 to 60 minutes, for a period of three days to five weeks.The evidence is current to 22 May 2015. Key results; Five studies measured sleep quality. The findings suggest that listening to music can improve sleep quality. Only one study reported data on other aspects of sleep, including the length of time it takes to fall asleep, the amount of actual sleep someone gets, and the number of times people wake up. This study found no evidence to suggest that listening to music benefits these outcomes. None of the studies reported any negative side effects caused by listening to music. Quality of the evidence The quality of the evidence from the five studies that examined sleep quality was moderate. The quality of evidence for the other aspects of sleep was low. More high quality research is needed to investigate and establish the effect of listening to music on other aspects of sleep than sleep quality and on relevant daytime measures.

Full text: https://www.cochrane.org/CD010459/BEHAV_music-insomnia-adults

 

  1. Gaelen Thomas Dickson and Emery Schubert, Music on Prescription to Aid Sleep Quality: A Literature Review

Full text: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.01695/full

 

  1. Ding, Jie MMa; Huang, Tianqi MMb; Hu, Jinyu MMc,∗; Yuan, Fuqiang MMb, Effectiveness and safety of music therapy for insomnia disorder patients. A protocol for systematic review and meta-analysis. 

Abstract: Background: Music therapy has been widely used clinically to relieve insomnia disorder patients. However, the efficacy of music therapy in the treatment of insomnia disorder patients is uncertain. The purpose of this study is to determine the effectiveness and safety of music therapy in the treatment of insomnia disorder patients. Methods: Search PubMed, Cochrane Library, Embase, China National Knowledge Infrastructure Database, Wanfang Database, China Science and Technology Journal Database, China Biomedical Literature Database, and search-related randomized controlled trials. Two reviewers will independently select studies, collect data, and evaluate methodological quality through the Cochrane Deviation Risk Tool. Revman V.5.3 will be used for meta-analysis. Results: This study will evaluate the current status of music therapy treatment for insomnia disorder patients, aiming to illustrate the effectiveness and safety of music therapy treatment. Conclusion: This study will provide a basis for judging whether music therapy is effective in treating insomnia disorder patients.

Full text:
https://journals.lww.com/md-journal/Fulltext/2021/07020/Effectiveness_and_safety_of_music_therapy_for.15.aspx