A Synopsis of music based interventions in MusicMedicine: Definitions, standards, research, applications, with special emphasis on anxiety, pain and stress

Ralph Spintge
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Abstract

MusicMedicine describes the use of medicofunctional music, today called music-based interventions, promoting therapeutic benefits in medical settings based on scientific evidence. In prevention, therapy, rehabilitation, health promotion, performance enhancement, behavioral management and many other settings its benefits may at the same time contribute to cost containment. Established standards in education, research, and application secure reliability, validity and reproducibility of methods, concepts, results and therapeutic effects. Such standards include definition of intervening variables such as the musical stimuli used, as well as contributing or interfering variables, such as specific clinical settings or sociocultural background. Wherever possible, studies and therapeutic regimes should include music therapists. Traditionally, educated doctors know much about medicine, and might be fond of music, but usually have no music therapeutic expertise. At the same time, research in MusicMedicine demands interdisciplinary and multimodal approaches using mixed-methods design with thorough biostatistical design and analysis. Since 1982, MusicMedicine as inaugurated by the International Society for Music in Medicine ISMM e.V. has bridged together music therapy and traditional medical science orientations, leading towards a solid partnership that is influencing today’s practice of integrative medicine. Publications of studies about music-based medical interventions should preferably include an audio-file of the music used in the conducted session.
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音乐医学中基于音乐干预的概要:定义、标准、研究、应用,特别强调焦虑、疼痛和压力
音乐医学描述了医学功能音乐的使用,今天被称为基于音乐的干预,基于科学证据在医疗环境中促进治疗效益。在预防、治疗、康复、促进健康、提高绩效、行为管理和许多其他情况下,它的好处可能同时有助于控制成本。在教育、研究和应用方面建立的标准确保了方法、概念、结果和治疗效果的可靠性、有效性和可重复性。这些标准包括干预变量的定义,如所使用的音乐刺激,以及促进或干扰变量,如特定的临床环境或社会文化背景。在可能的情况下,研究和治疗方案应该包括音乐治疗师。传统上,受过教育的医生对医学了解很多,可能喜欢音乐,但通常没有音乐治疗方面的专业知识。同时,音乐医学的研究需要跨学科和多模式的方法,使用混合方法设计和彻底的生物统计学设计和分析。自1982年以来,由国际医学音乐协会ISMM e.V.创立的音乐医学将音乐治疗与传统医学科学方向联系在一起,形成了一个坚实的伙伴关系,影响着今天的综合医学实践。关于以音乐为基础的医疗干预的研究出版物最好包括在进行的会议中使用的音乐的音频文件。
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