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Parents as nurturing resources: A family integrated approach to music therapy for neonatal procedural support. 父母作为养育资源:新生儿程序支持音乐治疗的家庭综合方法。
Pub Date : 2021-04-23 DOI: 10.47513/MMD.V13I2.796
Alexandra Ullsten, T. Pölkki, C. Ghetti
Abstract Family integrated music therapy approaches may contribute significantly to the prevention and management of procedural pain in infants, and the discipline of music therapy requires more sophistication in understanding how and why. In this perspective article, we advocate for the unique role parents play in neonatal pain management and for the importance of supporting and educating parents to actively engage in music therapy as procedural support. Infant-directed singing can be an apt medium for parents and infants to communicate in affective mutual relationship during painful procedures. Music therapists can collaborate with parents in a way that positions parents as experts and assures they are empowered in their roles. In doing so, music therapy both coordinates with and extends the interdisciplinary team’s initiatives to provide individualized, family integrated developmental care. Neonatal pain research is an interdisciplinary field where music therapy has just started to publish results. Theory development is essential in advancing music therapy research and practice in this field. In our perspective paper, we present the theoretical underpinnings of a family integrated approach to music therapy as neonatal procedural support where parents are the primary (re)sources for nurture and pain alleviation. Keywords: music therapy, parental infant-directed singing, family integrated care, procedural support.
家庭综合音乐治疗方法可能有助于预防和管理婴儿的程序性疼痛,音乐治疗的学科需要更复杂的理解如何和为什么。在这篇前瞻性文章中,我们提倡父母在新生儿疼痛管理中发挥的独特作用,以及支持和教育父母积极参与音乐治疗作为程序支持的重要性。在痛苦的过程中,以婴儿为导向的歌唱是父母和婴儿在情感相互关系中进行沟通的一种合适的媒介。音乐治疗师可以与父母合作,将父母定位为专家,并确保他们在自己的角色中得到授权。这样,音乐治疗既协调又扩展了跨学科团队的倡议,以提供个性化的家庭综合发展护理。新生儿疼痛研究是一个跨学科领域,音乐疗法刚刚开始发表成果。理论的发展是推动音乐治疗研究和实践的必要条件。在我们的观点论文中,我们提出了将家庭综合方法作为新生儿程序支持的理论基础,其中父母是养育和减轻疼痛的主要(重新)来源。关键词:音乐治疗,父母导婴歌唱,家庭综合护理,程序支持。
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引用次数: 1
Small music programs for mental health and well-being: an evaluation framework 小型音乐节目对心理健康和幸福的影响:评估框架
Pub Date : 2021-01-23 DOI: 10.47513/MMD.V13I1.739
Nayoung Yang, R. Jenkins, Elizabeth Dubois, Harumi Quezada-Yamamoto, H. Ward, Cornelia Junghans
While there is growing interest in the intersection of music and health, current scientific literature in this field often lacks the rigor and strength of studies grounded in quantitative research. Also, a lack of framework to organize data decentralizes the information. The broad definition and subjective nature of music makes it difficult to design evaluations that would yield strong evidence to support the holistic benefits on well-being. This paper proposes a three-category framework to organize raw data to trace the interactions and interlinked nature of the effects of participating in group music activities. The proposed method was used to evaluate two choirs in the Royal Borough of Kensington and Chelsea (RBKC), UK: the  Sing to Live, Live to Sing  in 2016, a singing program based in community centers across RBKC, and the  GLUE Sings  program, an adolescent music-making and singing program piloted by the Tabernacle W11 in 2018 to increase community engagement and participation after the 2017 Grenfell Fire. Both programs were found to better the holistic well-being of their respective participants. While the framework is useful in these evaluations, future research would benefit even more through utilizing mixed methodologies and increasing collaboration amongst funders, researchers, and program managers.
虽然人们对音乐和健康的交叉越来越感兴趣,但目前这一领域的科学文献往往缺乏定量研究的严谨性和强度。此外,缺乏组织数据的框架会分散信息。音乐的广泛定义和主观性质使得很难设计出能够产生有力证据来支持其对健康的整体益处的评估。本文提出了一个三类框架来组织原始数据,以追踪参与团体音乐活动的影响的相互作用和相互联系的性质。该方法被用于评估英国肯辛顿和切尔西皇家自治市(RBKC)的两个合唱团:2016年在RBKC社区中心开展的歌唱项目“Live to Live, Live to Sing”,以及2018年由Tabernacle W11试点的青少年音乐制作和歌唱项目“GLUE Sings”,该项目旨在增加2017年格伦费尔火灾后社区的参与和参与。研究发现,这两个项目都能提高参与者的整体幸福感。虽然框架在这些评估中是有用的,未来的研究将通过使用混合方法和增加资助者、研究人员和项目经理之间的合作而受益更多。
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引用次数: 0
How a child with a disability became a Nobel Prize winner: Hugo Theorell (1903 - 1982) and his music 一个残疾儿童如何成为诺贝尔奖得主:雨果·特雷雷尔(1903 - 1982)和他的音乐
Pub Date : 2021-01-23 DOI: 10.47513/MMD.V13I1.771
T. Theorell
Hugo Theorell born 1903 was awarded the Nobel Prize in Medicine in 1955. His life with music illustrates how a child who became handicapped by poliomyelitis at the age of three used violin playing as an important stimulus throughout life and how that helped him become a world-famous scientist
雨果·特雷雷尔出生于1903年,1955年获得诺贝尔医学奖。他的音乐生活说明了一个在三岁时因脊髓灰质炎而残疾的孩子如何将小提琴演奏作为一生的重要刺激,以及这如何帮助他成为世界著名的科学家
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引用次数: 0
A Randomized Pilot Study of Rhythm-Based Music with Movement Strategies on Stress and Interaction Behaviors of Infant Caregivers 以节奏为基础的音乐与动作策略对婴儿照顾者压力和互动行为的随机先导研究
Pub Date : 2021-01-23 DOI: 10.47513/MMD.V13I1.763
Kamile Geist, Peggy M Zoccola, Nathan Andary, E. Geist, G. Dogbey, L. A. Williams, Brianna Tuttle
Consistent, prolonged, and nurturing interactions of a primary caregiver with an infant is necessary for optimal development of the infant. Lowering parental stress can promote positive caregiver-infant social interaction behaviors. Studies show that when caregivers use rhythm-based music and movement strategies during interactions with their infants, non-verbal communication, mutual attunement, and self-reported stress levels improve. The purpose of this pilot study was to determine caregiver benefits (stress hormones and positive interaction behaviors) when learning rhythm-based music with movement strategies while interacting with their infant. This was achieved through randomization of caregiver/infant dyads to a treatment (instructional intervention) or control condition with no instruction. Significantly lower salivary cortisol levels and lower salivary cortisol/DHEA ratio values pre-post were observed for the treatment condition as compared to control. These findings suggest that learning and using rhythm-based music and movement interventions are promising for lowering stress in caregivers. The impact of the intervention with families at risk due to stress-related environmental factors should be further investigated. In addition, observing social emotional behaviors and stress hormone levels of the infant is suggested.
主要照顾者与婴儿持续的、长期的、养育性的互动对于婴儿的最佳发展是必要的。降低父母压力可以促进积极的照顾者-婴儿社会互动行为。研究表明,当照顾者在与婴儿互动时使用基于节奏的音乐和动作策略时,非语言沟通、相互协调和自我报告的压力水平都会得到改善。本初步研究的目的是确定照顾者在与婴儿互动的同时,学习带有动作策略的节奏音乐时的好处(压力激素和积极的互动行为)。这是通过将照顾者/婴儿夫妇随机分配到治疗(指导性干预)或没有指导的控制条件来实现的。与对照组相比,治疗前后唾液皮质醇水平和唾液皮质醇/脱氢表雄酮比值值显著降低。这些发现表明,学习和使用基于节奏的音乐和运动干预措施有望降低照顾者的压力。干预对因压力相关环境因素而处于危险中的家庭的影响应进一步调查。此外,建议观察婴儿的社会情绪行为和应激激素水平。
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引用次数: 0
Music listening to decrease intensity of agitated behaviour after severe acquired brain injury: An experimental multi-case study 听音乐降低严重后脑损伤后的激动行为强度:一项多案例实验研究
Pub Date : 2021-01-23 DOI: 10.47513/MMD.V13I1.815
L. Aadal, S. V. Hald, Ulla Johanna Setterberg, L. O. Bonde
Agitated behavior following a traumatic brain injury is frequent, placing patients and staff at risk of injury. Such behaviors decrease rehabilitation outcomes. This case study explores staff-administered listening to preferred music as an intervention to reduce agitated behavior during sub-acute rehabilitation. The study included seven patients (6♂/1♀, aged 21-74 years) with agitated behaviour and suffering from severe acquired brain injury of different aetiologies. The intervention included 15 minutes of preferred music from a customized playlist created in collaboration between a relative, a music therapist and the staff at the rehabilitation clinic. Agitated Behavior Scale (ABS)-scores, blood pressure and heart rate measurements were obtained pre and post interventions. Two tailed t-test and visual analyses were conducted. Results suggest that listening to personalized playlists of preferred music with a supportive intensity profile may reduce the intensity of agitated behavior following an acquired brain injury in the sub-acute phase. Furthermore, the music listening intervention may have contributed to reduced pulse. Due to the small sample size and few measurements, further research to support the hypothesis is recommended. However, since music listening is an easily administered low-cost intervention with no obvious side-effects, it can be considered as a supplement to usual treatment. Keywords : Acquired brain injury, neuro-rehabilitation, agitated behaviour, music therapy, non-pharmaceutical
创伤性脑损伤后的激动行为是常见的,使患者和工作人员处于受伤的危险之中。这样的行为会降低康复效果。本案例研究探讨了在亚急性康复期间,工作人员管理的听首选音乐作为减少激动行为的干预措施。7例患者(6♂/1♀,年龄21 ~ 74岁)均患有不同病因的重度后天性脑损伤,表现为躁动行为。干预包括从一个定制的播放列表中选择15分钟喜欢的音乐,这个列表是由一位亲戚、一位音乐治疗师和康复诊所的工作人员合作创建的。干预前后分别获得激动行为量表(ABS)评分、血压和心率测量值。进行双尾t检验和目测分析。结果表明,在亚急性期,听个性化的具有支持强度的首选音乐播放列表可以减少获得性脑损伤后的激动行为强度。此外,听音乐干预可能有助于减少脉搏。由于样本量小,测量量少,建议进一步研究以支持该假设。然而,由于听音乐是一种易于实施的低成本干预措施,没有明显的副作用,因此可以将其视为常规治疗的补充。关键词:后得性脑损伤,神经康复,激动行为,音乐治疗,非药物
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引用次数: 0
Psychotherapeutically Oriented Vibroacoustic Therapy for Functional Neurological Disorder: A Pilot Study 以心理治疗为导向的振动声疗法治疗功能性神经障碍:一项初步研究
Pub Date : 2021-01-23 DOI: 10.47513/MMD.V13I1.754
Mikaela Leandertz, Jussi Joukainen, T. Pesonen, E. Ala-Ruona
Functional Neurological Disorder (FND) affects a significant number of people worldwide. Previously referred to as conversion disorder, FND is a disorder of the communication between mind and body resulting in the experience of neurological symptoms incompatible with neurological or medical diagnoses. FND patients account for a notable portion of neurologists' patients, and yet these patients are still considered some of the most difficult to diagnose and treat. This pilot case study utilized a psychotherapeutically oriented approach to vibroacoustic therapy and active music therapy methodology in the therapy process of a patient diagnosed with FND. The treatment protocol used in this study highlights an interdisciplinary, multimodal, and diverse approach to referral and treatment for FND patients. Review of the qualitative data together with the quantitative outcomes of the study provided a comprehensive conceptualization of this case. Valuable perspectives were gained from this approach, and the clinical findings were well supported by the quantitative outcome measures.
功能性神经障碍(FND)影响着全世界相当多的人。FND以前被称为转换障碍,是一种身心交流障碍,导致与神经学或医学诊断不相符的神经症状。FND患者在神经科医生的患者中占很大一部分,然而这些患者仍然被认为是最难诊断和治疗的。这个试点案例研究在治疗过程中使用了以心理治疗为导向的振动声疗法和积极的音乐疗法。本研究中使用的治疗方案强调了FND患者转诊和治疗的跨学科、多模式和多样化方法。对定性数据的回顾以及研究的定量结果提供了本病例的全面概念化。从这种方法中获得了有价值的观点,并且定量结果测量很好地支持了临床结果。
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引用次数: 0
Effects of music on behaviour and the cardiovascular system in animals and human beings 音乐对动物和人类行为和心血管系统的影响
Pub Date : 2021-01-23 DOI: 10.47513/MMD.V13I1.760
Eva-Maria Voelkel, G. Reiner, H. Trappe
Abstract Background Music plays an important role during life. However, there is little known whether music of different styles can directly alter behavioural patterns in animals or cardiovascular parameters in humans. Objective To study the potential effects of classical music (CL) and heavy metal (HM) in comparison to silence (S) on behavioural patterns or cardiovascular parameters blood pressure (BP), heart rate (HR). Method Behavioural patterns were examined in six German Large White pigs. More than 11.000 distinct singular behaviours were analyzed. Cortisol levels, heart rate and blood pressure were recorded in 60 healthy volunteers. In animals and in human beings an identical study protocol was used. In both groups, CL (Bach, Suite No. 3, BWV 1068), HM (Disturbed, Indestructible) S was applied. Sound exposure of CL, HM or the S period was 21 minutes. All data of the studied volunteers were compared to 60 healthy “control” (CO) participants who underwent an identical study protocol but without music application (S). Results In animals, we clearly could demonstrate that CL leads to significantly more activity and attention of the pigs (e,g. playing ball) compared to HM or S (p<0.001). In contrast, HM was significantly more associated with unexpected, stress related behavioural patterns (excitation, trying to escape) compared to CL or S (p<0.001). In humans, systolic, diastolic BP (mm Hg) and HR (beats per min) decreased mostly when CL was played compared to HM or controls (p<0.001), prior to and after sound exposure. Conclusions The results provide clear evidence for the potential of music styles to improve or deteriorate welfare in this farm animal species. It is obvious that CL (Bach) leads to both positive behavioural patterns in animals and decreased values of BP and HR. In HM or S we could not observe similar findings. Therefore, due to these experimental and clinical data, sound exposure with classical music has positive effects on cardiovascular parameters and will positively influence behavioural patterns in animals.
背景音乐在生活中扮演着重要的角色。然而,人们对不同风格的音乐是否能直接改变动物的行为模式或人类的心血管参数知之甚少。目的研究古典音乐(CL)和重金属音乐(HM)与沉默(S)对行为模式或心血管参数、血压(BP)、心率(HR)的潜在影响。方法观察6头德国大白猪的行为模式。他们分析了超过11000种不同的奇异行为。他们记录了60名健康志愿者的皮质醇水平、心率和血压。在动物和人类身上使用了相同的研究方案。两组均采用CL (Bach, Suite No. 3, BWV 1068), HM (Disturbed, Indestructible) S。CL、HM或S期的声暴露时间为21分钟。将研究志愿者的所有数据与60名健康的“对照组”(CO)参与者进行了比较,这些参与者接受了相同的研究方案,但没有音乐应用(S)。结果在动物身上,我们可以清楚地证明,CL显著提高了猪的活动和注意力(例如,音乐应用)。与HM或S相比(p<0.001)。相比之下,与CL或S相比,HM与意想不到的、与压力相关的行为模式(兴奋、试图逃跑)的相关性更大(p<0.001)。在人类中,与HM或对照组相比,在声音暴露前后播放CL时,收缩压、舒张压(mm Hg)和HR(每分钟心跳数)下降最多(p<0.001)。结论不同的音乐风格可能会改善或恶化该农场动物物种的福利。很明显,CL (Bach)会导致动物的积极行为模式,并降低血压和心率值。在HM或S中,我们没有观察到类似的结果。因此,根据这些实验和临床数据,古典音乐的声音暴露对心血管参数有积极影响,并将积极影响动物的行为模式。
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引用次数: 0
The effect of music mat exercises on the device-measured sedentary time and physical activity among 4-6-year-old Finnish children and their parents: a pilot study 音乐垫练习对设备测量的芬兰4-6岁儿童及其父母的久坐时间和身体活动的影响:一项试点研究
Pub Date : 2021-01-23 DOI: 10.47513/MMD.V13I1.737
Pipsa P. A. Tuominen, J. Raitanen, P. Husu, U. Kujala
Exercises on a music mat were developed to promote Finnish, 4-6-year-old children’s and their parents’ physical activity (PA) and decrease sedentary behavior (SB) in the home environment. Altogether, fifteen families performed eight-week exercise intervention using a music mat. SB and PA were assessed by a tri-axial hip-worn accelerometer, and further by exercise diaries and questionnaires. The statistical methods employed a linear mixed-effects model design. Regarding children (n=14) and mothers (n=14), any statistically significant differences in the primary outcomes over time were not found. Among fathers (n=8), in turn, the reduction of SB was statistically significant ( p =0.031). Most of the children and all the parents used the music mat less than instructed. The association between the children and their parents was negligible in all device-measured outcomes. One-third of children who used the music mat regularly as instructed increased their moderate-to-vigorous PA and Total-PA and decreased their SB. In conclusion, the music mat exercises in the home environment may promote PA or reduce SB among those who are willing to use the music mat regularly. At least, exercises might be a good addition to weekly PA and to break long sedentary bouts.
音乐垫上的练习旨在促进芬兰4-6岁儿童及其父母的身体活动(PA),并减少家庭环境中的久坐行为(SB)。总共有15个家庭使用音乐垫进行了为期8周的运动干预。通过髋部三轴加速度计评估SB和PA,并进一步通过运动日记和问卷进行评估。统计方法采用线性混合效应模型设计。对于儿童(n=14)和母亲(n=14),未发现主要结局随时间的统计学显著差异。在父亲中(n=8), SB降低有统计学意义(p =0.031)。大多数孩子和所有家长使用音乐垫的次数都少于要求。在所有设备测量的结果中,儿童与其父母之间的关联可以忽略不计。三分之一的儿童按照指导定期使用音乐垫,增加了他们的中高强度PA和Total-PA,降低了他们的SB。综上所述,在家庭环境中使用音乐垫练习可以促进那些愿意经常使用音乐垫的儿童的PA或降低SB。至少,锻炼可能是对每周PA的一个很好的补充,并打破长时间久坐的状态。
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引用次数: 1
If not now…if only for others-invisible risks? 如果不是现在……如果只是为了别人——看不见的风险?
Pub Date : 2021-01-23 DOI: 10.47513/MMD.V13I1.814
J. Loewy, R. Spintge
“If I am not for myself, who will be for me? If I am only for myself, what am I? If not now when?” How often I have reflected on this three-lined quote attributed to the great sage Hillel. While it has been cited in the context of documentaries, speeches and in texts about spirituality and freedom, it is less considered for its context in the framework of healthcare...
“如果我不为我自己,谁会为我?”如果我只为自己,那我是什么?如果不是现在,什么时候呢?”我多少次思考伟大的哲人希勒尔的这句三行话。虽然它已被引用在纪录片,演讲和文本关于精神和自由的背景下,它是较少考虑其在医疗保健框架的背景…
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引用次数: 0
Developing an air guitar group for an inpatient psychiatry unit 为住院精神科发展空气吉他小组
Pub Date : 2020-10-23 DOI: 10.47513/mmd.v12i4.712
D. Meagher, Ian Murphy, M. Mulligan, P. Bolger, A. Leahy, H. Moss
The phenomenon of air guitar has become increasingly popular in mainstream society and recognised as a potential means of enhancing one’s sense of mental well-being. It allows for engagement with music that involves physical activation and can be conducted in groups allowing for non-verbal socialisation. To date, there has been limited examination of its potential usefulness in therapeutic settings, including in mental health services. We describe the development of an air guitar group in an inpatient psychiatry service including an iterative approach to the design of sessions and the impact in terms of patient engagement and feedback. The format of the group evolved over time according to feedback from participants and staff involved in patient care on the unit. We found that the group successfully engaged patients of varying age, gender and diagnostic profiles and was perceived as a valuable addition to the inpatient therapeutic programme. Based upon our observations during this pilot study, we outline a suggested format for air guitar sessions that includes our experiences around selection of music, duration of sessions, use of props, managing the physical demands of sessions and ensuring participant safety. Future work can investigate the impact of air-guitar as a therapeutic activity in other settings (including community-based) and exploring how it can be best applied in combination with other therapeutic modalities for use in patients with differing diagnostic and demographic profiles.
空气吉他的现象在主流社会越来越流行,并被认为是一种增强心理健康感的潜在手段。它允许参与到涉及身体活动的音乐中,并且可以在允许非语言社交的群体中进行。迄今为止,对其在包括精神卫生服务在内的治疗环境中的潜在用途进行了有限的审查。我们描述了在住院精神病学服务中空气吉他小组的发展,包括对会议设计的迭代方法以及对患者参与和反馈的影响。小组的形式随着时间的推移,根据参与者和参与病人护理的工作人员的反馈而演变。我们发现,该小组成功地吸引了不同年龄、性别和诊断概况的患者,并被认为是住院治疗计划的宝贵补充。根据我们在这项初步研究中的观察,我们概述了一个建议的空气吉他课程格式,包括我们在音乐选择,课程持续时间,道具使用,管理课程的身体需求和确保参与者安全方面的经验。未来的工作可以调查空气吉他作为一种治疗活动在其他环境(包括社区)的影响,并探索如何将其与其他治疗方式结合使用,以用于不同诊断和人口统计资料的患者。
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引用次数: 0
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Music and medicine
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