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Music therapy for people with chronic pain: facilitators and barriers. 慢性疼痛患者的音乐治疗:促进因素和障碍。
Pub Date : 2023-04-30 DOI: 10.47513/mmd.v15i2.921
K. Fitzpatrick, D. Harmon, H. Moss
The aim of this study was to investigate the perceptions of music therapy among those living with chronic pain, and the possible facilitators and barriers to music therapy if offered as part of treatment. Following ethical approval, a convenience sample of 105 adult participants, who attended multisite pain clinics were included. Quantitative data were collected through an eighteen-item questionnaire using a Likert scale. Eighty-nine per cent of participants believe that music can improve mood, and 86% perceive health benefits from music. 81% agree that music can be a valuable self-help tool. However, 45% reported that they had not heard of music therapy. The majority (60%) would like to attend music therapy if it was offered as part of their pain management. For some, use of technology (9%), internet connection (15%), and private space (16%) were identified as barriers to accessing music therapy online. Music therapy has the potential to be a part of a person-centered care plan for those with chronic pain. Currently, music therapy is not an accessible treatment option. Healthcare providers should consider music therapy as a part of a chronic pain treatment plan, and future studies should be directed to evaluating its efficacy in chronic pain.
本研究的目的是调查慢性疼痛患者对音乐治疗的看法,以及如果将音乐治疗作为治疗的一部分,音乐治疗可能的促进因素和障碍。在伦理批准后,纳入了105名参加多地点疼痛诊所的成人受试者的便利样本。定量数据是通过使用李克特量表的18项调查问卷收集的。89%的参与者认为音乐可以改善情绪,86%的人认为音乐有益于健康。81%的人认为音乐是一种很有价值的自助工具。然而,45%的人表示他们没有听说过音乐疗法。大多数人(60%)愿意参加音乐治疗,如果它是他们疼痛管理的一部分。对一些人来说,使用技术(9%)、互联网连接(15%)和私人空间(16%)被认为是在线接受音乐治疗的障碍。音乐疗法有可能成为慢性疼痛患者以人为本的护理计划的一部分。目前,音乐疗法还不是一种可行的治疗选择。医疗保健提供者应考虑将音乐疗法作为慢性疼痛治疗计划的一部分,未来的研究应直接评估其对慢性疼痛的疗效。
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引用次数: 0
Effect of a web-based app music intervention in the management of chronic pain: a randomised controlled trial by type of pain 基于网络的应用程序音乐干预对慢性疼痛管理的影响:按疼痛类型进行的随机对照试验
Pub Date : 2023-04-30 DOI: 10.47513/mmd.v15i2.940
P. Giniès, P. Poisbeau, DeWayne P. Williams, Darcianne K. Watanabe, J. Touchon
Digital technologies are increasingly being used to strengthen national health systems, but clinical evidence of their usefulness is rare. Music is used as a management technique for pain and recent publications have described the potential effects of personalized music choices via mobile-based mHealth (mobile health) interventions for pain. The objective of this study was to demonstrate the effects of a web-based app music intervention by type of chronic pain. Eighty-seven patients presenting with lumbar (n=22), fibromyalgia (n=22), inflammatory (n=22), or neurologic (n=21) pain were included in this controlled randomized trial. During their hospitalization, the music intervention arm (n=44) received at least 2 daily sessions the first 10 days, alongside their standard treatment, and then pursued the music intervention at home until day (D)60. The control arm (n=43) received standard treatment only. The primary endpoint was pain (VAS) measured at D0, D10, D60, and D90. Significant reduction (p=0.007) on the level of pain score at D60 has been observed on fibromyalgia pain with a better decrease in the music intervention group (-3.6 (±2.8)) than in the control group (-0.9 (±2.2)). This web-based app personalized music intervention appeared to be useful in managing fibromyalgia chronic pain as it enabled a significant reduction in pain level.
数字技术正越来越多地用于加强国家卫生系统,但证明其有用性的临床证据很少。音乐被用作疼痛的一种管理技术,最近的出版物描述了通过基于移动的移动健康(移动健康)干预疼痛的个性化音乐选择的潜在影响。这项研究的目的是通过慢性疼痛的类型来证明基于网络的应用音乐干预的效果。87例腰椎(22例)、纤维肌痛(22例)、炎症性(22例)或神经性(21例)疼痛的患者纳入了这项对照随机试验。在他们住院期间,音乐干预组(n=44)在前10天每天至少接受2次治疗,同时接受标准治疗,然后在家中继续音乐干预,直到第60天。对照组(n=43)仅接受标准治疗。主要终点是在D0、D10、D60和D90时测量的疼痛(VAS)。纤维肌痛患者D60疼痛评分水平显著降低(p=0.007),音乐干预组(-3.6(±2.8))优于对照组(-0.9(±2.2))。这种基于网络的应用程序个性化音乐干预似乎在治疗纤维肌痛慢性疼痛方面很有用,因为它能显著降低疼痛水平。
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引用次数: 1
From Cacophony to Calm: Music therapy from the perspective of a person living with chronic pain 从不和谐到平静:从一个患有慢性疼痛的人的角度来看音乐治疗
Pub Date : 2023-04-30 DOI: 10.47513/mmd.v15i2.922
Patricia O'Shea, K. Fitzpatrick, H. Moss
Service user perspectives are relatively rare in published research on music therapy. This paper focuses on the perspective of a person living with chronic pain, Tricia, and her experience of music therapy and being involved in music therapy research. She reflects on her music making in the sessions and how she uses music outside of therapy. This is followed by reflections from her music therapist and a review of how service user perspectives can inform knowledge and practice. The paper concludes with recommendations for future music therapy services arising from Tricia’s experience and advocates for the inclusion of service user voices in future research. It is hoped that music therapists, clients, other healthcare partitioners, and anyone interested in music therapy will find this paper gives an interesting insight into one person’s experience of music therapy for chronic pain.
在已发表的音乐治疗研究中,服务用户视角相对较少。本文主要从慢性疼痛患者Tricia的角度,以及她的音乐治疗经历和参与音乐治疗的研究。她在疗程中反思自己的音乐创作,以及她如何在治疗之外使用音乐。接下来是她的音乐治疗师的反思,并回顾了服务用户的观点如何为知识和实践提供信息。本文最后根据Tricia的经验提出了对未来音乐治疗服务的建议,并主张在未来的研究中纳入服务用户的声音。希望音乐治疗师,客户,其他医疗保健参与者,以及任何对音乐治疗感兴趣的人都能发现这篇文章提供了一个有趣的见解,一个人对慢性疼痛的音乐治疗经验。
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引用次数: 0
Music therapy and neonatal pain management: An interview with Dr Alexandra Ullsten. 音乐疗法和新生儿疼痛管理:采访Alexandra Ullsten博士。
Pub Date : 2023-04-30 DOI: 10.47513/mmd.v15i2.936
James Burns, Alexandra Ullsten
Alexandra Ullsten, PhD, works as a music and art therapist, and postdoctoral researcher at the Central Hospital in Karlstad, Region Värmland, Sweden. She is affiliated researcher to the School of Health Sciences, Örebro University, Sweden. In 2010, Dr Ullsten pioneered the implementation of neonatal music therapy in Swedish healthcare. The Central Hospital Karlstad neonatal intensive care unit (NICU) became the first hospital and NICU in the Nordic countries to offer a family-centred music therapy programme for hospitalised infants and their parents. Alexandra’s research area concerns family-centred music therapy during painful procedures in neonatal care focusing on parent-delivered pain management such as parental infant-directed singing. She is one of the “grandparents” of Rhythm, Breath, Lullaby NICU Music Therapy (RBL) and a member of the international research network, Pain in Early Life (PEARL). She is the principal investigator of the interdisciplinary multi-centre research project, “Parents as pain management in Swedish neonatal care – SWEpap”. Dr Ullsten graciously agreed to partake in an interview and provide an insight into her research and the role music can play as affective support for infants and their parents during painful procedures in the NICU.
Alexandra Ullsten博士,音乐和艺术治疗师,瑞典Karlstad地区Värmland中央医院博士后研究员。她是瑞典Örebro大学健康科学学院附属研究员。2010年,Ullsten博士率先在瑞典医疗保健中实施新生儿音乐疗法。卡尔斯塔德中心医院新生儿重症监护室(NICU)成为北欧国家第一家为住院婴儿及其父母提供以家庭为中心的音乐治疗方案的医院和新生儿重症监护室。Alexandra的研究领域是在新生儿疼痛护理过程中以家庭为中心的音乐治疗,侧重于父母提供的疼痛管理,如父母对婴儿的定向歌唱。她是节奏,呼吸,摇篮曲NICU音乐疗法(RBL)的“祖父母”之一,也是国际研究网络“早期生活疼痛”(PEARL)的成员。她是跨学科多中心研究项目“瑞典新生儿护理中父母疼痛管理- SWEpap”的首席研究员。乌尔斯滕博士欣然同意接受采访,并就她的研究提供了一些见解,以及音乐在新生儿重症监护室的痛苦过程中对婴儿及其父母的情感支持所起的作用。
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引用次数: 0
50-year proliferation of music medical science research: A bibliometric review 50年来音乐医学科学研究的扩散:文献计量学回顾
Pub Date : 2023-01-30 DOI: 10.47513/mmd.v15i1.903
Zachary Levine, Mackenzie Campbell, Abeer Adil, Shaul Kruger, David Alter
The extent to which music research has penetrated the medical science literature relative to other forms of research remains unclear. We sought to explore temporal changes in the number of music related publications relative to all medical literature as well as prespecified research subdomains of drug therapy, alternative therapy, and neuroscience between 1970 and 2019. We conducted a bibliometric review in which we quantified the number of annual publications between 1970 and 2019 using MEDLINE (PUBMED) search engine and mesh terms of “Music”; “Drug therapy”; “Alternative Medicine”; “Neuroscience”. The number of publications were quantified relative to all publications within their corresponding years. We also examined the types of journals, geographical location of publication (Based on corresponding author), and journal impact factors. To ensure appropriate content, we conducted a hand review of a random 400 abstracts to ensure they met appropriate criteria for music-medical research. We used log-linear regression, to test differences in growth rates. We determined that the relative growth in the number of music publications accelerated at a rate higher than all medical related publications or those confined to drug therapy. The proliferation of music research was attributable to higher rates of neuroscience, alternative therapy, and music therapy research. In conclusion, the temporal growth in number of music research publications relative to other comparators over the past 50 years underscores the importance, relevance, and maturation of music as an evolving discipline of contemporary medical science.
相对于其他形式的研究,音乐研究在医学文献中的渗透程度尚不清楚。我们试图探索1970年至2019年间,相对于所有医学文献以及药物治疗、替代疗法和神经科学的预先指定研究子领域,音乐相关出版物数量的时间变化。我们进行了文献计量学回顾,使用MEDLINE (PUBMED)搜索引擎和网格词“Music”对1970年至2019年的年度出版物数量进行了量化;“药物治疗”;“替代医学”;“神经”。出版物数量相对于相应年份的所有出版物进行量化。我们还研究了期刊类型、出版地理位置(基于通讯作者)和期刊影响因子。为了确保合适的内容,我们随机对400篇摘要进行了手工审查,以确保它们符合音乐医学研究的适当标准。我们使用对数线性回归来检验增长率的差异。我们确定,音乐出版物数量的相对增长速度高于所有医学相关出版物或仅限于药物治疗的出版物。音乐研究的激增是由于神经科学、替代疗法和音乐疗法研究的比例较高。总之,在过去50年中,音乐研究出版物数量相对于其他比较物的时间增长强调了音乐作为当代医学科学中不断发展的学科的重要性、相关性和成熟度。
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引用次数: 0
Music educators’ and students’ views on participating in a music and medicine program 音乐教育工作者和学生对参加音乐医学专业的看法
Pub Date : 2023-01-30 DOI: 10.47513/mmd.v15i1.887
Roma Subramanian, M. Perkinson
Using semi-structured interviews and participant observation, this study investigated the experiences of student musicians and faculty participating in a Music and Medicine program in the United States. The program is a partnership between a midwestern university school of music and a local cancer center. Results revealed that in contrast to traditional concert settings where musicians are centered, in the non-traditional environment of a healthcare setting, the listeners were centered; this instilled in performers a sense of humility and made them attune to the humanity of the transient audience around them. The program cultivated professionalism and joy by providing students real-world performance opportunities in a low-stress environment. Finally, it fostered artist citizenship by encouraging performers to reflect on how their art can serve the larger community.
采用半结构化访谈和参与式观察,本研究调查了参加美国音乐和医学项目的学生音乐家和教师的经历。该项目是中西部大学音乐学院和当地癌症中心的合作项目。结果显示,与以音乐家为中心的传统音乐会环境相比,在医疗保健环境的非传统环境中,听众是中心的;这给表演者灌输了一种谦逊的意识,使他们与周围短暂的观众的人性相协调。该项目通过在低压力的环境中为学生提供真实的表演机会,培养专业精神和快乐。最后,它通过鼓励表演者反思他们的艺术如何为更大的社区服务,培养了艺术家的公民意识。
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引用次数: 0
Use of music videos in the treatment of complex trauma 音乐录像在复杂创伤治疗中的应用
Pub Date : 2023-01-30 DOI: 10.47513/mmd.v15i1.856
Diana Christine Hereld, Marissa Yoshizawa
A single case study is presented of an 11-year-old biracial female residing in foster care. The client was referred for a history of pervasive and complex developmental trauma and was seen in the context of community-based psychological services for approximately one year. In addition to the provision of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), the utilization of music videos proved uniquely effective in the delivery of psychoeducation, emotion identification and regulation, and ultimate creation of the trauma narrative. As trauma-informed arts-based therapies rise in popularity, this case study examines some advantages and special considerations for the use of music videos in the treatment of complex developmental trauma.  Keywords: Music, Complex Trauma, Emotion Regulation, Music Videos
一个单一的案例研究提出了一个11岁的混血女性居住在寄养。客户因普遍和复杂的发展性创伤病史而被转介,并在社区心理服务的背景下接受了大约一年的治疗。除了提供以创伤为中心的认知行为疗法(TF-CBT)外,音乐视频的使用在提供心理教育、情感识别和调节以及最终创造创伤叙事方面被证明是独特有效的。随着以创伤为基础的艺术疗法越来越受欢迎,本案例研究探讨了音乐视频在治疗复杂发育性创伤中的一些优势和特殊考虑。关键词:音乐,复杂创伤,情绪调节,音乐录影带
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引用次数: 0
Better Together: Interprofessional Collaborations between Music Educators and Music Therapists 更好地在一起:音乐教育家和音乐治疗师之间的跨专业合作
Pub Date : 2023-01-30 DOI: 10.47513/mmd.v15i1.900
Amy Clements-Cortés, H. Pascoe, Nicholas Bridi
This paper provides an overview of the potential benefits of interprofessional collaboration between music educators and music therapists in elementary and high school settings. An overview of the role of interprofessional collaboration is shared, followed by a discussion of potential gains specific to collaboration between music educators and music therapists. Examples of various interprofessional programs implemented in the school system are noted alongside suggestions for developing future collaborations between these fields.
本文概述了音乐教育家和音乐治疗师在小学和高中环境中的跨专业合作的潜在好处。本文概述了跨专业合作的作用,然后讨论了音乐教育家和音乐治疗师之间合作的潜在收益。在学校系统中实施的各种跨专业项目的例子以及发展这些领域之间未来合作的建议。
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引用次数: 0
Systematic literature review of the effect of music therapy on psychological outcomes in aphasia 音乐治疗对失语症患者心理结局影响的系统文献综述
Pub Date : 2023-01-30 DOI: 10.47513/mmd.v15i1.876
TingYi Lu, Rachel Goff-Albritton, A. Darrow, E. Madden
Aphasia is a language disorder caused most commonly by a stroke or traumatic brain injury, affecting approximately two million Americans in the United States.  Impaired language function hinders one’s ability to communicate and interact with others, leading to psychological changes, such as post-stroke depression. Music Therapy has been integral in post-stroke rehabilitation. Music-based interventions not only improve motor and cognitive functions but have also been shown to improve psychological outcomes. The purpose of this systematic literature review is to describe current research on psychological outcomes from music-based interventions for persons with aphasia, summarize therapy outcomes, and evaluate the quality of the research. Eight studies meeting criteria were included in this review. The participant characteristics, interventions, and formal and informal assessments were described for each study. The methodological quality across studies was highly varied. Overall, gains in psychological outcomes were demonstrated; however, outcomes varied within and among therapy approaches. We suggest that future research focus on continued attention to investigate the psychological impact of music-based interventions and improve overall methodological rigor through standardized protocols and assessments.
失语症是一种语言障碍,最常见的原因是中风或创伤性脑损伤,在美国大约有200万美国人患有失语症。语言功能受损会阻碍一个人与他人交流和互动的能力,导致心理变化,如中风后抑郁。音乐疗法在中风后康复中是不可或缺的。以音乐为基础的干预不仅能改善运动和认知功能,还能改善心理结果。本系统文献综述的目的是描述目前有关音乐干预失语症患者心理结果的研究,总结治疗结果,并评估研究质量。本综述纳入了8项符合标准的研究。每项研究都描述了参与者的特征、干预措施以及正式和非正式的评估。各研究的方法学质量差异很大。总体而言,心理结果有所改善;然而,治疗方法内部和不同治疗方法的结果各不相同。我们建议未来的研究集中在持续关注音乐干预的心理影响,并通过标准化的协议和评估提高整体方法的严谨性。
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引用次数: 0
Effects of environmental music therapy on anxiety and waiting in radiation oncology 环境音乐治疗对放射肿瘤学患者焦虑和等待的影响
Pub Date : 2023-01-30 DOI: 10.47513/mmd.v15i1.911
Andrew Rossetti, J. Loewy, Zachary Fischer, Saarang Deshpande, M. Chadha
A randomized control trial investigated perceived waiting time in patient and caregivers, and live music’s effects on anxiety levels prior to daily radiation therapy (RT). Environmental Music Therapy (EMT) is a live music intervention by music therapists meant to modify perception of potentially stressful environments through constructing dynamic soundscapes to provide enhanced comfort and safety. This study (a) rated participants’ state anxiety and distress experienced in the waiting area pre-RT, (b) determined if the EMT protocol moderated baseline treatment experience-related anxiety and (c) evaluated EMT’s affects on perceived waiting time pre-treatment, versus actual waiting time.  We hypothesized EMT would reduce state anxiety, distress, and regulate distortion of waiting time, ultimately changing overall RT perception. 160 randomized patients and caregivers were accrued- 82 receiving EMT, 78 randomized to control.   Assessment pre/post intervention measured anxiety and distress with the STAI 6 and Visual Analogue Distress Scale. A time survey assessed waiting perception. Data collected and recorded by research assistants naïve to treatment conditions found EMT interventions showed significantly reduced perceived incidences of anxiety and distress, significantly shortening perceived waiting times in the EMT arm compared to controls. Reduced anxiety, distress, and temporal distortion can enhance patients’ and caregivers’ perception of hospital environments.
一项随机对照试验调查了患者和护理人员的感知等待时间,以及现场音乐对每日放射治疗(RT)前焦虑水平的影响。环境音乐疗法(EMT)是一种由音乐治疗师进行的现场音乐干预,旨在通过构建动态音景来改善对潜在压力环境的感知,以提高舒适度和安全性。本研究(a)评估了参与者在治疗前等待区经历的焦虑和痛苦状态,(b)确定EMT方案是否缓解了基线治疗经验相关焦虑,(c)评估了EMT对治疗前感知等待时间和实际等待时间的影响。我们假设EMT会减少状态焦虑、痛苦,并调节等待时间的扭曲,最终改变整体的RT感知。共有160名随机患者和护理人员,其中82名接受EMT治疗,78名随机对照组。评估干预前后用STAI 6和视觉模拟痛苦量表测量焦虑和痛苦。一项时间调查评估了等待感知。研究助理naïve收集和记录的数据显示,与对照组相比,EMT干预显着减少了焦虑和痛苦的感知发生率,显着缩短了EMT组的感知等待时间。减少焦虑、痛苦和时间扭曲可以增强患者和护理人员对医院环境的感知。
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引用次数: 0
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Music and medicine
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