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Best practice recommendations for using music with children and young people with disorders of consciousness 对患有意识障碍的儿童和青少年使用音乐的最佳实践建议
Pub Date : 2023-01-30 DOI: 10.47513/mmd.v15i1.885
Anna Menén Sánchez, J. Pool, Janeen Bower, Valerie Paasch, W. Magee
Children and youth with Disorders of Consciousness (DoC) present with highly complex medical, physical, and behavioral needs. Additionally, involving such children and young people in meaningful activities with caregivers can be challenging due to the combined motor, sensory, cognitive and communication impairments. Authoritative guidelines for engaging children and youth in meaningful sensory experiences that can enhance social and emotional experiences are lacking due to the minimal research with this population. Music is a medium that optimizes sensory stimulation using salient stimuli in the auditory modality. Furthermore, music experiences require minimal physical demands and offer opportunities for social interactions in line with developmental milestones. The primary objective of this paper is to offer best-practice recommendations for musical stimulation with children and youth with DoC, including its use in leisure and relaxation activities. These recommendations are synthesized from the existing evidence and combined with expert opinion. They are intended for caregivers of children and young people with DoC, which include paid healthcare professionals and providers, as well as non-paid caregivers such as family, friends, and volunteers. These practical suggestions may be applicable in a variety of settings, including hospitals, educational and residential care settings, family homes, and rehabilitation units.
患有意识障碍(DoC)的儿童和青少年具有高度复杂的医疗,身体和行为需求。此外,由于运动、感觉、认知和沟通障碍,让这些儿童和年轻人与照顾者一起参与有意义的活动可能具有挑战性。由于对这一人群的研究很少,因此缺乏使儿童和青少年参与有意义的感官体验以增强社会和情感体验的权威指南。音乐是一种利用听觉模态中的显著刺激来优化感官刺激的媒介。此外,音乐体验需要最小的身体需求,并提供符合发展里程碑的社会互动机会。本文的主要目的是为患有抑郁症的儿童和青少年提供音乐刺激的最佳实践建议,包括在休闲和放松活动中的应用。这些建议是根据现有证据综合而成,并结合了专家意见。它们适用于患有DoC的儿童和年轻人的照顾者,包括付费医疗保健专业人员和提供者,以及家人、朋友和志愿者等非付费照顾者。这些实用的建议可能适用于各种环境,包括医院、教育和住宿护理环境、家庭住宅和康复单位。
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引用次数: 0
Group singing on social prescription: A scoping review 团体歌唱对社会处方的影响:一个范围综述
Pub Date : 2022-10-30 DOI: 10.47513/mmd.v14i4.849
E. Helitzer, Amy Clements-Cortés, H. Moss
The aim of this international scoping review was to assess the evidence of group singing as a form of social prescription. While efforts have grown over the last two decades to catalogue and evaluate the health benefits of arts and cultural activities as part of social prescribing, there has been limited exploration into group singing on social prescription, specifically. Given the growing body of research supporting the health and wellbeing gains of both group singing and social prescribing, this first scoping review is needed and timely.  Published evidence is very limited at the moment, and only nine studies met the eligibility requirements. Identified barriers to wider integration of singing on prescription included lack of formalization of the social prescribing process, challenges solidifying buy-in from general practitioners and other healthcare professionals, difficulties sustaining funding, and shifts to organizational structure resulting in staff changeover and loss of institutional knowledge. Recommendations for future research, wider implementation of singing on social prescription and standardization of evaluation methods are included.
这项国际范围审查的目的是评估集体歌唱作为一种社会处方形式的证据。在过去的二十年里,作为社会处方的一部分,对艺术和文化活动的健康益处进行编目和评估的努力不断增加,但对团体歌唱在社会处方方面的具体探索却有限。鉴于越来越多的研究支持团体歌唱和社会处方的健康和福祉收益,这第一次范围审查是必要的和及时的。目前发表的证据非常有限,只有9项研究符合资格要求。已确定的更广泛地整合处方唱歌的障碍包括:社会处方流程缺乏正规化、在巩固全科医生和其他医疗保健专业人员的支持方面存在挑战、难以维持资金、组织结构的转变导致人员更换和机构知识的丧失。对今后的研究、更广泛地实施社会处方歌唱和评价方法的标准化提出了建议。
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引用次数: 1
Where music meets medicine: 音乐与医学相遇的地方:
Pub Date : 2022-10-30 DOI: 10.47513/mmd.v14i4.897
E. Debus, Dorothee Van Moreau, Karin Holzwarth, David Baaß, R. Spintge
The first Science and Sounds conference in Germany took place in early September 2022. Attendees were provided with an overview of standards and significant results of scientific research on the use of music as therapeutic intervention in medical settings. An international faculty of experts from USA, Finland, and Europe presented a scientific program ranging from definitions in MusicMedicine and Music Therapy, latest results from brain research about important impacts of musical stimuli on neuronal networks -explaining therapeutic results as well as directions for occupational care for musicians. General aspects and global developments in furthering implementation of interdisciplinary approaches in research and application including enhancement of professional environment in health care institutions were discussed and practically demonstrated during clinical excursions to UKE facilities. This article will provide an overview of the conference and will highlight our opening of the new Centre.
第一届科学与声音会议于2022年9月初在德国举行。向与会者提供了关于在医疗环境中使用音乐作为治疗干预的标准和重要科学研究结果的概述。来自美国、芬兰和欧洲的专家组成的国际教师提出了一个科学计划,从音乐医学和音乐治疗的定义,音乐刺激对神经网络的重要影响的大脑研究的最新结果,解释了治疗结果以及音乐家职业护理的方向。在对英国大学设施进行临床考察期间,讨论了在研究和应用方面进一步实施跨学科方法的一般方面和全球发展,包括加强卫生保健机构的专业环境。本文将提供会议的概述,并将重点介绍我们新中心的开幕。
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引用次数: 0
Background music improves experience of Covid-19 vaccination for citizens and vaccination staff - a pilot study. 背景音乐改善了公民和疫苗接种人员的Covid-19疫苗接种体验——一项试点研究。
Pub Date : 2022-10-30 DOI: 10.47513/mmd.v14i4.889
S. Jacobsen, B. Beck, Charlotte Lindvang
The Covid-19 pandemic has caused elevated levels of stress, anxiety, depression, and post-traumatic stress. Health care staff daily deal with varying degrees of agitation and anxiety which requires perseverance and a high degree of motivation and concentration. This study aimed to meet such diverse challenges by supporting citizens and staff through Covid-19 vaccine procedures in Spring 2021 using background music. A curated playlist was developed in collaboration with health care staff and medical staff. Observation data was collected on three days with music and on three days without music with a total of 699 citizens and 39 employees participating. Analysis of data indicated how background music in connection with vaccination may have a positive effect on citizens and staff, especially in terms of citizen experience of waiting time, of mood, of sound environment in the vaccination hall, as well as staff experience of contact with citizens and of cooperation with colleagues. Implementing curated playlists requires professional expertise to maximize potential benefits, as background music also can have negative effects. The involvement of staff is essential in addressing ethical aspect, as they need to be fully informed about background music and its appropriate usage.
新冠肺炎大流行导致压力、焦虑、抑郁和创伤后应激障碍水平升高。保健工作人员每天都要处理不同程度的激动和焦虑,这需要毅力和高度的积极性和注意力。该研究旨在通过在2021年春季使用背景音乐支持公民和工作人员完成Covid-19疫苗程序,以应对这些多样化的挑战。与卫生保健人员和医务人员合作,编制了一个精心策划的播放列表。在播放音乐的三天和不播放音乐的三天中,共有699名市民和39名员工参与了观察数据。数据分析表明,与疫苗接种有关的背景音乐如何对公民和工作人员产生积极影响,特别是在公民对等待时间、情绪、接种大厅声音环境的体验方面,以及工作人员与公民接触和与同事合作的体验方面。实施精心策划的播放列表需要专业知识来最大化潜在的好处,因为背景音乐也可能产生负面影响。工作人员的参与对处理道德问题至关重要,因为他们需要充分了解背景音乐及其适当使用。
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引用次数: 0
Experience of music therapy during the weaning process of patients receiving invasive mechanical ventilation 音乐治疗在有创机械通气患者脱机过程中的体会
Pub Date : 2022-10-30 DOI: 10.47513/mmd.v14i4.857
S. Morris
Mechanical ventilation (MV) is a medical intervention used to assist the respiratory function of someone who is medically compromised. Patients need to wean from the ventilator in order to resume breathing on their own. A spontaneous breathing trial (SBT) determines one’s readiness to be liberated from the ventilator. Board-certified music therapists facilitate music interventions to address patient-specific goals within a therapeutic relationship. Music therapists working in an intensive care unit (ICU) may address the stressors, fears, and medical complications associated with vent weaning. The goal of the present study was to determine if one 30-minute music therapy session during an SBT would decrease the patient’s perceived level of anxiety and improve physiologic metrics related to the SBT, specifically, respiratory rate (RR), blood pressure, oxygen saturation, and heart rate (HR). The researcher also sought to understand the perspective of the patient. The research question was: What does the patient experience related to music therapy during their SBT? Data collected from 20 patients revealed that measurements of HR and blood pressure significantly increased pre- to post-music therapy session. Data analyzed in the interviews suggested that music therapy may assist patients in coping with the physical, emotional, and spiritual stressors of weaning from MV.
机械通气(MV)是一种医学干预措施,用于帮助医学上受损的人的呼吸功能。病人需要脱离呼吸机才能恢复自己的呼吸。自主呼吸试验(SBT)决定一个人是否准备好从呼吸机中解脱出来。委员会认证的音乐治疗师促进音乐干预,以解决治疗关系中的患者特定目标。在重症监护病房(ICU)工作的音乐治疗师可能会处理与脱机相关的压力源、恐惧和医学并发症。本研究的目的是确定在SBT期间进行30分钟的音乐治疗是否会降低患者的感知焦虑水平,并改善与SBT相关的生理指标,特别是呼吸频率(RR)、血压、血氧饱和度和心率(HR)。研究人员还试图了解患者的观点。研究的问题是:在SBT期间,患者体验到与音乐治疗相关的什么?从20名患者中收集的数据显示,音乐治疗前后HR和血压的测量值显著增加。访谈中分析的数据显示,音乐疗法可以帮助患者应对脱离MV后的身体、情绪和精神压力。
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引用次数: 0
Impact of music therapy of the extracellular status of endocrine markers in pregnant women- A review 音乐治疗对孕妇内分泌标志物细胞外状态的影响
Pub Date : 2022-10-30 DOI: 10.47513/mmd.v14i4.881
Bhuvaneswari Ramesh, S. A R
Pregnancy, childbirth, and lactation are connected to the physical and psychological well-being of women and the infant after delivery. Taking into consideration the need to build evidence for music therapy, this review explains the mechanism from the bio-psycho-immunological dimensions of stress and its consequences for women during pregnancy, labour and post-partum. The use of music as a correlate to stress and its consequences during the perinatal, prenatal, and postnatal process of pregnancy has been in research for more than 5 decades, yet there is no concrete understanding in that direction. India is culturally and musically rich with many traditional healing systems. Bringing them into the Music has an inside out effect and can be included in the mind-body concept. This paper discusses music in the Indian context that connects the body & mind as well as the traditional uses of music from a therapeutic view, and finally, the need for further research to bring forth evidence-based music therapy within healthcare.  
怀孕、分娩和哺乳关系到分娩后妇女和婴儿的身心健康。考虑到需要为音乐疗法建立证据,本综述从生物心理免疫层面解释了压力的机制及其对怀孕、分娩和产后妇女的影响。在怀孕的围产期、产前和产后过程中,使用音乐与压力及其后果之间的关联已经进行了50多年的研究,但在这方面还没有具体的理解。印度文化和音乐丰富,有许多传统的治疗系统。将它们带入音乐有一种由内而外的效果,可以包含在身心概念中。本文讨论了印度背景下的音乐,从治疗的角度连接身体和心灵以及音乐的传统用途,最后,需要进一步研究,在医疗保健中提出基于证据的音乐疗法。
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引用次数: 1
Music in the lobby: Listener and performer perspectives of a hospital Visiting Artists Series (VAS) 大厅里的音乐:一个医院访问艺术家系列(VAS)的听众和表演者视角
Pub Date : 2022-10-30 DOI: 10.47513/mmd.v14i4.886
Hanneke van Dokkum, Andrew Rossetti, J. Loewy
This study reflects the development of a protocol for examining the essential elements related to implementing environmental music through a dedicated Visiting Artists Series (VAS) program in a large urban hospital lobby. Through random distributions of survey questionnaires and subsequent analyses, our findings present the seminal perspectives of both Visiting Artists and listeners’ (i.e., patients/personal caregivers and staff members), who both separately and together inhabit a vulnerable treatment environment. When fortified with environmental enhancements, hospitals may potentially prosper. We found that patients and personal caregivers, as well as staff members, are generally pleased with the hospital environment enhanced with music and expressed favorable perceptions of the environmental music series. Performers in the VAS described their impressions of the importance of environmental music in hospitals and are grateful for the opportunity to play under conditions where they were perceived to be appreciated. Suggestions for improvement of hospital lobby environments and the VAS are provided, as are future directions for clinical practice and research.
本研究反映了一项协议的发展,该协议通过专门的访问艺术家系列(VAS)计划在大型城市医院大厅检查与实施环境音乐相关的基本要素。通过随机分发调查问卷和随后的分析,我们的研究结果展示了访问艺术家和听众(即患者/个人护理人员和工作人员)的开创性观点,他们分别或共同生活在一个脆弱的治疗环境中。当加强环境保护时,医院可能会蓬勃发展。我们发现,患者和个人护理人员以及工作人员普遍对音乐增强的医院环境感到满意,并对环境音乐系列表达了良好的看法。VAS中的表演者描述了他们对医院环境音乐重要性的印象,并对有机会在他们被认为受到赞赏的条件下演奏表示感谢。提出了改善医院前厅环境和VAS的建议,以及未来临床实践和研究的方向。
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引用次数: 1
Quiet quitting: 安静的退出:
Pub Date : 2022-10-30 DOI: 10.47513/mmd.v14i4.899
J. Loewy, R. Spintge
Recent attention related to the aftermath of the COVID-19 pandemic is reflecting upon its impact in social and workplace settings.  A September Gallup pole in the United States found that “quiet quitters" make up at least 50% of the U.S. workforce -- likely more...
最近对COVID-19大流行后果的关注正在反映其对社会和工作场所环境的影响。美国盖洛普9月份的一项民意调查发现,“安静的戒烟者”至少占美国劳动力的50%——可能更多……
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引用次数: 1
Effect of music selection on anxiety during intravitreal injections for individuals of varying ethnicity. 不同种族个体玻璃体内注射时音乐选择对焦虑的影响。
Pub Date : 2022-10-30 DOI: 10.47513/mmd.v14i4.827
K. Brosh, E. Roditi, L. Wasser, Ahmad Aryan, J. Hanhart, Michael J. Potter
Purpose: To investigate music selection as a treatment for anxiety during intravitreal injections (IVI) for individuals of varying cultures.Methods: A randomized control study was performed to evaluate the effect of music in 3 different subject groups. 106 individuals were enrolled in the study. Individuals were randomized into one of three categories: (1) a control group in which the IVI procedure was performed without music (n=35), (2) an experimental group in which music was selected by the physician (n=36), (3) an experimental group in which music was selected by the patient (n=35). Following the procedure, all patients completed a questionnaire regarding their level of experienced anxiety, pain and discomfort (grade 0-10). The primary outcome was anxiety level during the procedure.Results: Although no statistically significant difference in anxiety levels between groups was demonstrable, the experimental group in which patients selected music had higher number of patients with low anxiety scores compared to the other groups (p=0.04). Subjects who completed the questionnaire in Arabic were less likely to desire music on subsequent injections compare to Hebrew and English speakers (p=0.02). Music was deemed by both experimental groups as an effective method to induce relaxation (6.5±3.8 and 7.2±3.7). Preference for music on subsequent injections was increased in both experimental groups compared to the control group (P<0.01), but more prominently in the third group (P<0.01).Conclusion: Music selection may be an effective way to reduce anxiety levels during IVI. Preference for music during IVI may be influenced by culture and previous music exposure.
目的:研究不同文化背景的个体在玻璃体内注射(IVI)期间选择音乐治疗焦虑的效果。方法:采用随机对照研究,对3个不同的被试组进行音乐效果评价。106人参加了这项研究。个体被随机分为三类:(1)对照组,IVI过程中没有音乐(n=35),(2)实验组,音乐由医生选择(n=36),(3)实验组,音乐由患者选择(n=35)。手术后,所有患者完成一份关于他们经历的焦虑、疼痛和不适程度的问卷(0-10级)。主要结果是手术过程中的焦虑水平。结果:虽然两组患者的焦虑水平无统计学差异,但选择音乐的实验组患者的低焦虑评分高于其他组(p=0.04)。与说希伯来语和英语的人相比,用阿拉伯语完成问卷的人在随后的注射中不太想听音乐(p=0.02)。两组均认为音乐是诱导放松的有效方法(6.5±3.8和7.2±3.7)。两组小鼠在注射后对音乐的偏好均较对照组增加(P<0.01),但第三组小鼠对音乐的偏好更明显(P<0.01)。结论:音乐选择可能是降低IVI患者焦虑水平的有效方法。IVI期间对音乐的偏好可能受到文化和先前音乐接触的影响。
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引用次数: 0
An International Discourse on ‘Music and Medicine’ “音乐与医学”的国际论述
Pub Date : 2022-07-28 DOI: 10.47513/mmd.v14i3.891
Efthymios Papatzikis
The 7th International Conference of the International Association for Music & Medicine was held on May 28 - 29, 2022. Meetings and presentations from Greek and international invited speakers took place in person and through live streaming May 28 to May 29, 2022. Additionally, a week of online-only presentations took place May 30 to June 3, 2022.Athens is one of the world's oldest cities, offering centuries-old history to be explored and enjoyed. According to Plato, one of the first schools of music education was founded by the people of Crete followed by the musical schools of Athens, where students were taught to sing and play the lyre. Many delegates from across the globe were honored to meet in this magical and historical city. Below, conference delegate Dr. Efthymios Papatzikis reviews and reflects upon some of the conference highlights.  
第七届国际音乐与医学协会国际会议于2022年5月28日至29日举行。希腊和国际受邀演讲者的会议和演讲于2022年5月28日至5月29日通过现场直播进行。此外,2022年5月30日至6月3日举行了为期一周的在线演示。雅典是世界上最古老的城市之一,拥有数百年的历史,值得探索和享受。根据柏拉图的说法,最早的音乐教育学校之一是由克里特岛人建立的,随后是雅典的音乐学校,学生们被教导唱歌和演奏七弦琴。许多来自世界各地的代表很荣幸能在这座神奇而历史悠久的城市见面。下面,会议代表Efthymios Papatzikis博士回顾并反思了会议的一些亮点。
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引用次数: 0
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Music and medicine
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