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Care, Compassion, & Controversy: Supporting Children in a Covid-19 Vaccine Pod through Music Therapy & Child Life 关怀、同情与争议:通过音乐治疗和儿童生活支持Covid-19疫苗荚中的儿童
Pub Date : 2022-07-28 DOI: 10.47513/mmd.v14i3.873
John Mondanaro, Jessica Sturgeon
The Covid-19 pandemic has had a trajectory punctuated by controversy, from understanding the virus itself to the development of therapeutics and a vaccine. The offering of vaccination  to children through a destination Covid-19 vaccine pod foregrounded the need for procedural support within a psychosocial reality of children and families navigating the pandemic. Children receiving the Covid-19 vaccine benefitted from a synthesis of music therapy and child life services into a comprehensive approach that proved essential for not only the child, but for personal caregivers, and very often the nursing staff administering the vaccine itself. This article presents the praxis of psychoeducational interventions, psychotherapeutic support, and procedural support including both pre- and post-procedural interventions to support children receiving the Covid-19 vaccine,
从对病毒本身的理解到治疗方法和疫苗的开发,Covid-19大流行的发展轨迹被争议所打断。通过目的地Covid-19疫苗舱向儿童提供疫苗接种,凸显了在应对大流行的儿童和家庭的社会心理现实中提供程序性支持的必要性。接受Covid-19疫苗的儿童受益于将音乐治疗和儿童生活服务综合为一种综合方法,事实证明,这种方法不仅对儿童,而且对个人护理人员,通常对接种疫苗的护理人员本身都至关重要。本文介绍了心理教育干预、心理治疗支持和程序支持的实践,包括程序前和程序后干预,以支持接受Covid-19疫苗的儿童。
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引用次数: 1
Understanding the impact of the “Fountains of Uke” Intergenerational Music Program on Long-Term Care Residents 了解“音乐喷泉”代际音乐项目对长期护理居民的影响
Pub Date : 2022-07-28 DOI: 10.47513/mmd.v14i3.877
Jenna Schlorff
As the aging population reaches an all-time high, depression and social isolation among seniors are becoming serious issues. Music engagement and intergenerational programming may improve depressive symptoms and reduce social isolation in seniors by fostering relationships and engagement. Thus, the “Fountains of Uke Program” combines musical experiences with intergenerational interactions to combat these outcomes. This study aims to investigate the program’s effects on residents in Long-Term Care homes. Behaviour, cognition, depression, and social isolation were measured before and after the intervention using validated scales and qualitative interviews. Quantitative measures did not show improvements in the outcomes of depression and social isolation. However, qualitative outcomes indicate the intergenerational music program had positive impacts on the Long-Term Care resident participants. Future studies should be implemented over a longer time period, in multiple Long-Term Care homes, and with a larger sample size to increase external validity. Future research should also consider the baseline health status of participants, as well as the normative mental and physical health decline among Long-Term Care residents over time when selecting outcome measures, analyzing data, and drawing conclusions.
随着老龄化人口达到历史最高水平,老年人的抑郁和社会孤立正在成为严重的问题。音乐参与和代际节目可以通过促进关系和参与来改善老年人的抑郁症状和减少社会孤立。因此,“乌克喷泉项目”将音乐体验与代际互动相结合,以对抗这些结果。本研究旨在探讨该计划对长期护理院住客的影响。在干预前后使用有效的量表和定性访谈测量行为、认知、抑郁和社会孤立。定量测量并未显示抑郁和社会孤立的结果有所改善。然而,定性结果表明,代际音乐节目对长期护理居民参与者有积极的影响。未来的研究应在更长的时间内,在多个长期护理院中实施,并采用更大的样本量来增加外部效度。未来的研究在选择结果测量、分析数据和得出结论时,还应考虑参与者的基线健康状况,以及长期护理居民随着时间的推移而出现的规范的精神和身体健康下降。
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引用次数: 0
Perspectives on Dementia from a Speech-Language Pathologist 语言病理学家对痴呆症的看法
Pub Date : 2022-07-28 DOI: 10.47513/mmd.v14i3.872
Linda S. Carozza
Considerations of current and future aging demographics necessitate understanding of assessment approaches so that projected public health needs are met accordingly. Status of medical conditions, available technologies and supports are described to underscore the critical need for planning and for instituting provisions supporting assessment strategies to meet the broad needs of lower, middle, and fully developed countries. Assessment administration and considerations are presented. Greater emphasis on the details of assessing may lead toward creative expansion and a broadening of treatment options. This article describes current and future needs for assessment of dementia using a world view approach.
考虑到当前和未来的人口老龄化,有必要了解评估方法,以便相应地满足预计的公共卫生需求。介绍了医疗条件、现有技术和支助的现状,以强调迫切需要规划和制定支持评估战略的规定,以满足较低、中等和完全发达国家的广泛需求。提出了评估管理和考虑因素。更加强调评估的细节可能会导致创造性的扩展和治疗选择的扩大。这篇文章描述了当前和未来的需求评估痴呆症使用世界观的方法。
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引用次数: 0
Chaos and order… Our world at a crossroads 混乱与秩序,我们的世界正处在十字路口
Pub Date : 2022-07-28 DOI: 10.47513/mmd.v14i3.892
R. Spintge, J. Loewy
As a scientific publication, we intend that our journal will not convey any political messages. However, at present it seems as if scientific expertise and experience is desperately needed to contribute insight and advice to secure the future of humankind in many aspects elaborated in part heretofore...
作为一份科学出版物,我们不希望我们的杂志传达任何政治信息。然而,目前似乎迫切需要科学的专业知识和经验来提供见解和建议,以确保人类在许多方面的未来。
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引用次数: 0
Neglect, Virtual Reality and Music Therapy: A Narrative Review 忽视、虚拟现实与音乐治疗:一个叙事回顾
Pub Date : 2022-07-28 DOI: 10.47513/mmd.v14i3.865
A. Danso, Mikaela Leandertz, E. Ala-Ruona, Rebekah A. Rousi
Neglect is typically experienced after suffering from a stroke. Despite various rehabilitative interventions used in treatment for neglect, there is no consensus about the most effective intervention or treatment. Virtual Reality (VR) combined with music therapy practices may offer a promising intervention for use during neglect rehabilitation. This review summarises evidence of existing interventions and assessments used for post-stroke and neglect rehabilitation on patients in VR and music therapy research. Non-systematic searches of the PubMed and PsycINFO databases were conducted to retrieve relevant articles. Overall, literature found in small studies suggests promising findings for symptom reduction during neglect rehabilitation through the use of VR and Musical Neglect Training interventions. This was coupled with a demonstration of feasibility and safety. Novel evidence is found in stimulation of specific neurological regions in neglect patients during exposure to a VR intervention. However, larger trials with consistent assessments are needed to arrive at generalisations. Based on the evidence reviewed, the article explores intersections of VR and music therapy interventions with the purpose of neglect rehabilitation.
中风后通常会被忽视。尽管在治疗忽视中使用了各种康复干预措施,但对于最有效的干预或治疗尚无共识。虚拟现实(VR)与音乐治疗相结合,可能为忽视康复提供一种有希望的干预措施。本综述总结了VR和音乐治疗研究中用于卒中后和忽视康复的现有干预措施和评估的证据。对PubMed和PsycINFO数据库进行非系统检索以检索相关文章。总体而言,在小型研究中发现的文献表明,通过使用VR和音乐忽视训练干预,在忽视康复期间症状减轻方面有希望的发现。这与可行性和安全性的演示相结合。在暴露于VR干预期间,在被忽视患者的特定神经区域刺激中发现了新的证据。然而,需要更大规模的试验和一致的评估来得出结论。基于所回顾的证据,本文探讨了VR和音乐治疗干预的交叉点,以达到忽视康复的目的。
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引用次数: 0
Storytelling Through Music to Facilitate Meaning Reconstruction and Address Psychosocial Stress in Oncology Nurses 通过音乐讲故事促进意义重建和解决肿瘤护士的社会心理压力
Pub Date : 2022-07-28 DOI: 10.47513/mmd.v14i3.866
Carolyn S. Phillips, D. Volker, Barbara Jones
Frontline healthcare workers are exposed to significant suffering and loss. Recent studies have shown increased rates of depression and suicide among nurses and physicians when compared to the general population. Few clinician well-being interventions focus on increasing the awareness and expression of clinician’s emotions to improve psychosocial well-being. In particular, nurses are at the forefront of cancer care, and studies indicate that they cope with work-related emotions in isolation. Storytelling Through Music is a 6-week intervention that combines storytelling, reflective writing, songwriting, and stress management skills. The parent study was a quasi-experimental design, with 43 oncology nurses in either the intervention group or a non-randomized comparison group. This study evaluates the post-intervention qualitative data from participants in the intervention group (n=22). Content analysis was used for analysis, which revealed the following themes: belonging, finding meaning, and emotional transformation. Participants reported learning they were not alone in the emotional experience, that they were reminded of why they work in oncology, and that hearing their story in song transformed their feelings from sadness to something beautiful. Further, they described that hearing their story reflected back to them in song was deeply moving and provided them with emotional insight.
一线医护人员面临着巨大的痛苦和损失。最近的研究表明,与普通人群相比,护士和医生的抑郁症和自杀率有所上升。很少有临床医生的福祉干预侧重于提高临床医生的情绪的认识和表达,以改善社会心理健康。特别是,护士处于癌症护理的最前沿,研究表明,他们孤立地应对与工作有关的情绪。通过音乐讲故事是一个为期6周的干预,结合了讲故事,反思写作,歌曲创作和压力管理技能。母研究采用准实验设计,43名肿瘤科护士被分为干预组和非随机对照组。本研究评估干预组参与者的干预后定性数据(n=22)。运用内容分析法进行分析,揭示了归属、寻找意义、情感转化三个主题。参与者报告说,他们在情感体验上并不孤单,他们被提醒为什么要从事肿瘤学工作,并且在歌曲中听到他们的故事将他们的感觉从悲伤转变为美好。此外,他们还描述说,听到他们的故事在歌曲中被反映出来,这让他们深受感动,并为他们提供了情感洞察力。
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引用次数: 0
Exploring the effectiveness of music therapy intervention as part of interdisciplinary assessment and treatment for patients with prolonged disorders of consciousness 探索音乐疗法干预对长期意识障碍患者跨学科评估和治疗的有效性
Pub Date : 2022-06-06 DOI: 10.47513/mmd.v14i2.833
Rebecca O’Connor, Dee Mary Gray
A four - year study took place at a Rehabilitation hospital in Ireland where two music therapists worked as an integral part of a Prolonged Disorders of Consciousness (PDOC) interdisciplinary team (IDT). The study aimed to explore the impact of music therapy as part of IDT assessment and treatment for patients with PDOC and their families. PDOC is defined as diminished or absent responsiveness and awareness persisting for more than four weeks following a catastrophic brain injury. A mixed method approach incorporating a case study series, the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC), questionnaires from patient’s families and IDT and video analysis was undertaken. Three research questions were explored:Does the inclusion of music therapy within an IDT enhance the service offered to PDOC patients? How does music therapy impact on the experience of family members? Can a music therapy assessment and treatment pathway be developed for this patient population?Three case studies taken from the case study series are outlined to illustrate aspects of the clinical work and address the research questions. Findings suggest that music therapy can enhance an IDT and have a positive impact on family members. 
在爱尔兰的一家康复医院进行了一项为期四年的研究,两位音乐治疗师作为长期意识障碍(PDOC)跨学科团队(IDT)的组成部分。本研究旨在探讨音乐治疗作为IDT评估和治疗PDOC患者及其家属的一部分的影响。PDOC被定义为在灾难性脑损伤后持续四周以上的反应性和意识减弱或缺失。采用一种混合方法,包括一系列案例研究、意识障碍中意识的音乐治疗评估工具(MATADOC)、患者家属的问卷调查、IDT和视频分析。我们探讨了三个研究问题:在IDT中加入音乐治疗是否能提高对PDOC患者的服务?音乐治疗如何影响家庭成员的体验?音乐治疗的评估和治疗途径是否可以为这类患者开发?从案例研究系列中提取的三个案例研究概述了临床工作的各个方面并解决了研究问题。研究结果表明,音乐疗法可以增强IDT,并对家庭成员产生积极影响。
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引用次数: 0
Integrative research for understanding intersectional stress among pregnant Black women: Postulates for music therapy and biological assessments 理解黑人孕妇交叉压力的综合研究:音乐治疗和生物学评估的假设
Pub Date : 2022-04-29 DOI: 10.47513/mmd.v14i2.879
J. Loewy, E. Corwin, Dean Jones
Musical auditory stimulation impacts the brain and autonomic nervous system, yet few studies have undertaken a cross-analysis of music-centered interventions with biologic measurements to address the inter-connectivity between mind and body fragility in disparate cultures. Such analyses are now possible with evidence-based live music therapy interventions, compelling psychological and physical relaxation strategies, and untargeted metabolomics assessment, providing rich resources to address the succinct points of stress for pregnant Black women. This article will present the integral factors that we believe enhance subsequent investigative protocols. Highlighting integrative nursing research whereby critical biomarkers can be paired with behavioral assessments such as music therapy will likely lead toward innovative, interdisciplinary evaluative considerations that can render findings leading toward improved birth outcomes in at-risk populations. In defining uniquely separate strategic modalities prior to organizing communal research goals, our pursuit of encapsulating cultural relevance and vulnerabilities is refined and strengthened. The presented postulates further define and clarify options highlighting novel, collaborative and integrative approaches to evaluate and help underserved populations.
音乐听觉刺激会影响大脑和自主神经系统,但很少有研究将以音乐为中心的干预与生物学测量进行交叉分析,以解决不同文化中身心脆弱性之间的相互联系。这种分析现在可以通过基于证据的现场音乐治疗干预,引人注目的心理和身体放松策略,以及无目标的代谢组学评估来实现,为解决怀孕黑人妇女的压力问题提供了丰富的资源。本文将介绍我们认为可以增强后续调查协议的整体因素。强调综合护理研究,即关键的生物标志物可以与行为评估(如音乐疗法)相结合,这可能会导致创新的、跨学科的评估考虑,从而使研究结果有助于改善高危人群的出生结果。在组织公共研究目标之前定义独特的独立战略模式,我们对概括文化相关性和脆弱性的追求得到了改进和加强。所提出的假设进一步定义和澄清了突出新颖,协作和综合的方法来评估和帮助服务不足的人群的选择。
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引用次数: 1
Developing a digital music program for older adults with changing cognition: A program development report. 为认知变化的老年人开发数字音乐程序:程序开发报告。
Pub Date : 2022-04-01 Epub Date: 2022-04-29
Jennie L Dorris, Heather DiCicco, James T Becker, Juleen Rodakowski

This program development report describes the adaptation of a music program for older adults with memory loss from in-person to a digital format. The objective was to develop a music program that was both engaging for the older adults, acceptable for the music instructor, and clearly defined for future research and implementation. This report describes the content of the music program and the systematic process of its development.

这个程序开发报告描述了一个音乐节目的改编,老年人的记忆丧失从个人到数字格式。目标是开发一种既能吸引老年人,又能被音乐教师接受的音乐课程,并为未来的研究和实施明确定义。本报告描述了音乐节目的内容和系统的发展过程。
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引用次数: 0
Effects of noise on anxiety related to dining in restaurants 噪音对在餐馆用餐时焦虑的影响
Pub Date : 2022-01-31 DOI: 10.47513/mmd.v14i1.806
Alison E Short, Georgia Williams
The noise environment impacts wellbeing, and most research focuses on hearing, sleep, performance and cardiovascular health. Investigations of detrimental effects of noise on mental health show conflicting evidence in relation to depression, anxiety and chronic stress. Furthermore, studied about noise impacts on everyday activities such as restaurant dining are lacking. Our study investigates the relationship between noise exposure and anxiety in the indoor restaurant environment, exploring the predictive value of individual noise sensitivity, noise annoyance and personality factors on self-reported anxiety levels while dining in a restaurant. This mixed methods survey using validated measures with a random sample (n=274, >18 years), predicts high scores in noise sensitivity and noise annoyance corresponding with increased levels of anxiety, and anxiety levels in attending a restaurant predicted by Big Five Personality characteristics of Extraversion and Neuroticism. Regression analysis results show statistically significance for noise sensitivity and noise annoyance as strong predictors of self-reported anxiety. Neuroticism predicted anxiety, while Extraversion and Agreeableness did not uniquely predict of anxiety. Conscientiousness had a significant negative relationship with anxiety experienced in restaurant dining. Individual characteristics of personal experiences of restaurants diners are discussed, suggesting design and layout implications for restauranteurs in addressing noise effects in their establishments.
噪音环境会影响健康,大多数研究都集中在听力、睡眠、表现和心血管健康上。噪音对心理健康有害影响的调查显示,与抑郁、焦虑和慢性压力有关的证据相互矛盾。此外,关于噪音对日常活动(如餐馆用餐)影响的研究也很缺乏。本研究探讨了室内餐厅环境噪声暴露与焦虑之间的关系,探讨了个体噪声敏感性、噪声烦恼和人格因素对餐厅用餐时自我报告焦虑水平的预测价值。这项混合方法的调查采用了有效的方法,随机抽样(n=274, >18岁),预测噪音敏感性和噪音烦恼的高分与焦虑水平的增加相对应,并且通过外向性和神经质的大五人格特征预测参加餐馆的焦虑水平。回归分析结果显示噪音敏感性和噪音烦恼作为自我报告焦虑的强预测因子具有统计学意义。神经质预测焦虑,而外向性和宜人性并不能唯一预测焦虑。尽责性与餐厅用餐焦虑呈显著负相关。本文讨论了餐厅用餐者个人体验的个体特征,为餐馆老板解决其场所的噪音影响提供了设计和布局建议。
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引用次数: 0
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Music and medicine
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