The effect of music on menopausal symptoms, sleep quality,and depression: a randomized controlled trial

SUMMARY OBJECTIVE: This study aimed to determine the effect of music on menopausal symptoms, sleep quality, and depression levels in menopausal women. METHODS: This randomized controlled study was carried out between August and December 2022. The study sample consisted of 61 menopausal women (intervention: 30 and control: 31). The intervention group listened to music twice a day for 5 weeks, with a total of 70 sessions. The control group received only routine care. Menopause symptoms, depression levels, and sleep quality were evaluated at the beginning and the end of the study using the Menopausal Symptoms Rating Scale, Beck Depression Inventory, and Pittsburg Sleep Quality Index. RESULTS: The post-test Menopausal Symptoms Rating Scale, Beck Depression Inventory, and Pittsburg Sleep Quality Index scores of the menopausal women were found to be lower in the intervention group than in the control group (p=0.011, p=0.001, and p=0.006, respectively). When the pre-test and post-test mean scores were compared, the mean menopausal symptoms and depression levels decreased, and sleep quality increased significantly in the intervention group. No significant difference was observed in the control group. CONCLUSION: This study shows that music may have an effect on reducing the level of menopausal symptoms and depression levels and also increasing the sleep quality of menopausal women.

"Música Paraense" e Terruá Pará: identidade regional, indústria cultural e psicologia das massas / "Pará Music" and Terruá Pará: regional identity, cultural industry and mass psychology / La «Musique Paraense¼ et le Terruá Pará: identité régionale, l'industrie culturelle et la psychologie des foules / "Música Paraense" y Terruá Pará: identidad regional, industria cultural y psicología de las masas

Desde a consolidação de emissoras de rádio e TV no Pará, a mídia local propaga a ideia de uma "música paraense", título utilizado com frequência em uma série de eventos recentemente produzidos dentro e fora do estado. Ao contestar essa singularização, a presente pesquisa apresenta uma análise psicossociológica dos mecanismos que operam na inter-relação entre indústria cultural e formação de massas, utilizando como objeto privilegiado de estudo o espetáculo Terruá Pará. Visando tal intento, além do recurso à revisão bibliográfica, realizou-se uma pesquisa documental sobre parte do material impresso produzido para a terceira edição do festival. Em termos conclusivos, defende-se que o Terruá Pará, embora pautado por um discurso pretensamente racional em prol da valorização da música regional, torna-se dialeticamente promotor de irracionalidades expressas na sugestão de modos de subjetivação específicos que, desconsiderando diversidades, acabam por reduzir o seu público consumidor à qualidade de multidão abstrata

Since the consolidation of radio and TV broadcasters in Pará, local media has propagated the idea of a "Pará music," moniker often used in a series of events produced in and outside the State. By contesting such singularization, this psychosociological analysis unveils the mechanisms that mediate cultural industry and mass formation by analyzing the spectacle Terruá Pará. For this purpose, a bibliographic review was conducted, as well as a documentary research concerning part of the printed material produced for the festival's third edition. In conclusion, although Terruá Pará appears based on an allegedly rational discourse to value regional music, it dialectically promotes irrationalities expressed in specific modes of subjectivation that, disregarding diversity, reduce its consuming public to the quality of abstract crowd

Depuis la consolidation des stations de radio et télévision à l'état du Pará, les médias locaux ont diffusé l'idée d'une «musique paraense¼, expression souvent utilisée dans une série d'événements récemment produits dans cet état autant que dehors. En contestant cette singularisation, cette recherche présente une analyse psychosociologique des mécanismes agissant dans l'interrelation entre l'industrie culturelle et la formation des foules, en prenant comme objet principal d'étude le spectacle Terruá Pará. Dans ce but, outre le recours à l'étude bibliographique, on a mené une recherche documentaire sur une partie du matériel imprimé produit pour la troisième édition du festival. En conclusion, on soutient que Terruá Pará, bien que guidé par un discours prétendument rationnel en faveur de la valorisation de la musique régionale, devient dialectiquement promoteur d'irrationalités exprimées par la suggestion de modes de subjectivation spécifiques qui, en ignorant les diversités, finissent par réduire son public consommateur à une foule abstraite

Desde la consolidación de las estaciones de radio y televisión en Pará, los medios locales han difundido la "musica paraense", título de uso frecuente en eventos producidos dentro y fuera del Estado. Al impugnar esta singularización, esta investigación presenta un análisis psicosociológico de los mecanismos que operan en la interrelación entre la industria cultural y la formación de masas, utilizando como objeto privilegiado de estudio el espectáculo Terruá Pará. Además del uso de la revisión bibliográfica, fue llevada a cabo una investigación documental sobre parte del material producido para la tercera edición del festival. En conclusión, se argumenta que Terruá Pará, aunque guiado por un discurso supuestamente racional a favor de la valorización de la música regional, se convierte dialécticamente en promotor de irracionalidades expresadas en la sugerencia de modos específicos de subjetivación que, sin tener en cuenta las diversidades, reducen su público consumidor a la calidad de multitud abstracta

Promovendo saúde por meio da música na maternidade: percepções de gestantes e puérperas / Promoting health through music in motherhood: perceptions of pregnant and puerperal women / Promoviendo la salud a través de la música en la maternidad: percepciones de las mujeres embarazadas y puérperas

Objetivo: compreender as percepções de gestantes e puérperas sobre o uso da música como tecnologia de cuidado para promoção da saúde. Método: estudo qualitativo, fundamentado nos pressupostos da promoção da saúde, realizado com sete gestantes e oito puérperas internadas na maternidade de um hospital público de Santa Catarina. Realizou-se entrevistas semiestruturadas, entre setembro de 2021 e fevereiro de 2022, após aprovação do Comitê de Ética em Pesquisa. Os dados foram analisados por meio da análise de conteúdo. Resultados: a música na maternidade diminui o estresse e a tristeza. Alem disso, proporciona distração, alegria, animação, resgate de lembranças, momento especial, gratidão e tranquilidade para as mulheres hospitalizadas e para os seus bebês. Considerações finais: para as gestantes e puérperas, a música tem a capacidade de promover a saúde, sendo uma tecnologia de cuidado que deveria estar presente em todas as maternidades do Brasil.

Objective: to understand the perceptions of pregnant and postpartum women about the use of music as a care technology for health promotion. Method: qualitative research, based on the assumptions of health promotion, carried out with seven pregnant women and eight postpartum women admitted to the maternity ward of a public hospital in Santa Catarina. Semi-structured interviews were carried out between September 2021 and February 2022, after approval by the Research Ethics Committee. Data were analyzed using content analysis. Results: music in the maternity ward reduces stress and sadness. In addition, it provides distraction, joy, animation, recall of memories, a special moment, gratitude and tranquility for hospitalized women and their babies. Final considerations: for pregnant and postpartum women, music has the ability to promote health, being a care technology that should be present in all maternity hospitals in Brazil.

Objetivo: comprender las percepciones de embarazadas y puérperas sobre el uso de la música como tecnología de cuidado para la promoción de la salud. Método: estudio cualitativo, basado en los supuestos de la promoción de la salud, realizado junto a siete mujeres embarazadas y ocho puérperas internadas en la maternidad de un hospital público de Santa Catarina. Las entrevistas semiestructuradas se realizaron entre septiembre de 2021 y febrero de 2022, previa aprobación del Comité de Ética en Investigación. Los datos se analizaron mediante análisis de contenido. Resultados: la música en la sala de maternidad reduce el estrés y la tristeza. Además, brinda distracción, alegría, animación, recuperación de recuerdos, momento especial, gratitud y tranquilidad para las mujeres hospitalizadas y sus bebés. Consideraciones finales: para las mujeres embarazadas y puérperas, la música tiene la capacidad de promover la salud, siendo una tecnología de atención que debe estar presente en todas las maternidades de Brasil.

Una mujer fantástica. Música, duelo y diversidad: la subjetividad trans a través de arias operísticas y canciones populares / Music, Grief and Diversity Trans Subjectivity Through Operatic Arias and Popular Songs

Se propone una lectura del film Una mujer fantástica (Sebastián Lelio, 2017) desde la perspectiva de la ética contemporánea, analizando cuestiones relativas a los derechos humanos y a los principios universales que los mismos aspiran a salvaguardar. El artículo se centra en aspectos relativos a la diversidad de género y a la vulnerabilidad de derechos de las personas trans, poniendo el eje en torno al derecho a la sepultura en su articulación con el trabajo simbólico de duelo. Dichas temáticas son abordadas a partir de distintas entradas musicales presentes en el film, cuya eficacia en el marco de la narrativa radica en su función de soporte ante distintas operatorias éticas y transformaciones en torno a la subjetividad de los personajes

A reading of the film A Fantastic Woman (Sebastián Lelio, 2017) is proposed from the perspective of contemporary ethics, analyzing issues related to human rights and the universal principles that they aspire to safeguard. The article focuses on aspects related to gender diversity and the vulnerability of the rights of trans people, focusing on the right to burial in its articulation with the symbolic work of grief. These themes are approached from different musical inputs present in the film, whose effectiveness within the framework of the narrative lies in its function of support to different ethical operations and transformations around the subjectivity of the characters

Can music and medicine be effective on anxiety, depression and chemotherapy?related nausea and vomiting? (PEGASUS study)

Background: Music and medicine can be used in patients with cancer as a palliative complementary therapy. It is aimed to show the effect of music therapy performed on anxiety, depression, and chemotherapy?related nausea/vomiting. Methods: A total of 62 patients with colon cancer who previously experienced grade 1 or 2 chemotherapy?related nausea and vomiting were divided into two groups as intervention and control group based on the addition of music and medicine to infusion chemotherapies and 1:1 randomized. The groups were compared in terms of the effect of music and medicine on anxiety, depression, heart rate, blood pressure, and chemotherapy?related nausea?vomiting. Statistical analysis was done using SPSS Statistics for Windows, Version 19.0. A value of P < 0.05 was found statistically significant. Results: The patients were evaluated in terms of study variables at the beginning and after the completion of a chemotherapy session. As a result, there was a significant decrease in systolic blood pressure (P = 0.042), diastolic blood pressure (P = 0.44), heart rate (P = 0.046), state and trait sections of the state?trait anxiety inventory scores (P = 0.047 and P = 0.046, respectively), as well as a significant decrease in anxiety degree (P = 0.036) and a significant improvement in chemotherapy?related nausea (P = 0.021) and vomiting (P = 0.038) experience in the intervention group. However, no significant effect of music and medicine on depression was detected (P = 0.218). Conclusion: Although it has not been shown to have an effect on depression, it was concluded that music and medicine with classical music integrated into the chemotherapy session can reduce the degree of nausea/vomiting and anxiety levels.

The effect of music therapy on chemotherapy-induced nausea and vomiting in women with breast cancer

Background: Chemotherapy-induced nausea and vomiting (CINV) is an unavoidable side effect that affects the quality of life (QoL) and treatment compliance in patients with cancer. While the positive effect of music therapy in many clinical settings has been published, little information is available on the relieving effect of music therapy on CINV. Aim: To evaluate the effect of music therapy on the frequency and severity of CINV in women with breast cancer. Methods: Sixty patients were equally randomized to experimental (music therapy) and control (routine care) groups. One hundred and forty-eight instrumental, relaxation, and religious records were provided to be delivered by a headphone connected to an MP3 player. The intervention consisted of five 25-minute sessions supervised by trained nurses to provide the patient抯 favorite music, volume, and timing arrangement. A 0� visual analog scale (VAS) and the 4-point Likert scale were used to measure the severity of nausea. Frequencies were also asked and recorded. The study endpoints were before, during, and after (8-hours, 16-hours, and 24-hours) chemotherapy. Results: The analysis of variance (ANOVA) showed that the frequency and severity of CINV increased significantly over the first 24 hours after chemotherapy in both groups. The difference between music therapy and control groups was statistically significant with regard to the median of the frequency of nausea (5.92 versus 12.34), frequency of vomiting (4.55 versus 9.95), the severity of nausea (1.26 versus 3.27), and severity of vomiting (1.06 versus 2.53). Conclusion: This study supports the idea of incorporating music therapy into the healing process after chemotherapy in women with breast cancer

Effect of spirituality, exercise, music, and engagement with nature on intelligence, stress, and cognition

Background: Spirituality is recognition of a sense that there is something greater than myself. Physical exercise is any bodily activity that enhances physical fitness and overall health. Music is a universal language to express mind through tone and emotions. Nature is the physical world or the universe. Intelligence is the global capacity of the individual to act purposefully, to think rationally. Emotional intelligence is the ability to understand one’s own emotions and emotions of others. Adversity quotient deals with ability of a person to deal with adversities in life. Aims and Objectives: The present study was designed to study the effect of different interventions on intelligence, stress and cognitive functions. Materials and Methods: The present study was performed on 144 subjects in age group of 30–39 years. Their basal level of intelligence quotient (IQ), emotional quotient (EQ), resilience score (RS), acute stress score (ASS), perceived stress score (PSS), isometric handgrip (IHG), and stroop tests was recorded. The subjects were divided into four groups of 36 each. Four groups were allotted different interventions of spirituality practices, moderate intensity physical exercise, receptive music, and engagement with nature respectively for 1 month duration. Statistical analysis: ANOVA and post hoc tests along with student t-test were used for computing the results. Results: IQ, EQ, RS, ASS, IHG, PSS, and stroop subtests yielded mixed results with four interventions at different levels of significance. Conclusion: Although every intervention had different and positive impact on parameters, overall spiritual practices exhibited better response on parameters.

Musicoterapia y otorrinolaringología

La musicoterapia es el uso profesional, planificado y estructurado de la música como intervención terapéutica, con el objetivo de mejorar la salud y calidad de vida del paciente o el grupo intervenido. Esta herramienta se basa en la evidencia de efectos neuroplásticos, psicológicos y cognitivos de la música en las personas. En las últimas décadas se ha encontrado evidencia de múltiples beneficios de musicoterapia como tratamiento adyuvante en medicina, entre ellos se destacan: reducción del dolor en enfermedades crónicas, oncológicas, procedimientos quirúrgicos y trabajo de parto, disminución de síntomas depresivos y ansiosos en trastornos del ánimo y demencia, mejoría de la sincronización motora y perceptiva en enfermedad de Parkinson, entre otros. La otorrinolaringología se ha establecido, asimismo, como un nicho plausible para musicoterapia. Actualmente existen numerosas líneas de investigación que se han dedicado a generar evidencia científica en torno a musicoterapia y su utilidad en diversos campos de la especialidad; esta revisión pretende recopilar y analizar dicha evidencia. Los resultados obtenidos en los diferentes estudios sugieren, con evidencia de calidad baja a moderada, que existen beneficios significativos en la utilización de esta herramienta en el tratamiento multimodal de tinnitus, manejo del dolor y ansiedad en procedimientos médico-quirúrgicos, y en la rehabilitación de pacientes con hipoacusia e implantes cocleares. Si bien se ha encontrado que la música es una modalidad terapéutica segura, barata y con beneficios que parecen ser prometedores, se requieren más estudios clínicos de buena calidad y validez para recomendar el uso de musicoterapia en otorrinolaringología.

Music therapy is the professional, planned, and structured use of music as a therapeutic intervention, with the objective of improving the health and quality of life of the patient or the intervened group. This tool is based on the evidence of neuroplastic, psychological and cognitive effects of music in people. In the last decades there has been evidence of multiple benefits of music therapy as an adjuvant treatment in medicine, among them: reduction of pain in chronic diseases, oncology, surgical procedures and labor, reduction of depressive and anxious symptoms in mood disorders and dementia, improvement of motor and perceptual synchronization in Parkinson's disease, among others. Otorhinolaryngology has also been established as a plausible niche for music therapy. Currently there are numerous research lines that have been devoted to generate scientific evidence on music therapy and its usefulness in various fields of the specialty, this review aims to compile and analyze such evidence. The results obtained in the different studies suggest, with low to moderate quality evidence, that there are significant benefits in the use of this tool in the multimodal treatment of tinnitus, pain and anxiety management in medical-surgical procedures, and in the rehabilitation of patients with hypoacusis and cochlear implants. Even though music has been found to be a safe and inexpensive therapeutic modality with benefits that appear to be promising, more clinical studies of good quality and validity are required to recommend the use of music therapy in otorhinolaryngology.

Musicoterapia en pacientes con la COVID-19

Introducción: La musicoterapia puede ser utilizada para influenciar en el estado físico y emocional de pacientes diagnosticados con la COVID-19. Se realiza una revisión sistemática exploratoria que incluye estudios observacionales y ensayos clínicos; Pubmed y Scopus fueron las bases de datos empleadas para la realización de la búsqueda. Además, se incluyen registros de ensayos clínicos de la Plataforma de Registros Internacionales de Ensayos Clínicos de la Organización Mundial de la Salud. Objetivo: Explorar la literatura médica disponible, sobre el impacto clínico de la musicoterapia en pacientes diagnosticados con la COVID-19. Desarrollo: De 39 documentos encontrados se incluyen 2 artículos: un ensayo clínico y un reporte de caso, con una población total de 41 pacientes. Se encuentra evidencia médica que respalda el impacto clínico favorable sobre la saturación de oxígeno, rehabilitación física y síntomas asociados al estrés en pacientes con diagnóstico de la COVID-19 con y sin requerimiento de soporte ventilatorio. Conclusiones: La musicoterapia es una herramienta útil en el tratamiento y rehabilitación no farmacológica de pacientes con la COVID-19; sin embargo, son necesarios nuevos estudios clínicos con mayor número de poblaciones muestrales y mayor tiempo de seguimiento.

Background: Music therapy can be used to influence the physical and emotional state of patients diagnosed with COVID-19. An exploratory systematic review was carried out including observational studies and clinical trials, Pubmed and Scopus were the databases used to carry out the literature search. In addition, clinical trial registries from the World Health Organization International Clinical Trials Registry Platform are included. Objective: To explore the available medical literature on the clinical impact of music therapy in patients diagnosed with COVID-19. Development: Of 39 documents found in the search, two articles are included: a clinical trial and a case report, with a total population of 41 patients. Medical evidence is found to support the favorable clinical impact on oxygen saturation, physical rehabilitation and symptoms associated with stress in patients diagnosed with COVID-19 with and without the need for ventilatory support. Conclusions: Music therapy is a useful tool in the non-pharmacological treatment and rehabilitation of patients with COVID-19. However, new clinical studies with a larger number of sample populations and follow-up times using music therapy in this disease are necessary.

Oficinas de composição musical com jovens: reflexões metodológicas para uma práxis transformadora / Workshops of musical composition with young people: methodological reflections for transforming praxis / Talleres de composición musical con jóvenes: reflexiones metodológicas para una praxis transformadora

Este artigo tem como objetivo descrever e problematizar questões referentes à operacionalização de oficinas de composição musical com jovens do movimento hip hop, apresentando potencialidades e dificuldades da utilização desta técnica na pesquisa qualitativa. O estudo foi realizado em uma comunidade na periferia de Cubatão, litoral de SP, segundo o referencial da Psicologia Sócio-Histórica. Utilizou-se a metodologia das oficinas, propondo alguns percursos e estratégias metodológicas para a pesquisa com jovens. Destacam-se os vínculos afetivos como importante estratégia para a construção do conhecimento e a realização das oficinas com a participação dos jovens, inclusive estes como facilitadores e não apenas como interlocutores do estudo. A pesquisa qualitativa e as oficinas de composição musical podem fomentar nos jovens a reflexão crítica da realidade através da objetivação de sua subjetividade, em um trabalho que é dialeticamente individual e coletivo.

This article aims at describing and problematizing issues related to the operationalization of music composition workshops with young people from the hip-hop movement, presenting the potentialities and difficulties of using this technique in qualitative research. The study was carried out in a community on the outskirts of Cubatão, in the coast of São Paulo, according to the Socio-Historical Psychology reference. It used the methodology of the workshops, proposing some pathways and methodological strategies for youth research. Emotional bonds are an important strategy for the construction of knowledge and the realization of the workshops with the participation of the young people, including these as facilitators and not only as interlocutors of the study. The qualitative research and music composition workshops can foster in young people a critical reflection of reality through the objectification of their subjectivity, in a work that is dialectically individual and collective.

Este artículo tiene como objetivo describir y problematizar cuestiones referentes a la operacionalización de talleres de composición musical con jóvenes del movimiento hip hop, presentando potencialidades y dificultades de la utilización de esta técnica en la investigación cualitativa. El estudio fue realizado en una comunidad en la periferia de Cubatão, costa de São Paulo, según el referencial de la Psicología Socio-Histórica. Se utilizó la metodología de los talleres, proponiendo algunos recorridos y estrategias metodológicas para la investigación con los jóvenes. Se destacan los vínculos afectivos como una importante estrategia para la construcción del conocimiento y realización de los talleres con la participación de los jóvenes, inclusive éstos como facilitadores y no sólo como interlocutores del estudio. La investigación cualitativa y los talleres de composición musical pueden fomentar en los jóvenes la reflexión crítica de la realidad a través de la objetivación de su subjetividad, en un trabajo que es dialécticamente individual y colectivo.

Effects of low-frequency repetitive transcranial magnetic stimulation combined with music biofeedback on insomnia / 中国基层医药

Objective:To investigate the effects of low-frequency repetitive transcranial magnetic stimulation (rTMS) combined with music biofeedback on insomnia.Methods:Sixty patients with insomnia who received treatment in Outpatient Department of Seventh People's Hospital of Dongyang from January to August 2021 were included in this study. They were randomly divided into an observation group ( n = 30) and a control group ( n = 30) using the random number table. The control group was given music biofeedback therapy and conventional drug treatment, and the observation group was treated with rTMS based on music biofeedback therapy. The changes in polysomnography sleep structure and Pittsburgh Sleep Quality Index score after 1 month of treatment relative to before treatment were determined in each group. Results:After 1 month of treatment, the total sleep time, sleep efficiency, rapid eye movement (REM) sleep, non-REM sleep phase II (N2%) and non-REM sleep phase III (N3%) in the observation group were (419.87 ± 42.63) minutes, (83.69 ± 13.39)%, (25.27 ± 3.26)%, (53.75 ± 11.36)% and (16.27 ± 2.25)%, respectively, and they were (388.74 ± 40.39) minutes, (76.38 ± 13.17)%, (23.16 ± 2.68)%, (51.62 ± 12.27)%, and (14.36 ± 2.21)%, respectively. There were significant differences in these indices between the two groups ( t = -2.90, -2.13, -2.22, -2.26, -3.31, P = 0.005, 0.037, 0.030, 0.027, 0.002). The sleep latency, actual wake time, numbet of awakenings, non-REM sleep phase I (N1%), and total score of Pittsburgh Sleep Quality Index in the observation group were (24.16 ± 7.82) minutes, (23.18 ± 6.95) minutes, (1.76 ± 0.28) times, (9.74 ± 2.12)%, (9.17 ± 1.56) minutes, respectively. They were (28.35 ± 7.74) minutes, (28.36 ± 7.21) minutes, (2.25 ± 0.79) times, (11.12 ± 1.17)%, and (10.26 ± 1.42) minutes, respectively in the control group. There were significant differences in these indices between the two groups ( t = 2.09, 2.83, 3.20, 3.12, 2.83, P = 0.041, 0.006, 0.002, 0.003, 0.038). Conclusion:rTMS combined with music biofeedback for the treatment of insomnia can effectively improve sleep quality in patients with insomnia.

Clinical efficacy of five-element music therapy in the treatment of bipolar disorder / 中国基层医药

Objective:To investigate the clinical efficacy of five-element music therapy in the treatment of bipolar disorder.Methods:Eighty patients with bipolar disorder admitted to Shandong Mental Health Center from January 2018 to December 2019 were included in this study. They were randomly divided into a study group and a control group ( n = 40/group). The control group was treated with conventional drug treatment. The study group was treated with five-element music therapy based on conventional drug treatment. Before, during and after treatment, mania and depression were evaluated. Symptom self-evaluation scale and the Traditional Chinese Medicine Five State Emotion Questionnaire were completed to evaluate the curative effect. Patients were followed up by telephone call. Recurrence at 3, 6 and 12 months was recorded. Results:Before treatment, there were no significant differences in the scores of the Bech-Rafaelsen Mania Rating Scale (BRMs), Hamilton Depression Rating Scale (HAMD), Traditional Chinese Medicine Five State Emotion Questionnaire, Symptom Checklist-90 (SCL-90) between the two groups (all P > 0.05). During and after treatment, BRMs, HAMD, Traditional Chinese Medicine Five State Emotion Questionnaire, and SCL-90 scores were significantly decreased in each group compared with before treatment [Control group: BRMs score during and after treatment: (11.52 ± 1.57) points, (9.43 ± 1.05) points; HAMD score during and after treatment: (16.75 ± 3.05) points, (13.61 ± 2.51) points; Traditional Chinese Medicine Five State Emotion Questionnaire: emotional vocabulary (67.25 ± 5.7) points, (56.38 ± 4.97) points, physical symptoms (29.52 ± 3.94) points, (24.19 ± 3.05) points, SCL-90 score: (100.52 ± 10.26) points, (68.85 ± 7.33) points. Study group: BRMs score during and after treatment: (9.33 ± 1.09) points, (7.85 ± 0.82) points; HAMD score: (13.74 ± 2.54) points, (10.17 ± 1.97) points; Traditional Chinese Medicine Five State Emotion Questionnaire: emotional vocabulary: (58.19 ± 5.06) points, (46.85 ± 4.06) points, physical symptoms (25.14 ± 3.54) points, (20.11 ± 2.57) points; SCL-90 scores: (90.85 ± 8.97) points, (56.87 ± 5.81) points]. During and after treatment, scores of BRMs, HAMD, Traditional Chinese Medicine Five State Emotion Questionnaire and SCL-90 in the study group were significantly lower than those in the control group ( t = 3.77, 7.01, 4.48, 6.99, 8.78, 4.89, 6.05, 4.19, 7.57, all P < 0.05). Total response rate in the study group was significantly higher than that in the control group (90.0% vs. 72.5%, χ2 = 4.02, P < 0.05). At 3, 6 and 12 months after treatment, recurrence rate in the study group was 2.5%, 15.0% and 30.0%, respectively, which were significantly lower than 17.5%, 35.0%, and 52.5% in the control group ( χ2 = 5.00, 4.26, 4.17, all P < 0.05). Conclusion:Five-element music therapy for the treatment of bipolar disorder can markedly alleviate depression and mania, restore patient's emotional state, improve clinical efficacy, and decrease recurrence rate.

Effects of music training on response inhibition among children with developmental dyslexia / 中国学校卫生

Objective@#To explore the influence of music training on the response inhibition ability of children with developmental dysplasia, and to provide a theoretical basis for improving the response inhibition ability of children with developmental dyslexia.@*Methods@#From September to October 2020, students from grades 3-6 in a primary school in Shenyang, Liaoning Province were selected. A total of 27 children with dyslexia were selected through literacy test and intelligence test, and 23 children with matched reading level were selected. The Go/No-go experimental paradigm was used to investigate the changes of response inhibition in children with developmental dyslexia before and after ALF music training, induding solfeggio, physical rhythm, music scene performance and chorus.@*Results@#The results before and after music training showed that the main effect in the test stage was significant among two groups[ F(1,48)=6.13, P<0.05, η-p 2=0.11], and The accuracy of post-test [(91.80±0.80)%] was significantly higher than that of pre-test [(89.10±0.90)%]; the accuracy of the children with developmental dyslexia in response to the symbolic stimulus No-go was significantly higher in the post-test [(81.81±10.97)%] than in the pre-test [(73.78±15.26)%]( t =-2.33, P = 0.03 ); the accuracy of reading matched children s response to Chinese characters stimulation No-go was significantly better in the post-test [(85.59±12.11)%] than in the pre-test [(78.33±12.98)%]( t = -2.20, P <0.05). In terms of response time, the post-test scores of developmental dyslexia children [(444.06±77.49)ms] were significantly better than those of pre-test children [(519.01±70.75)ms], and there was no significant difference between symbol stimulus and Chinese stimulus in developmental dyslexia children ( P>0.05). @*Conclusion@#Response inhibition is deficient in children with developmental dyslexia. Compared with symbols, the response inhibition ability of Chinese characters is impaired; Music training significantly improved the inhibitory ability of signs in children with developmental dyslexia.

Research Progressin the Application of Creative Arts Therapy to Behavioral and Psychological Symptoms of Dementia / 中国医学科学院学报

Behavioral and psychological symptoms of dementia (BPSD) are common in the patients with dementia.Creative arts therapies (CAT) are one of the safe and effective non-pharmacological interventions for BPSD.This paper elaborates on the therapeutic effects of four common CAT,including art therapy,music therapy,dance therapy,and drama therapy,on BPSD.Despite the shortcomings,CAT offer a new gateway for the safe and noninvasive treatment of BPSD.

Contributions of musical approaches to the development of auditory, speech, and language skills of children and adolescents with cochlear implants: a scoping review / Contributos das abordagens musicais no desenvolvimento das habilidades auditivas, de fala e linguagem de crianças e adolescentes usuários de implante coclear: uma revisão de escopo

ABSTRACT Purpose: to map, through a scoping review, the contributions of musical approaches to developing auditory, speech, and language skills in children and adolescents using cochlear implants (CIs). Methods: a review conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Extension for Scoping Reviews (PRISMA-ScR) and registered in PROSPERO, under the review registration number CRD42020205581. A bibliographic search was carried out in databases in 2020 and updated in August 2023. No date or language limits were applied. Literature Review: altogether, 1,351 studies were found through the search strategy. After the eligibility assessment based on the PCC strategy, 11 studies were selected and analyzed in full text. Conclusion: the studies have demonstrated that musical approaches contribute to developing auditory, speech, and language skills in children and adolescents using CIs.

RESUMO Objetivo: mapear, por meio de uma revisão de escopo, os contributos das abordagens musicais para o desenvolvimento das habilidades auditivas, de fala e linguagem de crianças e adolescentes usuários de implante coclear (IC). Métodos: esta revisão foi conduzida de acordo com o Preferred Reporting Items for Systematic Reviews and the Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) e registrada no PROSPERO com o número de registro da revisão: CRD42020205581. Foi realizada uma busca bibliográfica nas bases de dados em 2020 e atualizada em agosto de 2023. Não foram aplicados limites de data e idioma. Revisão da Literatura: foram encontrados 1.351 estudos por meio da estratégia de busca e após a avaliação de elegibilidade baseada pela estratégia PCC, 11 estudos foram selecionados e analisados na íntegra. Conclusão: os estudos demonstraram que as abordagens musicais contribuem para o desenvolvimento das habilidades auditivas, de fala e linguagem de crianças e adolescentes usuários de IC.

Membranophone percussion instruments in music therapy with adult patients in the health context: a scope review / Instrumentos de percusión de membranófono en musicoterapia con pacientes adultos en el contexto de la salud: revisión de alcance / Instrumentos de percussão membranofones na musicoterapia com pacientes adultos no contexto de saúde: revisão de escopo

ABSTRACT Objective: To map scientific knowledge about the use of percussion instruments in music therapy in individuals over 18 years of age in the health context. Method: Scope review with search strategy implemented in September 2021, in 13 databases, using indexed descriptors and keywords. Studies on the use of membranophones for care of people over 18 years of age were included. Studies with the participation of pregnant women, psychiatric patients (schizophrenia, psychosis, addiction), or people with hearing impairment, and journal editorials were excluded. The selection process was carried out by two independent researchers. Results: Thirteen studies were included and the results showed that the membranophones have a positive impact on the physical, psychological, and social health of people in different care environments, and allow them to repeat rhythmic patterns and play music. Active music therapy was the strategy predominantly used in interventions, and the most used membranophone was the djembe. Conclusion: The results suggest that music therapy with membranophones proved to be a viable intervention with beneficial results in improving physical, psychological, and social health of people over 18 years of age.

RESUMEN Objetivo: Mapear el conocimiento científico sobre el uso de instrumentos de percusión en musicoterapia en mayores de 18 años en el contexto de la salud. Método: Revisión de alcance con estrategia de búsqueda implementada en septiembre de 2021, en 13 bases de datos, utilizando descriptores indexados y palabras clave. Se incluyeron estudios sobre el uso de membranófonos en el cuidado de personas mayores de 18 años. Se excluyeron los estudios con la participación de mujeres embarazadas, pacientes psiquiátricos (esquizofrenia, psicosis, adicción) o personas con discapacidad auditiva; editoriales de revistas. El proceso de selección fue realizado por dos investigadores independientes. Resultados: Se incluyeron trece estudios y los resultados mostraron que los membranófonos tienen un impacto positivo en la salud física, psicológica y social de las personas en diferentes entornos de atención, además de permitirles repetir patrones rítmicos y reproducir música. La musicoterapia activa fue la estrategia predominantemente utilizada en las intervenciones, y el membranófono más utilizado fue el djembe. Conclusión: Los resultados sugieren que la musicoterapia con membranófonos demostró ser una intervención viable con resultados beneficiosos en la mejora de la salud física, psicológica y social de las personas mayores de 18 años.

RESUMO Objetivo: Mapear o conhecimento científico sobre o uso de instrumentos de percussão na musicoterapia, em indivíduos maiores de 18 anos, no contexto de saúde. Método: Revisão de escopo com estratégia de busca implementada em setembro de 2021, em 13 bases de dados, utilizando-se descritores indexados e palavras-chave. Foram incluídos estudos sobre o uso de membranofones no cuidado a pessoas maiores de 18 anos. Foram excluídos estudos com participação de gestantes, pacientes psiquiátricos (esquizofrenia, psicose, adição) ou pessoas com déficit auditivo; e editoriais de revistas. O processo de seleção foi realizado por dois pesquisadores independentes. Resultados: Treze estudos foram incluídos e os resultados mostraram que os membranofones impactam de forma positiva na saúde física, psicológica e social das pessoas, em diferentes ambientes de cuidado, além de habilitá-los a repetir padrões rítmicos e musicar. A musicoterapia ativa foi a estratégia predominantemente utilizada nas intervenções, e o membranofone mais utilizado foi o djembê. Conclusão: Os resultados sugerem que a musicoterapia com membranofones mostrou ser uma intervenção viável com resultados benéficos na melhora da saúde física, psicológica e social em pessoas maiores de 18 anos.

Relación entre el estímulo musical y la producción de leche en madres con recién nacidos menores de 34 semanas en un centro de terapia intensiva: una experiencia de musicoterapia en Uruguay / Relationship between musical stimulation and milk production in mothers with newborns younger than 34 weeks old in an intensive care center: a music therapy experience in Uruguay / Relação entre o estímulo musical e a produção de leite materno em mães com recém nascidos menores de 34 semanas de vida assistidos no centro de terapia intensiva: experiencia de musicoterapia no Uruguai

Introducción: La relación entre producción de leche materna y la música ha sido reportada en diversas publicaciones científicas. No hay publicaciones en Uruguay que analicen esta relación. Este estudio fue realizado por el Instituto Universitario CEDIIAP junto a la Universidad ORT, el Banco de Leche Humana del Hospital Pereira Rossell (CHPR), de la Administración de los Servicios de Salud del Estado. Fue aprobado por el Comité de Ética del CHPR. Objetivo: evidenciar la relación entre el estímulo musical y la producción de leche de madres de recién nacidos pretérmino internados en Cuidados Intensivos del CHPR. Material y métodos: estudio cuasiexperimental, de corte longitudinal, prospectivo, diseño doble: intervención antes después y en paralelo (un grupo contra el otro) utilizando audición de canciones elegidas por las madres con andamiento modificado. Criterios de inclusión: cohorte de madres de recién nacidos ≤ 34 semanas de gestación, sin alimentación a pecho directo, medicación psiquiátrica o que afectara la producción de leche. Se analizó cortisol en saliva y volumen de leche. Como análisis multivariado final, se aplicó el modelo lineal general de medidas repetitivas. Resultados: el estudio se realizó entre marzo de 2017 y agosto de 2018 con 31 madres (15 intervención, 16 control). El grupo intervención presentó mayor producción láctea en los 2 primeros días y disminución del 57 % en niveles de cortisol frente al grupo control. Conclusiones: más allá de las limitaciones del trabajo, los resultados apuntan a que la musicoterapia podría colaborar en la disminución del estrés, el disfrute de la lactancia materna y, consecuentemente, en una mayor producción de leche.

Introduction: the relationship between breast milk production and music has been previously reported in several peer reviewed journals. There are no studies in Uruguay analyzing this relationship. The present study was performed by the CEDIIAP University Institute jointly with the ORT University, at the Pereira Rossell Hospital Human Milk Bank (CHPR) of the Administration of State Health Services (ASSE) in Montevideo. It has been approved by the CHPR's Ethics Committee. Objective: demonstrate the influence of musical stimulation on milk production of mothers with preterm newborns admitted in the CHPR Neonatology Intensive Care Unit. Material and Methods: longitudinal, prospective experimental study with double design: intervention before, simultaneous (one group against the other) and after the study. We used the music therapy technique of listening to songs chosen by the mothers and modified gait. Milk volume was quan- tified, and cortisol presence was analyzed in saliva. The General Linear Model of repetitive measures was applied. Inclusion criteria: cohort of mothers of newborns ≤ 34 weeks of gestation, without direct breastfeeding, psychiatric medication or affecting milk production. Saliva cortisol levels and milk volume were analyzed. As a final multivariate analysis, the General Linear Model of repetitive measures was applied. Results: the study was carried out from March 2017 till August 2018 with a total of 31 mothers (15 intervention, 16 control). Higher milk production in the first two days and a decrease of 57% in cortisol levels were observed in the intervention group compared to the control group. Conclusions: in spite of the limitations of this paper, our results suggest that music therapy can help to reduce the stress and increase the enjoyment of breastfeeding and consequently generate a higher milk production.

Introducion: a relação entre produção do leite materno e a música foi apontada com evidências científicas em vários jornais. Não existem publicações no Uruguai que analisem esta relação. Este estudo foi realizado pelo Instituto universitário CEDIIAP junto com a Universidade ORT, o Banco de Leite Humano do Hospital Pereira Rossell (CHPR) da Administração dos Serviços de Saúde do Estado. Foi aprovado pelo Comité de Ética do CHPR. Objetivo: evidenciar a relação entre o estímulo musical e a produção do leite de mães com recém nascidos prematuros internados na unidade de cuidados intensivos do CHPR. Material e metodo: estudo quase experimental de corte longitudinal, prospectivo com desenho duplo: intervenção antes, depois e em paralelo (um grupo contra o outro) utilizando a audição de canções escolhidas pelas mães e andamento modificado. Critérios de inclusão: coorte de mães de recém nascidos ≤ 34 semanas de gestação sem alimentação a peito direto, nem medicação psiquiátrica ou que afetara a produção de leite. Foi analisado o cortisol em saliva e o volumem de leite. Aplicouse o Modelo Linear General de medidas repetitivas como análise multivariado final. Resultados: o estudo foi realizado entre março 2017 e agosto 2018 com 31 mães (15 do grupo intervenção, 16 do grupo controle). Foi observada maior produção láctea no grupo de intervenção nos dois primeiros dias e diminuição de 57% nos níveis de cortisol em relação ao grupo controle. Conclusões: além das limitações do paper, os resultados apontam para que a musicoterapia poderia colaborar na diminuição do estresse, o desfrute da lactância materna e consequentemente poderiam resultar em uma maior produção de leite.

Effectiveness of music-based interventions for cognitive rehabilitation in Parkinson's disease: a systematic review of randomized controlled clinical trials

Abstract Background Music-based interventions are promising for cognitive rehabilitation in Parkinson's disease; however, systematic reviews covering the topic are scarce. Objective To analyze the effectiveness of music-based interventions for cognitive rehabilitation in PD. Method Systematic review study based on PRISMA criteria. The descriptors Parkinson's disease, Parkinson's disease, idiopathic Parkinson's disease, music-based interventions, music therapy, music training, auditory stimulation, music, rhythm, rhythmic, cognition, and cognitive were used. Five databases were searched PubMed/MEDLINE, PsycInfo, Scopus, Web of Science, and Cochrane in May 2022. Only randomized controlled trials with no limit on publication date or language were included. Risk of bias was assessed following Cochrane Collaboration criteria for development of systematic intervention reviews. Results Nine hundred nineteen articles were found by the descriptors; 266 were excluded for being repeated; 650 for not meeting the inclusion criteria. The remaining three articles were included and analyzed. The interventions consisted of practices with emphasis on rhythm and were conducted in groups. Risks of important biases were observed, such as lack of blinding in the allocation of participants and in the assessment of outcomes, as well as incomplete data for some outcomes. Conclusion Overall, the results showed no evidence of efficacy of music-based interventions for cognitive outcomes in PD.

Desenvolvimento e validação do BATUTA: um teste para avaliação da percepção musical de pessoas com deficiência auditiva / Development and validation of BATUTA: a test to evaluate the musical perception of people with hearing impairment

RESUMO Objetivo Descrever o desenvolvimento e a validação de um teste de percepção musical, denominado BATUTA, destinado a avaliar a percepção musical de pessoas com deficiência auditiva, usuárias de aparelhos de amplificação sonora individual (AASI). O BATUTA é um teste computadorizado composto por 35 subtestes divididos nos módulos ritmo, pitch e timbre para os quais os participantes devem responder se as amostras sonoras e/ou os trechos musicais apresentados, aos pares, são iguais ou diferentes. Método O processo de construção do BATUTA foi composto por quatro etapas: desenvolvimento do teste, submissão da versão inicial ao comitê de especialistas para validação de conteúdo; aplicação do piloto em 51 participantes com audição normal e reteste para validação da confiabilidade, fundamentadas em reconhecidas recomendações para elaboração e validação de instrumentos de avaliação. Diretrizes relacionadas à natureza das amostras sonoras utilizadas, aos atributos musicais avaliados, ao ambiente de testagem e ao tipo de resposta indicada para a finalidade do BATUTA foram amplamente investigadas, com o propósito de lhe conferir fidedignidade. Resultados Os índices de Validação de Conteúdo (IVC) e de concordância entre os especialistas, quando analisados juntamente com as recomendações do comitê, resultaram em correções e em novas gravações dos áudios para garantir o cumprimento do teste. Os escores da aplicação do teste piloto indicaram boa consistência interna e o reteste confirmou a confiabilidade do BATUTA. Conclusão Os resultados demonstraram a viabilidade do BATUTA para avaliar a percepção musical de pessoas com deficiência auditiva usuárias de AASI.

ABSTRACT Purpose To describe the development and validation of a test, called BATUTA, that assesses the musical perception of people with hearing impairment that are hearing aid (HA) users. BATUTA is a computerized test with 35 subtests, divided into the rhythm, pitch, and timbre modules, and the participants must answer whether the sound samples and/or parts of the songs, presented in pairs, are the same or not. Methods The BATUTA creation process consisted of four stages: test development, submission to the expert committee for content validation; pilot application with 51 normal hearing participants and retest to validate reliability. The process was based on several recommendations for the development and validation of musical assessment instruments. A deep investigation of the guidelines related to sound samples used, musical attributes evaluated, testing environment and the most appropriate response method was undertaken to ensure dependability. Results The Content Validity Index (CVI) and expert agreement rates, when analyzed with the committee's recommendations, resulted in corrections and new audio recordings to ensure compliance to the test. The pilot test scores indicated internal consistency and the retest confirmed the reliability of BATUTA. Conclusion The results demonstrated the viability of BATUTA to assess the musical perception of people with hearing impairment that are HA users.

Nota de passagem no perfil de extensão vocal de coristas: estudo preliminar de frequência e intensidade / Passaggio on chorists' voice range profile: preliminary study of frequency and intensity

RESUMO Objetivo Analisar a nota de passagem no perfil de extensão vocal de coristas, pela identificação das frequências fundamentais e intensidades, tanto na mudança para o registro agudo quanto para o grave, comparando-as, por naipe. Método Participaram 67 coristas, com média de idade de 27,79 (±7,50) anos, dos naipes: soprano (n=20), contralto (n=17), tenor (n=15) e baixo (n=15). Para coleta e análise dos dados utilizou-se o software Vocalgrama (CTS Informática) no qual foi realizada a gravação da emissão da vogal /Ɛ/ em glissando ascendente e descendente, até às frequências mais grave e mais aguda, nas intensidades mais fraca e mais forte possíveis. Resultados Foram identificados os valores das frequências e respectivas intensidades das notas de passagem nas emissões ascendentes e descendentes fortes e fracas nos quatro naipes. Houve maior ocorrência de identificação de quebra nas vozes agudas, comparativamente às mais graves. Os valores médios das frequências encontradas foram correspondentes a notas diferentes das estabelecidas na literatura para todos os naipes. Conclusão As notas de passagem identificadas no perfil de extensão vocal de coristas, a partir de suas frequências e intensidades, obtiveram maior ocorrência nos naipes soprano e tenor, comparativamente ao contralto e baixo, nas mudanças para os registros graves e agudos.

ABSTRACT Purpose To analyze the passaggio in the voice range profile of choristers, by identifying the fundamental frequencies and intensities, both in the change to the high and low registers, comparing them, by voice types. Method 67 choristers participated, mean age of 27.79 (± 7.50) years old, of the following voice types: soprano (n = 20), alto (n = 17), tenor (n = 15) and bass (n = 15). For data collection and analysis, the Vocalgram software (CTS Informática) was used, which recorded the emission of the vowel / Ɛ / in ascending and descending glissando, up to the lowest and highest note in the weakest and strongest intensities possible. Results The values of frequencies and respective intensities of the passaggio were identified in ascending and descending, strong and weak emissions in all voice types. There was a higher occurrence of voice break in the high voices, compared to the low ones. The average values ​​of the frequencies found corresponded to different tones from those established in the literature for all voice types. Conclusion The passaggio identified in the vocal range profile of choristers, based on their frequencies and intensities were more frequent in soprano na tenor, compared to alto and bass, in changes to the low and high registers.