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1.
Medicine (Baltimore) ; 99(4): e18866, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31977888

RESUMO

BACKGROUND: Multiple sclerosis (MS) is a demyelinating disease, affecting both the sensorimotor and cognitive systems. The typical pattern of cognitive impairment includes reduced speed of information processing, decreased phonological and semantic speech fluency, deficits in verbal and visual episodic memory, as well as attention and executive dysfunctions. We aimed to investigate the influence of the neurologic music therapy (NMT) on mood, motivation, emotion status, and cognitive functions in patients with MS. METHODS: Thirty patients with MS were randomly divided in 2 groups: the control group (CG) undergoing conventional cognitive rehabilitation (CCR), 6 times a week for 8 weeks, and the experimental group (EG) undergoing CCR 3 times a week for 8 weeks plus NMT techniques, performed 3 times a week for 8 weeks. All the participants were submitted to the same amount of treatment. Each patient was evaluated before (baseline: T0) and immediately after the end of each training (T1). MAIN OUTCOMES MEASURES: We used as main outcome measure: the brief repeatable battery of neuropsychological test to assess various cognitive abilities; and the multiple sclerosis quality of life-54 (MSQoL-54). RESULTS: Both the groups benefit from 8 weeks of CR. In particular, the EG got better results in cognitive function, with regard to selective reminding test long term storage (P < .000), long term retrieval (P = .007), and delayed recall of the 10/36 spatial recall test (P = .001), as compared with the CG. Moreover, the improvement in emotional status, motivation, mood and quality of life (with regard to the mental component; P < .000) was more evident in the EG. CONCLUSIONS: NMT could be considered a complementary approach to enhance CCR in patients affected by MS.


Assuntos
Disfunção Cognitiva/terapia , Esclerose Múltipla/terapia , Musicoterapia/métodos , Afeto , Disfunção Cognitiva/etiologia , Feminino , Humanos , Masculino , Memória , Pessoa de Meia-Idade , Esclerose Múltipla/complicações , Esclerose Múltipla/psicologia , Projetos Piloto , Qualidade de Vida , Método Simples-Cego , Resultado do Tratamento
2.
Support Care Cancer ; 28(1): 351-360, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31049671

RESUMO

PURPOSE: This study aimed to explore the possible range of change of a single-session music intervention (SMI) on symptom clusters and neurological reactivity for women with breast cancer undergoing chemotherapy. METHODS: A parallel and randomized, controlled study with repeated measures design was used. A total of 100 women with breast cancer were randomly assigned to the SMI or a control group. The outcome measurements of symptom cluster were collected using the Multidimensional Fatigue Symptom Inventory, Pittsburgh Sleep Quality Index, the Hospital Anxiety and Depression Scale, and the neurological reactivity with heart rate variability at four time points: before commencement of the intervention (T0), immediately afterward (T1), 1 week later (T2), and 3 weeks after the intervention (T3). RESULTS: Of the 50 women in each group, 46 in the SMI and 48 in the control group completed the post-test at T3. Multivariate analysis of variance indicated that the SMI group had a medium effect in change of symptom clusters compared to the control group at T2. Moreover, after adjusting for baseline between normal and higher levels of sympathetic tone activity, significant differences existed in fatigue and depression at T2 and sleep disturbance at T3. CONCLUSIONS: A single-session music intervention can be effectively used to reduce symptom clusters for women with breast cancer. Targeting those who have a higher level of sympathetic tone activity is recommended.


Assuntos
Neoplasias da Mama/complicações , Neoplasias da Mama/terapia , Frequência Cardíaca/fisiologia , Musicoterapia/métodos , Adulto , Ansiedade/etiologia , Ansiedade/terapia , Doenças do Sistema Nervoso Autônomo/etiologia , Doenças do Sistema Nervoso Autônomo/terapia , Neoplasias da Mama/fisiopatologia , Neoplasias da Mama/psicologia , Depressão/etiologia , Depressão/terapia , Fadiga/etiologia , Fadiga/terapia , Feminino , Humanos , Pessoa de Meia-Idade , Música/psicologia , Autorrelato , Transtornos do Sono-Vigília/etiologia , Transtornos do Sono-Vigília/terapia , Inquéritos e Questionários , Avaliação de Sintomas , Síndrome
3.
J Music Ther ; 56(4): 381-402, 2019 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-31742643

RESUMO

The MAP is an innovative receptive music therapy intervention derived from psychomusical relaxation methods that aims to foster the well-being and recovery of youths with mental health problems by providing them with an adaptive and effective music-assisted means to regulate their mood states. In this quasi-experimental pilot study, we assessed the mood-enhancing potential of participation in MAP sessions delivered by a music therapist in an in-patient mental health facility for children and adolescents. Using short standardized self-reported questionnaires, 20 participants aged 9-17 years old (M = 14, SD = 2.4), mainly girls (13 = 65%), rated their affective state immediately before and after two to four MAP sessions and a similar number of regular unit activity sessions used as comparison. This created a 2 × 2 (Time × Condition) single-group within-individual design. We analyzed pre-post session changes in affect using multilevel mixed models and found participation in MAP sessions to be associated with systematic reductions in self-reported general negative affect and state anxiety. These variations were of modest-to-large magnitude and significantly greater than those associated to participation in regular unit activities. While only a first step towards the validation of the MAP as an effective intervention to foster more adaptive and effective day-to-day mood regulation in youths with mental health problems, this study supports its specific potential to alleviate negative affects and provides a rare demonstration of the putative benefits of music therapy in a pediatric mental health inpatient context.


Assuntos
Pacientes Internados/psicologia , Transtornos Mentais/reabilitação , Musicoterapia/métodos , Música/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Terapia de Relaxamento/métodos , Adolescente , Afeto , Ansiedade/terapia , Criança , Emoções , Feminino , Humanos , Masculino , Saúde Mental , Projetos Piloto , Inquéritos e Questionários
4.
J Music Ther ; 56(4): 348-380, 2019 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-31605612

RESUMO

Music therapy research with youth who are grieving often reports on a combination of interventions, such as lyric analysis, improvisation, and/or songwriting. Unfortunately, the lack of theoretical transparency in how and why these interventions affect targeted outcomes limits interpretation and application of this important research. In this exploratory study, the authors evaluated the impact of an 8-session, theory-driven group songwriting program on protective factors in adolescent bereavement, and also sought to better understand adolescents' experiences of the program. Using a single-group, pretest-posttest convergent mixed methods design, participants were enrolled from three study sites and included 10 adolescents (five girls and five boys), ages 11-17 years, who self-identified as grieving a loss. Outcomes measured included grief, coping, emotional expression, self-esteem, and meaning making. Qualitative data were captured through in-session journaling and semi-structured interviews. There were no statistically significant improvements for grief, self-esteem, coping, and meaning making. Individual score trends suggested improvements in grief. The majority of the participants reported greater inhibition of emotional expression, and this was statistically significant. Thematic findings revealed that the program offered adolescents a sense of togetherness, a way to safely express grief-related emotions and experiences verbally and nonverbally, and opportunities for strengthening music and coping skills. These findings suggest that engaging in collaborative therapeutic songwriting with grieving peers may decrease levels of grief, enhance creative expression, and provide social support. More research is needed on measuring self-esteem, emotional expression, coping, and meaning making outcomes in ways that are meaningful to adolescents.


Assuntos
Adaptação Psicológica , Luto , Emoções , Musicoterapia/métodos , Redação , Adolescente , Criança , Feminino , Pesar , Humanos , Masculino , Música , Pesquisa Qualitativa , Autoimagem , Apoio Social
5.
Rehabilitación (Madr., Ed. impr.) ; 53(3): 181-188, jul.-sept. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-185555

RESUMO

Introducción: las intervenciones terapéuticas formales basadas en la música han sido usadas en rehabilitación para estimular funciones cerebrales implicadas en el movimiento. Objetivo: el objetivo del estudio es realizar una revisión sistemática y conducir un meta-análisis siguiendo las recomendaciones PRISMA sobre la eficacia de la terapia musical en la funcionalidad del miembro superior en pacientes con hemiparesia secundaria a un ictus. Métodos: se realizó una búsqueda en las bases de datos de Pubmed, clinicaltrials.gov y Cochrane en septiembre de 2018. Los artículos incluidos en esta revisión debían cumplir los siguientes criterios: ensayos controlados aleatorizados con intervenciones terapéuticas musicales que evaluasen la mejora en la destreza manual, medido con el test de cajas y bloques (Box and Block Test) en sujetos mayores de 18 años con un déficit residual secundario a un ictus isquémico o hemorrágico en los meses previos. Resultados: seis estudios de 371 trabajos analizados fueron incluidos en el estudio y posterior meta-análisis con un total de 149 pacientes. Las intervenciones musicales mejoraban la funcionalidad de la extremidad parética en pacientes con ictus frente a los controles con tratamiento convencional siendo el efecto significativamente estadístico en el meta-análisis, con una diferencia de la media estandarizada en el Box and Block Test de 0.40 (95% CI 0.09 - 0.72). Conclusiones: las intervenciones musicales podrían ser beneficiosas para la recuperación funcional de la extremidad superior. Estos resultados son motivadores pero se requiere de un mayor número de ensayos clínicos para confirmar estos hallazgos para su posterior implantación en la práctica clínica


Introduction: formal therapeutic interventions based on music have been used in rehabilitation to stimulate the brain functions involved in movement. Objective: the objective of this study was to conduct a systematic review and meta-analysis following the PRISMA recommendations on the effectiveness of music therapy in improving the functionality of the upper limb in patients with hemiparesis secondary to stroke. Methods: a search of the Pubmed, clinicaltrials.gov and Cochrane databases was performed in September 2018. The articles included in this review had to meet the following criteria: randomised controlled trials with therapeutic interventions that evaluated improvement in manual dexterity, measured with the box and block test in patients older than 18 years with a residual deficit secondary to an ischaemic or haemorrhagic stroke in the previous months. Results: of 371 studies analysed, six were included in the study and subsequent meta-analysis with a total of 149 patients. The musical interventions improved the functionality of the parietal limb in patients with stroke compared with that in controls who received conventional treatment. This effect was statistically significant in the meta-analysis, with a difference in the standardised mean in the box and block test of 0.40 (95% CI 0.09 - 0.72). Conclusions: musical interventions could be beneficial for the functional recovery of the upper extremity. These results are encouraging but a greater number of clinical trials are required to confirm these findings before their subsequent implementation in clinical practice


Assuntos
Humanos , Acidente Vascular Cerebral/complicações , Reabilitação do Acidente Vascular Cerebral/métodos , Musicoterapia/métodos , Plasticidade Neuronal/fisiologia , Resultado do Tratamento
7.
Holist Nurs Pract ; 33(5): 295-302, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31415009

RESUMO

The purpose of the study is to determine the effects of music on the life signs of patients in the postanesthesia care unit after laparoscopic surgery. The study was carried out as a quasi-experimental model with pretest-posttest and control group in the postanesthesia care unit of a training and education hospital from March 2017 to May 2018. The sample consisted of 148 patients (74 experiment and 74 control) who were selected by the method of nonprobability sampling determined on the basis of power analysis who met the inclusion criteria. When the change in the life signs between the groups was examined, after music treatment (second measurement), there was a significant difference only in the respiratory rates (P < .05). There was a significant difference in terms of diastolic blood pressures and respiratory rates in the first admission to the clinic from the postanesthesia care unit (third measurement) (P < .05).


Assuntos
Musicoterapia/normas , Manejo da Dor/normas , Sinais Vitais/fisiologia , Adolescente , Adulto , Colecistectomia Laparoscópica/métodos , Colecistectomia Laparoscópica/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Musicoterapia/métodos , Musicoterapia/tendências , Manejo da Dor/métodos , Medição da Dor/métodos , Sala de Recuperação/organização & administração , Sala de Recuperação/estatística & dados numéricos
8.
J Clin Psychopharmacol ; 39(5): 499-503, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31433343

RESUMO

BACKGROUND: Auditory binaural beat (BB) stimulation is known to modulate electroencephalographic activity by brain entrainment, but few studies have established whether BB can affect the sleep state. We examined the effect of θ BB in improving sleep disturbances and daytime alertness. METHODS: We conducted double-blind and sham-controlled randomized trial. Subjects with subclinical insomnia were randomly assigned and listened to music for 2 weeks with or without θ BB for 30 minutes before going to sleep. RESULTS: There were 43 participants (32 female; mean age, 34.3 ± 10.4 years) who finished the trial. The insomnia severity decreased at 2 weeks in both groups without significant differences in Insomnia Severity Index score (4.41 ± 4.32 vs 2.71 ± 4.66, P = 0.656), although the effect was much stronger for the music with the BB group than for the music-only group (Cohen d = 1.02 vs 0.58). In awake electroencephalographic analysis, the relative ß power after 2 weeks was higher in the music with the BB group than in the music-only group (0.2 ± 7.02 vs -3.91 ± 6.97, P = 0.041). CONCLUSIONS: Auditory θ BB with music does not induce evident improvement of sleep disturbances more than does pure music, but could alter brain activity toward increasing daytime alertness in subclinical insomnia, which needs to be corroborated in a clinical population.


Assuntos
Estimulação Acústica/métodos , Musicoterapia/métodos , Distúrbios do Início e da Manutenção do Sono/terapia , Adulto , Método Duplo-Cego , Eletroencefalografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Adulto Jovem
9.
Cir Cir ; 87(5): 545-553, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31448793

RESUMO

Objective: To determine if sonotherapy reduces the anxiety level and postoperative pain in adults undergoing outpatient orthopedic surgery under regional anesthesia. Method: A randomized, double-blind, placebo-controlled study in 80 adult patients undergoing orthopedic surgery, 40 received intervention with sonotherapy and 40 did not receive it. Pain, anxiety in the preoperative period, immediate postoperative, high, 24 and 48 hours later were measured. Hemodynamic parameters were measured in four moments. Results: No significant differences were found between the two groups in the pain scales neither anxiety. A significant reduction of the systolic blood pressure was observed after the application of sonotherapy and in recovery. There was no difference in other hemodynamic variables such as heart rate, respiratory rate, arterial oxygen saturation or diastolic blood pressure between groups, however, the observed changes in some of them occurred faster in the intervention group. Conclusions: In adult patients undergoing outpatient orthopaedic surgery under regional anaesthesia, sound therapy is a novel strategy that significantly reduces systolic blood pressure, considered as an indicator of decreased anxiety. However, in our study, no difference could be demonstrated in terms of pain control or the need for additional sedation or analgesia.


Assuntos
Anestesia por Condução , Ansiedade/prevenção & controle , Musicoterapia , Manejo da Dor/métodos , Dor Pós-Operatória/prevenção & controle , Adolescente , Adulto , Algoritmos , Procedimentos Cirúrgicos Ambulatórios , Analgésicos Opioides/uso terapêutico , Ansiedade/etiologia , Pressão Sanguínea , Terapia Combinada , Método Duplo-Cego , Feminino , Hemodinâmica , Humanos , MP3-Player , Masculino , Pessoa de Meia-Idade , Musicoterapia/instrumentação , Musicoterapia/métodos , Procedimentos Ortopédicos/efeitos adversos , Procedimentos Ortopédicos/psicologia , Medição da Dor , Dor Pós-Operatória/tratamento farmacológico , Dor Pós-Operatória/etiologia , Dor Pós-Operatória/psicologia , Cuidados Pós-Operatórios , Cuidados Pré-Operatórios , Adulto Jovem
10.
Medicine (Baltimore) ; 98(32): e16495, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31393353

RESUMO

OBJECTIVE: This study examined the effects of music therapy with cognitive behavioral therapy on social anxiety in a sample of schooling adolescents in south-east Nigeria. METHODS: We adopted a randomized controlled trial design involving a treatment group and a waiting-list control group. A total of 155 schooling adolescents served as the study sample. The sample size was ascertained using GPower software. A 12-week MTCBP manual for social anxiety was employed to deliver the intervention. Data analyses were completed using repeated measures analysis of variance. RESULTS: We found that social anxiety significantly decreased in the treatment group over time, whereas the waitlist control group showed no significant changes in social anxiety. Therefore, music therapy with cognitive-behavioral therapy was significantly beneficial in decreasing social anxiety symptoms of the treatment group. The follow-up assessment performed after 3 months revealed a significant reduction in social anxiety for the treatment group. CONCLUSION: The study, therefore, suggests that the use of music therapy with cognitive-behavioral therapy is significant in reducing social anxiety among schooling adolescents.


Assuntos
Ansiedade/terapia , Terapia Cognitivo-Comportamental/métodos , Musicoterapia/métodos , Adolescente , Terapia Combinada , Feminino , Humanos , Masculino , Nigéria , Índice de Gravidade de Doença , Fatores Socioeconômicos
11.
J Altern Complement Med ; 25(10): 993-1004, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31298550

RESUMO

Objectives: Five-element music constitutes a complementary therapy in stroke and other acquired brain injuries. Aphasia represents a great problem faced by individuals with stroke. Five-element music, a new type of therapy, may benefit people with poststroke aphasia (PSA). The present study summarized evidences describing the effects of five-element music in language treatment in patients with PSA. Methods: A total of 20 databases and websites were searched from inception to May 2018, including published or unpublished gray literature. Both randomized controlled trials (RCTs) and controlled clinical trials were included in the literature review. Two reviewers independently screened and assessed relevant publications; data extraction was carried out with specific forms. The above reviewers also assessed the quality of each trial by using the Cochrane Handbook for Systematic Reviews of Interventions. After evaluating heterogeneity among studies, quantitative synthesis was applied, where appropriate. Review Manager (Rev Man) 5.3 was employed to examine the pooled effect of five-element music for PSA compared with control therapy. Results: Six RCTs met the eligibility criteria and included 516 patients and were assessed by meta-analysis and quality analysis. Five-element music more significantly increased language scores than Western music therapy or routine care controls in repetition (standardized mean difference [SMD] = 1.96; 95% confidence interval [CI] 0.55-3.37), spontaneous speech (SMD = 1.29; 95% CI 0.53-2.04), and naming (SMD = 1.11; 95% CI 0.80-1.43) (all p < 0.05). No adverse events were reported. Conclusions: Five-element music might moderately improve language rehabilitation in individuals with PSA; however, higher quality RCTs with consistent interventions are required to confirm these findings.


Assuntos
Afasia/terapia , Musicoterapia/métodos , Reabilitação do Acidente Vascular Cerebral/métodos , Idoso , Afasia/etiologia , China , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Acidente Vascular Cerebral/complicações
12.
Nord J Psychiatry ; 73(7): 401-408, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31361175

RESUMO

Background: Increasing attention is focusing on psychosocial interventions for treating patients with dementia. Aims: This observational intervention study investigated the impact of physical exercise and music interventions among patients with dementia on an acute psychogeriatric ward. Materials and methods: The data were collected during February 2009-December 2010 (n = 89; treatment as usual) and during April 2011-March 2013 (n = 86; treatment as usual with physical exercise, e.g. balance, flexibility, strength training, and music interventions, e.g. singing, listening to music and playing instruments). The primary outcome measure was the Neuropsychiatric Inventory and the secondary outcome measures were the Alzheimer's Disease Cooperative Study-Activities of Daily Living, the Barthel Index, and the Mini-Mental State Examination. Results: In both groups, neuropsychiatric symptoms (NPS) decreased (p < .001) but daily functioning deteriorated (p < .001). No significant between-group differences for either outcome variable were found. Based on linear mixed models, fewer exercise sessions associated with more severe symptoms (p = .030), and the time variable (admission/discharge) with a decline in the level of NPS (p < .001). Moreover, female gender (p = .026) and more exercise sessions (p = .039) associated with an increased level of functioning (p = .031) and the time variable (admission/discharge) with a drop in the level of functioning during hospitalization (p < .001). Conclusion: Although no differences were found between the study groups, analysis within the intervention group suggest that physical exercise may have some positive effects for both NPS and the level of functioning in some patients with dementia while no positive effects regarding music interventions were found.


Assuntos
Demência/terapia , Terapia por Exercício/métodos , Exercício , Psiquiatria Geriátrica/métodos , Musicoterapia/métodos , Unidade Hospitalar de Psiquiatria , Atividades Cotidianas/psicologia , Idoso , Idoso de 80 Anos ou mais , Demência/psicologia , Exercício/fisiologia , Exercício/psicologia , Terapia por Exercício/psicologia , Feminino , Humanos , Pacientes Internados/psicologia , Masculino , Pessoa de Meia-Idade
13.
Enferm. glob ; 18(55): 455-461, jul. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-186247

RESUMO

Introducción: la musicoterapia se entiende por el uso de la música o sus elementos con fines terapéuticos. Su empleo en la enfermería es escaso más allá del uso de la intervención NIC 4400. Objetivo: conocer y analizar el grado de aceptación por parte de los estudiantes de enfermería ante la posible inclusión de la musicoterapia como asignatura en los programas educativos de los estudios de Grado en Enfermería. Método: se ha realizado un estudio observacional descriptivo de corte transversal con una muestra n=346 participantes. Resultados: los resultados muestran que el 93,93% de los alumnos sí incluirían la musicoterapia como una asignatura Optativa en los estudios de Grado en Enfermería, haciendo uso de ella en su futuro profesional


Introduction: music therapy is understood by the use of music or its elements for therapeutic purposes. Its use in nursing is scarce beyond the use of the NIC 4400 intervention. Objective: the research aims to know and analyze the degree of acceptance by nursing students regarding the possible inclusion of music therapy as a subject in the educational programs of the Nursing Degree studies. Method: a cross-sectional, observational, descriptive study was carried out with a sample of n=346 participants. Conclusion: the results show that 93.93% of the students did include music therapy as an optional subject in Nursing Degree studies, making use of it in their professional future


Assuntos
Humanos , Educação em Enfermagem/tendências , Musicoterapia/métodos , Currículo/tendências , Estudantes de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários
14.
J Music Ther ; 56(3): 287-314, 2019 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-31225588

RESUMO

Children with autism spectrum disorder (ASD) frequently demonstrate atypical processing of sensory information and deficits in attentional abilities. These deficits may impact social and academic functioning. Although music therapy has been used to address sensory and attentional needs, there are no studies including physiologic indicators of sensory processing to determine the impact of music therapy. The objective of this study was to determine the feasibility of conducting study protocols, determine the adequacy of electroencephalography (EEG) and behavioral measures in identifying attentional differences in children with ASD compared with typically developing (TD) children, and to gather preliminary evidence of intervention effects on brain responses and attention outcomes. Seven children with high functioning ASD ages 5 -12 and seven age- and gender-matched TD completed procedures measuring brain responses (EEG) and behaviors (the Test of Everyday Attention for Children). Children with ASD then completed a 35-min individual music therapy attention protocol delivered by a board-certified music therapist ten times over 5 weeks. Children with ASD completed measures of brain responses and behavior post-intervention to determine pre- to post-test differences. Consent and completion rates were 100% for children who met the study criteria. Feasibility measures indicated that measures of brain responsivity could be used to determine attentional differences between children with ASD and typical children. Initial outcome data for brain responses and behavior indicated positive trends for the impact of music therapy on selective attention skills.


Assuntos
Atenção/fisiologia , Transtorno Autístico/terapia , Musicoterapia/métodos , Filtro Sensorial/fisiologia , Transtorno Autístico/complicações , Transtorno Autístico/psicologia , Criança , Pré-Escolar , Eletroencefalografia , Estudos de Viabilidade , Feminino , Humanos , Masculino , Música , Comportamento Social , Habilidades Sociais , Resultado do Tratamento
15.
JMIR Mhealth Uhealth ; 7(6): e11310, 2019 06 27.
Artigo em Inglês | MEDLINE | ID: mdl-31188130

RESUMO

BACKGROUND: Research on mobile health (mHealth) app use during adolescence is growing; however, little attention has been paid to black adolescents, particularly black girls, who are generally underresearched and underserved in psychological intervention research. Cognitive restructuring is an important tool in anxiety and fear management and involves two parts: (1) recognizing and deconstructing erroneous thoughts and (2) replacing negative anxiety and stress-provoking thoughts with positive thoughts. In our work with black adolescent females, we found that cognitive restructuring is a difficult skill to practice on one's own. Thus, drawing upon the importance of music in the black community, we developed the Build Your Own Theme Song (BYOTS) app to deliver a musical form of the technique to middle-school black girls. OBJECTIVE: Our aim in this mixed methods study is to evaluate the effectiveness of the BYOTS app. We hypothesize that participants will expect the app to be effective in reducing negative thoughts and that the app will meet their expectations and data generated from the app will demonstrate a reduction in negative thinking and anxiety. METHODS: A total of 72 black or biracial seventh- and eighth-grade adolescent females were enrolled in Sisters United Now (SUN), an eight-session culturally infused and app-augmented stress and anxiety sister circle intervention. Before using the BYOTS app, girls completed the Multidimensional Anxiety Scale for Children 2 and the App Expectations Survey. Usage data collected from the app included an assessment of negative thinking before and after listening to their song. After completion of the intervention, focus groups were held to gather qualitative data on participants' app experience. RESULTS: Results using paired sample t tests indicated negative thinking was significantly lower at day 7 than day 1 (t31=1.69, P=.05). Anxiety from preuse to postuse of the app was also reduced (t38=2.82, P=.004). Four effectiveness themes emerged from the focus groups: difference in behavior and temperament, promoted calmness, helpfulness in stressful home situations, and focused thinking via the SUN theme song. CONCLUSIONS: The BYOTS app is a useful tool for delivering musical cognitive restructuring to reduce negative thinking and anxiety in an underserved urban population. Changes were supported both quantitatively and qualitatively. Participants, their peers, and their family noted the difference. Findings support expanding the research to black girls of various socioeconomic statuses and geographic diversity. Currently, the app augments SUN, a culturally relevant intervention. Future research will explore BYOTS as a stand-alone app.


Assuntos
Aplicativos Móveis/normas , Musicoterapia/normas , Adolescente , Afro-Americanos/etnologia , Afro-Americanos/psicologia , Afro-Americanos/estatística & dados numéricos , Criança , Feminino , Grupos Focais/métodos , Humanos , Masculino , Aplicativos Móveis/estatística & dados numéricos , Musicoterapia/métodos , Musicoterapia/estatística & dados numéricos , Ohio , Pesquisa Qualitativa , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , População Urbana/estatística & dados numéricos
16.
Compr Child Adolesc Nurs ; 42(sup1): 197-207, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31192716

RESUMO

This study aimed to investigate the effects of the combined music and sleep hygiene education (COMMASH-E) intervention on the fatigue, sleep quality and functional status of children with cancer residing in temporary lodges in Indonesia. The design of this study was a quasi-experimental pre-post test with a control group. We recruited children with cancer aged 7-18 years (n = 58) using a consecutive sampling method and assigned them to intervention and control groups (n = 29 in each group). The intervention group had the COMMASH-E intervention while the control group received routine care. Fatigue, sleep quality and functional status were measured on days 1 and 4 using Allen's Fatigue in Childhood Cancer Scale, the Sleep Problem in Children Scale and the Barthel Index, respectively. T-dependent and independent tests and Multivariate Analysis of Covariance (MANCOVA) tests were performed for the data analysis. There were significant differences in fatigue, sleep quality and functional status between the intervention and control groups after the COMMASH-E intervention. Nonetheless, chemotherapy drugs contributed to the children's sleep quality. COMMASH-E was found to be more effective than routine care in the reducing fatigue and increasing the sleep quality and functional status of children with cancer.


Assuntos
Musicoterapia/normas , Neoplasias/complicações , Higiene do Sono/fisiologia , Adolescente , Análise de Variância , Criança , Cognição/fisiologia , Tratamento Farmacológico/métodos , Fadiga/etiologia , Fadiga/psicologia , Feminino , Humanos , Indonésia , Masculino , Musicoterapia/métodos , Neoplasias/psicologia , Psicometria/instrumentação , Psicometria/métodos , Transtornos do Sono-Vigília/complicações , Transtornos do Sono-Vigília/etiologia , Transtornos do Sono-Vigília/psicologia
17.
Compr Child Adolesc Nurs ; 42(sup1): 82-89, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31192722

RESUMO

Music therapy and story telling are examples of nursing interventions that facilitate the management of sleep disturbance in children. However, only a few studies have addressed the effectiveness of music therapy and storytelling on hospitalized children. This study aimed to examine the effect of music therapy and storytelling on sleep disturbance in hospitalized children for various medical conditions. This recent study was a preliminary study that included two intervention groups without a control group. This study involved 31 children with ages ranging from infancy to school age who were assigned to a 3-day music therapy or storytelling intervention group. Group 1 received music therapy (n = 16) and group 2 was provided with story telling (n = 15). Data collection was conducted from February through April 2018 in an infectious diseases ward of a hospital in Jakarta. Data related to sleep disturbance in children was collected using GATIA scale, an instrument measuring a sleep disturbance scale. Study results showed a significant change in the average of sleep disturbance scale score in both group 1 and group 2 (p < α; α = .05) which demonstrate that both music therapy and story telling improved scores on a sleep disturbance scale in hospitalized children. Music therapy and story telling were equally effective in managing sleep disturbance in children. Music therapy and story telling are safe, cheap, and convenient interventions that can improve the quality of sleep in children during hospitalization.


Assuntos
Criança Hospitalizada/psicologia , Musicoterapia/normas , Transtornos do Sono-Vigília/terapia , Sono , Criança , Pré-Escolar , Humanos , Indonésia , Masculino , Musicoterapia/métodos , Transtornos do Sono-Vigília/prevenção & controle , Transtornos do Sono-Vigília/psicologia
18.
Eur J Cancer Care (Engl) ; 28(4): e13064, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31166038

RESUMO

To explore the effects of home-based music intervention (HBMI) on symptom severity, pain intensity and perceived fatigue among patients with breast cancer. In this randomised controlled trial, patients with breast cancer were randomly assigned into an HBMI or control group. The HBMI group was administered 24-week HBMI involving five 30-min sessions per week. The primary outcome was symptom severity; the secondary outcomes were pain and fatigue. A generalised estimating equation was employed to compare the effects after 6, 12 and 24 weeks of intervention between the two groups. A total of 60 patients were recruited. After 6, 12 and 24 weeks, HBMI significantly reduced symptom severity, pain intensity, overall fatigue, general fatigue, emotional fatigue and vigour (p < 0.05). Additionally, HBMI significantly reduced physical fatigue after 6 (p = 0.003) and 12 (p = 0.013) weeks and mental fatigue after 6 weeks (p = 0.001). After 6, 12 and 24 weeks, HBMI reduced symptom severity, pain intensity and overall fatigue. Furthermore, HBMI instantaneously reduced physical and mental fatigue. We recommend that HBMI be administered to patients with breast cancer to reduce their negative thoughts associated with cancer.


Assuntos
Neoplasias da Mama/reabilitação , Sobreviventes de Câncer/psicologia , Musicoterapia/métodos , Música , Adulto , Idoso , Neoplasias da Mama/psicologia , Dor do Câncer/prevenção & controle , Método Duplo-Cego , Fadiga/prevenção & controle , Feminino , Serviços de Assistência Domiciliar , Humanos , Fadiga Mental/prevenção & controle , Pessoa de Meia-Idade , Medição da Dor , Resultado do Tratamento , Adulto Jovem
19.
Clin Interv Aging ; 14: 977-986, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31213784

RESUMO

Purpose: The purpose of this study was to examine the effects of an easy listening music intervention on satisfaction, anxiety, pain, sedative and analgesic medication requirements, and physiological parameters in Chinese adult patients undergoing colonoscopy in Hong Kong. Patients and methods: Patients undergoing colonoscopy, aged 45 or older, able to communicate in Chinese, and hemodynamically stable were invited for the study. A randomized controlled trial was adopted. Eligible patients were randomly assigned either to a music group, which received standard care and additional easy listening music (a series of 15 popular non-rock Chinese songs) through earphones and MP3 for 20 mins before and during the procedure, or to a control group which received standard care only. Standard care comprised of all nursing and medical care provided for patients undergoing colonoscopy. Measures comprised of the State-Trait Anxiety Inventory, visual analog scales of pain level, procedure satisfaction and satisfaction with pain management, the use of sedative and analgesic drugs, heart rate, and blood pressure data were collected at baseline (T0), during (T1) and 30 mins after the procedure (T2). Results: Eighty participants (40 music vs 40 control) completed the study with no attrition. Participants in the music group reported significantly higher levels in both procedure satisfaction (p=0.043) and satisfaction with pain management (p=0.045) than those in the control group. No significant difference was found between groups on anxiety, pain, additional sedative and analgesic use, heart rate, and systolic and diastolic blood pressure (p>0.05). Nevertheless, most participants appreciated the songs provided in MP3 and found it helpful for relaxation during the procedure and would prefer it again (p<0.001). Conclusion: Easy music listening can enhance patients' satisfaction in both procedure and pain management for adults undergoing a colonoscopy procedure.


Assuntos
Analgésicos/uso terapêutico , Colonoscopia/psicologia , Hipnóticos e Sedativos/uso terapêutico , Musicoterapia/métodos , Dor Processual , Idoso , Ansiedade/etiologia , Ansiedade/prevenção & controle , Colonoscopia/métodos , Feminino , Hong Kong , Humanos , Masculino , Pessoa de Meia-Idade , Manejo da Dor/métodos , Dor Processual/diagnóstico , Dor Processual/prevenção & controle , Dor Processual/psicologia , Satisfação do Paciente , Projetos Piloto , Escala Visual Analógica
20.
Crit Rev Oncol Hematol ; 138: 241-254, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31121392

RESUMO

BACKGROUND: Effectiveness of music-based interventions (MI) on cancer patients' anxiety, depression, pain and quality of life (QoL) is a current research theme. MI are highly variable, making it challenging to compare studies. OBJECTIVE AND METHODS: To summarize the evidence on MI in cancer patients, 40 studies were reviewed following the PRISMA statement. Studies were included if assessing at least one outcome among anxiety, depression, QoL and pain in patients aged ≥ 18, with an active oncological/onco-haematological diagnosis, participating to any kind of Music Therapy (MT), during/after surgery, chemotherapy or radiotherapy. RESULTS: A positive effect of MI on the outcomes measured was supported. Greater reductions of anxiety and depression were observed in breast cancer patients. MI involving patients admitted to a hospital ward were less effective on QoL. CONCLUSION: The increasing evidence about MI effectiveness, tolerability, feasibility and appreciation, supports the need of MI implementation in Oncology, Radiotherapy and Surgery wards, and promotion of knowledge among health operators.


Assuntos
Musicoterapia/métodos , Neoplasias/psicologia , Ansiedade/etiologia , Ansiedade/terapia , Depressão/etiologia , Depressão/terapia , Humanos , Qualidade de Vida
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