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1.
Pflege ; 33(5): 309-317, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32996861

RESUMO

Immediate reactions of people with dementia to individualized music - Analysis of behavioral observations in a nursing home Abstract. Background: Due to the increasing prevalence of dementia, there is an urgent need for effective non-pharmacological interventions to improve the quality of life of people with dementia (PwD) and to relieve their carers. Studies show evidence for the benefits of individualized music. However, the immediate reactions to individualized music have not yet been adequately investigated. AIM: The research objective of the study was the investigation of the immediate effects of an individualized music intervention in a nursing home using a newly developed systematic behavioral observation rating scale. METHODS: In 153 behavioral observations of 20 PwD, 32 different experiences and behaviors pertaining to 11 categories such as emotional and motor changes which indicate immediate reactions to listening to music were rated. RESULTS: Participants showed significantly more positive reactions (e. g. joy or relaxation) and less negative reactions immediately after listening to the music compared to before. Moreover, in the course of listening to music, participants showed significantly more positive reactions, most often smiles, movements to music, attentive listening, relaxation and general vigilance / interest / social contact. CONCLUSIONS: The systematic behavioral observation rating scale proved to be a suitable method for rating the experiences and behaviors of people with dementia. Listening to individualized music seems to be a helpful intervention for PwD in institutional care settings.


Assuntos
Demência/psicologia , Demência/terapia , Musicoterapia/métodos , Idoso , Técnicas de Observação do Comportamento , Humanos , Casas de Saúde , Resultado do Tratamento
2.
J Music Ther ; 57(3): 251-281, 2020 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-32602546

RESUMO

While literature exists supporting the use of music for health promotion, scholars have also noted the potential for music-induced harm and other maladaptive effects of music. Harm is a multifaceted construct that can include affective, behavioral, cognitive, identity, interpersonal, physical, and spiritual aspects. As music also represents a multifaceted experience, the relationship between music and harm is complex and can include numerous contextual-, deliverer-, music-, and recipient-based factors. Music-induced harm (MIH) also needs to be clearly defined to understand and protect against it. Therefore, the purpose of this article was to explore the numerous factors influencing how music can result in harm and develop a theoretical model that could be used to inform safe music practices. Drawing from existing models of emotional responses to music, music intervention reporting guidelines, therapeutic functions of music, and holistic wellness, we explored how the interplay between the deliverer, music, and recipient can result in various types of MIH in diverse contexts. We then developed the MIH model to integrate these factors and connect the model with the existing literature. The MIH model highlights the relevance of academic and clinical training, credentialing, occupational regulation, continuing education, and professional organizations that provide accredited curricular oversight to protect people from MIH. Implications for clinical application, limitations, and suggestions for future research are provided.


Assuntos
Musicoterapia/educação , Musicoterapia/métodos , Música , Credenciamento , Humanos , Modelos Teóricos
3.
Soins Psychiatr ; 41(327): 24-26, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32718457

RESUMO

Percussion instruments, creativity and the helping relationship are at the heart of the evolution of a rhythmic expression workshop towards a structure designed for the practice of active music therapy. Thanks to instruments within everyone's reach, the therapy based on sound production, improvisation and creativity enables patients to express themselves, communicate and create links, while constructing an identity.


Assuntos
Musicoterapia/métodos , Percussão/instrumentação , Criatividade , Humanos
4.
Medicine (Baltimore) ; 99(29): e21090, 2020 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-32702854

RESUMO

BACKGROUND: This study will aim to assess the effectiveness of Mozart's Music (MM) for the management of patients with drug-resistant epilepsy (DRE). METHODS: In this study, we will search MEDLINE, EMBASE, Cochrane Library, Web of Science, CINAHL, Chinese Scientific Journal Database Information, WANGFANG, and China National Knowledge Infrastructure from their inauguration to March 1, 2020 without language and publication time restrictions. We will also identify other literature resources, such as reference lists of any related reviews. Trial quality will be examined by Cochrane risk of bias tool; reporting bias will be identified by a funnel plot and Egger test; and statistical analysis will be undertaken by RevMan 5.3 software. RESULTS: This study will summarize high quality randomized controlled trials to appraise the effectiveness and safety of MM for the treatment of patients with DRE. CONCLUSIONS: The findings of this study will supply evidence to judge whether MM is effective on DRE at evidence-based medicine level. STUDY REGISTRATION NUMBER: CRD42020170512.


Assuntos
Protocolos Clínicos , Epilepsia Resistente a Medicamentos/terapia , Musicoterapia/instrumentação , Musicoterapia/normas , Epilepsia Resistente a Medicamentos/psicologia , Humanos , Metanálise como Assunto , Musicoterapia/métodos , Revisões Sistemáticas como Assunto
5.
Ansiedad estrés ; 26(1): 46-51, ene.-jun. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-192301

RESUMO

El objetivo de este trabajo es analizar los efectos de escuchar una música subjetivamente agradable/desagradable para el oyente sobre los niveles de ansiedad medida mediante el inventario STAI Rasgo/Estado. Veinte participantes indicaron las músicas que les eran subjetivamente agradables/desagradables. Se les administró el STAI, pre- y postaudición en la situación experimental. Los resultados indican que la audición de música modifica la percepción del propio estado de ansiedad generando estados de ánimo positivo y reducción de la ansiedad cuando la audición es de música agradable y los efectos contrarios si es desagradable; además, incrementa ligeramente el nivel de ansiedad cuando la situación es de silencio. Por lo tanto, los gustos musicales son una herramienta importante para la psicoterapia, hacer frente a la ansiedad, e inducir el estado de ánimo


The aim of this research is to analyse the effects of listening to subjectively pleasant/unpleasant music for the listener on the levels of anxiety measured by the STAI trait/sate inventory. Twenty participants indicated the music that was subjectively pleasant/unpleasant. The STAI was administered before and after listening to music in the experimental situation. Results seem to indicate that listening to music modifies the perception of state anxiety, generating a positive mood and reducing anxiety after listening to pleasant music and the opposite effects with unpleasant music; the silent condition produced slightly higher levels of anxiety. Therefore, musical preferences are a very useful tool for psychotherapy in order to cope with anxiety and mood induction


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Transtornos de Ansiedade/psicologia , Transtornos de Ansiedade/terapia , Musicoterapia/métodos , Projetos Piloto
6.
Complement Ther Clin Pract ; 39: 101162, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32379689

RESUMO

BACKGROUND: and purpose: The impact of music on the human body extends beyond an emotional response. Music can bring benefits to the cardiovascular system by influencing heart rate variability (HRV), which is a well-accepted method to analyze the oscillations of the intervals between successive heartbeats and investigate the cardiovascular autonomic nervous system (ANS). This study is a systematic review to examine the effect of musical interventions on HRV. METHODS: We conducted a systematic search in PubMed, Scopus, Web of Science, and Cochrane and identified additional studies with hand searching of reference lists of relevant references. RESULTS: 29 original articles (24 pre-post intervention studies and five randomized controlled trials) with a total of 1368 subjects were available and eligible to be included in the systematic review. Within the whole, only three studies reveal no significant impact of music on HRV, which might be due to using a small sample size and a concise duration of music administration. Interestingly, the rest of the studies have suggested a positive impact of music on HRV with a 0.05 level of significance. CONCLUSION: This systematic review confirms music as a stimulus acting to the cardiac ANS that increases parasympathetic activity and HRV. The effects are, however, associated with a high risk of bias. Therefore, further studies are necessary to compare the impact of individualized music therapy to passive listening and preferred soundtracks.


Assuntos
Sistema Nervoso Autônomo/fisiologia , Frequência Cardíaca/fisiologia , Musicoterapia/métodos , Música/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
7.
J Med Internet Res ; 22(5): e18537, 2020 05 20.
Artigo em Inglês | MEDLINE | ID: mdl-32432550

RESUMO

BACKGROUND: Emergency physicians face the challenge of relieving acute pain daily. While opioids are a potent treatment for pain, the opioid epidemic has ignited a search for nonopioid analgesic alternatives that may decrease the dose or duration of opioid exposure. While behavioral therapies and complementary medicine are effective, they are difficult to deploy in the emergency department. Music is a potential adjunctive therapy that has demonstrated effectiveness in managing pain. OBJECTIVE: Our objective was to understand the feasibility and potential for an effect of a novel music app to address acute pain and anxiety in patients admitted to an emergency department observation unit. METHODS: This prospective cohort study enrolled patients admitted to an emergency department observation unit with pain who had received orders for opioids. We gathered baseline pain and psychosocial characteristics including anxiety, sleep disturbance, and pain catastrophizing using validated questionnaires. Participants received a smartphone-based music intervention and listened to the music in either a supervised (research assistant-delivered music session 3 times during their stay) or unsupervised manner (music used ad lib by participant). The app collected premusic and postmusic pain and anxiety scores, and participants provided qualitative feedback regarding acceptability of operating the music intervention. RESULTS: We enrolled 81 participants and randomly assigned 38 to an unsupervised and 43 to a supervised group. Mean pain in both groups was 6.1 (1.8) out of a possible score of 10. A total of 43 (53%) reported previous use of music apps at home. We observed an overall modest but significant decrease in pain (mean difference -0.81, 95% CI -0.45 to -1.16) and anxiety (mean difference -0.72, 95% CI -0.33 to -1.12) after music sessions. Reduction of pain and anxiety varied substantially among participants. Individuals with higher baseline pain, catastrophizing (about pain), or anxiety reported greater relief. Changes in pain were correlated to changes in anxiety (Pearson ρ=0.3, P=.02) but did not vary between supervised and unsupervised groups. Upon conclusion of the study, 46/62 (74%) reported they liked the music intervention, 57/62 (92%) reported the app was easy to use, and 49/62 (79%) reported they would be willing to use the music intervention at home. CONCLUSIONS: A smartphone-based music intervention decreased pain and anxiety among patients in an emergency department observation unit, with no difference between supervised and unsupervised use. Individuals reporting the greatest reduction in pain after music sessions included those scoring highest on baseline assessment of catastrophic thinking, suggesting there may be specific patient populations that may benefit more from using music as an analgesic adjunct in the emergency department. Qualitative feedback suggested that this intervention was feasible and acceptable by emergency department patients.


Assuntos
Musicoterapia/métodos , Dor/psicologia , Adulto , Serviço Hospitalar de Emergência , Feminino , Humanos , Masculino , Aplicativos Móveis , Estudos Prospectivos , Smartphone
8.
J Appl Oral Sci ; 28: e20190601, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32401941

RESUMO

Objective The aim of this study was to compare the effects of music at 432 Hz, 440 Hz, and no music on the clinical perception of anxiety and salivary cortisol levels in patients undergoing tooth extraction. Methodology A parallel-group randomized clinical trial was conducted. Forty-two patients (average age: 23.8±7.8 years, 27 women) with a moderate level of anxiety were distributed in three groups: use of music for 15 minutes at a frequency of 432 Hz (n=15), at 440 Hz (n=15) and a control group without music (n=12). The CORAH Dental Anxiety Scale and salivary cortisol levels, estimated by the solid phase enzyme-linked immunosorbent assay (ELISA), were measured and compared before and after the music intervention between groups (two-way ANOVA-Tukey p<0.05, RStudio). Results Significantly lower anxiety level values were observed at 432 Hz (8.7±2.67) and 440 Hz (8.4±2.84) compared to the control group (17.2±4.60; p<0.05). The salivary cortisol level at 432 Hz (0.49±0.37 µg/dL) was significantly lower than 440 Hz (1.35±0.69 µg/dL) and the control group (1.59±0.7 µg/dL; p<0.05). Conclusion The use of music significantly decreased clinical anxiety levels, and the frequency of 432 Hz was effective in decreasing salivary cortisol levels before tooth extraction.


Assuntos
Ansiedade ao Tratamento Odontológico/terapia , Hidrocortisona/análise , Musicoterapia/métodos , Música/psicologia , Saliva/química , Extração Dentária/psicologia , Adolescente , Adulto , Análise de Variância , Ansiedade ao Tratamento Odontológico/psicologia , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Estresse Psicológico , Inquéritos e Questionários , Resultado do Tratamento , Adulto Jovem
9.
Complement Ther Clin Pract ; 39: 101124, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32379663

RESUMO

BACKGROUND: Effectiveness of music-based interventions (Music therapy, MT) on cancer patients' is a current research theme. Oncology patients may respond to radiation treatment (RT) with anxiety expressed as stress, fear, depression, and frustration. OBJECTIVES: The aim of this review is to discuss the effectiveness of MT in patients undergoing RT. DATA SOURCES: All English medical papers registered in the Web of Knowledge, PubMed, Google Scholar and ScienceDirect from March 1999 to March 2019. INCLUSION AND EXCLUSION CRITERIA: We selected all the articles concerning the use of MT in pre-RT anxiety and distress during RT treatment. RESULTS: Out of 1184 articles selected, 132 abstracts were analyzed and 13 papers were finally evaluated for the current analysis, for a total of 946 participants. DISCUSSION: We investigated the role and the efficacy of MT for patients receiving RT and the future challenges in the clinical management of oncology patients before and during radiotherapy.


Assuntos
Musicoterapia/métodos , Neoplasias/psicologia , Ansiedade/terapia , Depressão/terapia , Humanos , Radioterapia (Especialidade)
10.
J Music Ther ; 57(3): 282-314, 2020 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-32227084

RESUMO

Bonny Method of Guided Imagery and Music emerged following discontinuation of psychedelic therapy research in the early 1970s, but psychedelic therapy research has since revived. Music remains a vital component. This study examined participants' experiences of music in psychedelic therapy research. A rapid review of qualitative and quantitative journal articles in four major databases was conducted in February to April, 2019, using the terms hallucinogens, psychedelic, "lysergic acid diethylamide," psilocybin, ayahuasca, music, and/or "music therapy." Of 406 articles retrieved, 10 were included (n = 180; 18-69 years old). Participants had varied backgrounds. Music was widely considered integral for meaningful emotional and imagery experiences and self-exploration during psychedelic therapy. Music transformed through its elicitation of anthropomorphic, transportive, synesthetic, and material sensations. Music could convey love, carry listeners to other realms, be something to "hold," inspire, and elicit a deep sense of embodied transformation. Therapeutic influence was especially evident in music's dichotomous elicitations: Music could simultaneously anchor and propel. Participant openness to music and provision of participant-centered music were associated with optimal immediate and longer-term outcomes. Many studies reported scarce details about the music used and incidental findings of music experienced. Further understanding of participants' idiosyncratic and shared responses to music during drug therapy phases will inform optimal development of flexible music protocols which enhance psychedelic therapy. Music therapists could be involved in the psychedelic therapy research renaissance through assisting with research to optimize music-based protocols used. If psychedelics become approved medicines, music therapists may be involved in offering psychedelic therapy as part of therapeutic teams.


Assuntos
Alucinógenos/administração & dosagem , Musicoterapia/métodos , Música/psicologia , Psilocibina/administração & dosagem , Psicoterapia/métodos , Adolescente , Adulto , Idoso , Percepção Auditiva/efeitos dos fármacos , Percepção Auditiva/fisiologia , Emoções/efeitos dos fármacos , Feminino , Humanos , Imagens, Psicoterapia , Masculino , Pessoa de Meia-Idade , Adulto Jovem
11.
Medicine (Baltimore) ; 99(17): e16406, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32332590

RESUMO

BACKGROUND: The study determined the effect of cognitive-behavioral therapy (CBT) with music in reducing physics test anxiety among secondary school students as measured by generalized test anxiety scale. METHODS: Pre-test post-test randomized control trial experimental design was adopted in this study. A total of 83 senior secondary students including male (n = 46) and female (n = 37) from sampled secondary schools in Enugu State, Nigeria, who met the inclusion criteria constituted participants for the study. A demographic questionnaire and a 48-item generalized test anxiety scale were used for data collection for the study. Subjects were randomized into treatment and control groups. The treatment group was exposed to a 12-week CBT-music program. Thereafter, the participants in the treatment group were evaluated at 3 time points. Data collected were analyzed using repeated measures analysis of variance. RESULTS: The participants who were exposed to CBT-music intervention program significantly had lower test anxiety scores at the post-treatment than the participants in the control group. Furthermore, the test anxiety scores of the participants in the CBT-music group were significantly lower than those in the control group at the follow-up measure. Thus, the results showed a significant effect of CBT with music in reducing physics test anxiety among secondary school students. CONCLUSION: We concluded that CBT-music program has a significant benefit in improving the management of physics test anxiety among secondary school students.


Assuntos
Transtornos de Ansiedade/terapia , Terapia Cognitivo-Comportamental/métodos , Musicoterapia/métodos , Adolescente , Terapia Combinada , Feminino , Humanos , Masculino , Nigéria , Física , Escala de Ansiedade Frente a Teste , Adulto Jovem
12.
Geriatr Psychol Neuropsychiatr Vieil ; 18(1): 19-24, 2020 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-32160981

RESUMO

Music therapy is recommended in the treatment of Alzheimer's disease (AD) but only few tools exist to measure musical skills in AD patients. Our objective was to develop an assessment tool, the MOT (music therapy orientation test) designed to evaluate the musical cognitive abilities of patients and to guide the music therapy plan. This article presents the guidelines and scoring terms for all items, as well as the normal range in older patients. The MOT was administered to 50 healthy elderly subjects (mean, 74.3±8.7 years) and 50 AD patients (mean, 82.8±8.0 years). The diagnosis was based on DSM-IV consensus criteria and all patients had a MMSE score ≤27/30 (mean, 16.16±6.91). The results showed an average success rate to the MOT that was lower in AD compared to cognitively healthy subjects (respectively 22.6±8.3/34 versus 32.4±1/34, p<0.0001). The MOT score was positively correlated with the MMSE score (r=0.80, p<0.001). With a threshold of 30/34, the MOT sensitivity was 74%, its specificity 96% and its positive predictive value 94.9%. Our results showed that a MOT score <30/34 is able to detect musical cognitive disabilities in AD patients. The MOT could be useful for music therapists to guide the music therapy plan.


Assuntos
Doença de Alzheimer/terapia , Musicoterapia/métodos , Música/psicologia , Idoso , Idoso de 80 Anos ou mais , Cognição , Feminino , Humanos , Masculino , Rememoração Mental , Pessoa de Meia-Idade , Testes Neuropsicológicos
13.
J Music Ther ; 57(2): 219-242, 2020 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-32112555

RESUMO

Music therapy (MT) interventions and skin-to-skin care (SSC) both aim to address the varied needs of preterm infants, including sensory regulation and stress reduction, inclusion of parents in their infant's care, support of parents' emotional state, and enhancing the parent-infant attachment process. Few studies have investigated the combination of both modalities through randomized controlled trials. Evidence of longer-term effects is missing. This article presents a study protocol that will investigate the effects of combined family-centered MT intervention and SSC on preterm-infants' autonomic nervous system (ANS) stability, parental anxiety levels, and parent-infant attachment quality. 12 clusters with a total of 72 preterm infants, with their parents, will be randomized to one of two conditions: MT combined with SSC or SSC alone. Each parent-infant dyad will participate in 3 sessions (2 in the hospital and a 3-month follow-up). The primary outcome of preterm infants' ANS stability will be measured by the high frequency power of their heart rate variability. Secondary outcomes will be physiological measures and behavioral states in infants and anxiety and attachment levels of parents. This trial will provide important, evidence-based knowledge on the use of the "First Sounds: Rhythm, Breath, and Lullaby" model of MT in neonatal care, through an intervention that is in line with the Newborn Individualized Developmental Care and Assessment Program model for supportive developmental care of preterm infants and their parents. Ethical approval (no. 0283-15) was granted from the local Institutional Review Board in April 2017. This trial is registered in ClinicalTrials.gov, NCT03023267.


Assuntos
Sistema Nervoso Autônomo , Recém-Nascido Prematuro , Unidades de Terapia Intensiva Neonatal , Terapia Intensiva Neonatal/métodos , Musicoterapia/métodos , Pais/psicologia , Afeto , Ansiedade , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Apego ao Objeto , Relações Pais-Filho
14.
J Music Ther ; 57(2): 193-218, 2020 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-32201892

RESUMO

A variety of factors affect the success of music therapy students in practica. Many music therapy students may have invisible illnesses or invisible disabilities (II/ID) that affect their work. II/ID have physical or psychological effects but are not apparent to an observer. Such illnesses may include chronic illnesses, mental illnesses, and developmental disabilities. Although researchers have studied the success of post-secondary students with II/ID and the success of music therapy students without II/ID, there is a lack of research on music therapy students who identify with having II/ID. This researcher used an exploratory online survey to investigate the prevalence of II/ID among music therapy students and how it may affect their success in music therapy practica. Quantitative responses were compiled and analyzed into frequencies and percentages, and open-ended responses were coded and analyzed for patterns and themes. Results indicated that music therapy students with II/ID have various reasons for disclosure or nondisclosure. Some music therapy students with II/ID required accommodations, while many did not. Additionally, the effects of II/ID on music therapy practica students included physical, psychosocial, and cognitive symptoms, which led to various choices for disclosure/nondisclosure and the request/use of individualized accommodations. Music therapy students with II/ID self-reported that making decisions regarding appropriate disclosure and determining their need for accommodations or not allowed them to be more successful in practica.


Assuntos
Pessoas com Deficiência , Transtornos Mentais/terapia , Musicoterapia/educação , Musicoterapia/métodos , Estudantes/psicologia , Feminino , Humanos , Masculino , Música , Inquéritos e Questionários
15.
Arq Neuropsiquiatr ; 78(1): 13-20, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-32074191

RESUMO

OBJECTIVE: To investigate the feasibility of a Brazilian samba protocol in individuals with Parkinson's disease. METHODS: Twenty participants, mean age of 66.4±10.7 years, diagnosed with idiopathic Parkinson 's disease, divided into: experimental group that received the intervention of Brazilian samba dance classes (10 individuals); and control group that maintained their routine activities (10 individuals). For data collection, a divided questionnaire was used: General Information; Disability stages scale; Balance and Quality of Life. RESULTS: During class implementation, there were no falls, as all dance activities adhered to the details of the protocol steps without any changes. On average, patients completed 82.7% of activities. After 12 weeks, the experimental group had improvements in the UPDRS global score, in daily activities, and on motor examination. There was also improvement in balance scores and in the mobility domain of the quality of life in the experimental group. CONCLUSION: The samba protocol seems to be feasible and safe for patients with PD. Moreover, it has pleasant characteristics and offers sufficient physical benefits for combination with drug treatment. There were also benefits in social relationships and as a possible rehabilitation tool in individuals with Parkinson's disease.


Assuntos
Terapia por Exercício/métodos , Musicoterapia/métodos , Doença de Parkinson/reabilitação , Atividades Cotidianas , Idoso , Brasil , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ensaios Clínicos Controlados não Aleatórios como Assunto , Qualidade de Vida , Fatores Socioeconômicos , Fatores de Tempo , Resultado do Tratamento
16.
Rev. Soc. Esp. Dolor ; 27(1): 7-15, ene.-feb. 2020. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193928

RESUMO

OBJETIVOS: Valorar la eficacia de la musicoterapia en la disminución de la ansiedad en pacientes a los que se les realiza técnica intervencionista (TI) en la Unidad del Dolor (UD) del Hospital Universitario Sagrat Cor de Barcelona. MATERIAL Y MÉTODO: Estudio cuasi experimental con grupo control, prospectivo, pre y postintervención, transversal, no aleatorizado. Aprobado por el Comité Ético de Investigación IDC Salud Catalunya. Población estudio: pacientes programados para realización de TI en la UD. Criterios inclusión: > 18 años de edad. Indicación de TI. Criterios exclusión: trastorno psiquiátrico, incapacidad contestar variables de estudio. Grupo intervención: se ha realizado la TI reproduciéndose aleatoriamente la música elegida, libre de contaminación acústica. Grupo control: se ha realizado la TI sin musicoterapia. Se ha empleado la escala visual análoga modificada como instrumento de medida para valorar el nivel de ansiedad. RESULTADOS: 80 pacientes (71,6 % mujeres, media de edad 66,7 [SD 14] años, 49,4 % estudios medios, 64,2 % pensionistas). El 60,5 % no realiza tratamiento con ansiolíticos. El 59 % presenta lumborradiculalgia, se les realiza bloqueo epidural caudal. Al 33,3 % se les realiza técnica intervencionista por primera vez. En el grupo control el valor de EVA intra es de 5,83 (SD 3,2) y en el grupo de musicoterapia de 5,0 (SD 2,2), esta diferencia no es estadísticamente significativa (F = 1,614, p = 0,208). En el valor de EVA postintervención sucede lo mismo. En el grupo control el valor de EVA post es de 3,7 (SD 3,3) y en el grupo de musicoterapia de 3,1 (SD 2,4); esta diferencia no es estadísticamente significativa (F = 0,755, p = 0,387). En el grupo control el valor de la escala visual analógica intra es de 4,3 (SD 3,1) y en el grupo de musicoterapia de 3,0 (SD 2,0), esta diferencia sí es estadísticamente significativa (F = 4,83, p = 0,031). En el grupo control el valor de la escala visual analógica post es de 2,7 (SD 2,8) y en el grupo de musicoterapia de 1,3 (SD 1,5); esta diferencia también es estadísticamente significativa (F = 7,427, p = 0,008). El 81,5 % considera que ha recibido suficiente información sobre la técnica intervencionista y el 18,5 % están satisfechos. El 95,1 % considera que los profesionales le han aportado confianza y seguridad y el 4,9 % restante se consideran satisfechos. De los que han valorado (40 pacientes) si la música ha creado un ambiente relajado el 80 % se consideran muy satisfechos y el 20 % restante satisfechos. CONCLUSIÓN: Aunque el dolor no se ve mejorado significativamente en el grupo intervencionista sí lo hace la ansiedad tanto en la fase intra como en la post TI. Los pacientes se sienten muy satisfechos sobre la información recibida y consideran muy satisfactoria la confianza y seguridad que les aportan los profesionales. Además, el grupo de musicoterapia considera, en general, muy satisfactorio el ambiente relajado que les crea la música. La musicoterapia es una excelente herramienta terapéutica, fácil de usar, accesible y económica, que puede utilizarse como coadyuvante en las TI en la UD


OBJECTIVE: To assess the efficacy of music therapy in reducing anxiety in patients undergoing interventional technique (IT) in the Pain Unit (UD) of the University Hospital Sagrat Cor in Barcelona. MATERIAL AND METHOD: Quasi-experimental study with a control group, prospective, pre- and post-intervention, transversal, non-randomized. Approved by the Research Ethics Committee IDC Salud Catalunya. Study population: patients scheduled to perform IT in the UD. Inclusion criteria: > 18 years old. IT indication. Exclusion criteria: psychiatric disorder, inability to answer study variables. Intervention group: IT has been performed by randomly playing the chosen music, free of noise pollution. Control group: IT has been performed without music therapy. The modified analog visual scale has been used as a measuring instrument to assess the level of anxiety. RESULTS: 80 patients (71.6 % women, mean age 66.7 (SD 14) years, 49.4 % average studies, 64.2 % pensioners). 60.5 % do not perform treatment with anxiolytics. 59 % have low back pain, caudal epidural block is performed. 33.3 % underwent interventional technique for the first time. In the control group the value of intra VAS is 5.83 (SD 3.2) and in the music therapy group 5.0 (SD 2.2), this difference is not statistically significant (F = 1.614, p = 0.208). The same happens in the value of post-intervention EVA. In the control group the value of post VAS is 3.7 (SD 3.3) and in the music therapy group 3.1 (SD 2.4), this difference is not statistically significant (F = 0.755, p = 0.387). In the control group the value of the intra analog visual scale is 4.3 (SD 3.1) and in the music therapy group 3.0 (SD 2.0), this difference is statistically significant (F = 4, 83 p = 0.031). In the control group the value of the post analog visual scale is 2.7 (SD 2.8) and in the music therapy group 1.3 (SD 1.5), this difference is also statistically significant (F = 7.427, p = 0.008). 81.5 % consider that they have received enough information about the interventionist technique and 18.5 % are satisfied. 95.1 % consider that the professionals have given him confidence and security and the remaining 4.9 % are considered satisfied. Of those who have assessed (40 patients) if music has created a relaxed atmosphere, 80% are considered very satisfied and the remaining 20 % satisfied. CONCLUSION: Although pain is not significantly improved in the interventionist group, anxiety does in both the intra and post-IT phases. Patients feel very satisfied about the information received and consider the confidence and security provided by professionals very satisfactory. In addition, the music therapy group considers, in general, the relaxed atmosphere created by the music. Music therapy is an excellent therapeutic tool, easy to use, accessible and economical, which can be used as an adjunct in IT in the UD


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Musicoterapia/métodos , Ansiedade de Desempenho/terapia , Dor Crônica/terapia , Manejo da Dor/métodos , Estudos Prospectivos , Estudos Controlados Antes e Depois , Avaliação de Resultado de Intervenções Terapêuticas , Clínicas de Dor/estatística & dados numéricos
17.
J Music Ther ; 57(2): 168-192, 2020 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-32103247

RESUMO

Reflections of patients have not been studied qualitatively after a completed course of individual music therapy for a major depressive disorder (MDD) or an acute phase of a schizophrenia spectrum disorder (SSD). Our interpretivist study explored patient reflections through individual interviews with 15 hospitalized patients after a completed course of eight individual music therapy sessions that were flexibly structured in blended fashion utilizing a set of active and receptive music therapy methods. Our analyses yielded 8 themes, supported by 23 subthemes. These themes were grouped into three domains, capturing respectively participants' praise for music therapy, the distress from which change emerged, and various perceived gains. Participants cast the perceived gains from music therapy in the wake of their distress. The domain of distress comprised two themes: distress before and during therapy, and a process of opening up and dealing with old wounds. The themes expressing their gains were: new perspectives, growing strong, emotional fulfillment, becoming socially closer and more adept, and becoming liberated and creatively inspired. These client perspectives on a completed course of music therapy augment the evidence base established in clinician terms of what matters as a potential gain from music therapy. These perspectives, furthermore, inform on the gains and the distress from which gains emerged, congruent with a strengths-oriented therapeutic pursuit in music therapy for an MDD or an acute phase of SSD. Music therapists in similar settings may draw on these perspectives in the planning and strengthening of a course of music therapy.


Assuntos
Transtorno Depressivo Maior/terapia , Musicoterapia/métodos , Satisfação do Paciente , Assistência Centrada no Paciente/métodos , Adolescente , Adulto , Transtorno Depressivo Maior/fisiopatologia , Emoções , Feminino , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Música , Medicina de Precisão , Pesquisa Qualitativa , Esquizofrenia/fisiopatologia , Esquizofrenia/terapia , Resultado do Tratamento
18.
Complement Ther Clin Pract ; 38: 101084, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32056820

RESUMO

BACKGROUND: and purpose: This study aimed to determine the effect of music therapy on pain, anxiety, and patient comfort during colonoscopy. MATERIALS AND METHODS: This is a randomized, controlled, intervention study, which included 112 patients that underwent colonoscopy. The patients were randomized into the intervention group (n = 56) that was given 30-minute music therapy during the colonoscopy and the control group (n = 56) without any intervention other than routine nursing care. The data were collected using an information and observation form, the Visual Analog Scale (VAS) and the Spielberger State-Trait Anxiety Inventory. RESULTS: The pain and anxiety scores were lower in the intervention group whereas comfort score was higher than control group (p < 0.05). The pain and anxiety levels of the patients in the intervention group decreased after the colonoscopy and their comfort levels increased. CONCLUSIONS: The music therapy reduced pain and anxiety, increased comfort during colonoscopy.


Assuntos
Colonoscopia/psicologia , Musicoterapia/métodos , Dor/prevenção & controle , Adulto , Idoso , Ansiedade/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Conforto do Paciente , Escala Visual Analógica
20.
Neonatal Netw ; 39(1): 16-23, 2020 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-31919289

RESUMO

PURPOSE: The purpose of this study was to identify the long-term developmental effects of a NICU music therapy intervention, Multimodal Neurologic Enhancement, provided to preterm infants in the NICU. DESIGN: Prospective randomized controlled study with one control group and one experimental group. SAMPLE: Participants were medically stable preterm infants with a birth age of 31 and 6/7 weeks or less, admitted to a level-III NICU. A total of 84 participants were enrolled, and 48 completed the study. MAIN OUTCOME VARIABLE: Post-discharge developmental scores on the Mullen Scales of Early Learning: AGS Edition. RESULTS: The experimental group performed significantly better than the control group on the Visual Reception and Early Learning Composite scores.


Assuntos
Deficiências do Desenvolvimento/prevenção & controle , Comportamento do Lactente/fisiologia , Recém-Nascido Prematuro , Unidades de Terapia Intensiva Neonatal/organização & administração , Musicoterapia/métodos , Desenvolvimento Infantil , Feminino , Humanos , Recém-Nascido , Tempo de Internação , Estudos Longitudinais , Masculino , Projetos Piloto , Gravidez , Estudos Prospectivos , Valores de Referência , Centros de Atenção Terciária , Resultado do Tratamento
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