Archive for August, 2007
August 29th, 2007 21:08:09
A music intervention to reduce anxiety before vascular angiography procedures.
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A music intervention to reduce anxiety before vascular angiography procedures.
J Vasc Nurs. 2006 Sep;24(3):68-73; quiz 74
Authors: Buffum MD, Sasso C, Sands LP, Lanier E, Yellen M, Hayes A
Patients scheduled for vascular angiography are often anxious and frightened. High levels of anxiety may result in more difficult and painful procedures. Past research has reported mixed results for anxiety reduction techniques in other procedures settings, such as education, cognitive-behavioral skills, coping and relaxation skills, combinations of techniques, and music. Music as an intervention for pre-procedural anxiety prior to vascular angiography has not been studied. A randomized controlled trial of 170 patients was undertaken to determine whether 15 minutes of self-selected music reduced pre-procedure anxiety. The State Trait Anxiety Inventory was used to measure patients’ anxiety. One-hundred sixty-six men and 4 women comprised the sample with an average age of 66.8 years (SD 9.95, range 37 to 85 years). Patients who listened to music (n=89) reduced their anxiety score from 38.57 (SD 10.46) to 35.2 (SD 9.7), while those who did not listen to music (n=81) reduced their anxiety score from 36.23 (SD 10.54) to 35.1 (SD 10.59); the difference between the groups was statistically significant (t=1.95, df 161, p=0.05). Pulse achieved a statistically significant reduction in the music group (t=2.45, df 167, p=0.02). Music is a noninvasive nursing intervention that patients enjoy and reduces their anxiety and their pulse rate. Further research should address using music to reduce anxiety in other interventional vascular angiography settings with equal numbers of men and women and comparing self-selected versus investigator-selected music.
PMID: 16952777 [PubMed - indexed for MEDLINE]
August 16th, 2007 12:08:14
[Music therapy for tinnitus patients : An interdisciplinary pilot study of the Heidelberg Model.]
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[Music therapy for tinnitus patients : An interdisciplinary pilot study of the Heidelberg Model.]
HNO. 2006 Nov 3;
Authors: Argstatter H, Plinkert P, Bolay HV
BACKGROUND: Chronic tinnitus, one of the most common disorders in ENT medicine, requires comprehensive and interdisciplinary treatment.OBJECTIVE: An innovative music therapy approach, developed at the German Center for Music Therapy Research in cooperation with the ENT clinic of the University of Heidelberg (”Heidelberg Model”), strives to integrate the tinnitus sound into a musically controllable acoustic process. The aim of the present study is to evaluate the effectiveness of this current treatment.METHODS: We carried out a prospective, two-armed (music therapy group vs control group) study with 20 patients (10 males, 10 females; mean age 51+/-7 years), suffering from decompensated chronic tinnitus (mean score in the Tinnitus Questionnaire TQ=46.8+/-9.6). The target variables involved TQ values, pre- and post-measurements, and follow-up after 3 and 6 months.RESULTS: Group comparison yields a highly statistically and clinically significant decrease in mean TQ-scores pre- and post in the music therapy group by 25 points or 52% on average as compared to 2 points (4%) in the control group [univariate ANOVA: ( F ((1,31))=14.19, P =0.001), effect size d=1.73]. Logarithmic regression analysis reveals a fast onset and long lasting effect of music therapy (B=-8.9; F ((1,125))=32.11, P =0.000).DISCUSSION: The effectiveness of this highly economic approach was proven as the innovative music therapy concept yields statistically and clinically significant results which remain stable throughout follow-up. Further investigations with larger sample sizes and using brain imaging should strengthen these findings.
PMID: 17082957 [PubMed - as supplied by publisher]
August 14th, 2007 8:08:07
Predictors of change in music therapy with children and adolescents: The role of therapeutic techniques.
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Predictors of change in music therapy with children and adolescents: The role of therapeutic techniques.
Psychol Psychother. 2007 Apr 27;
Authors: Gold C, Wigra T, Voracek M
Music therapy has been shown to be efficacious in experimental studies. However, there is little empirical research knowledge about what elements of music therapy influence its effectiveness in clinical practice. Children and adolescents with psychopathology (N=75) were assessed before and after participating in individual music therapy with 1 out of 15 music therapists in the Vienna region. Relationships between outcomes (as evaluated by parents) and therapy contents (as reported by therapists) were examined using general linear modelling. Results indicated that clients’ symptoms and burdens on their social environment showed greater improvement when music therapy was limited to discipline-specific music therapy techniques and did not include other media such as play therapy elements. The findings indicate the importance of being aware of a therapy method’s specific strengths and limitations. More research on the indicated specific ingredients of music therapy intervention is needed.
PMID: 17535546 [PubMed - as supplied by publisher]
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