scholarly journals Eva between anxiety and hope: integrating anthroposophic music therapy in supportive oncology care

2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Eran Ben-Arye ◽  
Yotam Ben-Arye ◽  
Yael Barak

Music therapy is a significant modality in the treatment of patients with cancer, who suffer emotional and spiritual distress as well as chemotherapy side effects that impair their quality of life. In this article, we present a case study of a patient challenged with recurrent ovarian cancer who received, concomitant with chemotherapy, a special form of music therapy based on anthroposophic medicine (AM) aimed at alleviating anxiety and improving her general well-being. AM-centered music therapy goals are discussed in regard to two modes of treatment: receptive listening and clinical composition. Next, these two treatment modes are discussed in a broader context by reviewing conventional music therapy interventions during chemotherapy on two axes: a. standardized vs. individualized treatment; b. patient’s involvement on a passive to active continuum. In conclusion, psycho-oncology care can be enriched by adding anthroposophic medicine-oriented music therapy integrated within patients’ supportive care.

2021 ◽  
pp. bmjspcare-2021-003163
Author(s):  
Ronald Chow ◽  
Robert Bergner ◽  
Elizabeth Prsic

ObjectivesSeveral reviews and meta-analyses have reported on music therapy for physical and emotional well-being among patients with cancer. However, the duration of music therapy offered may range from less than 1 hour to several hours. The aim of this study is to assess whether longer duration of music therapy is associated with different levels of improvement in physical and mental well-being.MethodsTen studies were included in this paper, reporting on the endpoints of quality of life and pain. A meta-regression, using an inverse-variance model, was performed to assess the impact of total music therapy time. A sensitivity analysis was conducted for the outcome of pain, among low risk of bias trials.ResultsOur meta-regression found a trend for positive association between greater total music therapy time and improved better pain control, but it was not statistically significant.ConclusionThere is a need for more high-quality studies examining music therapy for patients with cancer, with a focus on total music therapy time and patient-related outcomes including quality of life and pain.


2020 ◽  
Vol 11 ◽  
Author(s):  
Martina de Witte ◽  
Esther Lindelauf ◽  
Xavier Moonen ◽  
Geert-Jan Stams ◽  
Susan van Hooren

Stress is increasingly being recognized as one of the main factors that is negatively affecting our health, and therefore there is a need to regulate daily stress and prevent long-term stress. This need seems particularly important for adults with mild intellectual disabilities (MID) who have been shown to have more difficulties coping with stress than adults without intellectual disabilities. Hence, the development of music therapy interventions for stress reduction, particularly within populations where needs may be greater, is becoming increasingly important. In order to gain more insight into the practice-based knowledge on how music therapists lower stress levels of their patients with MID during music therapy sessions, we conducted focus group interviews with music therapists working with adults with MID (N = 13) from different countries and clinical institutions in Europe. Results provide an overview of the most-used interventions for stress reduction within and outside of music. Data-analysis resulted in the further specification of therapeutic goals, intervention techniques, the use of musical instruments, and related therapeutic change factors. The main findings indicate that music therapists used little to no receptive (e.g., music listening) interventions for stress reduction, but preferred to use active interventions, which were mainly based on musical improvisation. Results show that three therapy goals for stress relief could be distinguished. The goal of “synchronizing” can be seen as a sub goal because it often precedes working on the other two goals of “tension release” or “direct relaxation,” which can also be seen as two ways of reaching stress reduction in adults with MID through music therapy interventions. Furthermore, the tempo and the dynamics of the music are considered as the most important musical components to reduce stress in adults with MID. Practical implications for stress-reducing music therapy interventions for adults with MID are discussed as well as recommendations for future research.


2018 ◽  
Vol 8 (2) ◽  
pp. 167-170 ◽  
Author(s):  
Marco Warth ◽  
Jens Kessler ◽  
Josien van Kampen ◽  
Beate Ditzen ◽  
Hubert J Bardenheuer

ObjectivesMusic therapy (MT) holds a promising potential to meet emotional and existential needs in palliative care patients. The aim of the present pilot study was to assess the feasibility, acceptance and potential effectiveness of a novel MT intervention to improve life closure and spiritual well-being of terminally ill patients with cancer receiving palliative care.MethodsThe ‘Song of Life’ (SOL) intervention was provided on two consecutive sessions containing a biographical interview and a live performance of a song with high biographical relevance to the patient in a lullaby style. Pre-to-post intervention assessments comprised brief self-report measures on life closure, well-being, stress, worry and pain.Results13 out of 15 patients were able to complete the protocol as intended. The chosen songs were associated with a close person, an important place or event or with a religious belief. The results showed medium-sized improvements with regard to life closure, well-being, relaxation, worry and pain.Conclusion‘SOL’ proved to be a feasible and highly accepted intervention for patients approaching the end of their lives. Further consideration with regard to the procedures and outcomes is necessary before implementation of a randomised trial.


2021 ◽  
Vol 4 ◽  
pp. 205920432110204
Author(s):  
Helen Odell-Miller

Unique music therapy interventions are discussed from a clinical educational and research perspective, demonstrating a current position on music therapy for people living with dementia and their carers. The position paper, adapted from the keynote lecture given at the workshop “Music Selves and Societies” at Cambridge University in 2018, outlines current research and practice across music and music therapy fields, focussing upon embedding music in daily life and care for people living with dementia. Worldwide, around 50m people have dementia; this is estimated to increase to 75.6m in 2030 and 135.5m in 2050. This results in increased demand for long-term care and a need for heightened awareness and capacity for home care in local settings. Distinctions between interventions delivered by music therapists (direct music therapy) and interventions delivered by musicians or carers arising from training from music therapists (indirect music therapy) are discussed. Political and strategic developments for music and dementia are summarized, highlighting the need for increased training in the field and access to music at all stages of dementia. Case study examples are presented to highlight emerging practices and research; for example, couples attending music therapy groups in a rural community setting (Together in Sound) improved relationships and attitudes for people living with dementia. An international trial investigating reading and music interventions for people living with dementia and their homebased family carers (Homeside) is introduced, alongside practice and research in care homes where music therapy had been found to reduce agitation and improve carers’ well-being. Research shows music therapy interventions address personalized needs linked to daily lived experiences. However, indirect music therapy is needed to reach all who can benefit from music and are living with dementia. It is concluded that high quality, accessible music interventions should be embedded in care, and further research is needed to ascertain best practice.


2017 ◽  
Vol 66 (1) ◽  
pp. 52-61 ◽  
Author(s):  
Mariângela Aparecida Rezende Aleixo ◽  
Raquel Luiza Santos ◽  
Marcia Cristina do Nascimento Dourado

ABSTRACT Objective A large number of psychosocial interventions in dementia are based on music activities and music therapy interventions. We aim at assessing the efficacy of music therapy in the neuropsychiatric symptoms of people with dementia. Methods This systematic review is according to the methodology suggested by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We searched for articles in PubMed, Web of Knowledge Cross Search, Cochrane Library, Scopus and Lilacs/Bireme databases published from 2005 to 2016. The search keywords included “early onset” and “late onset” combined with “dementia”, “Alzheimer”, “vascular dementia”, “mixed dementia”, “frontotemporal dementia”, “neuropsychiatric symptoms”, “behavioral disturbances”, “behavioral and psychological symptoms of dementia” and “music therapy”. The studies were categorized according to its efficacy on the decline of neuropsychiatric symptoms and improvement of cognitive function, quality of life and well-being. Results We selected 12 out of 257 papers. Music therapy interventions were applied individually or in group setting, using active or receptive technique. In general, studies indicated the efficacy of music therapy on the decline of depression, agitation and anxiety. There were heterogeneity of interventions, methodological design and instruments of evaluation among the studies. Conclusions Although there are reports of the efficacy of music therapy on the decline of neuropsychiatric symptoms of dementia, the area still needs randomized studies aimed at the solution of important methodological problems like the lack of standardized approaches.


Author(s):  
Caroline Leite de Lima ◽  
Mariane De Jesus Carvalho ◽  
Elaine Reda da Silva

Este estudo teve como objetivo apresentar e analisar a produção científica nacional e internacional envolvendo a aplicação da musicoterapia em pacientes portadores de câncer e/ou em cuidados paliativos. Realizou-se uma revisão integrativa na base de dados Scientific Eletronic Library Online (SciELO) e Biblioteca Virtual em Saúde (BVS). Dos 18 artigos selecionados, 12 abordaram os benefícios da utilização da musicoterapia; 4 às percepções de familiares e 2 outras abordagens (um avaliou a qualidade de evidências científicas sobre intervenções musicais e outro assuntos e necessidades apresentados durante a musicoterapia). Conclui-se que a musicoterapia contribui para o controle de sinais e sintomas, promove a comunicação, as expressões de sentimentos, emoções, bem-estar e conforto aos clientes e seus familiares. Porém, verifica-se a necessidade de mais pesquisas para determinar a melhor metodologia de intervenção, além de facilitar os contextos de implementação.Descritores: Cuidados paliativos, Neoplasias, Musicoterapia, Cuidados de enfermagem. Music therapy for cancer patients and/or in palliative care: an integrative literature reviewAbstract: This study aimed to present and analyze the national and international scientific production involving the application of music therapy in patients with cancer and/or palliative care. An integrative review was carried out in the Scientific Electronic Library Online (SciELO) and Virtual Health Library (VHL) database. Of the 18 articles selected, 12 addressed the benefits of using music therapy; 4 to the perceptions of family members and 2 other approaches (one evaluated the quality of scientific evidence on musical interventions and other subjects and needs presented during music therapy). It concludes that music therapy contributes to the control of signs and symptoms, promotes communication, expressions of feelings, emotions, well-being, and comfort to clients and their families. However, there is a need for more research to determine the best intervention methodology, as well as to facilitate implementation contexts.Descriptors: Palliative care, Neoplasms, Music therapy, Nursing care. Musicoterapia para pacientes con cáncer y/o cuidados paliativos: revisión integrativa de la literaturaResumen: Este estudio tenía como objetivo presentar y analizar la producción científica nacional e internacional que implica la aplicación de la musicoterapia en pacientes con cáncer y/o cuidados paliativos. Se llevó a cabo una revisión integradora en la base de datos Scientific Electronic Library Online (SciELO) y Virtual Health Library (VHL). De los 18 artículos seleccionados, 12 abordaron los beneficios del uso de la musicoterapia; 4 a las percepciones de los miembros de la familia y otros 2 enfoques (uno evaluó la calidad de la evidencia científica sobre intervenciones musicales y otros temas y necesidades presentadas durante la musicoterapia). Se concluye que la musicoterapia contribuye al control de los signos y síntomas, promueve la comunicación, las expresiones de sentimientos, las emociones, el bienestar y la comodidad de los clientes y sus familias. Sin embargo, es necesario realizar más investigaciones para determinar la mejor metodología de intervención, además de facilitar los contextos de implementación.Descriptores: Cuidados paliativos, neoplasias, terapia musical, cuidados de enfermería.


Author(s):  
Dorita S. Berger

In order to address the treatment of deficits through music therapy interventions, clinicians who assess human behaviors from a physiological perspective can target treatment goals and objectives to address more than just the symptoms of diagnoses. Clearer understand of Goal and Objective can help identify and address possible causes of mal-functions. This is possible when clinicians observe patients with a keen clinical eye for associating presenting problems with unobservable physiological reasons for them. This paper discusses the differences between a goal and an objective, and suggests how a clinical eye might focus long-range goals and short-term objectives from a physiologic perspective for any diagnosis. A sample case of autism is presented for the purpose of illuminating the suggested approach and terminologies discussed. Although the case is of a child with an Autism diagnosis, the information presented is transferable to other diagnoses and age groups. Clinical observations and sample goals and objectives discussed are based on the hypothesis that behavior is rooted in physiologic function resulting from information that is, or is not, available, that is either well perceived or ill-interpreted, by the brain, which thus calls for what appears as less functional behaviors. In considering treatment with music, interventions based on observed behaviors and responses will yield goals and objectives for possible causes of identified areas of deficiency, including psycho-emotional issues.


2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Ferawati Ferawati ◽  
Siti Amiyakun

ABSTRAK Stress adalah suatu kondisi dimana tubuh terganggu karena tekanan psikologis. Stress dikaitkan bukan karena penyakit fisik lebih mengenai kejiwaan. Karena pengaruh stress tersebut maka penyakit fisik bisa muncul akibat lemahnya dan rendahnya daya tahan tubuh. Studi tentang kesehatan jiwa, telah menunjukkan terapi music sangat efektif dalam meredakan kegelisahan dan stress, mendorong perasaan rileks serta meredakan depresi. Tujuan dari penelitian ini adalah mengetahui pengaruh terapi music terhadap tingkat stress mahasiswa sebelum dan sesudah diberikan terapi musik.Penelitian ini merupakan penelitian Quasi Experiment dengan menggunakan rancangan one group pretest-posttest design. Sampel penelitian ini adalah 47 responden. Data dikumpulkan dengan mengisi kuesioner DASS. Pengolahan data dengan uji Wilcoxon Match Pairs Test. Hasil dari penelitian yaitu sebelum dilakukan pemberian terapi music didapatkan 7 mahasiswa atau (16,67%) mengalami stress berat. Setelah diberikan intervensi terapi music diketahui 7 orang mahasiswa (16,67%) mengalami penurunan tingkat stress. Kesimpulannya ada pengaruh pemberian terapi music terhadap tingkat stress pada mahasiswa Program Studi Ilmu Keperawatan Sekolah Tinggi Ilmu Kesehatan Insan Cendekia Husada Bojonegoro ( (0,000) dan nilai Z hitung – 6,557 sedangkan Z table 1,96 (Z hitung Z table) berarti Ho ditolak sehingga Ha diterima). Kata Kunci: Terapi Musik, Tingkat Stress. ABSTRACT Stress is a condition where the body is disrupted due to psychological pressure. Stress is associated not due to physical illness is more about the mental. Because of the influence of the stress then physical illness can arise due to the weakness and lack of endurance. The study of mental health, music therapy has shown very effective in relieving anxiety and stress, encourage relaxation and relieve feelings of depression. The purpose of this study was to determine the effect of music therapy on the stress level of students before and after therapy is given musik.Penelitian a Quasi Experiment study using a design one group pretest-posttest design. The sample was 47 respondents. Data were collected by filling out questionnaires DASS. Data processing by Wilcoxon Match Pairs Test. Results of the research that prior to giving music therapy students or obtained 7 (16.67%) experienced severe stress. After being given music In therapy interventions known 7 students (16.67%) decreased level of stress. In conclusion there is the effect of music therapy on the level of stress in students of Nursing Science College of Health Sciences Insan Scholar (0,000) and the Z count - 6.557 while the Z table  Husada Bojonegoro 1.96 (Z count Z table) means Ho is rejected so Ha is received). Key words: Music Therapy, Stress Levels.


2013 ◽  
Vol 3 (2) ◽  
pp. 79-95
Author(s):  
Zuzana Vlachová

The paper presents a qualitative empirical research project, research design and research methods used in the preparation of a dissertation which deals with music therapy interventions in children with autism. The reason for examining this issue is a considerable lack of research activity in this area, and thus also a lack of relevant results on which clinical practice could rely. The results of future investigations should bring answers to the question of how children with autism receive and experience music therapy intervention and also what the effect of music therapy intervention in the social interaction of children is; research will be directed to a deeper understanding of this influence and its characteristics using the multiple case study design.


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e044193
Author(s):  
Matthias Christian Schrempf ◽  
Julian Quirin Petzold ◽  
Hugo Vachon ◽  
Morten Aagaard Petersen ◽  
Johanna Gutschon ◽  
...  

IntroductionPatients with cancer undergoing surgery often suffer from reduced quality of life and various forms of distress. Untreated distress can negatively affect coping resources as well as surgical and oncological outcomes. A virtual reality-based stress reduction intervention may increase quality of life and well-being and reduce distress in the perioperative phase for patients with cancer. This pilot trial aims to explore the feasibility of the proposed intervention, assess patient acceptability and obtain estimates of effect to provide data for sample size calculations.Methods and analysisPatients with colorectal cancer and liver metastasis undergoing elective surgery will be recruited for this single-centre, randomised pilot trial with a three-arm design. A total of 54 participants will be randomised at 1:1:1 ratio to one of two intervention groups or a control receiving standard treatment. Those randomised to an intervention group will either receive perioperative virtual reality-based stress reduction exercises twice daily or listen to classical music twice daily. Primary feasibility outcomes are number and proportions of participants recruited, screened, consented and randomised. Furthermore, adherence to the intervention, compliance with the completion of the quality of life questionnaires and feasibility of implementing the trial procedures will be assessed. Secondary clinical outcomes are measurements of the effectiveness of the interventions to inform sample size calculations.Ethics and disseminationThe study protocol, the patient information and the informed consent form have been approved by the ethics committee of the Ludwigs-Maximilians-University, Munich, Germany (Reference Number: 19–915). Study findings will be submitted for publication in peer-reviewed journals.Trial registration numberDRKS00020909.


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