Warth Marco, Kessler Jens, Koenig Julian, Wormit Alexander F, Hillecke Thomas K, Bardenheuer Hubert J
School of Therapeutic Sciences, SRH University Heidelberg, Maria-Probst-Strasse 3, 69123 Heidelberg, Germany ; Centre of Pain Therapy and Palliative Care Medicine, Department of Anaesthesiology, University Hospital Heidelberg, Im Neuenheimer Feld 131, 69120 Heidelberg, Germany.
Centre of Pain Therapy and Palliative Care Medicine, Department of Anaesthesiology, University Hospital Heidelberg, Im Neuenheimer Feld 131, 69120 Heidelberg, Germany.
BMC Palliat Care. 2014 Dec 17;13(1):60. doi: 10.1186/1472-684X-13-60. eCollection 2014.
Music therapy is one of the most frequently used complementary therapies in different palliative care settings. Despite its long tradition and high acceptance by other health-care professionals, evidence on the effectiveness of music therapy interventions for terminally ill patients is rare. Recent reviews and health-care reports consistently point out the need of music therapists to provide an evidence-based rationale for their clinical treatments in this field. Therefore, the present study evaluates the psychological and physiological response of palliative care patients to a standardized music therapy relaxation intervention in a randomized controlled trial.
METHODS/DESIGN: A sample of 84 participants from a palliative care unit in Heidelberg is randomized to either two sessions of music therapy or two sessions of a verbal relaxation exercise, each lasting 30 minutes. The music therapy sessions consist of live played monochord music and a vocal improvisation, the control group uses a prerecorded excerpt from the mindfulness-based stress reduction program containing no musical elements. Outcome measures include self-report data on subjective relaxation, well-being, pain intensity, and quality of life, as well as continuous recording of heart rate variability and blood volume pulse as indicators of autonomous nervous system functioning.
To our knowledge, this study is the first clinical trial in Europe and one of very few randomized controlled trials worldwide to systematically examine the effects of music therapy in palliative care.
German Clinical Trials Register - DRKS00006137.
音乐疗法是在不同姑息治疗环境中最常用的补充疗法之一。尽管其历史悠久且被其他医疗保健专业人员高度认可，但关于音乐疗法干预对晚期患者有效性的证据却很少。最近的综述和医疗保健报告一致指出，音乐治疗师需要为该领域的临床治疗提供循证依据。因此，本研究在一项随机对照试验中评估了姑息治疗患者对标准化音乐疗法放松干预的心理和生理反应。
方法/设计：从海德堡一家姑息治疗病房选取84名参与者，随机分为两组，一组接受两节音乐疗法治疗，另一组接受两节口头放松练习治疗，每次治疗持续30分钟。音乐疗法治疗包括现场弹奏的单弦琴音乐和即兴声乐，对照组使用一段来自基于正念减压项目的预先录制的节选内容，其中不含音乐元素。结果测量包括关于主观放松、幸福感、疼痛强度和生活质量的自我报告数据，以及作为自主神经系统功能指标的心率变异性和血容量脉搏的连续记录。
据我们所知，本研究是欧洲第一项关于系统研究音乐疗法在姑息治疗中效果的临床试验，也是全球为数不多的随机对照试验之一。
德国临床试验注册中心 - DRKS00006137。
