Colorado State University, Fort Collins, CO, USA.
University of Kentucky, Lexington, KY, USA.
J Music Ther. 2022 Mar 21;59(1):36-61. doi: 10.1093/jmt/thab017.
Experiencing a stroke can lead to difficulties with emotion regulation and mood disorders like depression. It is well documented that poststroke depression (PSD) affects a third of all stroke survivors. Higher levels of depression and depressive symptoms are associated with less efficient use of rehabilitation services, poor functional outcomes, negative impacts on social participation, and increased mortality. Mood in the acute phases of stroke recovery may be a key factor influencing the depression trajectory with early depression predicting poor longitudinal outcomes. The purpose of the study was to examine the effect of one active music therapy (AMT) treatment on mood following a first-time ischemic stroke during acute hospitalization. Forty-four adults received AMT defined as music-making interventions that elicit and encourage active participation. The Faces Scale was used to assess mood immediately prior to and following the treatment. A significant change in mood was found following one treatment. Comment analysis indicated that participants viewed music therapy as a positive experience. Findings here support the use of brief AMT to provide early psychological support to stroke survivors. Continued investigation into the role of music therapy in early stroke recovery is recommended.
中风可能导致情绪调节困难和抑郁等情绪障碍。有大量文献记录表明，中风后抑郁（PSD）影响了三分之一的中风幸存者。较高水平的抑郁和抑郁症状与康复服务利用效率较低、功能预后不良、对社会参与的负面影响以及死亡率增加有关。中风康复急性期的情绪可能是影响抑郁轨迹的关键因素，早期抑郁预示着长期预后不良。本研究的目的是在急性住院期间，研究单次缺血性中风后单次主动音乐治疗（AMT）对情绪的影响。44 名成年人接受了 AMT 治疗，其定义为引发和鼓励积极参与的音乐干预措施。使用面部量表（Faces Scale）在治疗前和治疗后即刻评估情绪。治疗后情绪有显著变化。评论分析表明，参与者认为音乐治疗是一种积极的体验。研究结果支持使用简短的 AMT 为中风幸存者提供早期心理支持。建议继续研究音乐治疗在中风早期康复中的作用。
