Metzner Susanne, Jarczok Marc N, Böckelmann Irina, Glomb Sina, Delhey Manuela, Gündel Harald, Frommer Jörg
Faculty of Philosophy and Social Sciences, Augsburg University, Augsburg, Germany.
Faculty of Medicine, Augsburg University, Augsburg, Germany.
Front Pain Res (Lausanne). 2022 Aug 10;3:943360. doi: 10.3389/fpain.2022.943360. eCollection 2022.
Music-imaginative Pain Treatment (MIPT) is a form of music therapy addressing pain experience and affective attitudes toward pain. It includes two self-composed music pieces: one dedicated to the pain experience (pain music, PM) and the other to healing imagination (healing music, HM). Our non-experimental study addresses patients with chronic somatoform pain disorders participating in MIPT. The goal is to gain insight into the direct effect mechanisms of MIPT by combining outcome measures on both the objective physiological and subjective perception levels. The research questions are directed toward changes in pain experience and heart rate variability and their correlations. Thirty-seven hospitalized patients with chronic or somatoform pain disorders receiving MIPT participated in this study. Demographic data and psychometric measures (Symptom Check List SCL90, Childhood Trauma Questionnaire CTQ) were collected to characterize the sample. Subjective pain experience was measured by McGill Pain Questionnaire (SF-MPQ), and Heart Rate Variability by 24 h-ECG. Data analysis shows a reduction of reported pain from M = 19.1 (SD = 7.3) to M = 10.6 (SD = 8.0) in all dimensions of the SF-MPQ. HRV analyses shows a reduced absolute power during PM and HM, while a relative shift in the autonomic system toward higher vagal activity appears during HM. Significant correlations between HRV and MPQ could not be calculated. Findings are interpreted as a physiological correlate to the psychological processes of the patients. Future studies with more participants, a control-group design, and the integration of medium- and long-term effects are recommended.
音乐想象疼痛治疗（MIPT）是一种音乐疗法，旨在处理疼痛体验以及对疼痛的情感态度。它包括两首自行创作的音乐作品：一首专注于疼痛体验（疼痛音乐，PM），另一首专注于治愈想象（治愈音乐，HM）。我们的非实验性研究针对参与MIPT的慢性躯体形式疼痛障碍患者。目标是通过结合客观生理和主观感知层面的结果测量，深入了解MIPT的直接作用机制。研究问题针对疼痛体验和心率变异性的变化及其相关性。37名接受MIPT治疗的住院慢性或躯体形式疼痛障碍患者参与了本研究。收集了人口统计学数据和心理测量指标（症状自评量表SCL90、儿童创伤问卷CTQ）以描述样本特征。主观疼痛体验通过麦吉尔疼痛问卷（SF-MPQ）测量，心率变异性通过24小时心电图测量。数据分析显示，SF-MPQ所有维度的报告疼痛从M = 19.1（标准差 = 7.3）降至M = 10.6（标准差 = 8.0）。HRV分析显示，在PM和HM期间绝对功率降低，而在HM期间自主神经系统向更高迷走神经活动出现相对转变。无法计算HRV与MPQ之间的显著相关性。研究结果被解释为与患者心理过程的生理关联。建议未来进行更多参与者、对照组设计以及纳入中长期效应的研究。
