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治疗性音乐聆听在纤维肌痛症中的可行性:一项随机对照的初步研究。

Feasibility of therapeutic music listening in fibromyalgia: a randomised controlled pilot study.

机构信息

Music Therapy Research Laboratory, Istituti Clinici Scientifici Maugeri I.R.C.C.S., Via Maugeri 10, 27100, Pavia, Italy.

Istituti Clinici Scientifici Maugeri I.R.C.C.S., Pavia, Italy.

出版信息

Neurol Sci. 2023 Feb;44(2):723-727. doi: 10.1007/s10072-022-06488-9. Epub 2022 Nov 5.

Abstract

BACKGROUND

Fibromyalgia patients can benefit from music approaches as complementary treatments. In the literature, it was shown that these interventions managed pain conditions as well as reduced complaints, increased relaxation, and improved moods.

OBJECTIVE

This study aimed at evaluating music therapy, in the form of therapeutic music listening, specifically for patients with fibromyalgia, to treat chronic pain by reducing pain perception, increasing well-being, and improving quality of life.

METHODS

Twenty-four patients with fibromyalgia were recruited to take part in this feasibility pilot study that adopted a between-subject and within-subject design. Participants were randomised into three groups: (1) standard care, (2) standard care plus preferred music listening, (3) standard care plus Melomics-Health music listening, composed by an algorithm. Participants in experimental groups listened to 30 min of music at home, twice a day for a month. Patients' perceptions of changes following the listening, the intensity of pain and its interference in their lives, physical and mental well-being, and reported attitudes towards listening to music were evaluated respectively through the patients' global impression of change, the brief pain inventory, the Short Form Healthy Survey-12, and the cognitive behavioural assessment-outcome evaluation.

RESULTS

The study showed that music listening can significantly affect mental well-being compared to no music. Moreover, the effects in the Melomics-Health group are maintained at follow-up. No significant effect on pain perception was noted.

CONCLUSIONS

The study provides information supporting a possible role of music listening in improving well-being of patients with fibromyalgia.

摘要

背景

纤维肌痛患者可以从音乐疗法等补充治疗中受益。文献表明,这些干预措施不仅可以缓解疼痛,还可以减轻疼痛、增加放松感、改善情绪。

目的

本研究旨在评估音乐疗法(以治疗性音乐聆听的形式)对纤维肌痛患者慢性疼痛的治疗作用,以降低疼痛感知、提高幸福感和改善生活质量。

方法

本研究采用了组间和组内设计,招募了 24 名纤维肌痛患者参与这一可行性试点研究。参与者被随机分为三组:(1)标准护理组;(2)标准护理加偏好音乐聆听组;(3)标准护理加 Melomics-Health 音乐聆听组(由算法组成)。实验组的参与者在家中每天两次聆听 30 分钟的音乐,持续一个月。通过患者对变化的总体印象、简短疼痛量表、健康调查简表-12 项、认知行为评估-结果评估,分别评估患者在聆听后的感知变化、疼痛强度及其对生活的干扰、身心健康以及对聆听音乐的态度。

结果

研究表明,与不聆听音乐相比,音乐聆听可以显著影响心理健康。此外,在 Melomics-Health 组中的效果在随访时仍保持。对疼痛感知没有显著影响。

结论

该研究提供了信息,支持音乐聆听可能在改善纤维肌痛患者幸福感方面发挥作用。

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