Department of Communication and Psychology, Music Therapy Course, Aalborg University, Aalborg, Denmark.
Sonora Organization for Music Therapy and Research, Athens, Greece.
J Music Ther. 2023 Dec 30;60(4):410-434. doi: 10.1093/jmt/thad011.
The primary aim of this randomized controlled trial pilot was to investigate the potential effectiveness of the music psychotherapy method, Guided Imagery and Music (GIM), to assist female patients who are undergoing chemotherapy treatment for breast or gynecologic cancer. A secondary aim was to suggest performance improvements regarding the protocol and the resources required to undertake a future larger scale study. The researchers randomized participants (n = 20) into two groups: Intervention group (n = 10) and Control group (n = 10). The Intervention group received a series of six individual, short GIM sessions whereas the Control group received two verbal counseling sessions that took place at Week 1 and at Week 6 of treatment. All participants in the study completed the Profile of Mood States (POMS-Brief); Cancer Fatigue Scale (CFS); and Herth Hope Index (HHI) before the beginning of Week 1 and again after Week 6 or, in the case of the Intervention group, after the last GIM session. All participants also completed two Visual Analogue Scales (VAS-Hope; VAS-Fatigue) weekly or after each session throughout the duration of the trial. The results of the Intervention group receiving GIM showed medium pre-post effect sizes for the CFS, HHI, and POMS questionnaires, and significant positive changes for the VAS-H and VAS-F questionnaires. As seen from this initial data outcome, a brief series of GIM sessions shows promise to be beneficial for increasing hope, decreasing fatigue, and mitigating distressed mood for female patients undergoing treatment for breast or gynecologic cancer.
本随机对照试验的主要目的是探究音乐心理疗法（引导意象与音乐，Guided Imagery and Music，简称 GIM）对于正在接受乳腺癌或妇科癌症化疗的女性患者的潜在有效性。次要目的是针对方案提出改进建议，并确定未来更大规模研究所需的资源。研究人员将参与者（n = 20）随机分为两组：干预组（n = 10）和对照组（n = 10）。干预组接受了一系列六次个体的简短 GIM 疗程，而对照组则在治疗的第 1 周和第 6 周接受了两次口头咨询。所有研究参与者在第 1 周开始前和第 6 周后（对于干预组而言，则在最后一次 GIM 疗程后）完成了心境状态问卷（Profile of Mood States，简称 POMS-Brief）、癌症疲劳量表（Cancer Fatigue Scale，简称 CFS）和赫特希望量表（Herth Hope Index，简称 HHI）。所有参与者还在每周或每次治疗后完成了两个视觉模拟量表（VAS-Hope；VAS-Fatigue）。干预组接受 GIM 的结果表明，CFS、HHI 和 POMS 问卷的中前期后效应量较大，VAS-H 和 VAS-F 问卷的变化显著为正。从这些初步数据结果来看，简短的 GIM 疗程系列有望对提高希望、减轻疲劳和缓解正在接受乳腺癌或妇科癌症治疗的女性患者的不良情绪产生有益影响。
