Harmony of the Heart: Music Therapy
Investigations of Music Therapy in Cardiac Rehabilitation
Abstract
This article presents a research agenda that began with the development of a clinical music therapy protocol, including music-assisted relaxation and imagery (MARI), for individuals with heart conditions who are referred for cardiac rehabilitation. Health-related outcomes of this program were investigated in a randomized controlled trial, finding significant changes in blood pressure over time, and short-term changes in stress and anxiety. A mixed methods study then examined process and outcomes more thoroughly in a small sample of patients. In a more recent trial, this approach was applied to individuals who have diabetes. Coming full circle, the research investigations informed an adaptation of the original music therapy protocol for clinical use in cardiac rehabilitation. Underlying mechanisms in the autonomic nervous system and future research directions are also discussed.
Dieser Artikel repräsentiert Forschungen, die zunächst auf die Entwicklung klinisch-musiktherapeutischer Interventionen zurückgehen, welche musikunterstützte Entspannung und Imagination (MARI) mit einschließen. Zielklientel dabei waren Personen mit einem kardiologischen Status, der kardiologische Rehabilitation indiziert. Gesundheitsbezogene Effekte dieses Programms wurden in zufallsverteilten Gruppen kontrolliert getestet, wobei sich signifikante Effekte auf die Veränderung des Blutdrucks sowie kurzfristige Änderungen von Stress und Angst zeigten. Eine qualitative Studie untersuchte im Anschluss detailliert den Verlauf und Effekt dieser Maßnahmen in einer kleineren Gruppe von Patienten. In einer neueren Studie wurden die Methoden auf Diabetespatienten angewandt. Der Forschungskreis schloss sich: die Resultate sprachen für eine Annahme der ursprünglichen musiktherapeutischen Maßnahmen in der klinisch-kardiologischen Rehabilitation. Zugrundeliegende Mechanismen des autonomen Nervensystems und zukünftige Forschungsperspektiven werden ebenso diskutiert.
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