A Single-Case, Mixed Methods Study Exploring the Role of Music Listening in Vibroacoustic Treatment
DOI:
https://doi.org/10.15845/voices.v19i2.2556Keywords:
vibroacoustic, music listening, pain, depression, AnxietyAbstract
Chronic pain is a widespread issue accompanied commonly by depression and anxiety. Chronic pain has been shown to alter brain processing within the emotional and reward circuits, pointing towards a possible link between pain and comorbid mood disorders. Pain relief may be achieved by alleviating depressive and anxious symptoms. Relaxation is important for pain relief and eliciting relaxation through music listening is shown to relieve pain, depression, anxiety, and discomfort among others. In addition to auditory stimuli, Vibroacoustic treatment – the tactile application of low frequency sinusoidal sound vibration, plus music listening and therapeutic interaction – has been shown to be beneficial for relieving these symptoms. Although the combination of music listening and low frequencies has been previously explored, the role of the music listening within the vibroacoustic treatment context is unknown. A single-case, mixed method crossover study was conducted with a client suffering from chronic pain and comorbid mood disorders, four sessions with music listening, and four sessions without. Quantitative outcomes showed the client was more relaxed, less anxious, and had less pain after the music sessions. Qualitative findings showed that the client at first could not relax without the music listening because of her severe anxiety, but learned to use music as a distractor from her thoughts to relax, but also that silence was equally important for her; these hinged on her making the choice based on her needs, which had previously been difficult for her.
References
Ahonen, H., Deek, P., & Kroeker, J. (2012). Low frequency sound treatment promoting physical and emotional relaxation qualitative study. International Journal of Psychosocial Rehabilitation, 17(1), 45-58.
Ala-Ruona, E., & Punkanen, M. (2017). Multidisciplinary applications of vibroacoustics – from clinical practice and research to future directions. Music and Medicine, 9(3), 149-150.
Ala-Ruona, E., Punkanen, M., & Campbell, E. A. (2015). Vibroacoustic therapy: Conception, development, and future directions. Musiikkiterapia, 30(1-2), 1 48-2 71.
Benson, H. (1975). The relaxation response. New York, NY: Harper Collins Publishers.
Bradt, J., Dileo, C., & Shim, M. (2013). Music interventions for preoperative anxiety. Cochrane Database of Systematic Reviews, 6, https://doi.org/10.1002%2F14651858.CD006908.pub2.
Bradt, J., Potvin, N., Kesslick, A., Shim, M., Radl, D., Schriver, E., Gracely, E. J., & Komarnicky-Kocher, L. T. (2015). The impact of music therapy versus music medicine on psychological outcomes and pain in cancer patients: A mixed methods study. Supportive Care in Cancer, 23(5), 1261-1271, https://doi.org/https%3A%2F%2Fdoi.org%2F10.1007%2Fs00520-014-2478-7.
Braun Janzen, T., Paneduro, D., Picard, L., Gordon, A., & Bartel, L. R. (2019). A parallel randomized controlled trial examining the effects of rhythmic sensory stimulation on fibromyalgia symptoms. PloS One, 14(3), e0212021, https://doi.org/10.1371%2Fjournal.pone.0212021.
Brosschot, J. F. (2002). Cognitive‐emotional sensitization and somatic health complaints. Scandinavian Journal of Psychology, 43(2), https://doi.org/10.1111/1467-9450.00276.
Buchbinder, E. (2011). Beyond checking: Experiences of the Validation Interview. Qualitative Social Work, 10(1), https://doi.org/10.1177/1473325010370189.
Campbell, E. A., Hynynen, J., & Ala-Ruona, E. (2017). Vibroacoustic treatment for chronic pain and mood disorders in a specialised healthcare setting. Music and Medicine, 9(3), 187-197.
Chamberlin, J. (1997). A working definition of empowerment. Psychiatric Rehabilitation Journal, 20(4), 43-46.
Charness, G., Gneezy, U., & Kuhn, M. A. (2012). Experimental methods: Between-subject and within-subject design. Journal of Economic Behavior and Organization, 81(1), 1-8, https://doi.org/10.1016%2Fj.jebo.2011.08.009.
Clark, I. N., & Tamplin, J. (2016). How music can influence the body: Perspectives from current research. Voices: A World Forum for Music Therapy, 16(2), https://doi.org/10.15845%2Fvoices.v16i2.871.
Clements-Cortés, H., Freedman, M., & Bartel, L. (2017). The potential of rhythmic sensory stimulation treatments for persons with Alzheimer’s disease. Music and Medicine, 9(3), 167-173.
Côté, P., Cassidy, J. D., & Carroll, L. (2000). The factors associated with neck pain and its related disability in the Saskatchewan population. Spine, 25(9), 1109-1117, https://doi.org/10.1097/00007632-200005010-00012.
Deal, B. (2011). Finding meaning in suffering. Holistic Nursing Practice, 25(4), 205-210.
Dworkin, R. H., Turk, D. C., Wyrwich, K. W., Beaton, D., Cleeland, C. S., Farrar, J. T., & Zavisic, S. (2008). Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations. Journal of Pain, 9(2), 105-121, https://doi.org/10.1016%2Fj.jpain.2007.09.005.
Eriksen, H. R., & Ursin, H. (2004). Subjective health complaints, sensitization, and sustained cognitive activation (stress). Journal of Psychosomatic Research, 56(4), 445-448, https://doi.org/10.1016%2FS0022-3999%2803%2900629-9.
Esch, T., Fricchione, G. L., & Stefano, G. B. (2003). The therapeutic use of the relaxation response in stress-related diseases. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 9(2).
Ezenwa, M., Yao, Y., Nguyen, M., Mandernach, M., Hunter, C., Yoon, S., Amador, A., Sylvera, A., Lamonge, R., Lyon, D., & Wilkie, D. (2018). (170) – The effects of relaxation intervention on pain, stress, and autonomic responses among adults with sickle cell pain in the outpatient setting. Journal of Pain, 19(3), S32-S33, https://doi.org/10.1016%2Fj.jpain.2017.12.083.
Folkman, S. (2013). Stress: Appraisal and coping. In M. D. Gellman & J. R. Turner (Eds.), Encyclopedia of behavioral medicine. New York, NY: Springer.
Gillen, E., Biley, F., & Allen, D. (2008). Effects of music listening on adult patients' pre‐procedural state anxiety in hospital. International Journal of Evidence‐Based Healthcare, 6(1), 24-49, https://doi.org/10.1111%2Fj.1744-1609.2007.00097.x.
Goldberg, D. S., & McGee, S. J. (2011). Pain as a global public health priority. BMC Public Health, 11(1), 770, https://doi.org/10.1186%2F1471-2458-11-770.
Grocke, D. E., & Wigram, T. (2007). Receptive methods in music therapy: Techniques and clinical applications for music therapy clinicians, educators, and students. London; Philadelphia: Jessica Kingsley Publishers.
Hart, J. D. (2018). The living experience of suffering: A parse method study. Nursing Science Quarterly, 31(2), 139-147, https://doi.org/10.1177%2F0894318418755730.
Hanser, S. B. (2014). Music therapy in cardiac health care: Current issues in research. Cardiology in Review, 22(1), 37-42.
Hawker, G. A., Mian, S., Kendzerska, T., & French, M. (2011). Measures of adult pain: Visual analog scale for pain (vas pain), numeric rating scale for pain (NRS pain), McGill pain questionnaire (MPQ), short‐form McGill pain questionnaire (sf‐MPQ), chronic pain grade scale (cpgs), short form‐36 bodily pain scale (sf‐36 bps), and measure of intermittent and constant osteoarthritis pain (icoap). Arthritis Care & Research, 63(S11).
Huang, S., Good, M., & Zauszniewski, J. A. (2010). The effectiveness of music in relieving pain in cancer patients: A randomized controlled trial. International Journal of Nursing Studies, 47(11), 1354-1362, https://doi.org/10.1016%2Fj.ijnurstu.2010.03.008.
Jensen, M. P., Chen, C., & Brugger, A. M. (2003). Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain. The Journal of Pain, 4(7), 407-414.
Juster, R., McEwen, B. S., & Lupien, S. J. (2010). Allostatic load biomarkers of chronic stress and impact on health and cognition. Neuroscience and Biobehavioral Reviews, 35(1), 2-16, https://doi.org/10.1016%2Fj.neubiorev.2009.10.002.
Katon, W., Sullivan, M., & Walker, E. (2001). Medical symptoms without identified pathology: Relationship to psychiatric disorders, childhood and adult trauma, and personality traits. Annals of Internal Medicine, 134(9 Part 2), 917.
Kemper, K. J., & Danhauer, S. C. (2005). Music as therapy. Southern Medical Journal, 98(3), 282-288, https://doi.org/10.1097%2F01.SMJ.0000154773.11986.39.
King, G. (2017). The role of the therapist in therapeutic change: How knowledge from mental health can inform pediatric rehabilitation. Physical & Occupational Therapy in Pediatrics, 37(2), 121-138, https://doi.org/10.1080%2F01942638.2016.1185508.
Kreutz, G., Murcia, C. Q., & Bongard, S. (2012). Music, health & wellbeing. Oxford, GBR: Oxford University Press. pp. 457-476.
Lai, H., Li, Y., & Lee, L. (2012). Effects of music intervention with nursing presence and recorded music on psycho‐physiological indices of cancer patient caregivers. Journal of Clinical Nursing, 21, https://doi.org/10.1111/j.1365-2702.2011.03916.x.
Larkin, M., & Thompson, A. R. (2011). Interpretative phenomenological analysis in mental health and psychotherapy research. In D. Harper, & A. R. Thompson (Eds.),. In D. Harper & A.. R.. Thompson (Eds.), Qualitative research methods in mental health and psychotherapy: A guide for students and practitioners (pp. 101-116). Hoboken, NJ: John Wiley & Sons Inc.
Laugharne, R., & Priebe, S. (2006). Trust, choice and power in mental health. Social Psychiatry and Psychiatric Epidemiology, 41(11), 843-852, https://doi.org/10.1007%2Fs00127-006-0123-6.
Leech, N. L., & Onwuegbuzie, A. J. (2007). An array of qualitative data analysis tools. School Psychology Quarterly, 22(4), 557-584, https://doi.org/10.1037%2F1045-3830.22.4.557.
Lerman, S. F., Rudich, Z., Brill, S., Shalev, H., & Shahar, G. (2015). Longitudinal associations between depression, anxiety, pain, and pain-related disability in chronic pain patients. Psychosomatic Medicine, 77(3), 333-341, https://doi.org/10.1097%2FPSY.0000000000000158.
Lin, Y., & Payne, H. (2014). The BodyMind Approach™, medically unexplained symptoms and personal construct psychology. Body, Movement and Dance in Psychotherapy, 9(3), 154-166, https://doi.org/10.1080%2F17432979.2014.918563.
Linton, S. J., & Shaw, W. S. (2011). Impact of psychological factors in the experience of pain. Physical Therapy, 91(5), 700-711, https://doi.org/10.2522%2Fptj.20100330.
Liu, Y., & Petrini, M. A. (2015). Effects of music therapy on pain, anxiety, and vital signs in patients after thoracic surgery. Complementary Therapies in Medicine, 23(5), 714-718, https://doi.org/10.1016%2Fj.ctim.2015.08.002.
Lonsdale, A. J., & North, A. C. (2011). Why do we listen to music? A usesand gratifications analysis. The British Psychological Society, 102, 108-134.
Mansfield, K. E., Sim, J., Jordan, J. L., & Jordan, K. P. (2016). A systematic review and meta-analysis of the prevalence of chronic widespread pain in the general population. Pain, 157(1), 55-64, https://doi.org/10.1097%2Fj.pain.0000000000000314.
Manolov, R., Gast, D. L., Perdices, M., & Evans, J. J. (2014). Single-case experimental designs: Reflections on conduct and analysis. Neuropsychological Rehabilitation, 24(3-4), 634-660, https://doi.org/10.1080%2F09602011.2014.903199.
Manzoni, G. M., Pagnini, F., Castelnuovo, G., & Molinari, E. (2008). Relaxation training for anxiety: A ten-years systematic review with meta-analysis. BMC Psychiatry, 8(1), 41, https://doi.org/10.1186%2F1471-244X-8-41.
Myles, P. S., Myles, D. B., Galagher, w., Boyd, D., Chew, C., MacDonald, N., & Dennis, A. (2017). Measuring acute postoperative pain using the visual analog scale: The minimal clinically important difference and patient acceptable symptom state. British Journal of Anaesthesia, 118(3), 424-429.
Naghdi, L., Ahonen, H., Macario, P., & Bartel, L. (2015). The effect of low-frequency sound stimulation on patients with fibromyalgia: A clinical study. Pain Research & Management, 20(1), e21.
Navratilova, E., Morimura, K., Xie, J. Y., Atcherley, C. W., Ossipov, M. H., & Porreca, F. (2016). Positive emotions and brain reward circuits in chronic pain. The Journal of Comparative Neurology, 524, 1646-1652.
Nelson, K., Adamek, M., & Kleiber, C. (2017). Relaxation training and postoperative music therapy for adolescents undergoing spinal fusion surgery. Pain Management Nursing, 18(1), 16-23, https://doi.org/10.1016%2Fj.pmn.2016.10.005.
Next Wave World Wide. (n.d.). Retrieved April 1, 2019, from http://www.nextwaveworldwide.com/
Nilsson, U. (2008). The anxiety- and pain-reducing effects of music interventions: A systematic review. AORN Journal, 87(4), 780-807, https://doi.org/10.1016%2Fj.aorn.2007.09.013.
Nilsson, U. (2009). The effect of music intervention in stress response to cardiac surgery in a randomized clinical trial. Heart & Lung, 38(3), 201.
O’Cathain, A., Murphy, E., & Nicholl, J. (2010). Three techniques for integrating data in mixed methods studies. British Medical Journal, 341(7783), 1147-1150, https://doi.org/10.1136%2Fbmj.c4587.
Ohayon, M. M., & Stingl, J. C. (2012). Prevalence and comorbidity of chronic pain in the German general population. Journal of Psychiatric Research, 46(4), 444-450.
Osborn, M., & Smith, J. A. (1998). The personal experience of chronic benign lower back pain: An interpretative phenomenological analysis. British Journal of Health Psychology, 3(1), 65-83, https://doi.org/10.1111%2Fj.2044-8287.1998.tb00556.x.
Patall, E. A., Cooper, H., & Robinson, J. C. (2008). The effects of choice on intrinsic motivation and related outcomes. Psychological Bulletin, 134(2), 270-300, https://doi.org/10.1037%2F0033-2909.134.2.270.
Payne, H. (2009). Pilot study to evaluate dance movement psychotherapy (the BodyMind approach) in patients with medically unexplained symptoms: Participant and facilitator perceptions and a summary discussion. Body, Movement and Dance in Psychotherapy, 4(2), 77-94, https://doi.org/10.1080%2F17432970902918008.
Pietkiewicz, I., & Smith, JA. (2012). Praktyczny przewodnik interpretacyjnej analizy fenomenologicznej w badaniach jakościowych w psychologii. [A practical guide to using Interpretative Phenomenological Analysis in qualitative research psychology]. Czasopismo Psychologiczne, 18(2), 361-369.
Pinto, R. Z., Ferreira, M. L., Oliveira, V. C., Franco, M. R., Adams, R., Maher, C. G., & Ferreira, P. H. (2012). Patient-centred communication is associated with positive therapeutic alliance: A systematic review. Journal of Physiotherapy, 58(2), 77-87, https://doi.org/10.1016%2FS1836-9553%2812%2970087-5.
Punkanen, M., & Ala-Ruona, E. (2012). Contemporary vibroacoustic therapy. Music & Medicine, 4(3), 128-135, https://doi.org/10.1177%2F1943862112445324.
Rokke, P. D., Tomhave, J. A., & Jocic, Z. (1999). The role of client choice and target selection in self-management therapy for depression in older adults. Psychology and Aging, 14(1), 155-169, https://doi.org/10.1037%2F0882-7974.14.1.155.
Rolley, J., Chang, E., & Johnson, A. (2014). Spirituality and the nurse: Engaging in human suffering, hope and meaning. In E. Chang & A. Johnson (Eds.), Chronic illness and disability: Principles for nursing practice (2nd ed., pp. 60-80). Chatswood, N.S.W: Elsevier Australia.
Rüütel, E. (2002). The psychophysiological effects of music and vibroacoustic stimulation. Nordic Journal of Music Therapy, 11(1), 16-26, https://doi.org/10.1080%2F08098130209478039.
Rüütel, E., Ratnik, M., Tamm, E., & Zilensk, H. (2004). The experience of vibroacoustic therapy in the therapeutic intervention of adolescent girls. Nordic Journal of Music Therapy, 13(1), 33-46, https://doi.org/10.1080%2F08098130409478096.
Rüütel, E., Vinkel, I., & Eelmäe, P. (2017). The effect of short-term vibroacoustic treatment on spasticity and perceived health condition of patients with spinal cord and brain injuries. Music and Medicine, 9(3), 202-208.
Sandahl, C., & Wilberg, T. (2006). Researcher and therapist in the same person – a feasible combination? review of Steinar Lorentzen’s doctoral thesis: ‘Long-term analytic group psychotherapy with outpatients: Evaluation of process and change. Group Analysis, 39(3), 400-410, https://doi.org/10.1177%2F0533316406066607.
Saldaña, J. (2009). Coding manual for qualitative researchers. Thousand Oaks, CA: SAGE Publications.
Scott, E. L., Kroenke, K., Wu, J., & Yu, Z. (2016). Beneficial effects of improvement in depression, pain catastrophizing, and anxiety on pain outcomes: A 12-month longitudinal analysis. Journal of Pain, 17(2), 215-222, https://doi.org/10.1016%2Fj.jpain.2015.10.011.
Skille, O., & Wigram, T. (1995). The effects of music, vocalization and vibration on brain and muscle tissue: Studies in vibroacoustic therapy. In T. Wigram, B. Saperston, & R. West (Eds.), The art & science of music therapy: A handbook (pp. 23-57). Chur, Switzerland: Harwood Academic Publishers.
Smith, J. A., & Osborn, M. (2007). Interpretative phenomenological analysis. In J. A. Smith (Ed.), Qualitative psychology: A practical guide to research methods (pp. 53-80). London: SAGE Publications.
Symreng, I., & Fishman, S. M. (2004). Anxiety and pain. Pain: Clinical Updates, 12(7), 1-6.
Tunks, E. R., Crook, J., & Weir, R. (2008). Epidemiology of chronic pain with psychological comorbidity: Prevalence, risk, course, and prognosis. Los Angeles, CA: SAGE Publications.
Van Diest, I., De Peuter, S., Eertmans, A., Bogaerts, K., Victoir, A., & Van den Bergh, O. (2005). Negative affectivity and enhanced symptom reports: Differentiating between symptoms in men and women. Social Science & Medicine, 61(8), 1835-1845, https://doi.org/10.1016%2Fj.socscimed.2005.03.031.
Wigram, T. (1996). The effects of vibroacoustic therapy on clinical and non-clinical subjects (PhD Thesis). London: St. Georges Medical School, London University. http://vibroacoustics.org/FrequencyInfo/Research%20Articles/Wigram.Vat.Thesis.pdf.
Wiklund, M., Malmgren-Olsson, E., Ohman, A., Bergström, E., & Fjellman-Wiklund, A. (2012). Subjective health complaints in older adolescents are related to perceived stress, anxiety and gender - a cross-sectional school study in northern Sweden. BMC Public Health, 12(1), 993, https://doi.org/10.1186%2F1471-2458-12-993.
Wu, P. Y., Huang, M. L., Lee, W. P., Wang, C., & Shih, W. M. (2017). Effects of music listening on anxiety and physiological responses in patients undergoing awake craniotomy. Complementary therapies in medicine, 32, 56-60, https://doi.org/10.1016%2Fj.ctim.2017.03.007.
Yehuda, R., & Seckl, J. (2011). Minireview: Stress-related psychiatric disorders with low cortisol levels: A metabolic hypothesis. Endocrinology, 152(12), 4496-4503, https://doi.org/10.1210%2Fen.2011-1218.
Zeylemaker, M. M. P., Linn, F. H. H., & Vermetten, E. (2015). Blended care; development of a day treatment program for medically unexplained physical symptoms (MUPS) in the Dutch armed forces. Work: A Journal of Prevention Assessment & Rehabilitation, 50(1), 111, https://doi.org/10.3233%2FWOR-141933.
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