HEALTH
BENEFITS OF MUSIC THERAPY
Music
therapy is the use of music by health care professionals to promote healing and
enhance quality of life for their patients. Music therapy may be used to
encourage emotional expression, promote social interaction, relieve symptoms,
and for other purposes. Music therapists may use active or passive methods with
patients, depending on the individual patient’s needs and abilities.There is
some evidence that, when used with conventional treatment, music therapy can
help to reduce pain and relieve chemotherapy-induced nausea and vomiting. It
may also relieve stress and provide an overall sense of well-being. Some
studies have found that music therapy can lower heart rate, blood pressure, and
breathing rate.Music therapists work with a variety of physical, emotional, and
psychological symptoms. Music therapy is often used in cancer treatment to help
reduce pain, anxiety, and nausea caused by chemotherapy. Some people believe
music therapy may be a beneficial addition to the health care of children with
cancer by promoting social interaction and cooperation.There is evidence that
music therapy can reduce high blood pressure, rapid heart beat, depression, and
sleeplessness. There are no claims music therapy can cure cancer or other
diseases, but medical experts do believe it can reduce some symptoms, aid
healing, improve physical movement, and enrich a patient’s quality of life.
Music
therapists design music sessions for individuals and groups based on their
needs and tastes. Some aspects of music therapy include making music, listening
to music, writing songs, and talking about lyrics. Music therapy may also
involve imagery and learning through music. It can be done in different places
such as hospitals, cancer centers, hospices, at home, or anywhere people can
benefit from its calming or stimulating effects. The patient does not need to
have any musical ability to benefit from music therapy.A related practice called music thanatology is sometimes used at the end of a
patient’s life to ease the person’s passing. It is practiced in homes,
hospices, or nursing homes.Music has been used in medicine for thousands of
years. Ancient Greek philosophers believed that music could heal both the body
and the soul. Native Americans have used singing and chanting as part of their
healing rituals for millennia. The more formal approach to music therapy began
in World War II, when U.S. Veterans Administration hospitals began to use music
to help treat soldiers suffering from shell shock. In 1944, Michigan State
University established the first music therapy degree program in the world.
Today,
more than seventy colleges and universities have degree programs that are
approved by the American Music Therapy Association. Music therapists must have
at least a bachelor’s degree, 1,200 hours of clinical training, and one or more
internships before they can be certified. There are thousands of professional
music therapists working in health care settings in the United States today.
They serve as part of cancer-management teams in many hospitals and cancer
centers, helping to plan and evaluate treatment. Some music therapy services
are covered by health insurance.
Scientific
studies have shown the value of music therapy on the body, mind, and spirit of
children and adults. Researchers have found that music therapy, when used with
anti-nausea drugs for patients receiving high-dose chemotherapy, can help ease
nausea and vomiting. A number of clinical trials have shown the benefit of
music therapy for short-term pain, including pain from cancer. Some studies
have suggested that music may help decrease the overall intensity of the
patient’s experience of pain when used with pain-relieving drugs. Music therapy
can also result in a decreased need for pain medicine in some patients,
although studies on this topic have shown mixed results.
In
hospice patients, one study found that music therapy improved comfort,
relaxation, and pain control. Another study found that quality of life improved
in cancer patients who received music therapy, even as it declined in those who
did not. No differences were seen in survival between the 2 groups.A more
recent clinical trial looked at the effects of music during the course of
several weeks of radiation treatments. The researchers found that while
emotional distress (such as anxiety) seemed to be helped at the beginning of
treatment, the patients reported that this effect gradually decreased. Music
did not appear to help such symptoms as pain, fatigue, and depression over the
long term.Other clinical trials have revealed a reduction in heart rate, blood
pressure, breathing rate, insomnia, depression, and anxiety with music therapy.
No one knows all the ways music can benefit the body, but studies have shown
that music can affect brain waves, brain circulation, and stress hormones.
These effects are usually seen during and shortly after the music therapy.Studies
have shown that students who take music lessons have improved IQ levels, and
show improvement in nonmusical abilities as well. Other studies have shown that
listening to music composed by Mozart produces a short-term improvement in
tasks that use spatial abilities. Studies of brain circulation have shown that
people listening to Mozart have more activity in certain areas of the brain.
This has been called the “Mozart effect.” Although the reasons for this effect
are not completely clear, this kind of information supports the idea that music
can be used in many helpful ways.
Some
clinical trials that involve listening to music have shown no benefit on
anxiety during surgical procedures, although one study that allowed patients to
choose their own music showed improved anxiety levels. One recent review of
studies looked at the effect of music on all types of pain and found a wide
variation in its effects. The study authors observed that the best effects were
on short-term pain after surgery. It is important to note that not all studies
of music use music therapists, who assess the patient’s needs, circumstances,
and preferences, as well as the different effects of certain types of music.
This may account for some differences in clinical trial results.
Prof. John Kurakar
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