Music therapy intervention in cardiac autonomic modulation, anxiety, and depression in mothers of preterms: randomized controlled trial
Abstract Background Mothers of preterm infants often have symptoms of anxiety and depression, recognized as risk factors for the development of cardiovascular diseases and associated with low rates of heart rate variability (HRV). This study aimed to evaluate the influence of music therapy intervent...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | BMC Psychology |
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| Online Access: | http://link.springer.com/article/10.1186/s40359-018-0271-y |
| _version_ | 1811212521128853504 |
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| author | Mayara K. A. Ribeiro Tereza R. M. Alcântara-Silva Jordana C. M. Oliveira Tamara C. Paula João B. R. Dutra Gustavo R. Pedrino Karina Simões Romes B. Sousa Ana C. S. Rebelo |
| author_facet | Mayara K. A. Ribeiro Tereza R. M. Alcântara-Silva Jordana C. M. Oliveira Tamara C. Paula João B. R. Dutra Gustavo R. Pedrino Karina Simões Romes B. Sousa Ana C. S. Rebelo |
| author_sort | Mayara K. A. Ribeiro |
| collection | DOAJ |
| description | Abstract Background Mothers of preterm infants often have symptoms of anxiety and depression, recognized as risk factors for the development of cardiovascular diseases and associated with low rates of heart rate variability (HRV). This study aimed to evaluate the influence of music therapy intervention on the autonomic control of heart rate, anxiety, and depression in mothers. Methods Prospective randomized clinical trial including 21 mothers of preterms admitted to the Neonatal Intensive Care Unit of a tertiary hospital, recruited from August 2015 to September 2017, and divided into control group (CG; n = 11) and music therapy group (MTG; n = 10). Participants underwent anxiety and depression evaluation, as well as measurements of the intervals between consecutive heartbeats or RR intervals for the analysis of HRV at the first and the last weeks of hospitalization of their preterms. Music therapy sessions lasting 30–45 min were individually delivered weekly using receptive techniques. The mean and standard deviation of variables were obtained and the normality of data was analyzed using the Kolmogorov-Smirnov test. The paired sample t-test or Wilcoxon test were employed to calculate the differences between variables before and after music therapy intervention. The correlations anxiety versus heart variables and depression versus heart variables were established using Spearman correlation test. Fisher’s exact test was used to verify the differences between categorical variables. A significance level of p < 0.05 was established. Statistical analysis were performed using the Statistical Package for the Social Sciences, version 20. Results Participants in MTG had an average of seven sessions of music therapy, and showed improvement in anxiety and depression scores and autonomic indexes of the time domain (p < 0.05). Significant correlations were found between depression and parasympathetic modulation using linear (r = − 0.687; p = 0.028) and nonlinear analyses (r = − 0.689; p = 0.027) in MTG. Conclusion Music therapy had a significant and positive impact on anxiety and depression, acting on prevention of cardiovascular diseases, major threats to modern society. Trial registration Brazilian Registry of Clinical Trials (no. RBR-3x7gz8). Retrospectively registered on November 17, 2017. |
| first_indexed | 2024-04-12T05:30:15Z |
| format | Article |
| id | doaj.art-8b4476b7266c4751ae4f2571247998e7 |
| institution | Directory Open Access Journal |
| issn | 2050-7283 |
| language | English |
| last_indexed | 2024-04-12T05:30:15Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychology |
| spelling | doaj.art-8b4476b7266c4751ae4f2571247998e72022-12-22T03:46:06ZengBMCBMC Psychology2050-72832018-12-016111010.1186/s40359-018-0271-yMusic therapy intervention in cardiac autonomic modulation, anxiety, and depression in mothers of preterms: randomized controlled trialMayara K. A. Ribeiro0Tereza R. M. Alcântara-Silva1Jordana C. M. Oliveira2Tamara C. Paula3João B. R. Dutra4Gustavo R. Pedrino5Karina Simões6Romes B. Sousa7Ana C. S. Rebelo8School of Medicine, Universidade Federal de GoiásSchool of Music and Performing Arts, Universidade Federal de GoiásSchool of Medicine, Universidade Federal de GoiásSchool of Medicine, Universidade Federal de GoiásCenter of Neuroscience and Cardiovascular Research, Universidade Federal de GoiásCenter of Neuroscience and Cardiovascular Research, Universidade Federal de GoiásDepartment of Morphology, Biological Sciences Institute, Universidade Federal de GoiásCenter of Neuroscience and Cardiovascular Research, Universidade Federal de GoiásSchool of Medicine, Universidade Federal de GoiásAbstract Background Mothers of preterm infants often have symptoms of anxiety and depression, recognized as risk factors for the development of cardiovascular diseases and associated with low rates of heart rate variability (HRV). This study aimed to evaluate the influence of music therapy intervention on the autonomic control of heart rate, anxiety, and depression in mothers. Methods Prospective randomized clinical trial including 21 mothers of preterms admitted to the Neonatal Intensive Care Unit of a tertiary hospital, recruited from August 2015 to September 2017, and divided into control group (CG; n = 11) and music therapy group (MTG; n = 10). Participants underwent anxiety and depression evaluation, as well as measurements of the intervals between consecutive heartbeats or RR intervals for the analysis of HRV at the first and the last weeks of hospitalization of their preterms. Music therapy sessions lasting 30–45 min were individually delivered weekly using receptive techniques. The mean and standard deviation of variables were obtained and the normality of data was analyzed using the Kolmogorov-Smirnov test. The paired sample t-test or Wilcoxon test were employed to calculate the differences between variables before and after music therapy intervention. The correlations anxiety versus heart variables and depression versus heart variables were established using Spearman correlation test. Fisher’s exact test was used to verify the differences between categorical variables. A significance level of p < 0.05 was established. Statistical analysis were performed using the Statistical Package for the Social Sciences, version 20. Results Participants in MTG had an average of seven sessions of music therapy, and showed improvement in anxiety and depression scores and autonomic indexes of the time domain (p < 0.05). Significant correlations were found between depression and parasympathetic modulation using linear (r = − 0.687; p = 0.028) and nonlinear analyses (r = − 0.689; p = 0.027) in MTG. Conclusion Music therapy had a significant and positive impact on anxiety and depression, acting on prevention of cardiovascular diseases, major threats to modern society. Trial registration Brazilian Registry of Clinical Trials (no. RBR-3x7gz8). Retrospectively registered on November 17, 2017.http://link.springer.com/article/10.1186/s40359-018-0271-yHeart rate variabilityAnxietyDepressionMothersMusic therapy |
| spellingShingle | Mayara K. A. Ribeiro Tereza R. M. Alcântara-Silva Jordana C. M. Oliveira Tamara C. Paula João B. R. Dutra Gustavo R. Pedrino Karina Simões Romes B. Sousa Ana C. S. Rebelo Music therapy intervention in cardiac autonomic modulation, anxiety, and depression in mothers of preterms: randomized controlled trial BMC Psychology Heart rate variability Anxiety Depression Mothers Music therapy |
| title | Music therapy intervention in cardiac autonomic modulation, anxiety, and depression in mothers of preterms: randomized controlled trial |
| title_full | Music therapy intervention in cardiac autonomic modulation, anxiety, and depression in mothers of preterms: randomized controlled trial |
| title_fullStr | Music therapy intervention in cardiac autonomic modulation, anxiety, and depression in mothers of preterms: randomized controlled trial |
| title_full_unstemmed | Music therapy intervention in cardiac autonomic modulation, anxiety, and depression in mothers of preterms: randomized controlled trial |
| title_short | Music therapy intervention in cardiac autonomic modulation, anxiety, and depression in mothers of preterms: randomized controlled trial |
| title_sort | music therapy intervention in cardiac autonomic modulation anxiety and depression in mothers of preterms randomized controlled trial |
| topic | Heart rate variability Anxiety Depression Mothers Music therapy |
| url | http://link.springer.com/article/10.1186/s40359-018-0271-y |
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