IF, impact factor .
Network map of co-citation journals engaged in music therapy from 2000 to 2019. Journal of Music Therapy, Arts in Psychotherapy, Nordic Journal of Music Therapy, Music Therapy Perspectives, Cochrane Database of Systematic Reviews. In this map, the node represents a journal, and the link represents the co-citation frequency between two journals. A larger node represents more publications in the journal. A thicker purple circle represents greater influence in this field.
A total of 2,531 authors contributed to the research outputs related to music therapy. Author Silverman MJ published most of the studies (46) in terms of number of publications, followed by Gold C (41), Magee WL (19), O'Callaghan C (15), and Raglio A (15). According to co-citation counts, Bruscia KE (171 citations) was the most co-cited author, followed by Gold C (147 citations), Wigram T (121 citations), and Bradt J (117 citations), as presented in Table 4 . In Figure 7 , these nodes highlight the co-citation networks of the authors. The large-sized node represented author Bruscia KE, indicating that this author owned the most co-citations. Furthermore, the linear regression results revealed a remarkable increase in the percentages of multiple articles of authors ( t = 13.089, P < 0.001). These also indicated that cooperation among authors had increased remarkably, which can be considered an important development in music therapy research.
Top five authors of publications and top five authors of co-citation counts.
1 | Silverman MJ | 46 | 4.582 | 0.00 | Bruscia KE | 171 |
2 | Gold C | 41 | 4.084 | 0.06 | Gold C | 147 |
3 | Magee WL | 19 | 1.892 | 0.01 | Wigram T | 121 |
4 | O'Callaghan C | 15 | 1.494 | 0.01 | Bradt J | 117 |
5 | Raglio A | 15 | 1.494 | 0.00 | Thaut MH | 116 |
The network of author co-citaion. In this map, the node represents an author, and the link represents the co-citation frequency between two authors. A larger node represents more publications of the author. A thicker purple circle represents greater influence in this field.
The results of keywords analysis indicated research hotspots and help scholars identify future research topics. Table 5 highlights 20 keywords with the most frequencies, such as “music therapy,” “anxiety,” “intervention,” “children,” and “depression.” The keyword “autism” has the highest centrality (0.42). Figure 8 shows the top 17 keywords with the strongest citation bursts. By the end of 2019, keyword bursts were led by “hospice,” which had the strongest burst (3.5071), followed by “efficacy” (3.1161), “health” (6.2109), and “older adult” (4.476).
Top 20 keywords with the most frequency and centrality in music therapy study.
1 | Music therapy | 486 | Autism | 0.42 |
2 | Anxiety | 149 | People | 0.34 |
3 | Intervention | 116 | Brain | 0.32 |
4 | Children | 94 | Schizophrenia | 0.23 |
5 | Depression | 90 | Quality of life | 0.21 |
6 | Pain | 76 | Perception | 0.19 |
7 | Dementia | 71 | Plasticity | 0.17 |
8 | Music | 62 | Parent | 0.15 |
9 | Randomized controlled trial | 57 | Adolescent | 0.14 |
10 | Quality of life | 50 | Behavior | 0.12 |
11 | People | 48 | Mental health | 0.12 |
12 | Relaxation | 48 | Response | 0.12 |
13 | Recovery | 45 | Recovery | 0.11 |
14 | Stress | 45 | Stress | 0.11 |
15 | Care | 45 | Care | 0.10 |
16 | Cancer | 45 | Preterm infant | 0.10 |
17 | Behavior | 42 | Dementia | 0.09 |
18 | Symptom | 40 | Reliability | 0.09 |
19 | Rehabilitation | 39 | Mother | 0.09 |
20 | Adolescent | 38 | Self esteem | 0.09 |
The strongest citation bursts of the top 17 keywords. The red measures indicate frequent citation of keywords, and the green measures indicate infrequent citation of keywords.
The analysis of co-cited references is a significant indicator in the bibliometric method (Chen, 2006 ). The top five co-cited references and their main findings are listed in Table 6 . These are regarded as fundamental studies for the music therapy knowledge base. In terms of co-citation counts, “individual music therapy for depression: randomized controlled trial” was the key reference because it had the most co-citation counts. This study concludes that music therapy mixed with standard care is an effective way to treat working-age people with depression. The authors also explained that music therapy is a valuable enhancement to established treatment practices (Erkkilä et al., 2011 ). Meanwhile, the strongest citation burst of reference is regarded as the main knowledge of the trend (Fitzpatrick, 2005 ). Figure 9 highlights the top 71 strongest citation bursts of references from 2000 to 2019. As can be seen, by the end of 2019, the reference burst was led by author Stige B, and the strongest burst was 4.3462.
Top five co-cited references with co-citation counts in the study of music therapy from 2000 to 2019.
1 | Individual music therapy for depression: randomized controlled trial | 43 | 2011 | Music therapy with its specific qualities is a valuable enhancement to working-age people with depression. |
2 | Dose-response relationship in music therapy for people with serious mental disorders: systematic review and meta-analysis | 39 | 2009 | Music therapy is an effective treatment which helps people with psychotic and non-psychotic mental disorders. |
3 | Music therapy for people with schizophrenia and schizophrenia-like disorders | 32 | 2011 | Music therapy can help people improve their emotional and relational competencies. |
4 | Music therapy for depression | 29 | 2008 | Music therapy is accepted by people with depression and is associated with improvements in mood. |
5 | Resource-oriented music therapy in mental health care | 29 | 2010 | An introduction to the resource-oriented approach to music therapyin mental health care. |
The strongest citation bursts among the top 71 references. The red measures indicate frequent citation of studies, and the green measures indicate infrequent citation of studies.
Figure 10A presents the co-cited reference map containing 577 nodes and 1,331 links. The figure explains the empirical relevance of a considerable number of articles and reviews. Figure 10B presents the co-citation map (timeline view) of reference from publications on top music therapy research. The timeline view of clusters shows the research progress of music therapy in a particular period of time and the thematic concentration of each cluster. “Psychosis” was labeled as the largest cluster (#0), followed by “improvisational music therapy” (#1) and “paranesthesia anxiety” (#2). These clusters have also remained hot topics in recent years. Furthermore, the result of the modularity Q score was 0.8258. That this value exceeded 0.5 indicated that the definitions of the subdomain and characters of clusters were distinct. In addition, the mean silhouette was 0.5802, which also exceeded 0.5. The high homogeneity of individual clusters indicated high concentration in different research areas.
(A) The network map of co-cited references and (B) the map (timeline view) of references with co-citation on top music therapy research. In these maps, the node represents a study, and the link represents the co-citation frequency between two studies. A larger node represents more publications of the author. A thicker purple circle represents greater influence in this field. (A) The nodes in the same color belong to the same cluster. (B) The nodes on the same line belong to the same cluster.
This study conducted a bibliometric analysis of music therapy research from the past two decades. The results, which reveal that music therapy studies have been conducted throughout the world, among others, can provide further research suggestions to scholars. In terms of the general analysis of the publications, the features of published articles and reviews, prolific countries or regions, and productive institutions are summarized below.
I. The distribution of publication year has been increasing in the past two decades. The annual publication outputs of music therapy from 2000 to 2019 were divided into three stages: beginning, second, and third. In the beginning stage, there were <30 annual publications from 2000 to 2006. The second stage was between 2007 and 2014. The number of publications increased steadily. It was 2007, which marked the first time 40 articles or reviews were published. The third stage was between 2015 and 2019. The year 2015 was the key turning point because it was the first time 80 articles or reviews were published. The number of publications showed a downward trend in 2016 (72), but it was still higher than the average number of the previous years. Overall, music therapy-related research has received increasing attention among scholars from 2000 to 2020.
II. The articles and reviews covered about 49 countries or regions, and the prolific countries or regions were mainly located in the North American and European continents. According to citations on WoS, citations per study, and the H-index, music therapy publications from developed countries, such as United States and Norway, have greater influence than those from other countries. In addition, China, as a model of a developing country, had published 53 studies and ranked top six among productive countries.
III. In terms of the collaboration map of institutions, the most productive universities engaged in music therapy were located in the United States, namely, University of Minnesota (43 publications), Florida State University (33 publications), Temple University (27 publications), and University of Kansas (20 publications). It indicated that institutions in the US have significant impacts in this area.
IV. According to author co-citation counts, scholars can focus on the publications of such authors as Bruscia KE, Gold C, and Wigram T. These three authors come from the United States, Norway, and Denmark, and it also reflected that these three countries are leading the research trend. Author Bruscia KE has the largest co-citation counts and is based at Temple University. He published many music therapy studies about assessment and clinical evaluation in music therapy, music therapy theories, and therapist experiences. These publications laid a foundation and facilitate the development of music therapy. In addition, in Figure 11 , the multi-authored articles between 2000 and 2003 comprised 47.56% of the sample, whereas the publications of multi-authored articles increased significantly from 2016 to 2019 (85.51%). These indicated that cooperation is an effective factor in improving the quality of publications.
The percentage of single- vs. multiple-authored articles. Blue bars mean multiple-author percentage; orange bars mean single-author percentage.
According to the science map analysis, hot music therapy topics among publications are discussed.
I. The cluster “#1 improvisational music therapy” (IMT) is the current research frontier in the music therapy research field. In general, music therapy has a long research tradition within autism spectrum disorders (ASD), and there have been more rigorous studies about it in recent years. IMT for children with autism is described as a child-centered method. Improvisational music-making may enhance social interaction and expression of emotions among children with autism, such as responding to communication acts (Geretsegger et al., 2012 , 2015 ). In addition, IMT is an evidence-based treatment approach that may be helpful for people who abuse drugs or have cancer. A study applied improving as a primary music therapeutic practice, and the result indicated that IMT will be effective in treating depression accompanied by drug abuse among adults (Albornoz, 2011 ). By applying the interpretative phenomenological analysis and psychological perspectives, a study explained the significant role of music therapy as an innovative psychological intervention in cancer care settings (Pothoulaki et al., 2012 ). IMT may serve as an effective additional method for treating psychiatric disorders in the short and medium term, but it may need more studies to identify the long-term effects in clinical practice.
II. Based on the analysis of co-citation counts, the top three references all applied music therapy to improve the quality of life of clients. They highlight the fact that music therapy is an effective method that can cover a range of clinical skills, thus helping people with psychological disorders, chronic illnesses, and pain management issues. Furthermore, music therapy mixed with standard care can help individuals with schizophrenia improve their global state, mental state (including negative and general symptoms), social functioning, and quality of life (Gold et al., 2009 ; Erkkilä et al., 2011 ; Geretsegger et al., 2017 ).
III. By understanding the keywords with the strongest citation bursts, the research frontier can be predicted. Three keywords, “efficacy,” “health,” and “older adults,” emphasized the research trends in terms of the strongest citation bursts.
To the best of our knowledge, this study was the first one to analyze large-scale data of music therapy publications from the past two decades through CiteSpace V. CiteSpace could detect more comprehensive results than simply reviewing articles and studies. In addition, the bibliometric method helped us to identify the emerging trend and collaboration among authors, institutions, and countries or regions.
This study is not without limitations. First, only articles and reviews published in the WoS Science Citation Index Expanded and Social Sciences Citation Index were analyzed. Future reviews could consider other databases, such as PubMed and Scopus. The document type labeled by publishers is not always accurate. For example, some publications labeled by WoS were not actually reviews (Harzing, 2013 ; Yeung, 2021 ). Second, the limitation may induce bias in frequency of reference. For example, some potential articles were published recently, and these studies could be not cited with frequent times. Also, in terms of obliteration by incorporation, some common knowledge or opinions become accepted that their contributors or authors are no longer cited (Merton, 1965 ; Yeung, 2021 ). Third, this review applied the quantitative analysis approach, and only limited qualitative analysis was performed in this study. In addition, we applied the CitesSpace software to conduct this bibliometric study, but the CiteSpace software did not allow us to complicate information under both full counting and fractional counting systems. Thus, future scholars can analyze the development of music therapy in some specific journals using both quantitative and qualitative indicators.
This bibliometric study provides information regarding emerging trends in music therapy publications from 2000 to 2019. First, this study presents several theoretical implications related to publications that may assist future researchers to advance their research field. The results reveal that annual publications in music therapy research have significantly increased in the last two decades, and the overall trend in publications increased from 28 publications in 2000 to 111 publications in 2019. This analysis also furthers the comprehensive understanding of the global research structure in the field. Also, we have stated a high level of collaboration between different countries or regions and authors in the music therapy research. This collaboration has extremely expanded the knowledge of music therapy. Thus, future music therapy professionals can benefit from the most specialized research.
Second, this research represents several practical implications. IMT is the current research frontier in the field. IMT usually serves as an effective music therapy method for the health of people in clinical practice. Identifying the emerging trends in this field will help researchers prepare their studies on recent research issues (Mulet-Forteza et al., 2021 ). Likewise, it also indicates future studies to address these issues and update the existing literature. In terms of the strongest citation bursts, the three keywords, “efficacy,” “health,” and “older adults,” highlight the fact that music therapy is an effective invention, and it can benefit the health of people. The development prospects of music therapy could be expected, and future scholars could pay attention to the clinical significance of music therapy to the health of people.
Finally, multiple researchers have indicated several health benefits of music therapy, and the music therapy mechanism perspective is necessary for future research to advance the field. Also, music therapy can benefit a wide range of individuals, such as those with autism spectrum, traumatic brain injury, or some physical disorders. Future researchers can develop music therapy standards to measure clinical practice.
KL and LW: conceptualization, methodology, formal analysis, investigation, resources, writing—review, and editing. LW: software and data curation. KL: validation and writing—original draft preparation. XW: visualization, supervision, project administration, and funding acquisition. All authors contributed to the article and approved the submitted version.
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
WoS | Web of Science |
ESI | essential science indicators |
IF | impact factor |
IMT | improvisational music therapy |
ASD | autism spectrum disorder. |
Funding. This study was supported by the Fok Ying-Tong Education Foundation of China (161092), the scientific and technological research program of the Shanghai Science and Technology Committee (19080503100), and the Shanghai Key Lab of Human Performance (Shanghai University of Sport) (11DZ2261100).
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Reising, M. M. (2022). Music therapy for patients who are mechanically ventilated: A phenomenological study.
Smith, W. L. (2022). What about black music? Exploring a gap in music therapy training .
Santiago, K. (2022). The music in me: The impact of music therapy on identity development in college students. A phenomenological inquiry.
McAfee, A. L. (2021). Promoting self-determination in music therapy with individuals with I/DD who communicate extraverbally: Reflections and implications for practice.
Kiefer, E. K. (2021). Heartbeat recordings in music therapy: A sequential-explanatory mixed methods study.
Cooke, C. J. (2020). Maximizing referrals and acceptance of medical music therapy: A sequential-explanatory mixed methods study.
Beebe, K. J. (2020). Perceptions of self-determination in music therapy for individuals diagnosed with intellectual disabilities: A survey of music therapists.
Tart, M. F. (2019). Music therapy for infants with neonatal abstinence syndrome in the NICU: A qualitative content analysis .
Solberg, S. (2019). Neurologic music therapy to improve speaking voice in individuals with Parkinson’s disease.
Berry, A. (2019). A collaborative coalition: Action research response to a music therapy group for gender and sexual minority college students.
Esposito, K. (2019). Creating new music therapy programs in medical settings: A phenomenological inquiry.
Mercier, A. E. (2019). The use of creative arts in music therapy supervision: A sequential-explanatory mixed methods study.
Bodry, K. L. (2018). Clinical applications of feminist theory in music therapy: A phenomenological study.
Waller-Wicks, C. (2018). Music therapy and expressive arts to promote self-awareness and self-care in direct care staff: A phenomenological inquiry .
Donley, J. M. (2017). Understanding how Western-trained music therapists incorporate Chinese culture in their practice In China: An ethnographic study .
Lingafelt, H. H. (2017). Psychological factors in the use of music therapy with individuals experiencing pain: A survey of current practice.
Neel, K. M. (2017). Self-care for students: A pilot study on self-care education on the pre-internship music therapy students.
Barmore, E. A. (2017). The Bonny Method of Guided Imagery and Music (GIM) and eating disorders: Learning from therapist, trainer, and client experiences.
King, K. W. (2016). The practice of teaching therapeutic songwriting: A survey of educators and internship supervisors.
Grimmer, M. S. (2016). Cross-cultural music therapy: Reflections of music therapists working internationally .
Dorris, A. D. (2015). Music therapy when death is imminent: A phenomenological inquiry .
Renshaw, S. (2015). The use of rap music in music therapy treatment with adolescents and young adults: A survey.
Stith, C. C. (2015). The effects of musical tempo and dynamic range on heart rate variability in healthy adults.
Honig, T. J. (2014). Wilderness imagery in the Bonny Method of Guided Imagery and Music: A phenomenological inquiry .
Tate, C. E. (2014). Breaking the silence: A qualitative study on the use of Guided Imagery and Music, expressive arts, and a body-centered perspective to address women's issues .
Barwick, C. A. (2014). Describing the subtle factors that influence moments of interactive responses during music therapy sessions for people with late-stage Alzheimer’s disease and other related major neurocognitive disorders: A multiple case study.
Johnson, A. E. (2014). Benefits and challenges of therapeutic songwriting with deaf adolescent girls: A qualitative feasibility study .
Rosenblum, S. O. (2014). Group music therapy versus individual verbal therapy for mandated college students.
Wilson, S. H. (2014). Music therapy support groups for family caregivers of individuals residing in long- term care facilities: A survey of music therapists and interviews with current family caregivers.
Chwalek, C. M. (2013). The use of dialectical behavior therapy (DBT) in music therapy: A survey of current practice.
Rayburn, A. D. (2013). A phenomenological inquiry into systemic music therapy to accompany the grief journey of a boy with high functioning autism.
Deans, C. M. (2012). The use of dreamwork with the Bonny Method of Guided Imagery and Music: A survey of current practice .
Roberts, S. M. (2012). Current use of augmentative and alternative communication in music therapy: A survey and case study .
Dempsey, D. (2011). Grief rock band: The use of music therapy interventions to decrease depressive symptoms and facilitate expression of grief in bereaved adolescents.
Biron, R. N. (2010). Supporting pregnancy and childbirth using techniques from music therapy, counseling, and doula training .
Cloud, J. P. (2010). The use of music therapy and motivational interviewing with college student drinkers to invite “change talk.”
Hoyle, J. L. P. (2010). The role of music therapy in the bereavement process of adults with intellectual disabilities.
Leonard, K. R. (2010). A search for wholeness: Songs of healing for adolescents with emotional and behavioral disorders.
Brown, L. R. (2009). The effect of music therapy social skills interventions on children with behavioral and emotional disabilities or autism .
Schwantes, M. B. (2007). Music therapy with Mexican migrant farm workers in rural NC: A pilot study .
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Improving access and quality: music therapy research 2025, november 13, 2015.
The American Music Therapy Association (AMTA) releases proceedings from the historic and innovative research symposium, “IMPROVING ACCESS AND QUALITY: MUSIC THERAPY RESEARCH 2025” (MTR2025). This visionary special event was designed to recommend guidance for future research in music therapy and was made possible by a generous donation from David’s Fund and Tom and Lucy Ott.
The symposium proceedings, unveiled as part of the AMTA annual conference State of the Association address, are available as a pdf file free of charge online at the AMTA website ( www.musictherapy.org ).
25 individuals contributed to written content contained in the proceedings and the document contains some 42 recommendations representing the collective input of all symposium attendees. The proceedings are of high interest to all music therapy professionals, interns, and students - both graduate and undergraduate - since the document's intent is to help guide future research in music therapy and, ultimately, improve access and quality of music therapy services. All attendees of the 2015 AMTA annual conference received a copy of the Executive Summary as part of their meeting packet materials.
Individuals may locate the Executive Summary and full document under the Research/Strategic Priority on Research/ website page [insert URL link]. Printed copies of the proceedings may be purchased during the AMTA 2015 conference taking place Nov. 12-15, 2015 in Kansas City, MO and through the AMTA online store beginning the week of November 15.
For more information, contact Barbara Else, MTR Coordinator and Senior Research Consultant [email protected] ; 520-245-7717, cell
- october 7, 2015.
The American Music Therapy Association (AMTA) convened an historic and innovative research symposium, “Improving Access and Quality: Music Therapy Research 2025” (MTR2025), July 16-18, 2015. This visionary symposium was designed to recommend guidance for future research in music therapy and was made possible by a generous donation from David’s Fund and Tom and Lucy Ott. MTR2025 is tied to AMTA’s long-standing Strategic Priority on Research. The symposium represents an important event and is part of a larger and ongoing initiative to grow access to and quality of research in music therapy.
MTR2025 was structured to foster dialogue and to embrace diversity in thinking, approaches to practice, and methodologies. See Appendix A for the Symposium Agenda. AMTA was proud to sponsor this unique opportunity to bring the myriad members of the music therapy community together to collaboratively explore our research future. At the opening keynote panel, the Editors of AMTA’s peer-reviewed journals, Drs. Meadows and Robb aptly noted:
When viewed as a whole, music therapy research has moved through several important stages of development, characterized by differentiation and integration of philosophies and perspectives that parallel changes occurring in the broader national health research community, including an emphasis on diverse methodologies. Central to advancing the science and practice of music therapy is finding ways to develop and integrate this knowledge across these research cultures, while meeting both internal and external demands for research that demonstrates improvements in quality and access to care.
The Keynote topics and speakers included:
The Symposium agenda benefitted from input garnered through a broad and diverse group of dedicated and enthusiastic individuals including clinicians, educators, students, and researchers. Four panel presentations helped set the tone and provided background context for the participant and small group discussions, and working groups.
Six breakout groups convened in which participants discussed topics related to Panels Two, Three, and Four, responded to a set of questions, and generated 42 recommendations.
*This workgroup recommended that the scope of the workgroup topic should expand to include older adults and aging populations in addition to persons with Alzheimer’s and related dementias.
MTR2025 is an initiative of AMTA geared towards stimulating conversation about building research capacity and growing the production and usage of high quality research in music therapy.
Multiple cross-cutting themes emerged at MTR2025 symposium. Here is a selection:
The recommendations developed by symposium participants represent only a fraction of the important dialogue and exchange occurring before, during, and continuing after the symposium. As we rocket towards the year 2025, it is important that each individual consider one’s role and contribution in growing and sustaining a legacy of research to inform practice and, ultimately, benefit our clients and their families.
This symposium was just the beginning. Following the July, 2015, symposium, AMTA continues MTR2025 by way of an array of discussions, activities, and processes to infuse, embed, and integrate research as a cross-cutting and essential feature of clinical and association functions designed to increase access to and quality of music therapy services.
Progress report of historic music therapy research symposium - mtr2025: a productive and engaging meeting.
The American Music Therapy Association (AMTA) convened an historic and innovative research symposium, “IMPROVING ACCESS AND QUALITY: MUSIC THERAPY RESEARCH 2025” (MTR2025), July 16-18, 2015. This visionary special event was designed to recommend guidance for future research in music therapy and was made possible by a generous donation from David’s Fund and Tom and Lucy Ott.
The Editors of AMTA’s peer reviewed journals, Drs. Meadows and Robb noted that,
“when viewed as a whole, music therapy research has moved through several important stages of development, characterized by differentiation and integration of philosophies and perspectives that parallel changes occurring in the broader national health research community, including an emphasis on diverse methodologies. Central to advancing the science and practice of music therapy is finding ways to develop and integrate this knowledge across these research cultures, while meeting both internal and external demands for research that demonstrates improvements in quality and access to care.”
The opening night keynotes addressed these points and others.
Six breakout groups convened in which participants discussed topics related to Panels Two, Three and Four, responded to a set of questions, and prioritized 42 recommendations. The results will be summarized, consolidated, and shared in the fall through the AMTA website and at the annual conference. AMTA is proud to sponsor this unique opportunity to bring the many myriad members of the music therapy community together to collaboratively explore our research future.
Music therapy highlights: nih-sponsored third national summit on military & arts, - march 4, 2015.
AMTA proudly headed a delegation of more than 25 music therapy professionals, representing AMTA’s two scholarly journals; NIH-funded music therapy researchers; music therapists’ research and practice at Veterans Health Administration facilities; and music therapists in private practice, in hospitals, in the community, at military health facilities, and at academic centers nationwide. AMTA provided outreach information at the meeting and distributed copies of the AMTA white paper on military and music therapy ( http://www.musictherapy.org/amta_releases_white_paper_on_music_therapy__military/ )
AMTA staff and members successfully advocated for the unique value of board certified music therapists to numerous NIH, NEA, NEH, and VA officials as well as to other administrators and gatekeepers.
A report and recommendations based on the Summit is expected to follow in the coming months.
Information online regarding the Americans for the Arts and the “National Initiative for Arts & Health in the Military” can be found at http://www.americansforthearts.org/by-program/reports-and-data/legislation-policy/the-national-initiative-for-arts-health-in-the-military
Embarking on a Journey Improving Quality and Access: Music Therapy Research 2025 (MTR2025)
Thanks to funding by Tom and Lucy Ott and David’s Fund, AMTA has the extraordinary opportunity to focus over the next year on guidance for future generations of scholarship in music therapy. Once funding was awarded, an Advisory Team was appointed by the Board of AMTA. Serving on the team are Annette Whitehead-Pleaux (Speaker of Assembly), Judy Simpson (Director, Government Relations), with Drs. Debra Burns (Chair, Research Committee), Sheri Robb (Editor in Chief, JMT), Tony Meadows (Editor in Chief, MTP), Alicia Clair (AMTA Board Representative), Andi Farbman (Executive Director), and Linda Demlo (Retired, USPHS/CDC and AHRQ). Dr. Joke Bradt, was unable to attend the meeting due to previous international travel plans, but she offered input in advance. Barbara Else serves as Project Coordinator in her role as a consultant and Senior Advisor/Special Projects Coordinator.
Albert Einstein was quoted as saying that he believed intuition, inspiration, and imagination are key factors in pursuing scientific research. Our pre-planning meeting was productive and very inspiring, due to the imagination and dedication of team.
- originally published in music therapy matters , december 2014.
Improving Quality and Access: Music Therapy Research 2025, or simply “MTR2025,” is an AMTA initiative, which is part of the Strategic Priority on Research. MTR2025 is visionary in nature with the ultimate goal being to advance the state of music therapy research. MTR2025 aims to take a forward looking perspective to offer guidance on the many important areas of music therapy research and to prepare documents and products for a variety of audiences, both internal and external to the profession. External audiences include policy makers and funders. Offering stakeholders a concise document with recommendations on future research in music therapy based on the input and review of highly qualified music therapy professionals and researchers will be an historic and significant contribution.
As reported in the September 2014 newsletter, the advisory team met in the summer of 2014 to outline the initiative. During the November Annual Conference, AMTA Senior consultant, Barbara Else, invited conference attendees to be involved: “You are a part of this initiative and you need to offer your ideas and input regarding future research and questions important to music therapy practice and the profession. Music therapy professionals are encouraged to consider what we know—based upon the best available research evidence; and, consider what we don’t know—based upon your important open questions, gaps in knowledge, and unmet research needs. In thinking about your practice area and these needs, what would you recommend to guide the next several generations of researchers? In 2025, and beyond, what burning questions and research areas need to be addressed? What research infrastructure is needed to support these important questions?”
Over the next year, AMTA will be gathering input from music therapy professionals, researchers, and interested stakeholders regarding opportunities and needs for future research in music therapy. On the evening of July 16 through the morning of July 18, a face-to-face meeting to discuss future research opportunities and needs is planned and will take place near the Baltimore-Washington International airport. This research meeting is funded through a grant from Tom and Lucy Ott and “David’s Fund.” AMTA is extremely grateful for this grant and the opportunity to move the discussion forward. We are exploring efficient and convenient ways to disseminate the July 2015 meeting discussions to the members knowing that the face-to-face meeting will be limited in space and capacity.
MTR2025 was announced through a series of briefings at the AMTA Annual Conference in Louisville, Kentucky. During the annual meeting, briefings on MTR2025 were provided to the following groups:
Music therapists were clear in stating a desire to embrace research that considers all music therapy approaches and practice perspectives. Research questions should also consider and embrace all appropriate methods. During the general session, practicing clinicians expressed a strong desire to grow their skills in reviewing published research in order to translate findings/evidence into practice. Clinicians also expressed a desire to contribute to research projects and collaborate with investigators.
We welcome dialogue and discussions. In order to track your input and ideas, AMTA has set up an email address. We want to hear your thoughts and we will be soliciting input across a couple of phases. We begin with an open-ended call for comment and input from music therapists regarding your thoughts on future research guidance in music therapy. This comment period begins now and ends February 1, 2015. When sending your input, please let us know:
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Scientific Reports volume 14 , Article number: 16532 ( 2024 ) Cite this article
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To systematically evaluate the intervention effect of music therapy on anxiety and depression in breast cancer patients. Randomised controlled trial (RCT) on music therapy for anxiety and depression in breast cancer patients was searched from 7 major databases, PubMed, Embase, the Cochrane Library, WOS, CNIC, Wanfang, and Wipro, spanning the period of library construction to 23 October 2023, and the literature screening of music therapy for anxiety or depression in breast cancer patients was carried out by 2 experimentalists, each of whom conducted a literature screening RCT independently of the other anxiety or depression in a RCT. Methodological quality was evaluated using the PEDro scale; GRADE profiler software for quality of evidence; and RevMan 5.4 was used for effect size merging and forest plots; publication bias tests and sensitivity analyses were performed using Stata 17.0; and standardized mean difference (SMD) and 95% CI were used as the effect statistics. A total of 13 RCTs with 1326 subjects (aged 18–70 years) were included in the literature, with a mean PEDro score of 6.8, and the literature was overall of good methodological quality. Meta-analysis showed that music therapy improved anxiety in breast cancer patients (841 cases), with a combined effect size (SMD = − 0.82, 95% CI [− 1.03, − 0.61] and P < 0.001); and improved depression in breast cancer patients (387 cases) with a combined effect size (SMD = − 0.76, 95% CI [− 1.15, − 0.38], P < 0.001). Subgroup analyses showed that music intervention with off-site music (757 cases) and music choice of non-self-selected music (537 cases) had the best effect on anxiety improvement, with corresponding combined effect sizes (SMD = − 0.88, P < 0.001; SMD = − 0.83, P < 0.001), respectively; followed by an intervention length of < 30 min (589 cases), a frequency of 2 times/day (382 cases), and intervention period of 2–3 weeks (101 cases) had the best effect on anxiety improvement, and the corresponding combined effect sizes were (SMD = − 0.80, P < 0.001; SMD = − 0.91, P < 0.001; SMD = − 1.02, P < 0.001), respectively; and the music selection was the choice of one's own favourite music among the expert recommendations (219 cases) (270 cases) had the best effect on the improvement of depressed mood, with combined effect sizes of (SMD = − 1.15, P < 0.001; SMD = − 0.71, P < 0.001) and music with an intervention duration of 30 min (287 cases), an intervention frequency of 1 time/day (348 cases), and an intervention period of 2–4 weeks (120 cases), respectively, with corresponding combined effect sizes of (SMD = − 0.75, P < 0.001; SMD = − 0.86, P < 0.001; SMD = − 1.06, P < 0.001), respectively. Music therapy can improve anxiety and depression in breast cancer patients, and the level of evidence is moderate. Although the heterogeneity between studies is high, which may lead to bias in the results, we explored the source of heterogeneity through subgroup and sensitivity analyses, providing a good evidence-based basis for clinical practice. The heterogeneity of anxiety and depression was explored by subgroup analysis, with anxiety due to music duration and music cycle; and depression due to intervention cycles and music duration. Sensitivity analyses also identified music duration and music cycle as contributing to the heterogeneity. Also, this study has some limitations since the included literature did not take into account the duration of the disease, education, and family economic status and did not categorize the age stages. This study found that music therapy improves anxiety and depression in breast cancer patients and the results can be used as a basis for clinical practice and researcher enquiry. This research has been registered on the INPLASY platform ( https://inplasy.com/contact/ ) under the number: INPLASY2023100057.
Introduction.
The incidence of female breast cancer often ranks first among female malignant tumours 1 , accounting for 7–10% of all malignant tumors in the body. In the past 20 years, the incidence of breast cancer in China has increased by 37.6%, with an average annual growth rate of 2.3% 2 . Breast cancer patients are the phenomenon of uncontrolled proliferation of breast epithelial cells under the action of multiple carcinogenic factors; physiologically, the early stage often manifests symptoms such as breast lumps and enlarged axillary lymph nodes, and in the late stage, due to distant metastasis of the cancer cells, multi-organ lesions may occur, and even threaten the patients' lives 3 . Patients need to endure the pain and side effects of chemotherapy during treatment, and psychologically they often show emotional instability, anxiety depression, etc., and most of them have psychological problems such as moderate and severe anxiety levels.
Music therapy is an emerging psychotherapeutic modality in which the unique physiological and psychological effects of music enable patients to regulate their psychological disorders through musical experience and distraction. Music therapy is considered to be one of the most effective psychotherapeutic methods for clinical non-pharmacological treatment to eliminate psychosomatic disorders 4 . Music can affect patients' heart rate, blood pressure, respiratory rate, and blood cortisol levels through rhythm and tone 5 , thus relieving emotions such as anxiety or depression 6 . A study by Zhi Yanhong et al. found that patients use the sonic vibrations of music to produce beneficial resonance with certain physiological structures of the human body and achieve the elimination of psychological barriers 7 ; a study by LAGATTOLLA F et al. 8 showed that music can promote relaxation in patients with breast cancer, lower anger, heart rate, respiratory rate, reduce pain, reduce the need for anesthesia, analgesia 9 and other recourse, and shorten the recovery time, thus reducing anxiety and depression 10 .
Previous research has shown that music therapy can effectively improve anxiety and depression symptoms in breast cancer patients 11 , 12 , but the specific intervention protocol is unclear, especially the choice of music, intervention duration, intervention period, and intervention frequency need to be further clarified. The results of some of the previous research are controversial, such as studies found that the duration of music intervention is most effective when it is less than 30 min, and some research has also shown that the longer the duration, the better the effect. Based on this, this research intends to further explore the effects of music selection, intervention mode, intervention duration, intervention period, and intervention frequency on anxiety and depression in breast cancer patients based on previous studies, to provide precise music intervention programs for clinics and references for researchers.
This study was reported in accordance with PRISMA (Preferred Reporting Items for Systematic Evaluation and Meta-Analysis) guidelines to ensure transparency of the research 13 . The research protocol was registered on INPLASY No.INPLASY2023100057.
Data sorting and statistical analysis were conducted for the included literature in accordance with the requirements of the International Guidelines for Writing Systematic Reviews 14 . The two researchers independently computer-searched six databases from China Knowledge, Wanfang, PubMed, Embase, the Cochrane Library, and Web of Science for RCTs of music therapy for breast cancer patients. The search date of each database was 23 October 2023. The search was conducted by combining subject terms with free words, using the Boolean symbols "AND" and "OR" for combinatorial concatenation, and was determined after repeated pre-testing. In case of disagreement between two researchers, the decision was discussed with the third researcher. This was supplemented by tracking down the relevant systematic reviews and references of the included literature. Table 1 .
This research is based on the ICD and ACJJ classification system to construct a PICO framework for systematically evaluating and analysing the intervention effect of music therapy on anxiety and depression in breast cancer patients, and the research shows that the intervention effect of music therapy on anxiety and depression in breast cancer patients is significant. Table 2 .
(1) Literature with repeated publications or PEDro score < 4. (2) No detailed data is provided, and specific data cannot be obtained. (3) The experimental group received a combination intervention, such as music therapy combined with aerobic exercise.
After retrieving the relevant literature, the literature was imported into Endnote for weight removal. Literature screening and data extraction were performed by 2 researchers using an independent double-blind approach respectively. The extracted data from eligible studies were entered into RevMan 5.4 and double-checked for accuracy, and in case of disagreement, the 3rd researcher joined the discussion to decide whether to include them or not. The extraction included basic information about the literature (first author, year of publication), basic information about the experimental subjects (sample size, age, gender), music therapy (classical Chinese folk music, world-famous music, soft, beautiful tracks, etc.), testing methods, specific outcome indicators: anxiety and depression, and extraction of baseline and posttest data.
The quality of the literature was evaluated using a modified version of the PEDro scale 15 to assess the methodological quality of the included literature. The scale included 10 criteria: ITT intention-to-treat analysis, random allocation, allocation concealment, baseline similarity, blinding of the research subjects, blinding of the outcome assessment, dropout rate ≤ 15%, intention-to-treat analysis, blinding of the therapists, as well as the point measure and the discrepancy measure. A total of 10 points was assigned to the scale, with a score of less than 4 considered poor quality, 4 to 5 considered moderate quality, 6 to 8 considered good quality, and 9 to 10 considered high quality, and only literature with a score of 5 or higher was included.
Quality of evidence evaluation 16 was done through GRADE profiler software, and the quality of evidence for outcome indicators was evaluated on five downgraded factors including publication bias, inconsistency, imprecision, indirectness, and limitations of the research. Among them, a downgrade of 3 was considered as very low-level evidence, a downgrade of 2 was considered as low-level evidence, a downgrade of 1 was considered intermediate-level evidence, and no downgrade was considered as high-level evidence, and the final grade of evidence was categorized into 4 grades: high level, intermediate level, low level, and very low level. Quality ratings were conducted independently by two researchers, with a third researcher contributing to the discussion if there was disagreement.
Review Manager 5.4 was used to statistically analyze the data. The outcome indicators of the literature included in this paper are all continuous variables, and the measurement tools are inconsistent across research, so the effect indicators were calculated using the effect size (Standard Mean Difference (SMD)); when the effect size is < 0.2, it is a small effect, 0.20–0.49 is a medium-small effect, 0.50–0.79 is a medium effect, and ≥ 0.8 is a large effect 17 . Heterogeneity was quantified objectively by I 2 , and heterogeneity was quantified by the I 2 statistic. 75%, 50%, and 25% were the boundary values of high, medium, and low heterogeneity, respectively 18 .If there was no statistical heterogeneity among the results, the fixed effect model was used. If heterogeneity exists, the random effects model is used to combine the effect sizes. And the Stata 17.0 Egger test is used to publication bias. If there is publication bias, the scission-supplement method is used to correct it.
As shown in Fig. 1 , a total of 1738 pieces of literature were retrieved through PubMed, Embase, Web of Science, Cochrane, CNKI, Wanfang, and VIP databases, and 48 pieces of literature were selected after preliminary screening by eliminating duplicates, reading titles, and abstracting. According to the inclusion and exclusion criteria, the full text was re-screened, and finally 13 articles were included in the meta-analysis.
Document retrieval flow chart.
The 13 articles 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 included were published between 2006 and 2022, with a total of 1326 cancer patients. The intervention content of the experimental group was music therapy combined with conventional intervention, and the control group was conventional chemotherapy intervention (Table 3 ).
All studies described ITT intention-to-treat analyses, statistical analyses were performed between groups, point measures and difference-in-difference scales, random allocation with similar baselines, dropout rates ≤ 15%, five studies described allocation concealment, three studies blinded study participants, three studies blinded outcome assessments, and no studies blinded therapists. Of the 13 studies included, the PEDro scale scores ranged from 6 to 8, with a mean of 6.8, giving good overall research quality (Table 4 ) (Fig. 2 ).
Forest map of anxiety in breast cancer patients with music therapy.
Meta-analysis of music therapy on anxiety in breast cancer patients.
As shown in Fig. 2 , among the included literature, 12 studies (1278 patients) evaluated the effect of music therapy on anxiety in breast cancer patients. Heterogeneity test I 2 = 75%, P < 0.01. There was a high degree of statistical heterogeneity among the studies, so the random effects model was used to combine the effect sizes. The results of the meta-analysis showed that the effect size was -0.82, 95%CI[-1.03,-0.61], and the difference between the experimental group and the control group was statistically significant. 0.001, indicating that music therapy was effective in reducing anxiety in breast cancer patients compared to the control group.
As shown in Figs. 3 , 4 , 5 , 6 , 7 , 8 and 9 .In order to explore the source of heterogeneity, subgroup analysis was performed for the main outcome indicator, anxiety.The effect of music therapy on the anxiety of breast cancer patients may be influenced by factors such as average age, intervention duration, intervention cycle, intervention frequency, music selection, professional degree, and music style. The results of subgroup analysis showed that intervention cycle, intervention duration, intervention frequency, music selection, professionalism, period, average age and subgroup analysis of music style were statistically significant ( P < 0.001). From the perspective of heterogeneity sources, intervention duration, average age, intervention period and intervention cycle may be the sources of heterogeneity (Table 5 ).
Subgroup analysis of the influence of different music duration on anxiety of breast cancer patients.
Subgroup analysis of influence of average age of patients on anxiety of breast cancer patients.
Subgroup analysis of the influence of different music intervention cycles on anxiety of breast cancer patients.
Subgroup analysis of the influence of music intervention frequency on anxiety of breast cancer patients.
Subgroup analysis of the influence of different music choices on anxiety of breast cancer patients.
Is it a subgroup analysis of the influence of music recommended by experts on anxiety of breast cancer patients.
Subgroup analysis of the influence of different music intervention methods on anxiety of breast cancer patients.
As shown in Fig. 10 , six studies in the included literature evaluated the effect of music therapy on depression in breast cancer patients, including 411 patients. Heterogeneity test I2 = 84%, P < 0.01. There was a high degree of statistical heterogeneity among the studies, so the random effects model was used to combine the effect sizes. The results of meta-analysis showed that the effect size was -0.76, 95%CI[-1.15,-0.38], and the difference was statistically significant. 0.00001, indicating that music therapy was effective in alleviating depression in breast cancer patients compared to controls.
Music therapy for overall depression in breast cancer patients.
As shown in Figs. 11 , 12 , 13 , 14 and 15 .To explore the source of heterogeneity, subgroup analysis was performed for depression, the main outcome indicator. The effect of music therapy on anxiety and depression in breast cancer patients may be limited by the intervention cycle, music duration, professional degree, music choice and frequency. The results of subgroup analysis in the table showed that intervention cycle, intervention duration, age specialization, music selection and subgroup analysis of group music style were statistically significant. From the source of heterogeneity, intervention cycle and duration may be the main source of heterogeneity(Table 6 ).
Subgroup analysis of the impact of different music intervention cycles on depression in breast cancer patients.
Subgroup analysis of the influence of different music intervention duration on depression in breast cancer patients.
Subgroup analysis of whether experts recommend music for depression in breast cancer patients.
Subgroup analysis of the influence of music selection on depression in breast cancer patients.
Subgroup analysis of the influence of music intervention frequency on depression in breast cancer patients.
As shown in Fig. 16 , it can be found that the funnel diagram of music therapy on the anxiety of breast cancer patients is basically symmetric. The Egger test result shows that Z = − 0.22, P >|z|= 0.8224, indicating that there is no publication bias in the study.
Music therapy for breast cancer patients funnel diagram.
As shown in Fig. 17 , to investigate whether the heterogeneity between studies was caused by individual studies, the overall effects were analyzed by screening individual studies one by one. The normal value of the amplitude of the effect of music therapy on anxiety in breast cancer patients included in all studies was in the range (-0.91 to -0.71). The analysis results showed that the data sensitivity of this study was relatively low and did not fundamentally change the results of the meta-analysis, indicating that the research results have a certain stability and reliability.
Sensitivity analysis of music therapy on anxiety in breast cancer patients.
As shown in Fig. 18 , the GRADEpro evidence rating system was used to assess the quality of evidence for the outcome indicators. It was found that the quality of evidence for music therapy for improving anxiety and depression in breast cancer patients was high, and the actual effect was close to the research findings. However, the heterogeneity of the articles is high, so we downgraded the quality of evidence to moderate.
Quality of evidence for the effect of music therapy on improving anxiety and depression in breast cancer patients.
No adverse events resulting from music therapy were reported in any of the 13 included papers.
The results of this study show that music therapy can significantly improve anxiety in breast cancer patients, and the results are consistent with previous studies. Previous meta-analyses found that music therapy eliminated psychological barriers through unique effects. Longitudinal studies 21 , 32 have found that music can reduce pain 33 and shift attention away from negative stimuli to things that are familiar, soothing, and pleasant 10 , 11 . It has also been confirmed that music therapy can reduce the anxiety and depression of patients with other diseases 34 , 35 , 36 , 37 , 38 , 39 .
A Total of 13 papers were included in this study to systematically evaluate the intervention effect of music therapy on anxiety and depression in breast cancer patients using the PEDro scale to evaluate the risk of bias of the included papers in 9 aspects, with a mean score of 6.8, which was found to be of good quality, but this study did not carefully classify the condition and type of the breast cancer patients in the included papers, and with an I 2 > 50%, there was a high degree of heterogeneity among the studies and the existence of a considered some inconsistency. In the research, a dose–effect relationship was found for the effects of music therapy on anxiety and depression in breast cancer patients, which raised the level of evidence to one. Limitations of the research:1) The types of music selected for the interventions included in the literature were different, with no fixed criteria, whether it was recommended by the experts in English or selected by their favorite music, and the repertoire selected was more often than not classified specifically, which inspired the expectation of more high-quality RCT articles to be further developed. The study was conducted to identify the effects of music therapy on anxiety and depression in patients with breast cancer. RCT articles on music categorization to further complement and demonstrate. In conclusion, music therapy is given high-level quality of evidence for both anxiety and depression intervention effects in breast cancer patients.
This study found that breast cancer patients had the best improvement effect on anxiety when the music was their favorite music recommended by experts, the intervention method was non-live music, the intervention duration was less than or equal to 30 min, the intervention frequency was 2 times per day, and the intervention cycle was 2–3 weeks. Anxiety in breast cancer patients is mostly induced by low estrogen levels, and the decrease in estrogen levels is accompanied by a decline in serotonin transmitters. The possible mechanism by which music can improve anxiety in patients may be as follows: Music can increase the levels of estrogen 40 and oxytocin 41 , and also reduce the concentration of serum cortisol in women, so that the value of serum cortisol in breast cancer patients can return to normal 42 . In terms of the nervous system, music can increase the dopamine activity of nucleus accumbens (NAc) and ventral tegmental cortex (VTA), alter the structural changes of the mesolimbic brain (e.g., nucleus accumbens [NAc], ventral tegmental area [VTA]), and effectively control the influence of emotional stimuli on the autonomic and physiological responses of the hypothalamus and insula 43 . Inhibition of sympathetic nervous system reactivity reduces negative emotional experiences 42 , thereby reducing anxiety. Choosing their favorite music has a better effect on breast cancer patients 44 to perform non-live music, which may be because patients can get into the state more quickly when choosing their favorite music and local music 45 , so that patients can resonate the cranial cavity, chest cavity, or a certain tissue cavity through rhythm, frequency, and regular sound wave vibration 46 . It directly affects people's brain waves, heart rate, and breathing rhythm, thereby reducing anxiety. It may also be because, when listening to recorded music, patients can enter the music environment faster by restricting light, sound, visitors, and phone calls, thus regulating their emotional state 47 . A music intervention with a duration of no more than 30 min, a frequency of 2 times per day, and a cycle of 2–3 weeks is more effective for breast cancer patients. PALMER 23 also found that music therapy can reduce anxiety within only 5 min and can significantly reduce anxiety during 15–30 min of hypnotic intervention. Regarding the frequency of intervention, 2/day are statistically significant, and the reason remains unclearly, more high-quality RCTs need to complement and prove this in the future. The effect of music intervention on patients' anxiety may present an inverted "U" curve, and the intervention effect is the best at the hour, followed by more than 3 weeks, and the effect is not good within 2 weeks 6 .
This study also found that the duration of the intervention was inconsistent with that of Fu Yanzhi et al. 23 , 24 , 27 . The duration of music intervention did not become more effective over time, and the range of change from pre-treatment to post-treatment did not decrease over time. The reason might be that the patients studied by Fu Yanzhi and others were patients with advanced breast cancer, and this might also be related to the timeliness of behavioral habits. At the same time, it also brings inspiration to future generations to further explore the impact of music duration on anxiety in breast cancer patients and look forward to more high-quality RCT articles to further supplement and prove. We also found that different types of music (such as classical music, soothing music, and cheerful music) have different effects on anxiety in breast cancer patients, but the number of previous literature is too small to classify, which also needs more high-quality RCTs to verify.
This study found that music selected as expertly recommended music, an intervention duration of 30 min, an intervention frequency of 1 time per day, and an intervention cycle of 2–4 weeks had the best effect on improving depression in breast cancer patients. This is consistent with previous results 11 , 12 . Longitudinal studies 48 have found that music can stimulate the cerebral cortex in many ways, evoking pleasant thought associations and emotions in patients.
Patients with breast cancer are more prone to depression symptoms, subsyndromic depression due to circadian rhythm disturbance and fatigue, and higher intrinsic melatonin secretion than normal people. Musical stimulation can activate or increase specific pathways in several brain regions related to emotional behaviour, such as the insular and cingulate cortex 49 , 50 , hypothalamus, hippocampus, amygdala and prefrontal cortex 51 . Thus, some biochemical mediators, such as increased endorphins 52 , 53 , endocannabinoids 54 and dopamine 55 , 56 , 57 and decreased nitric oxide 58 regulate positive emotional states 58 . In this study, it was found that, in terms of music selection, the effect of music suggested by experts is better. It may be that experts choose according to the current physiological and psychological state of each patient and the different personality of the patient so as to solve the emotional problems of the patient in a targeted way 59 , 60 . In terms of intervention cycle, 2–4 weeks is the best effect size for the music intervention cycle 61 , The effect size is moderate when the intervention cycle is less than or equal to 2 weeks, and the effect size is second when the intervention cycle is more than 4 weeks. Qishou Tang also said in the study 62 that the effect of short-term and medium-term interventions is higher than that of long-term interventions 20 , 24 , 30 . However, the reason remains uncleraly, and more high quality RCT to further complement and prove this. The intervention duration ≤ 30 min has a better effect on alleviating depression in breast cancer patients, because with the extension of listening time, the response to two types of auditory stimuli in the human body is different 63 , and the effect of music intervention may be weakened by the timeliness of behavioural habits or distraction of human attention after the intervention duration is higher than 30 min.Intervention duration of 30 min and frequency of 1 time per day had a better effect on depression relief in breast cancer patients 60 , 61 , which may be related to the timeliness of behavioural habits. It may also be that the frequency of intervention once a day can regulate the stress response of the hypothalamic–pituitary–adrenal axis 64 , which has the effect of regulating the spirit, pleasing the heart, and relieving depression in patients. Similarly, we have observed through research that the course of the disease, family economic conditions and educational background of breast cancer patients may affect their depression, and the type, tone and rhythm of music may also have different effects on the improvement of depression in breast cancer patients. This will inspire some researchers today who can further explore the effects of demographic characteristics and musical elements on depression in breast cancer patients, and look forward to more high-quality RCT articles to further complement and prove.
In summary, based on the literature of high quality controlled trials, each intervention element has different effects on anxiety and depression in breast cancer patients, providing clinical practice and researchers with more precise music intervention programmes. Meanwhile an increasing number of healthcare organisations and government departments are incorporating music therapy into guidelines and policies for breast cancer treatment, and music therapy professionals are being trained and accredited to provide appropriate music interventions for patients. These policy measures help to increase the recognition and acceptance of music therapy interventions by patients and promote the psychological recovery of breast cancer patients. As scientific research continues, we can further understand the specific mechanisms of action and effects of music therapy on patients, and how to better apply music therapy for personalised interventions.
This research has been registered on the INPLASY platform ( https://inplasy.com/contact/ ) under the number INPLASY2023100057.
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
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As a therapy, music is a proven way to reduce stress and to get into a mindful state of consciousness.
Music therapy includes listening, communicating, and understanding. It is a popular method used in hospitals, educational institutions, and other clinical settings to ease clients and make them comfortable.
Psychologists believe that music therapy improves the quality of life (Scott, 2018). From pain to personal loss, attentional disorders to relationship issues, music therapy is one fix that suits all.
Professor Suzanne Hanser of Berklee College of Music said that music therapy serves five significant purposes:
Music therapy stands undisputed as a heal for negative stress and burden. In this article, we will take a look at some of the most useful resources on music therapy for kids and adults. With a range of exercises, activities, and kinds of music, the tools mentioned in the sections below can be a great start to uncovering the real benefits of music therapy on all levels.
Before you read on, we thought you might like to download our three Positive Psychology Exercises for free . These science-based exercises will explore fundamental aspects of positive psychology including strengths, values and self-compassion and will give you the tools to enhance the wellbeing of your clients, students or employees.
What are music therapy activities and tools, 3 music therapy techniques, a look at music therapy interventions, 3 examples of music therapy in action, common questions on the application of music therapy, 3 music therapy activities and exercises, application ideas for kids, 2 music therapy worksheets, 2 questionnaires (incl pdf), 2 books on music therapy, a take-home message.
Music therapy is an expressive art therapy . Whether you are writing a song, listening to it, or singing alongside – music therapy in any form requires some form of communication and expression.
Music therapy is mostly conducted under supervision, where the therapist uses specialized tools or other mechanisms to implement the program successfully.
For example, musical instruments like the guitar or piano are popular music therapy tools. Some forms of music therapy also involve imagery, where the therapist gently guides the client to imagine himself in a pleasant situation and plays soothing music to create the right ambiance for it.
There are numerous tools and activities that music therapists use.
Some of them are:
Clients love to hear their therapist play and sing along. Having a guitar, ukulele, keyboard, or harp, is excellent for brightening up the session. It brings in an immediate sense of joy and works brilliantly for youngsters in music therapy.
Playing music on a good speaker is ideal for group therapy. It creates a sense of livelihood and encourages clients to participate in the process. Besides, it also helps the therapist to make sure he is audible to all.
When using visual imagery to accompany the music, therapists often keep a tablet or other devices to project the image on the screen. Besides keeping clients engaged throughout the session, visual tools act as a catalyst in enhancing the positive impact of music on our mind.
Many music therapists keep pen and paper for recording and managing feedback. It is also used in songwriting activities or sentence completion games where the clients express themselves through words.
The core purpose of music therapy is to strengthen one’s emotional skills and calls for a positive shift in mindset . Various methods or music therapy activities are used by professionals to meet these goals (Kimberley 2012).
For example, some music therapy activities include:
What music therapy techniques do you know? We reflect on three techniques.
Drumming is an excellent music tool for inducing light-hearted fun, positive addiction, and unhindered engagement. Scientists believe that drumming activities increase cellular activity that helps the body fight against neurological and endocrinological disorders.
Besides improving bodily functions, drumming also has a positive social connotation and brings people together as part of a group.
There are no rules in drumming interventions. Clients are free to choose their way and play the instrument as they like.
Rick Allen, a famous drummer and the founder of the Raven Drum Foundation, suggested that some immediate benefits of drumming include:
Singing is a universal music therapy technique that is suitable for clients of all ages and backgrounds. It has been incorporated in various forms and activities and is a widely used music therapy tool today. Many psychologists call singing the ‘mega-vitamin’ for the brain.
Studies have shown that listening to songs or singing along with them helps in repairing damaged brain tissues. This is a reason why singing is a crucial part of treating Parkinson’s disease, dementia, or Alzheimer’s (Gerdner and Swanson,1993).
Vibro-Acoustic Therapy or VAT is a scientific approach of combining low-frequency vibrations with the resonations of slow-paced music. The International Society of VAT mentioned that ‘sound waves helps in circulating positive energy throughout the body.’ It activates the body and allows it to use the inbuilt repair mechanisms to calm the mind and body.
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Music therapy interventions are broadly categorized as active interventions and receptive interventions. In general, all forms of music therapy interventions use the power of tunes and sound waves to penetrate the human mind and help it attain a peaceful state. Whether a person is creating music, playing it, or listening to it, the instant emotions that the process evokes help bring about the positive shift in focus.
Active music interventions are the ones where clients and therapists are equally involved in the therapeutic process. Activities such as dancing, group singing, solo performances, or musical games are ideal examples of active interventions of music therapy.
In receptive or passive interventions, clients are mostly listeners more than performers. These interventions include music relaxation therapies, mindful music meditation, or the like.
A popular music intervention that many neuroscientists rely on is Neurologic Music Therapy or NMT. It is a scientific technique that records brain functions before and after exposure to relaxing music to induce desirable changes in the client. NMT is a therapy of choice for helping clients with neuro-linguistic troubles, and it also helps in developing motor skills in children and young adults. (Koelsch, 2009).
The earliest evidence of a musical instrument was a bone flute that was arguably about 40,000 years old. The in-grained impact of music therapy that more or less all of us experience is partly due to these ancient links of music and human living (Rolvsjord, 2010).
Music therapy has been around since the Stone Age. Ancient civilizations and indigenous cultures like the Aborigines of Australia and some African tribes used singing and musical group activities to pray, celebrate, or sail through tough times (such as drought, flood, or extreme weather conditions).
The Ancient Greek civilization also leaves traces of how they incorporated music into their lives and believed that it is the only way to restore the peace of mind and body.
Musings of Plato and Pythagoras have several indications of how the Greeks tried to support each other through music and encouraged music education and awareness in their communities (Pavlicevic and Ansdell, 2004; Stige, 2002; 2003; Stige, Ansdell, and Pavlicevic, 2010; Stige and Aaroe, 2012).
Another prominent example of a real-life application of music therapy is in autism treatment. Autistic children, who have impaired social and cognitive abilities, respond prominently better to musical stimuli than other modes of communication. It captures their attention and sustains it for a longer duration.
Studies have also shown that teaching differently-abled children daily duties through musical actions helps in imprinting the information permanently and internalizing the information sooner.
Jeff Peterson, President of the UCSF Benioff Children’s Hospital, said that most clients and caregivers, before participating in music therapy sessions come with several queries about the usefulness of music therapy.
Some common questions that people ask include:
Many online resources and blogs give us an idea of what we should know before signing up for music therapy and who we should talk to. You can have a look at these articles by our writers that beautifully explain music therapy, its background, and implications in real life.
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Music therapy research is at its peak, and many effective musical interventions and strategies are uniquely designed to suit our purposes. Below is a list of popular music therapy group activities and other interventions that you might want to know about.
Music Bingo is a cognitive music activity that improves memory and reality orientation. It is a preferred method for adult interventions and is often used in association with other forms of therapy to improve mental health.
The activity involves making cards where each participant draws a song, and others sing it after guessing the name right. It can be played in pairs or as a group, and works great for people with poor memory skills.
Music relaxation is a well-known music therapy for mindfulness and meditation. The primary purpose of music relaxation is to induce a calm state where the mind can relax, and the muscles can loosen up to shed the pent-up stress.
Music relaxation is a vital component in many yoga retreats, where instructors moderate the room lights and minimize any external distraction before playing the tune. It is also a great way to unwind ourselves every day and helps improve emotional resilience over time.
Music selection is used for adolescents or clients with disturbances in emotional and self-regulation. The process involves letting clients choose a piece of music that they are familiar with. Self-selected pieces of music evoke emotions and bring back memories that might be associated with it.
Music selection often accompanies guided visual imagery where the therapist urges the client to imagine himself in a pleasant environment while the music continues to play in the background. It is a meditative practice that induces ultimate self-awareness and acceptance.
Music therapy motivates kids of all ages and is an excellent intervention for managing childhood depression, impulse control problems, and attention-related disorders (Gold, Voracek, and Wigram, 2004).
Musical interventions for children are used in schools, private counseling practices, medical facilities, and foster homes. The common goal is to uplift their mood and help them manage their distress effectively.
Most researchers agree that music therapy for children works best in a group setting. Performing as part of a team helps them form connections to peers and overcome any loneliness they have been facing.
Whether the interventions are conducted in schools or other facilities, group activities help in:
Involving family and teachers in music therapy for kids is also an excellent option for rebuilding the relationships they share with their elders. Musical exercises help them come closer to each other and explore happiness by spending undistracted time with each other.
There are a few interesting music therapy worksheets in our toolkit, and we briefly describe them below.
As mentioned earlier, music therapy calls for emotional catharsis and self-expression. The ‘ Using Music to Express Feelings ‘ worksheet helps clients open up about their innermost feelings through some musical expressions.
The exercise is simple and contains the following steps. It is subjective and self-storable, so there are no right or wrong answers in this. Below is a brief description of the worksheet, and you can learn more about it from the Positive Psychology Toolkit© .
Instructions – Choose three songs that you think describe your situation and feelings right now. For each of the songs you chose, answer the following questions, and be true to yourself. Remember that there are no right or wrong answers here.
1. What are the titles of the songs? ____________________________________________________________ 2. What comes to your mind when you hear the songs? ____________________________________________________________ 3. How do they make you feel? ____________________________________________________________ 4. What part of each song is the most important to you, and why? ____________________________________________________________
This worksheet is used in several settings for both individual and group purposes. The task is simple and uses the following steps:
Sample Worksheet | ||
---|---|---|
Song 1 ————————————— ————————————— ————————————— | Song 2 ————————————— ————————————— ————————————— | Song 3 ————————————— ————————————— ————————————— |
Song 4 ————————————— ————————————— ————————————— | Song 5 ————————————— ————————————— ————————————— | Song 6 ————————————— ————————————— ————————————— |
Use the following surveys to assess your clients.
The Music Therapy Questionnaire Survey is an assessment that is usually used at the beginning or the end of each session. The questionnaire is objective; a brief overview of it is here below.
Statements | Responses |
---|---|
Is your choice of music dependent on your mood? | Yes/No |
Do you think music is an alternative therapy for depression or anxiety? | Yes/No |
How often do you spend time listening to music daily? | Never/Rarely/Occasionally/Frequently/Very frequently |
Do you believe in the effectiveness of music as a therapy? | Yes/No |
The Children’s Music Therapy Questionnaire is an adaptation of the adult version. The worksheet is represented with bright images and pictorial representations that children should find easy and fun to do. The questionnaire is briefly illustrated below, and you can download the full version as well.
Children’s Music Therapy Questionnaire | |
---|---|
Which of the following instruments have you used in your music therapy sessions? | 1. Guitar 2. Piano 3. Flute 4. Harp 5. Drums 6. CDs and DVDs |
How does the music therapy sessions make you feel? | 1. Happy 2. Sad 3. Neutral 4. Something else |
Do you think music therapy can help you at school? | 1. Yes 2. No |
Would you like to change anything about the music therapy sessions? | 1. Yes 2. No |
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These Music Therapy books are great tools to improve your knowledge and skills.
The book is divided into four segments, each exploring a crucial aspect of music therapy such as its evolution, historical implications, clinical contributions, practical applications, and professional uses.
It comes with real-life examples and case studies and is suitable for professionals, therapists, or anyone interested to learn more about the fundamentals of musical interventions in psychotherapy.
Find the book on Amazon .
The book contains over 100 drills that are suitable for different age groups and is undoubtedly an excellent reference for professional use. It offers meaningful insight on childhood and adolescent problems and uncovers unique ways of using music to address those issues.
Music reduces pain and brings us closer to ourselves. It is one of the best remedies for beating stress and loneliness, and also gives us the strength to face and express the strong emotions that guide most of our actions.
Using music as a relaxation technique, individual, or group intervention can bring desired changes in terms of cardiac functioning, blood pressure levels, and overall body functions. Whether you are an active listener or an active performer, music, in any form, will change your life for the better.
As Jean Richter said, and we all at some levels would agree to it:
Music is moonlight in the gloomy nights of our lives.
Continue Reading: 17 Best Drama Therapy Techniques, Activities & Exercises
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I facilitate an 8 hr restorative justice workshop in a youth detention facility with some of the most violent young people in our state. I’ve recently started implementing music in the middle of our workshop and it has already had a positive effect. To the point that we are starting a music writing and recording class at the facility. If this goes well we will offer the class at other facilities in the state. The info given here is VERY helpful for what we are doing. I’d love to stay tapped in here.
Thank you for the article! I would love to try the music bingo. But it is not totally clear to me how it works? Thank you in advance!
I’m glad you found the article about Music Bingo interesting and that you’re keen to try it!
Here’s how it works: Each participant receives a card with different songs listed. Then a song is played or a hint is given about a song. Participants try to identify the song and if they have it on their card, they mark it. Eventually, the first person to complete a row or pattern (as decided before the game starts) and shout “Bingo!” is the winner.
Hope this helps!
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The term “neurodiversity” has gained significant traction in recent years, both in academic circles and popular discourse. Sociologist Judy Singer established the term as the natural variation in human brain function and behavioral traits. The concept challenges the traditional medical model of viewing neurological differences as disorders or deficits, instead framing them as part of the spectrum of human diversity.
Neurodiversity encompasses a wide range of neurological conditions, including autism spectrum disorders, attention deficit hyperactivity disorder, dyslexia, and others. Judy Singer, in her 2016 book “Neurodiversity: The Birth of an Idea”, argues that proponents of the neurodiversity paradigm argue that these conditions represent natural variations in the human genome and should be respected and accommodated rather than “cured” or normalized.
This shift in perspective has important implications for how we approach education, employment, and social interactions. It calls for a more inclusive society that values and leverages the unique strengths and abilities of neurodiverse individuals, rather than focusing solely on their challenges or limitations.
Researchers and practitioners have since explored various therapeutic approaches to support neurodiverse individuals in navigating a world that is often designed for neurotypical minds. Among these, music and art therapy have shown p articular promise in promoting well-being, self-expression, and skill development .
Music therapy, for instance, has been f ound to be especially beneficial for individuals on the autism spectrum . The structured yet creative nature of music can provide a non-verbal means of communication and emotional expression. Rhythmic activities can help improve motor skills and coordination, while group music-making fosters social interaction and collaboration. Moreover, the predictable patterns in music can offer comfort and reduce anxiety for those who may struggle with sensory overload or unpredictability in their environment.
Similarly, art therapy offers a valuable outlet for neurodiverse individuals to express themselves and process their experiences. For those with ADHD, the focused nature of artistic activities can help improve attention span and impulse control . Art creation can also serve as a form of visual communication for individuals who may have difficulty expressing themselves verbally. The tactile and sensory aspects of various art materials can be particularly engaging for those with sensory processing differences.
Both music and art therapy can be tailored to individual needs and preferences, making them highly adaptable to the diverse range of neurocognitive profiles encountered in the neurodiverse population. These therapies can help build self-esteem, reduce stress and anxiety, and develop coping strategies for managing everyday challenges.
It is important to note that while these therapeutic approaches can be beneficial, they should not be viewed as attempts to “normalize” neurodiverse individuals. Rather, they should be seen as tools to help these individuals navigate and thrive in a world that may not always be designed with their needs in mind.
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Music-based interventions may be a helpful therapy for neurological disorders.
According to the National Center for Complementary and Integrative Health, preliminary research suggests music-based interventions may be helpful for anxiety, depressive symptoms and pain associated with a variety of health conditions.
To learn more, we explore the power of sound as therapy for neurological disorders on this episode of "What's Health Got to Do With It?"
Dr. Francis Collins, a physician-scientist and National Institutes of Health distinguished investigator, explains how music therapy integrates with conventional medical treatments.
In the next blocl, we take up the common symptoms of andropause, the decline in male hormone production.
Stephen Ferrara, associate dean at the Columbia School of Nursing and president of the American Association of Nurse Practitioners, explains physical and emotional effects of andropause and related lifestyle modifications.
"What's Health Got to Do with It?" is a talk program from WJCT in Jacksonville that examines the intersection of health care and daily life.
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Search strategy and selection criteria. PubMed (MEDLINE), Ovid-Embase, the Cochrane Central Register of Controlled Trials, EMBASE, Web of Science, and Clinical Evidence were searched to identify studies assessing the effectiveness of music therapy on depression from inception to May 2020. The combination of "depress*" and "music*" was used to search potential papers from these databases.
Music therapy versus music medicine. Research on music therapy is fast-growing (de Witte et al., Citation 2020a). The effects of music listening interventions, such as 'music medicine', are mainly caused by the general influence of music on the stress response, whereas the effects of music therapy may also be explained by the therapeutic ...
In short, research is a foundational element of the profession and is about: a) the use of research to increase access to quality music therapy services, b) knowing how research affects practice policy, c) an integral professional and association-wide element, d) being good consumers of music therapy research findings, and e) collaborating and ...
An Introduction to Music Therapy Research (3rd ed.; Wheeler & Murphy, 2016) ... Introductory topics include overview and history of music therapy research, developing a research topic and related literature review, ethical thinking and multicultural considerations, and theoretical foundations of objectivist and interpretivist research. ...
Mission Statement. The Journal of Music Therapy (JMT) is a forum for authoritative articles of current music therapy research and theory, including book reviews and guest editorials. Its mission is as follows: The Journal of Music Therapy seeks to advance research, theory, and practice in music therapy through the dissemination of scholarly work.Its mission is to promote scholarly activity in ...
The American Music Therapy Association produces two scholarly journals where research in music therapy is published and shared: The Journal of Music Therapy is published by AMTA as a forum for authoritative articles of current music therapy research and theory. Articles explore the use of music in the behavioral sciences and include book ...
Music therapy research is usually undertaken within the context of a university with outreach to recruit patients or students in health care or education. Initially music therapy in the university sector was built up through training programmes that were developed and delivered by people with professional experience in developing and leading ...
Music therapy is increasingly being used as an intervention for stress reduction in both medical and mental healthcare settings. Music therapy is characterized by personally tailored music interventions initiated by a trained and qualified music therapist, which distinguishes music therapy from other music interventions, such as 'music medicine', which concerns mainly music listening ...
While research about music therapy is extensively available worldwide, relatively limited studies use bibliometric methods to analyze the global research about this topic. The aim of this study is to use the CiteSpace software to perform a bibliometric analysis of music therapy research from 2000 to 2019.
Carolyn Dachinger, The Effect of a Music-movement Intervention on Arousal and Cognitive Flexibility in Older Adults with and without Mild Neurocognitive Disorder Eunju Jeong, Music Therapy Assessment of Attention for Traumatic Brain Injury Linda Lathroum, The Relationship between Pitch Processing and Phonological Awareness in Five- to Six-year-old Children
Music therapy is a diverse field and music therapy research increasingly reflects that diversity. Many methods and approaches are used to examine the various facets of music therapy practice and theory. This chapter provides an overview of music therapy research, and provides basic information about how research is conducted in this field.
Dive into the research topics of 'The study of music therapy: Current issues and concepts'. Together they form a unique fingerprint. ... discusses contrasting positions, and offers a personalized synthesis of the issue. The Study of Music Therapy is the only book in music therapy that gathers all the major issues currently debated in the field ...
Research into music and mental health typically focuses on measures of music engagement, including passive (e.g., listening to music for pleasure or as a part of an intervention) and active music ...
The Effectiveness of Music Therapy in Reducing Perioperative Pain and Anxiety: A Systematic Review of Randomized Controlled Trials. Samer H. Sharkiya, in Perioperative Care and Operating Room Management, 2024 1.2 Music Therapy. Music therapy is an evidence and art-based health profession which uses music experiences within a therapeutic relationship to address clients' physical, emotional ...
To summarize the growing body of empirical research on music therapy, a multilevel meta-analysis, containing 47 studies, 76 effect sizes and 2.747 participants, was performed to assess the strength of the effects of music therapy on both physiological and psychological stress-related
Music therapy has been shown to help people suffering with cancer, chronic pain and depression. Our research is testing which parts of the brain are affected by different kinds of music
The use of music as an adjunctive therapy in the treatment of neurological, mental, or behavioral disorders. | Review and cite MUSIC THERAPY protocol, troubleshooting and other methodology ...
While research about music therapy is extensively available worldwide, relatively limited studies use bibliometric methods to analyze the global research about this topic. The aim of this study is to use the CiteSpace software to perform a bibliometric analysis of music therapy research from 2000 to 2019.
Good Research Topics about Music Therapy. Active Music Therapy for Parkinson's Disease; Effectiveness of Music Therapy for Survivors of Abuse; Music Therapy Effectiveness for Treatment of Alzheimer's Disease; The Link between Ancestral Hormones and Music Therapy; Analysis of the Effectiveness of Art and Music Therapy
Neurologic music therapy to improve speaking voice in individuals with Parkinson's disease. Berry, A. (2019). A collaborative coalition: Action research response to a music therapy group for gender and sexual minority college students. Esposito, K. (2019). Creating new music therapy programs in medical settings: A phenomenological inquiry.
📌 Good Research Topics about Music Therapy. Get your 100% original paper on any topic done in as little as 1 hour. Learn More . Active Music Therapy for Parkinson's Disease; Effectiveness of Music Therapy for Survivors of Abuse; Music Therapy Effectiveness of Treatment of Alzheimer's Disease;
Music Therapy Highlights: NIH-Sponsored Third National Summit on Military & Arts - March 4, 2015. Dr. Joke Bradt, Associate Professor, music therapist, and research scholar, at Drexel University, presented the opening plenary speech for the "Third National Summit: Advancing Research in the Arts for Health and Well-being across the Military Continuum" held on February 27, 2015, featuring ...
Previous research has shown that music therapy can effectively improve anxiety and depression symptoms in breast cancer patients 11,12, but the specific intervention protocol is unclear ...
Music therapy research is at its peak, and many effective musical interventions and strategies are uniquely designed to suit our purposes. Below is a list of popular music therapy group activities and other interventions that you might want to know about. 1. Music Bingo.
Recent research highlights the potential of music and art therapy, ... Recent research highlights the potential of music and art therapy, offering new perspectives on cognitive differences and therapeutic interventions. ... Topics. Arts and Entertainment Coronavirus Coverage Creative Writing Education Featured Food ...
On this episode, host Dr. Joe Sirven explores the power of sound for anxiety, depressive symptoms and pain associated with a variety of health conditions. According to the National Center for Complementary and Integrative Health, preliminary research suggests music-based interventions may be helpful ...