Effects of Music Therapy on Mood in Stroke Patients

Abstract

PurposeTo investigate the effects of music therapy on depressive mood and anxiety in post-stroke patients and evaluate satisfaction levels of patients and caregivers.Materials and MethodsEighteen post-stroke patients, within six months of onset and mini mental status examination score of over 20, participated in this study. Patients were divided into music and control groups. The experimental group participated in the music therapy program for four weeks. Psychological status was evaluated with the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) before and after music therapy. Satisfaction with music therapy was evaluated by a questionnaire.ResultsBAI and BDI scores showed a greater decrease in the music group than the control group after music therapy, but only the decrease of BDI scores were statistically significant (p=0.048). Music therapy satisfaction in patients and caregivers was affirmative.ConclusionMusic therapy has a positive effect on mood in post-stroke patients and may be beneficial for mood improvement with stroke. These results are encouraging, but further studies are needed in this field.

Choral singing therapy following stroke or Parkinson’s disease: an exploration of participants’ experiences

“…It was experienced while listening to music and singing [92] but also following choir participation, which may be generated by hormonal and related immune changes [18,48]. This is consistent with literature on music therapy for stroke [35,37], along with a similar study involving choral singing solely for people with aphasia [34]. However, only one study to date has indicated that music therapy showed improved mood in PD [93].…”

“…Singing employs greater neural circuitry [30,31], which may be preserved following a stroke [32]; indeed people with aphasia can often sing despite an inability to speak [33]. Small-scale singing studies with stroke survivors show improved mood [34,35], QOL [36], neuroplasticity [37], and word production [36,38]. Choral singing may also prevent voice decline [39] and improve QOL in PD [18].…”

Effects of music and music therapy on mood in neurological patients

“…Improved mood, better relaxation, increased motor activity in music listening group (P < 0.0001) Kim et al [76] CCT (0) [78] CCT (0) Reduction of depression (P = 0.002) and fatigue (P = 0.02) and improvement in the synchronization tapping (P < 0.05) 1 Subjects expressing a clear preference for treatment (25% of total) were allocated to music therapy while all others were randomly assigned to either treatment or control group; 2 The goal of random assignment was not fully achieved because of the need to have 2-3 subject available at the same time to held group session in the treatment condition; 3 Subjects heard 1 min of music or noise and after were given all assessments while they were continuously exposed to the sound up to the end of the evaluation; 4 Patients were quasi-randomly assigned to groups making sure that the two groups were as close as possible in terms of numerosity and clinical characteristics of participants. …”

“…Nine studies assessed the effects of music or MT on post-stroke patients [71][72][73][74][75][76][77][78][79] . Four of them were based on a relational approach [71,72,76,77] , three regarded music listening interventions [74,75,78] , and two used a rehabilitative approach [73,79] .…”

“…Four of them were based on a relational approach [71,72,76,77] , three regarded music listening interventions [74,75,78] , and two used a rehabilitative approach [73,79] . All studies show a positive effect of music or MT on mood in patients with Stroke.…”