Instrumental Music Therapy Reduced Depression Levels in Stroke Patients

Abstract

<jats:p>Background: Stroke is the fifth cause of death and disability, leading also to depression. However, depression in stroke patients is hardly handled optimally. The purpose of this study therefore is to determine the effectiveness of instrumental music therapy in reducing depressive symptoms in stroke patients. Design and methods: It used a quasi-experiment pre-post design with a simple random sampling with 59 respondents. The respondents were divided into 3 groups as follows; group A (standard treatment), group B (instrumental music therapy), and group C (combined treatment). Results: The results show that the combined treatment provided the most significant influence on reducing the level of depression (P=0.001) with a contribution of 68.6% compared to the group A which was given standard treatment (P=0.001) with a contribution of 61.7%. Instrumental music therapy had no effect (P=0.986), though it contributed most among the three interventions, specifically 82.6%. Conclusions: The study recommended further improvement to include music as treatment options for reducing depression among stroke patients.</jats:p>

A Narrative Review on the Non-Pharmacologic Interventions in Post-Stroke Depression

“…Among Indonesian PSD patients, 30 minutes of instrumental music therapy in combination with standard home-based therapy was found effective at PSD alleviation. 105 In the same way, mindfulness music, which integrates a brief period of mindfulness exercises, has also been shown to be beneficial. 106 Additionally, traditional Chinese music following a five-phase music therapy has also been evaluated regarding its impact on affective disorders post-stroke.…”

Research Status of Psychological Nursing on Patients with Post-Stroke Depression

“…Post-stroke depression (PSD) is one of the common complications after stroke, and its main clinical manifestations are depressed mood, lack of interest, low self-esteem, insomnia, loss of appetite, and other clinical symptoms. It often leads to significant mental and physical pain, increased family and social burden, and family problems that cannot be resolved peacefully [2] , and even suicidal tendencies.Meta-analysis by Li Shiming [3] showed that the incidence of PSD in China was 39.4% , and the prevalence of depression was higher in female patients (41.6%) than in men (32.0%), and in patients with recurrent stroke (41.8%) than in patients with first stroke (30.8%).A study [4] showed that the severity of post-stroke depression is closely related to the degree of neurological deficits and the degree of recovery of daily living ability. This suggests that we should pay attention to the care of post-stroke depressed patients in the clinical care process, timely identify patients who may have depressive conditions and give appropriate interventions to reduce their symptoms.…”

Nurse-Implemented Music Therapy to Reduce Anxiety in Community-Dwelling Individuals with Severe Mental Illness: A Pilot Study

“…The usefulness of music therapy in different populations has been studied for years. Some relevant studies have been carried out with ICU patients [ 2 ], neonatal patients [ 3 ], stroke patients [ 4 , 5 ], mechanically ventilated patients [ 6 , 7 ], anorexia nervosa patients [ 8 ], and even with the parents of ICU patients [ 9 ]. Practically, all these studies report a positive effect of music therapy, with different levels of influence depending on the targeted population.…”