&lt;p&gt;Music Therapy as a Potential Intervention for Sleep Improvement&lt;/p&gt;

Loewy, Joanne V.

doi:10.2147/nss.s194938

Cited by 65 publications

(52 citation statements)

References 36 publications

(58 reference statements)

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“…This is because neurologically, the mind remains active during sleep, unconsciously processing thoughts that have been put aside or dismissed (Feld and Born, 2017). Current evidence suggests that arts therapies can soothe and sedate (Loewy, 2020), increasing comfort and decreasing anxiety impeding sleep capacity (Lund et al, 2020). Although this is the first study to explore changes in sleep in children, there is preliminary evidence showing that arts therapies help improve sleep quality in adults (Wang et al, 2014;Kavurmaci et al, 2019) as well as in infants and toddlers (Loewy, 2020); while most of the evidence so far comes from studies in music therapy.…”

Section: Discussionmentioning

confidence: 99%

An Investigation of the Effectiveness of Arts Therapies Interventions on Measures of Quality of Life and Wellbeing: A Pilot Randomized Controlled Study in Primary Schools

2020

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BackgroundOver the last decades there has been a change in the way schooling is perceived recognizing that children’s learning is closely linked to children’s health. Children spend most of their time at school, which is often the place where problems are identified and interventions are offered, not only for treatment but also prevention. Embedding arts therapies into the educational system may help address children’s emerging needs and have a positive impact on their wellbeing.MethodsA pilot cross-over randomized controlled design was employed to investigate the effectiveness of an arts therapies intervention on a series of child- and teacher-reported outcome measures, specifically, health related quality of life (assessed using a HRQOL scale; EQ-5D-Y), wellbeing and life functioning (assessed using the child outcome rating scale; CORS), emotional and behavioral difficulties (assessed using the strengths and difficulties questionnaire; SDQ), as well as duration of sleep (assessed using Fitbits). Sample size calculations for future large-scale studies were also performed, and the sustained impact of the intervention was evaluated at 3, 6, and 12 months follow-up. The pluralistic theoretical and therapeutic framework of this intervention was informed by a systematic review on school-based arts therapies interventions and is presented in detail in the study protocol. Participants were 62 children with mild emotional and behavioral difficulties.ResultsImprovements in HRQOL and CORS were greater in those engaged in the arts therapies intervention than the control groups and were maintained at the follow-up stages. Significant improvements were only found for duration of sleep (P = 0.002) and SDQ (P = 0.008). Minimal clinically important differences (MCIDs) as defined in the published protocol were found for CORS, SDQ and duration of sleep, but not HRQOL.DiscussionFindings indicate that the arts therapies interventions were having a clinically significant effect on life functioning, duration of sleep, emotional and behavioral difficulties. Findings also indicate a small effect size for health related quality of life, suggesting the intervention was having a small positive effect on this outcome measure. The study indicates that all outcome measures assessed here would be suitable for inclusion in a larger randomized controlled study utilizing these arts therapies interventions, and that a sample size of 225 participants would be required if these outcome measures were used.

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Section: Discussionmentioning

confidence: 99%

An Investigation of the Effectiveness of Arts Therapies Interventions on Measures of Quality of Life and Wellbeing: A Pilot Randomized Controlled Study in Primary Schools

2020

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“…At both ages, only the intervention infants showed a correlation between respiratory regulation and the amount of quiet sleep (Ingersoll and Thoman, 1994). Sleep regulation is a critical mechanism of strong neurologic function that can be influenced by music (Loewy, 2020).…”

Section: Timbrementioning

confidence: 99%

“…The practice of ritual in patterning music and rhythms of daily life inclusive of the sleep-wake cycles of developing infants is critical (Loewy, 2020). It is known that infants recognize familiar voices and melodies, and language patterns.…”

Section: Repetition: Predictability As Enhancement In Neonatal Music mentioning

confidence: 99%

“…It can be used to calm when an infant is fussy (breath entrainment). It can be used as a ritual, providing the safe assuring conditions of sleep (looping and repeating the cadence to sustain a ''cadential effect'' (Loewy, 2009(Loewy, , 2020. In the instance of enhancing sleep, the lyrics can be removed, and vowels will elongate melodies and suggest a slowing down of the mind-body-attention.…”

Section: Song Of Kin: Affective Culture As Attachment Incentivementioning

confidence: 99%

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Mechanisms of Timing, Timbre, Repertoire, and Entrainment in Neuroplasticity: Mutual Interplay in Neonatal Development

Loewy

Jaschke²

2020

Front. Integr. Neurosci.

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Neonatal brain development relies on a combination of critical factors inclusive of genetic predisposition, attachment, and the conditions of the pre and postneonatal environment. The status of the infant's developing brain in its most vulnerable state and the impact that physiological elements of music, silences and sounds may make in the earliest stages of brain development can enhance vitality. However, little attention has been focused on the integral aspects of the music itself. This article will support research that has hypothesized conditions of music therapeutic applications in an effort to further validate models of neurobehavioral care that have optimized conditions for growth, inclusive of recommendations leading toward the enhancement of self-regulatory behaviors.

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“…14 Considering the multiple factors underscoring sleep deprivation, the active use of music will likely be necessary to maximize the therapeutic effects of music. 15 Recent studies have examined active music therapy incorporated with guided imagery or relaxation with music and patient-selected song choices in treatment procedures. 11,16 Increased patient participation is a major concern for music therapy to promote sleep among older ICU patients.…”

Section: Introductionmentioning

confidence: 99%

<p>Effects of Patient-Directed Interactive Music Therapy on Sleep Quality and Melatonin Levels in Postoperative Elderly Patients: A Randomized Controlled Trial</p>

Kim¹,

Choi²,

Yeo³

et al. 2020

PROM

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This study aimed to investigate the effects of patient-directed interactive music on saliva melatonin levels and sleep quality among postoperative elderly patients in the intensive care unit (ICU). Patients and Methods: A total of 133 elderly patients were randomized into three groups: interactive music therapy (IMT), passive listening (PL), and the control group. The control group (n = 45) received routine medical care, while IMT and PL groups received music therapy on ICU day 1. The IMT group received up to 20 mins of interactive music sessions, including relaxation techniques. The PL group received only pre-selected relaxing musiclistening for 30 mins. Saliva melatonin and cortisol levels were measured three times at 11 p.m. (preoperative, operation day, and postoperative day [POD] 1). The Richards-Campbell Sleep Questionnaire (RCSQ) and Quality of Recovery-40 questionnaire (QoR40) were administered on the preoperative day, as well as PODs 1 and 2. Results: The RCSQ showed a significant improvement in the IMT group compared to the control group on POD2 (71.50 vs 56.89, p=0.012), but the QoR40 did not show any difference between groups. The quality control of the saliva sample was not available due to the immediate postoperative patient's condition, resulting in a higher dropout rate. Saliva melatonin levels on POD 1 were elevated in the IMT group compared to the control group (1.45 vs 0.04, p=0.0068). The cortisol level did not show a significant difference between groups. Conclusion: Single IMT intervention improved subjectively assessed short-term sleep quality in postoperative elderly patients. It is difficult to conclude whether music therapy intervention affects the level of melatonin and cortisol. Trial Registration: The study was registered at ClinicalTrials.Gov (number NCT03156205).

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<p>Music Therapy as a Potential Intervention for Sleep Improvement</p>

Cited by 65 publications

References 36 publications

An Investigation of the Effectiveness of Arts Therapies Interventions on Measures of Quality of Life and Wellbeing: A Pilot Randomized Controlled Study in Primary Schools

An Investigation of the Effectiveness of Arts Therapies Interventions on Measures of Quality of Life and Wellbeing: A Pilot Randomized Controlled Study in Primary Schools

Mechanisms of Timing, Timbre, Repertoire, and Entrainment in Neuroplasticity: Mutual Interplay in Neonatal Development

<p>Effects of Patient-Directed Interactive Music Therapy on Sleep Quality and Melatonin Levels in Postoperative Elderly Patients: A Randomized Controlled Trial</p>

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