Machine learning techniques to predict the effectiveness of music therapy: A randomized controlled trial

Emergence of Artificial Intelligence Art Therapies (AIATs) in Mental Health Care: A Systematic Review

The application of artificial intelligence art therapies (AIATs) in mental health care represents an innovative merger between digital technology and the therapeutic potential of creative arts. This systematic review aimed to assess the effectiveness and ethical considerations of AIATs, incorporating robots, AI painting and AI Chatbots to augment traditional art therapies. Aligning with the Preferred Reporting Items for systematic reviews (PRISMA) guidelines, we meticulously searched PubMed, Cochrane Library, Web of Science and CNKI, resulting in 15 selected articles for detailed analysis. To ensure methodological quality, we applied the Joanna Briggs Institute (JBI) criteria for quality assessment and extracted data using the PICO(S) format, specifically targeting randomised controlled trials (RCTs). Our findings suggest that AIATs can profoundly enhance the therapeutic experience by providing new creative outlets and reinforcing existing methods, despite possible drawbacks and ethical challenges. This examination underscores AIATs' potential to enrich mental health therapies, emphasising the critical importance of ethical considerations and the responsible application of AI as the field evolves. With a focus on expanding treatment efficacy and patient expressiveness, the promise of AIATs in mental health care necessitates a careful balance between innovation and ethical responsibility. Trial Registration: PROSPERO: CRD42024504472.

A novel music-based therapeutic approach: the Therapeutic Music Listening

The therapeutic use of music is frequently based on active interventions that directly involve the patient through a sonorous-music interaction with the music therapist. In contrast, approaches based on musical listening are characterized by a relationship aimed at promoting an introspective work and processing of one's emotional experiences. Increasingly, the scientific literature has shown how even listening to music related to the patient's personal tastes (preferred music listening) and by-passing the direct relationship with the patient, can produce therapeutic effects in different clinical settings. However, in many cases, a clear therapeutic rationale and specific application protocols are still lacking. The paper introduces a novel approach based on music listening: the Therapeutic Music Listening. This approach integrates the subjective component of listening (patient's musical tastes) and structural and parametric characteristics of the music in relation to the therapeutic aims. The article defines theoretical-applicative bases as well as therapeutic and research perspectives of this music listening-based intervention.

Using Deep Learning to Recognize Therapeutic Effects of Music Based on Emotions

Music is important in everyday life, and music therapy can help treat a variety of health issues. Music listening is a technique used by music therapists in various clinical treatments. As a result, music therapists must have an intelligent system at their disposal to assist and support them in selecting the most appropriate music for each patient. Previous research has not thoroughly addressed the relationship between music features and their effects on patients. The current paper focuses on identifying and predicting whether music has therapeutic benefits. A machine learning model is developed, using a multi-class neural network to classify emotions into four categories and then predict the output. The neural network developed has three layers: (i) an input layer with multiple features; (ii) a deep connected hidden layer; (iii) an output layer. K-Fold Cross Validation was used to assess the estimator. The experiment aims to create a machine-learning model that can predict whether a specific song has therapeutic effects on a specific person. The model considers a person's musical and emotional characteristics but is also trained to consider solfeggio frequencies. During the training phase, a subset of the Million Dataset is used. The user selects their favorite type of music and their current mood to allow the model to make a prediction. If the selected song is inappropriate, the application, using Machine Learning, recommends another type of music that may be useful for that specific user. An ongoing study is underway to validate the Machine Learning model. The developed system has been tested on many individuals. Because it achieved very good performance indicators, the proposed solution can be used by music therapists or even patients to select the appropriate song for their treatment.

The Use of Artificial Intelligence in Complementary and Alternative Medicine: A Systematic Scoping Review

Background: The development of artificial intelligence (AI) in the medical field has been growing rapidly. As AI models have been introduced in complementary and alternative medicine (CAM), a systematized review must be performed to understand its current status.

Objective: To categorize and seek the current usage of AI in CAM.

Method: A systematic scoping review was conducted based on the method proposed by the Joanna Briggs Institute. The three databases, PubMed, Embase, and Cochrane Library, were used to find studies regarding AI and CAM. Only English studies from 2000 were included. Studies without mentioning either AI techniques or CAM modalities were excluded along with the non-peer-reviewed studies. A broad-range search strategy was applied to locate all relevant studies.

Results: A total of 32 studies were identified, and three main categories were revealed: 1) acupuncture treatment, 2) tongue and lip diagnoses, and 3) herbal medicine. Other CAM modalities were music therapy, meditation, pulse diagnosis, and TCM syndromes. The majority of the studies utilized AI models to predict certain patterns and find reliable computerized models to assist physicians.

Conclusion: Although the results from this review have shown the potential use of AI models in CAM, future research ought to focus on verifying and validating the models by performing a large-scale clinical trial to better promote AI in CAM in the era of digital health.

Algorithmic Music for Therapy: Effectiveness and Perspectives

This study assessed the short-term effects of conventional (i.e., human-composed) and algorithmic music on the relaxation level. It also investigated whether algorithmic compositions are perceived as music and are distinguishable from human-composed music. Three hundred twenty healthy volunteers were recruited and randomly allocated to two groups where they listened to either their preferred music or algorithmic music. Another 179 healthy subjects were allocated to four listening groups that respectively listened to: music composed and performed by a human, music composed by a human and performed by a machine; music composed by a machine and performed by a human, music composed and performed by a machine. In the first experiment, participants underwent one of the two music listening conditions—preferred or algorithmic music—in a comfortable state. In the second one, participants were asked to evaluate, through an online questionnaire, the musical excerpts they listened to. The Visual Analogue Scale was used to evaluate their relaxation levels before and after the music listening experience. Other outcomes were evaluated through the responses to the questionnaire. The relaxation level obtained with the music created by the algorithms is comparable to the one achieved with preferred music. Statistical analysis shows that the relaxation level is not affected by the composer, the performer, or the existence of musical training. On the other hand, the perceived effect is related to the performer. Finally, music composed by an algorithm and performed by a human is not distinguishable from that composed by a human.

More music, more health!

For several decades, music has been used more and more frequently and consciously as a mean of care to reduce or stabilize symptoms and/or complications arising therefrom. This has been the case with several diseases and conditions. Indeed, music also gives pleasure, promotes well-being, facilitates the expression and regulation of emotions and improves communication and relationships between individuals. The basis underlying the therapeutic potential of music are to be considered in relation to the extensive action that music itself exerts on the brain but also on vital signs and neurochemical systems. Music therapy interventions are based on active/receptive approaches (characterized by a relational or rehabilitative component) but also on music listening. Music-based interventions can be considered activities aimed at increasing the person's well-being. The objectives of making/listening to music are to improve the person's mood and motivation, promote socialization and stimulate sensory, motor and cognitive aspects. In particular, music listening effects concern structured symptoms and general well-being reducing anxiety and stress. New technologies, such as algorithmic music and machine learning techniques, can also help to develop therapeutic interventions with music and to bring art and science closer together, in the service of medicine, in clinical work and in research.

Can Machine Learning Predict Stress Reduction Based on Wearable Sensors’ Data Following Relaxation at Workplace? A Pilot Study

Nowadays, psychological stress represents a burdensome condition affecting an increasing number of subjects, in turn putting into practice several strategies to cope with this issue, including the administration of relaxation protocols, often performed in non-structured environments, like workplaces, and constrained within short times. Here, we performed a quick relaxation protocol based on a short audio and video, and analyzed physiological signals related to the autonomic nervous system (ANS) activity, including electrocardiogram (ECG) and galvanic skin response (GSR). Based on the features extracted, machine learning was applied to discriminate between subjects benefitting from the protocol and those with negative or no effects. Twenty-four healthy volunteers were enrolled for the protocol, equally and randomly divided into Group A, performing an audio-video + video-only relaxation, and Group B, performing an audio-video + audio-only protocol. From the ANS point of view, Group A subjects displayed a significant difference in the heart rate variability-related parameter SDNN across the test phases, whereas both groups displayed a different GSR response, albeit at different levels, with Group A displaying greater differences across phases with respect to Group B. Overall, the majority of the volunteers enrolled self-reported an improvement of their well-being status, according to structured questionnaires. The use of neural networks helped in discriminating those with a positive effect of the relaxation protocol from those with a negative/neutral impact based on basal autonomic features with a 79.2% accuracy. The results obtained demonstrated a significant heterogeneity in autonomic effects of the relaxation, highlighting the importance of maintaining a structured, well-defined protocol to produce significant benefits at the ANS level. Machine learning approaches can be useful to predict the outcome of such protocols, therefore providing subjects less prone to positive responses with personalized advice that could improve the effect of such protocols on self-relaxation perception.