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Gillespie K, McConnell T, Roulston A, Potvin N, Ghiglieri C, Gadde I, Anderson M, Kirkwood J, Thomas D, Roche L, O 'Sullivan M, McCullagh A, Graham-Wisener L. Music therapy for supporting informal carers of adults with life-threatening illness pre- and post-bereavement; a mixed-methods systematic review. BMC Palliat Care 2024; 23:55. [PMID: 38408966 PMCID: PMC10898157 DOI: 10.1186/s12904-024-01364-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 01/19/2024] [Indexed: 02/28/2024] Open
Abstract
BACKGROUND Music therapy interventions with informal carers of individuals with life-threatening illness at pre- and post-bereavement is an increasingly important clinical area. This systematic review is the first to synthesise and critically evaluate the international evidence associated with music therapy with adult informal carers pre- and post-bereavement. Specifically, the objectives were: i) to describe the characteristics and effectiveness of music therapy interventions which aim to improve health-related outcomes for adult informal carers of adults with life-threatening illness (pre- and post-bereavement), and ii) to describe the experience of music therapy for adult informal carers of adults with life-threatening illness (pre- and post-bereavement). METHODS Eligibility: adult informal carers of adults at end of life or bereaved; music therapy interventions for improving health-related outcomes; qualitative; mixed-method; and quantitative studies including comparators of any other intervention; published in English from 1998 onwards. Six databases were searched up to July 2022. A JBI mixed-methods systematic review approach was followed throughout, including quality appraisal, data extraction and a convergent segregated approach to synthesis and integration. RESULTS A total of 34 studies were included, published between 2003 and 2022. Most were conducted in North America (n = 13), Australia (n = 10), or Europe (n = 8). No studies were conducted in low- and middle-income countries or in the UK. The majority were qualitative (n = 17), followed by quasi-experimental (n = 8), mixed-methods (n = 7) and two RCTs. The majority focused on carers of individuals with dementia (n = 21) or advanced cancer (n = 7). Seventeen studies were purely quantitative or included a quantitative component. During meta-synthesis, findings were aligned to core outcomes for evaluating bereavement interventions in palliative care and previously identified risk factors for complicated grief. Commonly targeted outcomes in quantitative studies included quality of life and mental wellbeing, showing equivocal effectiveness of music therapy with significant and non-significant results. Twenty-two studies either purely qualitative or with a qualitative component underwent meta synthesis and suggested a diverse range of improved pre- and post-bereavement outcomes for informal carers across all core outcomes, and across all risk and protective factors, including psychological, spiritual, emotional, and social outcomes. CONCLUSIONS Qualitative studies provide moderate to strong evidence for improved health-related outcomes for adult informal carers of adults with life-threatening illness pre-bereavement. Limited studies including those bereaved negates conclusions for the bereavement phase. Comparisons and explanations for effectiveness across quantitative and qualitative studies are equivocal, with a high risk of bias and small samples in the limited number of quantitative studies, demonstrating a need for high-quality RCTs. SYSTEMATIC REVIEW PRE-REGISTRATION PROSPERO [CRD42021244859].
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Affiliation(s)
- K Gillespie
- Centre for Improving Health-Related Quality of Life, School of Psychology, Queen's University Belfast, Belfast, UK
| | - T McConnell
- School of Nursing & Midwifery, Queen's University Belfast, Belfast, UK.
- Marie Curie Northern Ireland, Belfast, UK.
| | - A Roulston
- School of Social Sciences, Education & Social Work, Queen's University Belfast, Belfast, UK
| | - N Potvin
- Mary Pappert School of Music and School of Nursing, Music Therapy, Duquesne University, Pittsburgh, USA
| | - C Ghiglieri
- Centre for Improving Health-Related Quality of Life, School of Psychology, Queen's University Belfast, Belfast, UK
| | - I Gadde
- Centre for Improving Health-Related Quality of Life, School of Psychology, Queen's University Belfast, Belfast, UK
| | - M Anderson
- Cochrane Developmental, Psychosocial and Learning Problems, Centre for Public Health, Queen's University Belfast, Belfast, Northern Ireland, UK
| | - J Kirkwood
- Independent Researcher, Belfast, Northern Ireland, UK
| | - D Thomas
- CHROMA Therapies, Overross House, Ross Park, Ross On Wye, Herefordshire, UK
| | - L Roche
- MusiCARER Project Carer Advisory Group, Belfast, UK
- AIIHPC Voices4Care, Dublin, Ireland
| | - M O 'Sullivan
- MusiCARER Project Carer Advisory Group, Belfast, UK
- AIIHPC Voices4Care, Dublin, Ireland
| | - A McCullagh
- MusiCARER Project Carer Advisory Group, Belfast, UK
- Marie Curie Research Voices, Southampton, UK
| | - L Graham-Wisener
- Centre for Improving Health-Related Quality of Life, School of Psychology, Queen's University Belfast, Belfast, UK
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Merrill KJ, Catron E, Hamlin E, Calhoun J, Hastings SO. Uses and Gratifications of Music in Bereavement: A Qualitative Inquiry. OMEGA-JOURNAL OF DEATH AND DYING 2022:302228221121490. [PMID: 36053239 DOI: 10.1177/00302228221121490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study investigates the role of music during bereavement. Music plays a role in peoples' bereavement experiences and gets associated with numerous memories. Despite widespread recognition of the importance of music, little research has considered what bereaved individuals "gain" through their musical selections. This study takes a uses and gratifications approach to analyze interview data about how bereaved individuals incorporate music in their grief journey. Interviews were conducted with 28 participants. Two coders analyzed the data to identify common themes regarding uses of music during bereavement. Data show 5 reasons the bereaved offer for using music: creating connections, co-presence, positive and negative mood management, and projection. The findings demonstrate everyday ways that individuals process their grief in a way that has been largely ignored in the bereavement literature and offer insight into the ways that music can be strategically used by laypeople to process grief.
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Affiliation(s)
| | | | | | | | - Sally O Hastings
- Nicholson School of Communication and Media, University of Central Florida, Orlando, FL, USA
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Schreck B, Loewy J, LaRocca RV, Harman E, Archer-Nanda E. Amplified Cardiopulmonary Recordings: Music Therapy Legacy Intervention with Adult Oncology Patients and Their Families-A Preliminary Program Evaluation. J Palliat Med 2022; 25:1409-1412. [PMID: 35475758 DOI: 10.1089/jpm.2022.0017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: Amplified cardiopulmonary recording (ACPR) is a unique music therapy intervention implementing recorded heartbeats with meaningful music. Although its clinical application has grown, there is limited research on the acceptability and usage by bereaved families. Objective: The research objective was to understand the frequency recipients engaged with ACPR after their loved one died. Design: A survey was undertaken with relatives of 191 adult patients who had participated in ACPR. Setting/Subjects: Bereaved loved ones of adult oncology patients who received care at the Norton Cancer Institute in Louisville, Kentucky, USA. Results: Out of the 191 participants, 73% of family members responded, 49% reported listening to their recording frequently, 31% listened to the recording at least once after receiving it, and 20% reported never listening. Conclusions: ACPR appears to have moderate acceptability and usage among bereaved family members, especially when created in the context of ongoing music therapy treatment. We recommend that this process-based music therapy intervention be studied further and offered proactively.
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Affiliation(s)
- Brian Schreck
- Behavioral Oncology, Norton Cancer Institute, Louisville, Kentucky, USA.,Norton Women's and Children's Hospital, Louisville, Kentucky, USA
| | - Joanne Loewy
- The Louis Armstrong Center for Music and Medicine, Mount Sinai Beth Israel, New York, New York, USA.,Icahn School of Medicine at Mount Sinai, Mount Sinai Health System, New York, New York, USA
| | - Renato V LaRocca
- Neuro-Oncology, Norton Cancer Institute-Brownsboro, Louisville, Kentucky, USA
| | - Elizabeth Harman
- Division of Child Life and Integrative Care, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
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4
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Walden M, Charley Elliott E, Ghrayeb A, Lovenstein A, Ramick A, Adams G, Fairchild B, Schreck B. And the Beat Goes On: Heartbeat Recordings through Music Therapy for Parents of Children with Progressive Neurodegenerative Illnesses. J Palliat Med 2020; 24:1023-1029. [PMID: 33305998 DOI: 10.1089/jpm.2020.0447] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: Music is a powerful therapeutic intervention to promote physical and psychological health, healing, and well-being. In pediatric palliative care, music therapists are often involved in preloss care. Heartbeat recordings (HBRs) synchronize the rhythm of the heartbeat into a favorite song. In preloss care, HBRs show promise in helping parents of children with progressive neurodegenerative illnesses (PNDI) cope with their chronic sorrow and the loss of their child. Objective: To explore the lived experience of HBRs for bereavement in the lives of parents of children with PNDI. Design: Phenomenological study. Setting/Subjects: Purposeful sample of 11 English-speaking parents of children with PNDI receiving palliative care services in an academic pediatric hospital were interviewed three months after receiving their child's HBR. Measurements: A semistructured interview guide was used to collect data concurrently with the mind mapping process. Results: Data from interviews revealed 4 major themes and 10 subthemes: (1) Bifocal View (parental lens vs. medical lens); (2) Navigating Life and Relationships (caregiver fatigue, grief and loss, marriage, job, brought us together, paying it forward); (3) Coping through Spirituality; and, (4) Legacy Creation (HBR as a connection, song selection). Conclusions: Parents of children with PNDI experience chronic sorrow. The HBR assisted in meaning-making that validated the child's life and supported the parents' expression of grief and their ability to cope. Further research is needed to validate the impact of HBRs in diverse populations.
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Affiliation(s)
- Marlene Walden
- Department of Nursing Research, Arkansas Children's Hospital, Little Rock, Arkansas, USA
| | | | - Andrew Ghrayeb
- Department of Child Life and Education, Arkansas Children's Hospital, Little Rock, Arkansas, USA
| | - Austin Lovenstein
- Department of Nursing Research, Arkansas Children's Hospital, Little Rock, Arkansas, USA
| | - Amy Ramick
- Department of Nursing Research, Arkansas Children's Hospital, Little Rock, Arkansas, USA
| | - Greg Adams
- Center for Good Mourning and Staff Bereavement Support, Arkansas Children's Hospital, Little Rock, Arkansas, USA
| | - Brent Fairchild
- Pastoral Care, Arkansas Children's Hospital, Little Rock, Arkansas, USA
| | - Brian Schreck
- Norton Cancer Institute, Norton Cancer Institute Resource Center(s), Louisville, Kentucky, USA
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Thacker NE. Musical mourning in Manchester: Cultural norms, expectations, and meaning in grief. DEATH STUDIES 2020; 46:1689-1696. [PMID: 33064061 DOI: 10.1080/07481187.2020.1833109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Grief is a culturally-situated praxis, where cultural phenomena convey norms and expectations for grief expression and reconciliation. Music is one example of a cultural phenomenon that can inform grief and mourning. Utilizing narrative thematic analysis, the author examined cultural messages within music lyrics of 36 songs performed at the One Love Manchester 2017 benefit concert. Four themes-emotional expression, active mourning, expectations, and meaning-making-are presented as a poem to reflect the creative form and delivery of music. Findings indicated conflicting emotional and behavioral grief expressions, and time was an influential factor in expectations and meaning-making processes conveyed throughout lyrics.
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Affiliation(s)
- Nancy E Thacker
- Department of Special Education, Rehabilitation and Counseling, Auburn University, Auburn, AL, USA
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Abstract
OBJECTIVE There is an increasing recognition of the significance of music as a complementary therapy in palliative care. Limited studies exist on how music is used as a coping mechanism by palliative care patients. Therefore, the purpose of this scoping review was to explore the efficacy of music interventions for palliative care. METHOD We conducted a literature search between June and November 2019 in the Cumulative Index of Nursing and Allied Health Literature (CINAHL), British Nursing Index (BNI), and PubMed, which includes MEDLINE. The search identified eight articles which met the inclusion and exclusion criteria. RESULTS Using thematic analysis, six themes were synthesied to show how music contributes to palliative care. The six themes include Pain management; Relaxation; Happiness and hope; Anxiety and depression management; Enhanced spirituality; and Improved quality of life. These themes reflect the psychological and emotional benefits palliative care patients derive from music therapies. SIGNIFICANCE OF RESULTS Music therapy can be an effective psychosocial approach when managing palliative symptoms through its therapeutic effects on physical, psychological, emotional, and spiritual well-being.
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7
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Phillips CS, Becker H. Systematic Review: Expressive arts interventions to address psychosocial stress in healthcare workers. J Adv Nurs 2019; 75:2285-2298. [DOI: 10.1111/jan.14043] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2018] [Revised: 02/14/2019] [Accepted: 03/12/2019] [Indexed: 12/30/2022]
Affiliation(s)
- Carolyn S. Phillips
- School of Nursing University of Texas at Austin Austin Texas
- Robert Wood Johnson Foundation Future of Nursing Scholar, 2016‐2019 Philadelphia PA
| | - Heather Becker
- School of Nursing University of Texas at Austin Austin Texas
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Warth M, Kessler J, Koehler F, Aguilar-Raab C, Bardenheuer HJ, Ditzen B. Brief psychosocial interventions improve quality of life of patients receiving palliative care: A systematic review and meta-analysis. Palliat Med 2019; 33:332-345. [PMID: 30648926 DOI: 10.1177/0269216318818011] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background: Patients with a terminal disease report a high need for psychosocial and spiritual support. Previous literature reviews on psychosocial interventions in palliative care were restricted to certain subtypes of techniques, included a wide range of patients, conditions, and settings, or required a number of sessions unrealistic to be achieved in patients nearing the end of their lives. Aim: The aim of this study was to review and synthesize the evidence on brief psychosocial interventions (i.e. four sessions or less and less than 21 days) for patients receiving palliative treatment. Design: We performed a systematic review and meta-analysis in accordance with standard guidelines and a pre-registered protocol (PROSPERO: CRD42018082713). Data sources: Electronic databases, journals, and references were searched for controlled clinical trials. We used the Cochrane criteria to assess the risk of bias within studies. Results: In total, 15 studies met the eligibility criteria and reported the effects of 17 interventions and a total of 1248 patients. The most frequently used techniques were life review techniques and music therapy. After exclusion of outliers, psychosocial interventions showed to be superior with regard to the improvement of quality of life (effect size = 0.36, confidence interval = 0.08 to 0.64), and the reduction of emotional (effect size = −0.51, confidence interval = −0.77 to −0.26) and existential distress (effect size = −0.40, confidence interval = −0.71 to −0.07) compared to the control groups. Conclusion: Brief psychosocial interventions can improve clinically relevant health outcomes and should therefore be made available for patients receiving palliative care.
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Affiliation(s)
- Marco Warth
- 1 Institute of Medical Psychology, Center for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany
| | - Jens Kessler
- 2 Center of Pain Therapy and Palliative Care Medicine, Department of Anesthesiology, University Hospital Heidelberg, Heidelberg, Germany
| | - Friederike Koehler
- 1 Institute of Medical Psychology, Center for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany
| | - Corina Aguilar-Raab
- 1 Institute of Medical Psychology, Center for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany
| | - Hubert J Bardenheuer
- 2 Center of Pain Therapy and Palliative Care Medicine, Department of Anesthesiology, University Hospital Heidelberg, Heidelberg, Germany
| | - Beate Ditzen
- 1 Institute of Medical Psychology, Center for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany
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9
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Kim B, Dvorak AL. Music therapy and intimacy behaviors of hospice family caregivers in South Korea: A randomized crossover clinical trial. NORDIC JOURNAL OF MUSIC THERAPY 2018. [DOI: 10.1080/08098131.2018.1427783] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Borin Kim
- Department of Music Education and Music Therapy, The University of Kansas, Lawrence, KS, USA
| | - Abbey L. Dvorak
- Department of Music Education and Music Therapy, The University of Kansas, Lawrence, KS, USA
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10
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Potvin N, Bradt J, Ghetti C. A Theoretical Model of Resource-Oriented Music Therapy with Informal Hospice Caregivers during Pre-Bereavement. J Music Ther 2018; 55:27-61. [DOI: 10.1093/jmt/thx019] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Noah Potvin
- Mary Pappert School of Music & School of Nursing, Duquesne University, Pittsburgh, PA
| | - Joke Bradt
- Department of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, PA
| | - Claire Ghetti
- GAMUT–Grieg Academy Music Therapy Research Centre, Grieg Academy, University of Bergen, Bergen, Norway
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11
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Holtslander L, Baxter S, Mills K, Bocking S, Dadgostari T, Duggleby W, Duncan V, Hudson P, Ogunkorode A, Peacock S. Honoring the voices of bereaved caregivers: a Metasummary of qualitative research. BMC Palliat Care 2017; 16:48. [PMID: 28877699 PMCID: PMC5585890 DOI: 10.1186/s12904-017-0231-y] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2016] [Accepted: 08/31/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Family caregiving in the context of advanced disease in particular, can be physically and emotionally taxing. Caregivers can subsequently face bereavement exhausted with few supports, limited resources and a significant proportion will develop negative psychological and social outcomes. Although some research has attended to the bereavement experiences of family caregivers who had cared for a person requiring palliative care, a comprehensive qualitative understanding of the impact of caregiving on bereavement has not been articulated. The purpose of this study was to conduct a qualitative metasummary to explore the experiences of bereaved family caregivers of people who received palliative care services, regardless of their underlying disease. METHODS Sandelowski and Barroso's qualitative metasummary method was utilized: 1287 articles were identified through extensive database searches (i.e. - MEDLINE, PsychINFO, and CINAHL) and reviewed to determine if they fit the criteria. Those included in the review were assessed for study quality. Findings from each study were then thematically coded and a frequency of themes was calculated. RESULTS The sample consisted of 47 qualitative studies. A total of 15 themes emerged. In descending order of frequency, the 15 themes were: the individual emotions of serenity, sadness, guilt, uncertainty, trauma, escape, and anger; post-loss experiences that helped the caregiver in bereavement; post-loss experiences that hindered; practical life changes; caregiver role identity; pre-loss experiences that helped; pre-loss experiences that hindered; caregiver context; and a need for different kinds of supports. Three key findings emerged from the themes: (1) many different aspects of the caregiving experience impact the bereavement experience, (2) every bereavement experience is unique, and (3) a variety of supports must be developed and made available to caregivers to meet these unique needs. CONCLUSIONS Based on the metasummary findings, changes are needed in practice and policy to ensure the health and well-being of the family caregiver is maintained by offering support both during caregiving and bereavement.
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Affiliation(s)
- Lorraine Holtslander
- College of Nursing, University of Saskatchewan, Rm 4216, E-Wing Health Sciences, 104 Clinic Place, Saskatoon, SK S7N 2Z2 Canada
- University of the Witwatersrand, Johannesburg, South Africa
| | - Sharon Baxter
- Executive Director of the Canadian Hospice Palliative Care Association, Ottawa, ON Canada
| | - Kelly Mills
- RA; College of Education, University of Saskatchewan, Saskatoon, SK Canada
| | - Sarah Bocking
- RA, College of Nursing, University of Saskatchewan, Saskatoon, SK Canada
| | | | - Wendy Duggleby
- Faculty of Nursing, University of Alberta, Edmonton, AB Canada
| | - Vicky Duncan
- University of Saskatchewan, Saskatoon, SK Canada
| | - Peter Hudson
- Palliative Care c/o St. Vincent’s Hospital and Collaborative Centre of the University of Melbourne, Melbourne, Australia
- Palliative Care, Queen’s University, Northern Ireland, UK
| | - Agatha Ogunkorode
- College of Nursing, University of Saskatchewan, Saskatoon, SK Canada
| | - Shelley Peacock
- College of Nursing, University of Saskatchewan, Saskatoon, SK Canada
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12
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González D, Carvalho M, Cantillo J, Aixalá M, Farré M. Potential Use of Ayahuasca in Grief Therapy. OMEGA-JOURNAL OF DEATH AND DYING 2017; 79:260-285. [DOI: 10.1177/0030222817710879] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The death of a loved one is ultimately a universal experience. However, conventional interventions employed for people suffering with uncomplicated grief have gathered little empirical support. The present study aimed to explore the potential effects of ayahuasca on grief. We compared 30 people who had taken ayahuasca with 30 people who had attended peer-support groups, measuring level of grief and experiential avoidance. We also examined themes in participant responses to an open-ended question regarding their experiences with ayahuasca. The ayahuasca group presented a lower level of grief in the Present Feelings Scale of Texas Revised Inventory of Grief, showing benefits in some psychological and interpersonal dimensions. Qualitative responses described experiences of emotional release, biographical memories, and experiences of contact with the deceased. Additionally, some benefits were identified regarding the ayahuasca experiences. These results provide preliminary data about the potential of ayahuasca as a therapeutic tool in treatments for grief.
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Affiliation(s)
- Débora González
- ICEERS—International Center for Ethnobotanical Education Research & Service, Roosendaal, The Netherlands
| | - María Carvalho
- ICEERS—International Center for Ethnobotanical Education Research & Service, Roosendaal, The Netherlands
- Centro de Estudos em Desenvolvimento Humano (CEDH), Faculdade de Educação e Psicologia, Universidade Católica Portuguesa, Rua Diogo Botelho, Portugal
| | - Jordi Cantillo
- ICEERS—International Center for Ethnobotanical Education Research & Service, Roosendaal, The Netherlands
| | - Marc Aixalá
- ICEERS—International Center for Ethnobotanical Education Research & Service, Roosendaal, The Netherlands
| | - Magí Farré
- Autonomous University of Barcelona, Barcelona, Spain
- Department of Clinical Pharmacology, Hospital Universitari Germans Trias i Pujol (IGTP), Badalona, Spain
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13
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Gallagher LM, Lagman R, Bates D, Edsall M, Eden P, Janaitis J, Rybicki L. Perceptions of family members of palliative medicine and hospice patients who experienced music therapy. Support Care Cancer 2017; 25:1769-1778. [PMID: 28105524 DOI: 10.1007/s00520-017-3578-y] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2016] [Accepted: 01/09/2017] [Indexed: 10/20/2022]
Abstract
PURPOSE Evidence shows that music therapy aids in symptom management and improves quality of life for palliative medicine and hospice patients. The majority of previous studies have addressed patient needs, while only a few addressed the needs of family members. The primary purpose of this study was to understand family members' perceptions of music therapy experienced by a relative in palliative medicine or hospice. Patient self-reported scales and music therapist assessment of change were also investigated. METHODS Patients scored their symptoms (pain, anxiety, depression, shortness of breath, and mood) before and after music therapy sessions. One family member present during the session assessed perceived effect on the patient's pain, anxiety, depression, shortness of breath, stress level, restlessness, comfort level, mood, and quality of life. The effect on family member's stress level, quality of life, and mood and helpfulness of the music therapy session for the patient and self were studied. Recommendations about future patient participation in music therapy and qualitative comments were also solicited. RESULTS Fifty family member/patient dyads participated in the study. Family member perceptions were positive, with 82% of responders indicating improvement for self and patient in stress, mood, and quality of life; 80% rating the session as extremely helpful; and 100% of 49 recommending further music therapy sessions for the patient. Patients reported statistically significant improvement in pain, depression, distress, and mood scores. CONCLUSIONS Family members of patients in palliative medicine and hospice settings reported an immediate positive impact of music therapy on the patient and on themselves. More research needs to be conducted to better understand the benefits of music therapy for family members.
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Affiliation(s)
- Lisa M Gallagher
- Cleveland Clinic, Arts and Medicine Institute, 1950 Richmond Rd./TR308, Lyndhurst, OH, 44124, USA. .,Cleveland Clinic, Taussig Cancer Institute, Cleveland, OH, USA.
| | - Ruth Lagman
- Cleveland Clinic, Taussig Cancer Institute, Cleveland, OH, USA
| | - Debbie Bates
- Cleveland Clinic, Arts and Medicine Institute, 1950 Richmond Rd./TR308, Lyndhurst, OH, 44124, USA.,Cleveland Clinic, Taussig Cancer Institute, Cleveland, OH, USA
| | - Melissa Edsall
- Cleveland Clinic, Taussig Cancer Institute, Cleveland, OH, USA.,The Music Settlement, Cleveland, OH, USA
| | - Patricia Eden
- Cleveland Clinic, Taussig Cancer Institute, Cleveland, OH, USA.,The Music Settlement, Cleveland, OH, USA
| | - Jessica Janaitis
- Cleveland Clinic, Taussig Cancer Institute, Cleveland, OH, USA.,The Music Settlement, Cleveland, OH, USA
| | - Lisa Rybicki
- Cleveland Clinic, Lerner Research Institute, Cleveland, OH, USA
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14
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O'Callaghan CC, McDermott F, Reid P, Michael N, Hudson P, Zalcberg JR, Edwards J. Music's Relevance for People Affected by Cancer: A Meta-Ethnography and Implications for Music Therapists. J Music Ther 2016; 53:398-429. [PMID: 27980035 DOI: 10.1093/jmt/thw013] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
BACKGROUND Evidence supports music-based oncologic support interventions including music therapy. By comparison, little is understood about music-based self-care. This meta-ethnography examined five published qualitative studies to extend understanding of music's relevance, including helpfulness, for people affected by cancer; including children, adolescents, and adults with cancer, carers, and the bereaved. OBJECTIVE To improve understanding of music's broad relevance for those affected by cancer. METHODS Meta-ethnography strategies informed the analysis. Five studies were synthesized that included 138 participants: 26 children and 28 parents of children with cancer; 12 adolescents and young adults with cancer; 52 adults with cancer; 12 carers; and 8 bereaved. Studies' category and thematic findings were compared and integrated into third-order interpretations, and a line of argument. Perspectives from the five studies that illuminated the line of argument were developed. RESULTS Music usage can remain incidental, continue normally, and/or change because of cancer's harsh effects. Music can be a lifeline, support biopsychosocial and spiritual well-being, or become elusive, that is, difficult to experience. Music helps or intrudes because it extends self-awareness and social connections, and prompts play, memories, imageries, and legacies. Music therapists may help patients and carers to recover or extend music's helpful effects. CONCLUSIONS Cancer care can be improved through offering music-based resources/services, which give cancer patients and carers opportunities to extend music usage for personal support and, for carers, to support patients. Music therapists can advocate for such resources and educate health professionals about assessing/recognizing when patients' and carers' changed music behaviors signify additional support needs.
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Affiliation(s)
- Clare C O'Callaghan
- Caritas Christi Hospice and Department of Medicine, St Vincent's Hospital, The University of Melbourne and Cabrini Health, Melbourne .,Monash University .,Department of Education and Training, Melbourne .,Notre Dame University, Sydney, and Monash University, Melbourne .,Centre for Palliative Care Education and Research, St Vincent's & University of Melbourne, and Queens University, Belfast .,Monash University .,Deakin University
| | - Fiona McDermott
- Caritas Christi Hospice and Department of Medicine, St Vincent's Hospital, The University of Melbourne and Cabrini Health, Melbourne.,Monash University.,Department of Education and Training, Melbourne.,Notre Dame University, Sydney, and Monash University, Melbourne.,Centre for Palliative Care Education and Research, St Vincent's & University of Melbourne, and Queens University, Belfast.,Monash University.,Deakin University
| | - Philippa Reid
- Caritas Christi Hospice and Department of Medicine, St Vincent's Hospital, The University of Melbourne and Cabrini Health, Melbourne.,Monash University.,Department of Education and Training, Melbourne.,Notre Dame University, Sydney, and Monash University, Melbourne.,Centre for Palliative Care Education and Research, St Vincent's & University of Melbourne, and Queens University, Belfast.,Monash University.,Deakin University
| | - Natasha Michael
- Caritas Christi Hospice and Department of Medicine, St Vincent's Hospital, The University of Melbourne and Cabrini Health, Melbourne.,Monash University.,Department of Education and Training, Melbourne.,Notre Dame University, Sydney, and Monash University, Melbourne.,Centre for Palliative Care Education and Research, St Vincent's & University of Melbourne, and Queens University, Belfast.,Monash University.,Deakin University
| | - Peter Hudson
- Caritas Christi Hospice and Department of Medicine, St Vincent's Hospital, The University of Melbourne and Cabrini Health, Melbourne.,Monash University.,Department of Education and Training, Melbourne.,Notre Dame University, Sydney, and Monash University, Melbourne.,Centre for Palliative Care Education and Research, St Vincent's & University of Melbourne, and Queens University, Belfast.,Monash University.,Deakin University
| | - John R Zalcberg
- Caritas Christi Hospice and Department of Medicine, St Vincent's Hospital, The University of Melbourne and Cabrini Health, Melbourne.,Monash University.,Department of Education and Training, Melbourne.,Notre Dame University, Sydney, and Monash University, Melbourne.,Centre for Palliative Care Education and Research, St Vincent's & University of Melbourne, and Queens University, Belfast.,Monash University.,Deakin University
| | - Jane Edwards
- Caritas Christi Hospice and Department of Medicine, St Vincent's Hospital, The University of Melbourne and Cabrini Health, Melbourne.,Monash University.,Department of Education and Training, Melbourne.,Notre Dame University, Sydney, and Monash University, Melbourne.,Centre for Palliative Care Education and Research, St Vincent's & University of Melbourne, and Queens University, Belfast.,Monash University.,Deakin University
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15
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Warth M, Kessler J, Kotz S, Hillecke TK, Bardenheuer HJ. Effects of vibroacoustic stimulation in music therapy for palliative care patients: a feasibility study. Altern Ther Health Med 2015; 15:436. [PMID: 26669437 PMCID: PMC4681146 DOI: 10.1186/s12906-015-0933-8] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2015] [Accepted: 11/11/2015] [Indexed: 11/23/2022]
Abstract
Background The present study aimed at examining whether methodological strategies from a previously implemented study design could be transferred to the evaluation of the psychological and physiological effects of a music therapy intervention working with vibroacoustic stimulation in palliative care. Method Nine participants suffering from advanced cancer took part in single-sessions of music therapy, lasting for 30 min. The live music therapy intervention utilized singing chair sounds and vocal improvisation. Visual analogue scales (VAS) were used to assess self-ratings of pain, relaxation, and well-being before and after each session. During the intervention, we continuously recorded heart rate variability (HRV) as a measure of autonomic functioning. Data collection was complemented by a semi-structured interview to explore subjective experiences in more detail. Feasibility was defined as the ability to complete 80 % of the sessions in accordance with the study protocol. Results In 5 out of 9 sessions (55 %) it was possible to deliver the intervention and obtain all data as intended. VAS assessment was feasible, although graphical and statistical examination revealed only marginal mean changes between pre and post. HRV recordings were subject to artifacts. While HRV parameters differed between individuals, mean changes over time remained relatively constant. Interview data confirmed that the individual perception was very heterogeneous, ranging from “calming” to “overwhelming”. Conclusion The criterion of feasibility was not met in this study. Physiological data showed high attrition rates, most likely due to movement artifacts and reduced peripheral blood flow in some participants’ extremities. Examination of individual-level trajectories revealed that vibroacoustic stimulation may have an impact on the autonomic response. However, the direction and mechanisms of effects needs to be further explored in future studies. Trial registration German Clinical Trials Register – DRKS00006137 (July 4th, 2014).
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16
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McGuinness B, Finucane N, Roberts A. A Hospice-Based Bereavement Support Group Using Creative Arts. ACTA ACUST UNITED AC 2015. [DOI: 10.1177/1054137315590734] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
There is evidence of the value of individual creative arts (art, drama, music, etc.) in helping people to cope with bereavement. However, there is a gap in the research on the effectiveness of the intentional, combined use of creative arts activities in bereavement support group intervention for adults. This article describes an exploratory study which assessed the effectiveness of using creative arts activities in an eight session support group intervention. A waiting list, randomized control trial supplemented by limited qualitative data was used. Evidence was found that the intervention did help participants’ ability to move between loss and restoration coping when they attended at least six of the eight sessions. However, the use of creative arts activities appears to be more suitable for some people than for others.
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17
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Iliya YA, Harris BT. Singing an imaginal dialogue: a qualitative examination of a bereavement intervention with creative arts therapists. NORDIC JOURNAL OF MUSIC THERAPY 2015. [DOI: 10.1080/08098131.2015.1044259] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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18
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O'Callaghan CC, McDermott F, Michael N, Daveson BA, Hudson PL, Zalcberg JR. "A quiet still voice that just touches": music's relevance for adults living with life-threatening cancer diagnoses. Support Care Cancer 2013; 22:1037-47. [PMID: 24287507 DOI: 10.1007/s00520-013-2059-1] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2013] [Accepted: 11/12/2013] [Indexed: 11/26/2022]
Abstract
PURPOSE Music has historically aided health and loss-adaptation, however, cancer patients' experience of music for self-care is not well understood. This study examines adult cancer patients' views about music's role before and after diagnosis. METHODS Constructivist approach, with grounded theory informed design using convenience, snowball and theoretical sampling. Patients from Australian metropolitan cancer and hospice settings completed demographic questionnaires and participated in semi-structured interviews. Qualitative inter-rater reliability was applied. RESULTS Fifty-two patients reported comparable time spent experiencing music pre-post diagnosis. Music may remain incidental; however, many patients adapt music usage to ameliorate cancer's aversive effects. Patients often draw from their musical lives and explore unfamiliar music to: remain connected with pre-illness identities; strengthen capacity for enduring treatment, ongoing survival (even when knowing "you're going to die"), or facing death; reframe upended worlds; and live enriched lives. Patients can ascribe human or physical properties to music when describing its transformative effects. Familiar lyrics maybe reinterpreted, and patients' intensified emotional reactions to music can reflect their threatened mortality. Sometimes music becomes inaccessible, elusive, and/or intensifies distress and is avoided. Families', friends' and professionals' recognition of patients' altered musical lives and music-based suggestions can extend patients' use of music for self-care. CONCLUSION Health professionals can support patients by inquiring about their music behaviours and recognising that altered music usage may signify vulnerability. Although commonly recommended, hospital concerts and music broadcasts need sensitive delivery. Patients' preferred music should be available in diagnostic, treatment and palliative settings because it can promote endurance and life enrichment.
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Affiliation(s)
- Clare C O'Callaghan
- Caritas Christi Hospice, St. Vincent's Hospital, 104 Studley Park Road, Kew, Melbourne, Australia, 3101,
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19
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Fasse L, Sultan S, Flahault C, MacKinnon CJ, Dolbeault S, Brédart A. How do researchers conceive of spousal grief after cancer? A systematic review of models used by researchers to study spousal grief in the cancer context. Psychooncology 2013; 23:131-42. [DOI: 10.1002/pon.3412] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2012] [Revised: 08/28/2013] [Accepted: 08/28/2013] [Indexed: 11/06/2022]
Affiliation(s)
- Léonor Fasse
- Institut Curie; Paris F-75006 France
- Université Paris Descartes; LPPS EA 4057, IUPDP; Paris France
| | - Serge Sultan
- Université Paris Descartes; LPPS EA 4057, IUPDP; Paris France
| | - Cécile Flahault
- Institut Curie; Paris F-75006 France
- Université Paris Descartes; LPPS EA 4057, IUPDP; Paris France
| | - Christopher J. MacKinnon
- Department of Educational and Counseling Psychology; McGill University; Montréal Québec Canada
- Palliative Care Research; SMBD Jewish General Hospital; Montréal Québec Canada
- Psychosocial Oncology Program; Montreal General Hospital; Montréal Québec Canada
| | - Sylvie Dolbeault
- Institut Curie; Paris F-75006 France
- Inserm, U 669; Paris France
- Université Paris-Sud and Université Paris Descartes; UMR-S0669; Paris France
| | - Anne Brédart
- Institut Curie; Paris F-75006 France
- Université Paris Descartes; LPPS EA 4057, IUPDP; Paris France
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20
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Wilkerson A, DiMaio L. Developing a group voice through the grief journey: the Grief Choir. PROGRESS IN PALLIATIVE CARE 2013. [DOI: 10.1179/1743291x13y.0000000052] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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