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Leschallier De Lisle G, Oudin A, Bourla A, Ferreri F, Mouchabac S. Musicotherapy mobile applications: what level of evidence and potential role in psychiatric care? A systematic review. Front Psychiatry 2024; 15:1366575. [PMID: 38911704 PMCID: PMC11190819 DOI: 10.3389/fpsyt.2024.1366575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Accepted: 05/08/2024] [Indexed: 06/25/2024] Open
Abstract
Context In our times of smartphone ubiquity, mobile applications are an inescapable daily life tool, including in health care. Music therapy has already proven its worth, notably in mental health. Hence, we were interested in the mobile app format for this type of therapy, its level of evidence, how to use it in daily psychiatric care and the leads for future research and innovation. Method This study carries out a systematic review of scientific literature of this topic on two search engines, PubMed and PubPsych, using these key-words: [(web-application) OR (web-app) OR (smartphone) OR (apps) OR (app)) AND ((music) OR (music therapy) OR (melody)]. Outcome Out of a total of 282 studies found by keyword, 31 are included in this review. Several outcomes emerge. These studies relate to existing applications like Music Care, Calm or Unwind, on application prototypes or a potential use of music streaming applications on health care. They involve many different populations and clinical situations, including in hospital environments, for patients with chronic illnesses, different age ranges or for the general population. These musical interventions show a significant effect mainly for anxious symptoms, but also for depression, sleep disorders, pain and other psychiatric or psycho-somatic syndromes. These applications have no significant adverse effects. Conclusion This review shows that music therapy apps have several potentials for improving mental health care. It could assist psychiatric usual care and could potentially lower medication intake. Nevertheless, the studies on the topic are limited and recent but they open prospects for future research.
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Affiliation(s)
- Gaëtan Leschallier De Lisle
- Sorbonne Université, ICRIN Psychiatry (Infrastructure of Clinical Research In Neurosciences - Psychiatry), Brain Institute (Institut du Cerveau et de la Moëlle (ICM)), Institut national de la santé et de la recherche médicale (INSERM), Centre national de la recherche scientifique (CNRS), Paris, France
| | - Antoine Oudin
- Sorbonne Université, ICRIN Psychiatry (Infrastructure of Clinical Research In Neurosciences - Psychiatry), Brain Institute (Institut du Cerveau et de la Moëlle (ICM)), Institut national de la santé et de la recherche médicale (INSERM), Centre national de la recherche scientifique (CNRS), Paris, France
| | - Alexis Bourla
- Sorbonne Université, ICRIN Psychiatry (Infrastructure of Clinical Research In Neurosciences - Psychiatry), Brain Institute (Institut du Cerveau et de la Moëlle (ICM)), Institut national de la santé et de la recherche médicale (INSERM), Centre national de la recherche scientifique (CNRS), Paris, France
- Department of Psychiatry, Saint-Antoine Hospital, Sorbonne University, Paris, France
- Clariane, Medical Strategy and Innovation Department, Paris, France
- Research Department, NeuroStim Psychiatry Practice, Paris, France
| | - Florian Ferreri
- Sorbonne Université, ICRIN Psychiatry (Infrastructure of Clinical Research In Neurosciences - Psychiatry), Brain Institute (Institut du Cerveau et de la Moëlle (ICM)), Institut national de la santé et de la recherche médicale (INSERM), Centre national de la recherche scientifique (CNRS), Paris, France
- Department of Psychiatry, Saint-Antoine Hospital, Sorbonne University, Paris, France
| | - Stephane Mouchabac
- Sorbonne Université, ICRIN Psychiatry (Infrastructure of Clinical Research In Neurosciences - Psychiatry), Brain Institute (Institut du Cerveau et de la Moëlle (ICM)), Institut national de la santé et de la recherche médicale (INSERM), Centre national de la recherche scientifique (CNRS), Paris, France
- Department of Psychiatry, Saint-Antoine Hospital, Sorbonne University, Paris, France
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Habe K, Dobrota S, Reić Ercegovac I. Functions of music, focused on the context of music listening, and psychological well-being in late adolescence regarding gender differences. Front Psychol 2023; 14:1275818. [PMID: 38179494 PMCID: PMC10764590 DOI: 10.3389/fpsyg.2023.1275818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 11/27/2023] [Indexed: 01/06/2024] Open
Abstract
Late adolescences, as a developmentally challenging transitional period between childhood and adulthood, provides a number of pressures that impact well-being of youth. Among approaches for facilitating well-being, music is reported to be one of the most effective ones, which was especially proven during Covid-19 pandemic. Given the significance of music and music listening in late adolescence, our study sought to examine the relationship between psychological well-being and music listening among university students (N = 603; Nfemale = 356, Nmale = 247) with a focus on the social, intrapersonal, and sociocultural context of music listening. The RESPECT music scale, the SPWB, and the PANAS were used to measure positive and negative affect as well as the six components of psychological well-being. The findings revealed that, while there were no gender differences in the sociocultural setting, females reported to listen to music more frequently than males in intrapersonal and social contexts. In two areas, female students rated their psychological well-being higher than male students: personal growth and positive relationships with others. They also reported experiencing positive and negative affect more frequently than men. Regression analyses revealed that the functions of music explained only a small amount of the variance in psychological well-being. Specifically, music listening in a social and sociocultural context significantly explained two aspects of psychological well-being: personal growth and positive relations with others. The intrapersonal context of music listening predicted a positive affect, while the social context predicted a negative affect. Our study highlights several implications of music listening in youth regarding gender either in everyday activities or in educational and clinical setting.
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Affiliation(s)
- Katarina Habe
- Academy of Music, University of Ljubljana, Ljubljana, Slovenia
| | - Snježana Dobrota
- Faculty of Humanities and Social Sciences, University of Split, Split, Croatia
| | - Ina Reić Ercegovac
- Faculty of Humanities and Social Sciences, University of Split, Split, Croatia
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Feneberg AC, Nater UM. An ecological momentary music intervention for the reduction of acute stress in daily life: A mixed methods feasibility study. Front Psychol 2022; 13:927705. [PMID: 36248548 PMCID: PMC9558284 DOI: 10.3389/fpsyg.2022.927705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 09/06/2022] [Indexed: 11/23/2022] Open
Abstract
Background: Despite the growing potential of mobile-based technologies, innovative interventions targeting the reduction of acute stress in daily life remain under-researched. Music listening is an easy-to-administer activity that is associated with lower levels of biological and self-reported stress. However, the application of music as an intervention in moments of acute stress in daily life remains to be examined. We developed a just-in-time intervention delivering music in moments of stressful experiences in daily life and tested its feasibility using a mixed methods approach. Methods: In this uncontrolled pilot study, the ecological momentary music intervention (EMMI) was tested by 10 chronically stressed women aged 23.5 ± 3.3 years. Over 18 consecutive days, whenever participants reported stressful experiences, they were encouraged to listen to a self-compiled playlist. Subjective stress levels and saliva samples were assessed at three time points per stress report (T0, upon reporting a stressful situation; T1, directly after music listening/15 min after T0 in case of no music listening; T2, 15 min after T1). We analyzed app-based log data, in-the-moment responses, questionnaire data, and semi-structured interview data. Results: On average, participants’ compliance with the study protocol lay at 70%. Overall, 65 stressful experiences were reported, 51 of which were followed by music listening, for an average duration of 12:53 min. Complete data (i.e., self-reports and saliva samples at all three time points) were provided for 46 stressful experiences. Participants reported immediate relaxation and distraction through music listening. The interviews revealed that the intervention was easy to use and that music listening in moments of perceived stress was viewed as a new and pleasant activity. Several aspects of the protocol (e.g., number of items and prompts) were identified, which should be improved in future studies. Conclusion: Since repeated stressful experiences in daily life can pose a threat to physical and mental integrity, interventions that are easily applicable and deliver support when needed most are necessary. Following minor adaptations, the EMMI can be considered as a feasible approach to target psychobiological stress responses in daily life, which is worthy of investigation in future larger-scale trials.
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Affiliation(s)
- Anja C. Feneberg
- Department for Clinical and Health Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
- University Research Platform “The Stress of Life (SOLE) – Processes and Mechanisms underlying Everyday Life Stress”, University of Vienna, Vienna, Austria
| | - Urs M. Nater
- Department for Clinical and Health Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
- University Research Platform “The Stress of Life (SOLE) – Processes and Mechanisms underlying Everyday Life Stress”, University of Vienna, Vienna, Austria
- *Correspondence: Urs M. Nater,
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The effects of music listening on somatic symptoms and stress markers in the everyday life of women with somatic complaints and depression. Sci Rep 2021; 11:24062. [PMID: 34911978 PMCID: PMC8674261 DOI: 10.1038/s41598-021-03374-w] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 11/30/2021] [Indexed: 12/18/2022] Open
Abstract
Despite a growing body of literature documenting the health-beneficial effects of music, empirical research on the effects of music listening in individuals with psychosomatic disorders is scarce. Using an ambulatory assessment design, we tested whether music listening predicts changes in somatic symptoms, subjective, and biological stress levels, and examined potential mediating processes, in the everyday life of 58 women (M = 27.7 years) with somatic symptom disorder (SSD) and depressive disorders (DEP). Multilevel models revealed that music listening predicted lower subjective stress ratings (p ≤ 0.02) irrespective of mental health condition, which, in turn, predicted lower somatic symptoms (p ≤ 0.03). Moreover, specific music characteristics modulated somatic symptoms (p = 0.01) and autonomic activity (p = 0.03). These findings suggest that music listening might mitigate somatic symptoms predominantly via a reduction in subjective stress in women with SSD and DEP and further inform the development of targeted music interventions applicable in everyday life.
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Granot R, Spitz DH, Cherki BR, Loui P, Timmers R, Schaefer RS, Vuoskoski JK, Cárdenas-Soler RN, Soares-Quadros JF, Li S, Lega C, La Rocca S, Martínez IC, Tanco M, Marchiano M, Martínez-Castilla P, Pérez-Acosta G, Martínez-Ezquerro JD, Gutiérrez-Blasco IM, Jiménez-Dabdoub L, Coers M, Treider JM, Greenberg DM, Israel S. "Help! I Need Somebody": Music as a Global Resource for Obtaining Wellbeing Goals in Times of Crisis. Front Psychol 2021; 12:648013. [PMID: 33935907 PMCID: PMC8079817 DOI: 10.3389/fpsyg.2021.648013] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 03/10/2021] [Indexed: 12/28/2022] Open
Abstract
Music can reduce stress and anxiety, enhance positive mood, and facilitate social bonding. However, little is known about the role of music and related personal or cultural (individualistic vs. collectivistic) variables in maintaining wellbeing during times of stress and social isolation as imposed by the COVID-19 crisis. In an online questionnaire, administered in 11 countries (Argentina, Brazil, China, Colombia, Italy, Mexico, the Netherlands, Norway, Spain, the UK, and USA, N = 5,619), participants rated the relevance of wellbeing goals during the pandemic, and the effectiveness of different activities in obtaining these goals. Music was found to be the most effective activity for three out of five wellbeing goals: enjoyment, venting negative emotions, and self-connection. For diversion, music was equally good as entertainment, while it was second best to create a sense of togetherness, after socialization. This result was evident across different countries and gender, with minor effects of age on specific goals, and a clear effect of the importance of music in people's lives. Cultural effects were generally small and surfaced mainly in the use of music to obtain a sense of togetherness. Interestingly, culture moderated the use of negatively valenced and nostalgic music for those higher in distress.
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Affiliation(s)
- Roni Granot
- Department of Musicology, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Daniel H. Spitz
- Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel
- The Jerusalem School of Business Administration, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Boaz R. Cherki
- Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel
- The Federmann Center for the Study of Rationality, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Psyche Loui
- Department of Music, College of Arts, Media and Design, Northeastern University, Boston, MA, United States
| | - Renee Timmers
- Department of Music, The University of Sheffield, Sheffield, United Kingdom
| | - Rebecca S. Schaefer
- Health, Medical & Neuropsychology Unit, Institute of Psychology, Leiden University, Leiden, Netherlands
- Academy for Creative and Performing Arts, Leiden University, Leiden, Netherlands
| | - Jonna K. Vuoskoski
- Centre for Interdisciplinary Studies in Rhythm, Time and Motion (RITMO), University of Oslo, Oslo, Norway
| | - Ruth-Nayibe Cárdenas-Soler
- Escuela de Música, Facultad de Ciencias de la Educación, Universidad Pedagógica y Tecnológica de Colombia, Tunja, Colombia
| | | | - Shen Li
- Department of Psychology, Central China Normal University, Wuhan, China
| | - Carlotta Lega
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Stefania La Rocca
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Isabel Cecilia Martínez
- Laboratory for the Study of Musical Experience, Facultad de Artes, Universidad Nacional de La Plata, La Plata, Argentina
| | - Matías Tanco
- Laboratory for the Study of Musical Experience, Facultad de Artes, Universidad Nacional de La Plata, La Plata, Argentina
| | - María Marchiano
- Laboratory for the Study of Musical Experience, Facultad de Artes, Universidad Nacional de La Plata, La Plata, Argentina
| | - Pastora Martínez-Castilla
- Department of Developmental and Educational Psychology, Universidad Nacional de Educación a Distancia, Madrid, Spain
| | - Gabriela Pérez-Acosta
- Facultad de Música, Universidad Nacional Autónoma de México, UNAM, Mexico City, Mexico
| | - José Darío Martínez-Ezquerro
- Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento (UIESSAE), Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social (IMSS) & Centro de Ciencias de la Complejidad (C3), Universidad Nacional Autónoma de México (UNAM), Mexico City, Mexico
| | | | - Lily Jiménez-Dabdoub
- Laboratory of Psychology and Musical Arts, Faculty of Psychology and Faculty of Music, National Autonomous University of Mexico (UNAM), Mexico City, Mexico
| | - Marijn Coers
- Health, Medical & Neuropsychology Unit, Institute of Psychology, Leiden University, Leiden, Netherlands
| | - John Melvin Treider
- Centre for Interdisciplinary Studies in Rhythm, Time and Motion (RITMO), University of Oslo, Oslo, Norway
| | - David M. Greenberg
- Interdisciplinary Department of Social Sciences and Department of Music, Bar-Ilan University, Ramat Gan, Israel
- Department of Psychiatry, Autism Research Centre, University of Cambridge, Cambridge, United Kingdom
| | - Salomon Israel
- Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel
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Martínez-Castilla P, Gutiérrez-Blasco IM, Spitz DH, Granot R. The Efficacy of Music for Emotional Wellbeing During the COVID-19 Lockdown in Spain: An Analysis of Personal and Context-Related Variables. Front Psychol 2021; 12:647837. [PMID: 33897554 PMCID: PMC8062927 DOI: 10.3389/fpsyg.2021.647837] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Accepted: 03/17/2021] [Indexed: 12/13/2022] Open
Abstract
The strict lockdown experienced in Spain during March-June 2020 as a consequence of the COVID-19 crisis has led to strong negative emotions. Music can contribute to enhancing wellbeing, but the extent of this effect may be modulated by both personal and context-related variables. This study aimed to analyze the impact of the two types of variables on the perceived efficacy of musical behaviors to fulfill adults' emotional wellbeing-related goals during the lockdown established in Spain. Personal variables included age, gender, musical training, personality, resilience, and perception of music's importance. Contextual variables referred to living in a region with a high COVID-19 impact, perception of belonging to a risk group, being alone, having caring responsibilities during confinement, and amount of time of music listening as compared to prior to the crisis. The study was conducted retrospectively during August-December 2020, when the strict lockdown was over in Spain. An online survey was disseminated among the general population and groups of musicians, and the answers of 507 adults (from 18 years on, 73.9% females, 51.3% musically trained adults) were analyzed. Only personal, but not COVID-19 context-related variables, showed an impact on music's efficacy. The youngest age group of adults and those with musical training reported the highest efficacy of music for wellbeing enhancement, and music's importance was found to be the main significant predictor of music's perceived efficacy. Our findings suggest that the people who have been reported to be emotionally more vulnerable during the lockdown, due to either a strong impact on their daily lives or their lower resilience, perceive a higher benefit from musical behaviors. Being musically trained, even for a small number of years, also leads to a perception of higher efficacy of music for the achievement of emotional wellbeing goals. However, this effect is explained by the musically trained individuals' higher perception of music's importance. Although musical behaviors can be generally considered as important for wellbeing enhancement, our study highlights who are the potential individuals who could benefit the most from music-related activities for obtaining better levels of wellbeing, at least within the current context of the COVID-19 crisis.
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Affiliation(s)
- Pastora Martínez-Castilla
- Department of Developmental and Educational Psychology, Universidad Nacional de Educación a Distancia, Madrid, Spain
| | | | - Daniel H. Spitz
- Department of Psychology and The Jerusalem School of Business Administration, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Roni Granot
- Department of Musicology, The Hebrew University of Jerusalem, Jerusalem, Israel
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