Music therapy intervention in cardiac autonomic modulation, anxiety, and depression in mothers of preterms: randomized controlled trial
Ribeiro MKA, Alcântara-Silva TRM, Oliveira JCM, Paula TC, Dutra JBR, Pedrino GR, Simões K, Sousa RB, Rebelo ACS
BMC psychology · 47 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Gobierno
- Fundação de Amparo à Pesquisa do Estado de Goiás
- Subvenciones
- Fundação de Amparo à Pesquisa do Estado de Goiás (3/2016); Conselho Nacional de Desenvolvimento Científico e Tecnológico (441982/2014)
Según 2 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2018-12-01 · BMC Psychol · vol. 6 · número 1 · pág. 57
- Editorial
- BioMed Central
- Citado
- 83 citas · más que el 98% de estudios similares · 9.3× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 44 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Heart Rate Variability and Autonomic Control · Maternal Mental Health During Pregnancy and Postpartum
- Palabras clave
- music therapy, heart rate variability, cardiac autonomic modulation, maternal anxiety, maternal depression, preterm infants, mothers of preterm infants, parasympathetic modulation, cardiovascular disease prevention, neonatal intensive care
- MeSH
- humans, depression, postpartum, music therapy, prospective studies, anxiety, mothers, anxiety disorders, heart rate, maternal welfare, adult, infant, infant, newborn, infant, premature, female
9 autores
- Mayara Kelly Alves Ribeiro🇧🇷 · autor de correspondenciaUniversidade Federal de Goiás
- Tereza Raquel de Melo Alcântara-Silva🇧🇷Universidade Federal de Goiás
- Jordana Campos Martins de Oliveira🇧🇷Universidade Federal de Goiás
- Tamara Cristine de Paula🇧🇷Universidade Federal de Goiás
- João Batista Rodrigues Dutra🇧🇷Universidade Federal de Goiás
- Gustavo Rodrigues Pedrino🇧🇷Universidade Federal de Goiás
- Karina Simões🇧🇷Universidade Federal de Goiás
- Romes Bittencourt Nogueira de Sousa🇧🇷Universidade Federal de Goiás
- Ana Cristina Silva Rebelo🇧🇷Universidade Federal de Goiás
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Mothers of preterm infants often have symptoms of anxiety and depression, recognized as risk factors for the development of cardiovascular diseases and associated with low rates of heart rate variability (HRV). This study aimed to evaluate the influence of music therapy intervention on the autonomic control of heart rate, anxiety, and depression in mothers.
Methods
Prospective randomized clinical trial including 21 mothers of preterms admitted to the Neonatal Intensive Care Unit of a tertiary hospital, recruited from August 2015 to September 2017, and divided into control group (CG; n = 11) and music therapy group (MTG; n = 10). Participants underwent anxiety and depression evaluation, as well as measurements of the intervals between consecutive heartbeats or RR intervals for the analysis of HRV at the first and the last weeks of hospitalization of their preterms. Music therapy sessions lasting 30-45 min were individually delivered weekly using receptive techniques. The mean and standard deviation of variables were obtained and the normality of data was analyzed using the Kolmogorov-Smirnov test. The paired sample t-test or Wilcoxon test were employed to calculate the differences between variables before and after music therapy intervention. The correlations anxiety versus heart variables and depression versus heart variables were established using Spearman correlation test. Fisher's exact test was used to verify the differences between categorical variables. A significance level of p < 0.05 was established. Statistical analysis were performed using the Statistical Package for the Social Sciences, version 20.
Results
Participants in MTG had an average of seven sessions of music therapy, and showed improvement in anxiety and depression scores and autonomic indexes of the time domain (p < 0.05). Significant correlations were found between depression and parasympathetic modulation using linear (r = - 0.687; p = 0.028) and nonlinear analyses (r = - 0.689; p = 0.027) in MTG.
Conclusion
Music therapy had a significant and positive impact on anxiety and depression, acting on prevention of cardiovascular diseases, major threats to modern society.
Trial registration
Brazilian Registry of Clinical Trials (no. RBR-3x7gz8 ). Retrospectively registered on November 17, 2017.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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