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Music Therapy in Preterm Infants Reduces Maternal Distress

Kobus S, Diezel M, Dewan MV, Huening B, Dathe AK, Marschik PB, Felderhoff-Mueser U, Bruns N

International journal of environmental research and public health · 17 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
Universidad u hospital
Stiftung Universitätsmedizin Essen
Universidad u hospital
Medical Faculty of the University of Duisburg-Essen (IFORES)
Universidad u hospital
Stiftung Universitaetsmedizin Essen

Según 3 financiadores declarados y la declaración de financiación del texto completo.

Publicación

Publicado
2022-12-30 · Int J Environ Res Public Health · vol. 20 · número 1 · pág. 731
Editorial
Multidisciplinary Digital Publishing Institute
Citado
33 citas · más que el 97% de estudios similares · 6.2× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
55 trabajos
Acceso
Acceso abierto (revista) · CC-BY
Áreas de investigación
Music Therapy and Health · Infant Development and Preterm Care · Maternal Mental Health During Pregnancy and Postpartum
Palabras clave
music therapy, preterm infants, maternal depression, post-traumatic stress, maternal anxiety, neonatal intensive care, hyperarousal, mother-infant bonding, preterm birth, maternal mental health interventions, Impact of Event Scale-Revised, CES-D depression scale, randomized controlled trials, hyperbaric oxygen therapy
MeSH
humans, music therapy, prospective studies, mothers, adult, infant, infant, newborn, infant, premature, intensive care units, neonatal, female

8 autores

  • Susann Kobus🇩🇪 · autor de correspondenciaEssen University Hospital; Stiftung Universitätsmedizin Essen; University of Duisburg-Essen
  • Marlis Diezel🇩🇪Essen University Hospital; University of Duisburg-Essen
  • Monia Vanessa Dewan🇩🇪Essen University Hospital; University of Duisburg-Essen
  • Britta Maria Hüning🇩🇪Essen University Hospital; University of Duisburg-Essen
  • Anne-Kathrin Dathe🇩🇪Ernst Abbe University of Applied Sciences Jena; Essen University Hospital; University of Duisburg-Essen
  • Peter B. Marschik🇦🇹🇸🇪🇩🇪Medical University of Graz; Karolinska Institutet; Universitätsmedizin Göttingen; Leibniz ScienceCampus Primate Cognition; University of Göttingen
  • Ursula Felderhoff‐Mueser🇩🇪Essen University Hospital; University of Duisburg-Essen
  • Nora Bruns🇩🇪Essen University Hospital; University of Duisburg-Essen

Resumen

El texto original del estudio, en el idioma en que se publicó.

Preterm delivery is a stressful event for mothers, posing them at risk for post-traumatic stress reactions. This study examined the degree of depressive symptoms and post-traumatic stress in mothers of preterm infants born before 32 gestational weeks depending on whether the infant received music therapy in the neonatal intensive care unit (NICU) or not. We included 33 mothers of preterm infants enrolled in a previously described prospective randomized controlled trial, of whom 18 received music therapy (mean mothers' age 34.1 ± 4.6 years) and 15 did not (mean mothers' age 29.6 ± 4.2). The degree of depressive symptoms, anxiety and acute stress reactions of these mothers were measured by using the German version of the Center for Epidemiologic Studies Depression Scale (CES-D) and Impact of Events Scale-Revised (IES-R) one week after birth (T1) and at infants' hospital discharge (T2). 605 music therapy sessions with a mean duration of 24.2 ± 8.6 min (range 10 to 50 min) were conducted two times a week from the second week of life (T1) until discharge (T2) to the infants from the intervention group. The infants from the control group received standard medical care without music therapy. The mean total CES-D score decreased from T1 (mean 34.7, 95% Confidence Interval (CI) 31.1-38.1) until T2 in all mothers (mean 16.3, 95% CI 12.6-20.1). Mothers whose infants received music therapy showed stronger declines of depressive and stress symptoms (with music therapy: CES-D mean difference of total score 25.7, 95% CI 20.0-31.3, IES-R mean difference of total score 1.7, 95% CI 0.9-2.5, IES-R mean difference of subcategory hyperarousal 10.2, 95% CI 6.2-14.3; without music therapy: CES-D mean difference of total score 9.5, 95% CI 3.8-15.3, IES-R mean difference of total score 0.1, 95% CI -1.0-1.2, IES-R mean difference of subcategory hyperarousal 1.6, 95% CI -4.7-7.9). Effect sizes were strong for CES-D, IES-R, and the hyperarousal subcategory, moderate for intrusion, and low for avoidance. These findings show that mothers of preterm infants are highly susceptible to supportive non-medical interventions such as music therapy to reduce psychological symptoms and distress during their infants' NICU stay.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).

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