Music Therapy in Preterm Infants Reduces Maternal Distress
Abstract
1. Introduction
2. Methods
2.1. Study Design
2.2. Infant Eligibility and Recruitment for the Main RCT
2.3. Randomization and Music Therapy Intervention
2.4. Outcomes
2.5. Questionnaires
2.5.1. CES-D
2.5.2. IES-R
2.6. Intervention
2.7. Statistical Analyses
3. Results
3.1. Patients
3.2. CES-D and IES-R
3.3. Mean Differences of CES-D and IES-R Total Scores
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Intervention Group | Control Group | |
---|---|---|
Mothers [n (%)] | 18 (55%) | 15 (45%) |
Mother’s age at delivery (years) [mean ± SD (range)] | 34.1 ± 4.6 (25.0–40.0) | 29.6 ± 4.2 (20.0–36.0) |
Education | ||
High (13 years of education completed) [n (%)] | 6 (33%) | 3 (20%) |
Middle (9 years of education completed) [n (%)] | 7 (39%) | 6 (40%) |
Low (8 years of education completed) [n (%)] | 2 (11%) | 2 (13%) |
Other degree [n (%)] | 1 (6%) | 0 (0%) |
No degree [n (%)] | 2 (11%) | 2 (13%) |
Not specified [n (%)] | 0 (0%) | 2 (13%) |
Gravida [mean ± SD (range)] | 2.9 ± 2.2 (1.0–8.0) | 2.6 ± 2.0 (1.0–8.0) |
Primagravida [n (%)] | 8 (44%) | 5 (33%) |
Multigravida [n (%)] | 10 (56%) | 10 (67%) |
Number of current child [mean ± SD (range)] | 2.4 ± 1.7 (1.0–6.0) | 2.3 ± 1.9 (1.0–8.0) |
GA (weeks) [mean ± SD (range)] | 29.1 ± 2.4 (23.9–31.7) | 28.7 ± 2.5 (22.9–31.7) |
≤25 weeks [n (%)] | 2 (11%) | 3 (20%) |
26, 27 weeks [n (%)] | 4 (22%) | 3 (20%) |
28, 29 weeks [n (%)] | 2 (11%) | 3 (20%) |
30, 31 weeks [n (%)] | 10 (56%) | 6 (40%) |
Birth mode | ||
Primary cesarean section [n (%)] | 9 (50%) | 7 (47%) |
Secondary cesarean section [n (%)] | 2 (11%) | 1 (7%) |
Emergency cesarean section [n (%)] | 3 (17%) | 4 (27%) |
Spontaneous [n (%)] | 4 (22%) | 3 (20%) |
T1 | T2 | |||
---|---|---|---|---|
Intervention Group | Control Group | Intervention Group | Control Group | |
CES-D Total Score | 36.7 (32.5–41.0) | 32.2 (25.9–38.5) | 11.1 (7.4–14.7) | 22.7 (16.7–28.6) |
IES-R Intrusion | 20.3 (16.1–24.6) | 19.7 (15.9–23.6) | 10.8 (7.1–14.5) | 16.1 (12.3–19.9) |
IES-R Avoidance | 11.6 (7.1–16.1) | 13.6 (8.1–19.1) | 6.7 (3.2–10.2) | 10.5 (6.8–14.1) |
IES-R Hyperarousal | 18.4 (13.6–23.2) | 21.1 (15.5–26.8) | 8.2 (5.4–10.9) | 22.7 (16.3–29.1) |
IES-R Total Score | −1.2 (−2.1–(−0.3)) | −0.6 (−1.7–0.5) | −2.9 (−3.5–(−2.3)) | −0.5 (−1.6–0.6) |
Difference between T1 and T2 Mean (95% Confidence Interval) | |||
---|---|---|---|
Intervention Group | Control Group | Effect Size * | |
Total Score CES-D | −25.7 (−31.3–(−20.0)) | −9.5 (−15.3–(−3.8)) | 1.5 |
IES-R Intrusion | −9.5 (−13.7–(−5.3)) | −3.7 (−7.9–0.6) | 0.7 |
IES-R Avoidance | −4.9 (−9.3–(−0.5)) | −3.1 (−8.1–1.8) | 0.2 |
IES-R Hyperarousal | −10.2 (−14.3–(−6.2)) | 1.6 (−4.7–7.9) | 1.2 |
Total Score IES-R | −1.7 (−2.5–(−0.9)) | 0.1 (−1.0–1.2) | 1.1 |
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Kobus, S.; Diezel, M.; Dewan, M.V.; Huening, B.; Dathe, A.-K.; Marschik, P.B.; Felderhoff-Mueser, U.; Bruns, N. Music Therapy in Preterm Infants Reduces Maternal Distress. Int. J. Environ. Res. Public Health 2023, 20, 731. https://doi.org/10.3390/ijerph20010731
Kobus S, Diezel M, Dewan MV, Huening B, Dathe A-K, Marschik PB, Felderhoff-Mueser U, Bruns N. Music Therapy in Preterm Infants Reduces Maternal Distress. International Journal of Environmental Research and Public Health. 2023; 20(1):731. https://doi.org/10.3390/ijerph20010731
Chicago/Turabian StyleKobus, Susann, Marlis Diezel, Monia Vanessa Dewan, Britta Huening, Anne-Kathrin Dathe, Peter B. Marschik, Ursula Felderhoff-Mueser, and Nora Bruns. 2023. "Music Therapy in Preterm Infants Reduces Maternal Distress" International Journal of Environmental Research and Public Health 20, no. 1: 731. https://doi.org/10.3390/ijerph20010731
APA StyleKobus, S., Diezel, M., Dewan, M. V., Huening, B., Dathe, A.-K., Marschik, P. B., Felderhoff-Mueser, U., & Bruns, N. (2023). Music Therapy in Preterm Infants Reduces Maternal Distress. International Journal of Environmental Research and Public Health, 20(1), 731. https://doi.org/10.3390/ijerph20010731