Music Therapy and Other Music-Based Interventions in Pediatric Health Care: An Overview
Abstract
:1. Introduction
1.1. Definitions
1.2. Fields of Application and Music Therapy Approaches
2. Methods
3. Results
3.1. Autism Spectrum Disorders
3.2. Disability
3.3. Epilepsy
3.4. Mental Health
3.5. Neonatal Care
3.6. Neurorehabilitation
3.7. Pain, Axiety, and Stress in Medical Procedures
3.8. Pediatric Oncology and Palliative Care
4. Discussion
Author Contributions
Funding
Conflicts of Interest
References
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Field of Application | Author(s), Year (Type(s) of Intervention Studied) * | Number of Studies/Participants (Total) | (Primary) Outcomes | Confidence in the Results |
---|---|---|---|---|
Autism Spectrum Disorders | Geretsegger et al., 2014 [13] [MT] | 10/165 | Social interaction; non-verbal and verbal communicative skills; initiating behavior; social–emotional reciprocity | High |
Shi et al., 2016 [14] (MT) | 6/300 | Mood; language; behavior; sensory perception; social skills | Low | |
Disability | Jellison and Draper, 2015 [17] (MT, MBI) | 22/> 562 1 | Behavior in the categories: music, social, academic, motor, on-task | Critically low |
Epilepsy | Brackney and Brooks, 2018 [20] (MM, MBI) | 8/268 | Seizure frequency; epileptiform activity (EEG) | Critically low |
Mental Health | Aalbers et al., 2017 [22] (MT, MBI) | 9/421 2 | Clinician-rated and patient-reported depressive symptoms | High |
Geipel et al., 2017 [25] (MT, MM, MBI) | 5/195 | Internalizing symptoms | Low | |
Neonatal Care | van der Heijden et al., 2016 [26] (MT, MM, MBI) | 20/1128 | Physiological parameters; growth and feeding; behavioral state; relaxation Outcomes and pain | Moderate |
Bieleninik et al., 2016 [27] (MT) | 16/1071 3 | Physiological and behavioral parameters; maternal anxiety; service-level outcome | Moderate | |
O’Toole, 2017 [28] (MT, MM, MBI) | 12/918 | Physiological indicators; feeding behaviors; length of stay; pain | Critically low | |
Neuro-rehabilitation | Magee et al., 2017 [30] (MT, MM, MBI) | 29 4/775 | Gait, upper extremity function | High |
Pain, Anxiety and Stress in Medical Procedures | Yinger and Gooding, 2015 [31] (MT, MM) | 50 5/4379 | Pain and anxiety during medical procedures | Moderate |
Kim and Stegemann, 2016 [34] (MT, MM) | 36/1990 | Three categories: pediatrics (e.g., pain, anxiety, stress); mental health; miscellaneous | Moderate | |
Pediatric Oncology and Palliative Care | Bradt et al., 2016 [40] (MT, MM) | 52 6/3731 | Psychological outcomes (e.g., depression, anxiety); physical outcomes (e.g., fatigue, nausea, pain) | High |
Field of Application | Findings |
---|---|
Autism Spectrum Disorders | MT can improve social interactions, non-verbal communicative skills, initiating behavior, and social–emotional reciprocity (moderate to strong effects) [13] |
MT can improve verbal communication, social adaptation, joy, and the quality of parent–child relationships [13] | |
MT can improve mood, language, sensory perception, behavior, and social skills [14] | |
Disabilities | MBI can positively influence reading/literacy outcomes in children with and without disabilities [17] |
Epilepsy | MBI can reduce epileptiform discharges [20] |
Evidence for the efficacy of music medicine interventions using the Mozart Effect on seizure activity in children is promising but not conclusive [20] | |
Mental Health | MBI in an educational setting can have an anti-depressive effect in adolescents [22] |
MT/MM/MBI can reduce internalizing symptoms [25] | |
Neonatal Care | MT/MM can decrease heart and respiratory rate [26,27] |
MT can improve infant sleep [26,27] and food intake [26,27,28] | |
MT/MM can reduce the anxiety of mothers [26,27] | |
MT can reduce the length of stay in hospital [28] | |
MM can reduce pain during blood-drawing procedures [28] | |
Neurorehabilitation | Effects of MT/MM/MBI on adolescents are unclear due to missing differentiation/data for the age group 16–18 years [30] |
Pain, Anxiety and Stress in Medical Procedures | MT/MM can decrease pain [31] |
MT/MM can reduce anxiety [31,34] | |
MT/MM can decrease levels of stress parameters (heart and respiratory rate) [34] | |
Pediatric Oncology and Palliative Care | MT can improve pain management [40] |
MT can improve children’s coping behavior [40] | |
MT can improve immunological status (increase of IgA level) [40] |
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Stegemann, T.; Geretsegger, M.; Phan Quoc, E.; Riedl, H.; Smetana, M. Music Therapy and Other Music-Based Interventions in Pediatric Health Care: An Overview. Medicines 2019, 6, 25. https://doi.org/10.3390/medicines6010025
Stegemann T, Geretsegger M, Phan Quoc E, Riedl H, Smetana M. Music Therapy and Other Music-Based Interventions in Pediatric Health Care: An Overview. Medicines. 2019; 6(1):25. https://doi.org/10.3390/medicines6010025
Chicago/Turabian StyleStegemann, Thomas, Monika Geretsegger, Eva Phan Quoc, Hannah Riedl, and Monika Smetana. 2019. "Music Therapy and Other Music-Based Interventions in Pediatric Health Care: An Overview" Medicines 6, no. 1: 25. https://doi.org/10.3390/medicines6010025