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This chapter explores the widespread issue of sleep disorders and the potential of music as a non-pharmacological intervention. It highlights music’s ability to enhance sleep quality, emphasizing the importance of selecting music that aligns with individual preferences and the specific nature of the sleep disturbance. The chapter provides practical recommendations for creating sleep-inducing playlists, utilizing calming ambient sounds, and incorporating relaxation techniques with music. It also suggests specific strategies such as visualizing music and following a consistent sleep routine to promote restful sleep. Furthermore, the chapter addresses the challenges of external noise disturbances and offers solutions such as using earplugs and headphones. It acknowledges that music may not be a cure-all for sleep disorders caused by underlying medical conditions, but it can be a valuable tool for improving sleep quality and overall well-being. The chapter concludes by acknowledging the personalized nature of music’s effects on sleep and encouraging readers to experiment and find what works best for them. It also hints at the interconnectedness between sleep disorders and depression, setting the stage for the following chapter’s exploration of mood and mind.
This chapter explores the complex nature of depression, a mood disorder affecting millions worldwide. It discusses the various symptoms, causes, and types of depression, highlighting the interplay between biological, psychological, and social factors. The chapter emphasizes the importance of early recognition and treatment, as well as the potential for music therapy to offer significant benefits. It looks at how music can evoke emotions, regulate moods, and foster social connection, serving as a valuable tool for managing depression. The chapter also explores specific music therapy techniques, such as improvisation and targeted playlists, that can aid in emotional expression, self-regulation, and the cultivation of resilience. The chapter concludes by underlining the importance of a holistic approach to depression treatment, combining music therapy with conventional therapies and lifestyle changes for optimal results.
This chapter explores the impact of strokes and the role of music therapy in post-stroke rehabilitation. It highlights the urgency of seeking immediate medical attention for stroke symptoms, emphasizing that prompt treatment can minimize brain damage. The chapter also discusses the potential for music to aid in cognitive recovery, as evidenced by studies showing improvements in verbal memory and concentration in stroke patients who listened to music regularly. Furthermore, the chapter looks at the application of music therapy for addressing specific post-stroke conditions such as aphasia and hemiparesis. It describes melodic intonation therapy (MIT) as a promising intervention for speech recovery in aphasia patients, showcasing its ability to stimulate new neural connections in the brain. Additionally, it explores the effectiveness of rhythmic auditory stimulation (RAS) in improving gait and coordination in patients with hemiparesis. The chapter underscores the importance of tailoring music therapy to individual needs and preferences, emphasizing the potential for music to enhance emotional well-being and motivate patients during their rehabilitation journey. It concludes by advocating for the integration of music therapy into standard stroke rehabilitation practices, recognizing its potential to improve patient outcomes and quality of life.
This chapter explores the impact of Alzheimer’s disease on memory and cognitive function, highlighting the potential of music as a therapeutic intervention. It discusses early warning signs of dementia and emphasizes the importance of lifestyle changes, including music engagement, to potentially slow down cognitive decline. The chapter reveals the remarkable resilience of musical memory in Alzheimer’s patients, even those with severe memory deficits. It delves into the concept of a unique ’musical memory’ that remains intact longer than other forms of memory. Studies show that Alzheimer’s patients can recall familiar melodies, detect irregularities in music, and even learn new songs, demonstrating the power of music to unlock memories and emotions. The chapter also discusses the ’emotion-memory tunnel’, a brain region crucial for musical memory, emotions, predictions, and synchronization. Music’s ability to activate this tunnel may explain its efficacy in stimulating memory recall in dementia patients. The chapter then highlights ongoing research investigating the potential of singing to mitigate brain degeneration in Alzheimer’s patients. Early findings suggest that musical engagement may slow down brain ageing and improve cognitive function, mood, and quality of life.
This chapter explores the remarkable impact of music and dance on individuals with Parkinson’s disease. Despite motor challenges, patients often experience improved fluidity of movement and reduced symptoms when engaging with music, particularly through dancing. This highlights the brain’s remarkable ability to compensate for impairments through rhythmic and auditory cues. The chapter looks into the therapeutic benefits of music for Parkinson’s, including improvements in gait, timing perception, mood enhancement, and dopamine release. Research demonstrates that rhythmic auditory timulation (RAS) and dance therapies can significantly improve walking patterns, balance, and overall quality of life. The chapter also discusses the profound impact of music on emotional well-being, offering a sense of joy, social connection, and self-acceptance. It emphasizes the importance of music therapy in addressing the emotional challenges often faced by Parkinson’s patients, such as depression and anxiety. The chapter concludes by providing practical recommendations for incorporating music and dance into the lives of Parkinson’s patients, encouraging them to harness the therapeutic power of these activities to enhance their physical, emotional, and cognitive well-being.
This chapter explores the potential of music as a therapeutic tool for individuals experiencing auditory hallucinations due to schizophrenia spectrum disorder (SSD). Drawing on the understanding that music can act as an emotional and cognitive distraction, the author developed a ’music recipe’ to help patients manage these distressing symptoms. The recipe emphasizes personalized playlists with music that evokes emotions opposite to those triggered by hallucinations. It encourages active engagement with the music, such as tapping to the beat or singing along, to further enhance its therapeutic effects. The chapter shares positive feedback from patients who have used this approach, reporting reduced frequency and intensity of auditory hallucinations. While further research is needed, this simple and accessible music-based intervention offers a promising avenue for improving the quality of life for individuals with SSD.
This chapter takes a look at the intricate relationship between music and our emotions, focusing on how music modulates activity within the four major emotion systems in the brain: the vitalization system, the pleasure, pain, and craving system, the happiness system, and the subconscious. It explores how music can stimulate our ’courage centre’, a core component of the vitalization system, motivating us during physical exercise and promoting relaxation. It also examines the profound impact of music on the pleasure, pain, and craving system, discussing how music can evoke pleasure, alleviate pain, and even address cravings. Furthermore, the chapter investigates the happiness system, highlighting how music can foster social bonding, tap into our ’soul’ (hippocampus), and promote both hedonic and eudaimonic well-being. It also examines the subconscious, revealing how music can influence our thoughts, beliefs, and emotional responses, offering strategies to counteract negative thought patterns and foster inner peace. By understanding how music interacts with these four emotion systems, readers can harness its power to regulate emotions, promote positive moods, and enhance personal growth.
This chapter explores the intricate relationship between music and language, highlighting their shared neural processing in the brain. It looks at the musicality of speech, demonstrating how acoustic features such as pitch, rhythm, and timbre convey meaning and emotion in both music and language. Research reveals that even those who consider themselves unmusical possess an innate musicality, evident in their ability to perceive subtle differences in speech sounds. The chapter emphasizes that language acquisition in infants relies heavily on musical aspects, such as melody, rhythm, and prosody. Brain imaging studies confirm an overlap in neural networks for music and language processing, including Broca’s and Wernicke’s areas, traditionally associated with language. This ’music-language network’ is active from infancy, suggesting a deep biological connection between these two forms of communication. The chapter also highlights the therapeutic potential of music for language development. Musical activities can enhance speech perception, rhythmic skills, and reading abilities, particularly in children with language disorders or dyslexia. By engaging with music, children can playfully develop essential mental faculties, fostering overall cognitive and emotional growth.
This chapter introduces the transformative power of music through the inspiring story of Michael, a young man with epilepsy and mutism who experienced remarkable progress through music therapy. It highlights the growing body of research on music’s therapeutic effects, while acknowledging the challenges of studying music’s impact in a rigorous scientific manner. The author emphasizes the importance of integrating music therapy into healthcare, advocating for policy changes to increase access for those in need. This chapter sets the stage for exploring the multifaceted ways music can enhance our health and well-being, drawing on insights from neuroscience, psychology, medicine, and musicology. It invites readers on a journey to discover the extraordinary potential of music to heal, inspire, and transform lives.
This chapter explores the powerful role of music in regulating emotions and enhancing well-being. It delves into the science of how music affects our mood, highlighting its ability to evoke specific emotions and induce physiological changes. The author provides practical strategies for utilizing music as ’emotional first aid’, helping individuals cope with stress, anxiety, and negative emotions. The chapter also discusses the importance of self-regulation and offers guidance on using music to interrupt negative emotional spirals. It emphasizes the significance of creating personalized playlists tailored to specific emotional needs, promoting a proactive approach to emotional well-being through music. Additionally, the chapter explores the concept of ’mood repair’, showcasing how music can shift our emotional state from negative to positive. It provides insights into the diverse ways individuals can harness the power of music to cultivate joy, resilience, and overall emotional balance.
This chapter explores the debilitating nature of chronic pain and the potential of music therapy as a complementary treatment. It acknowledges the complex nature of chronic pain, which can arise from both physical and psychological factors. The chapter highlights the limited research on music therapy for chronic pain, but emphasizes the positive results found in studies involving patients with migraines and tension headaches. It also discusses the potential for music to address both the physical and emotional aspects of chronic pain, through relaxation techniques, emotional expression, and social support. The chapter offers practical recommendations for individuals with chronic pain, suggesting ways to utilize music for pain relief, emotional regulation, and improved well-being. It encourages the use of music as a distraction from pain, a tool for relaxation, and a means of promoting positive emotions. It also suggests specific techniques such as deep breathing with calming music and gentle stroking to alleviate pain. The chapter concludes by highlighting the importance of seeking professional music therapy for those with chronic pain, emphasizing its potential to improve quality of life and provide a holistic approach to pain management.
This chapter explores the unique relationship between music and individuals with autism spectrum disorder (ASD). It highlights the remarkable musical abilities often found in people with autism, contrasting with their challenges in social interaction and communication. Research shows that music can serve as a bridge, facilitating social interaction and emotional expression for those on the spectrum. Brain imaging studies reveal how brain regions typically associated with language processing are activated in autistic individuals when they engage with music. This suggests that music may offer an alternative pathway for communication and emotional understanding. The chapter also discusses the therapeutic applications of music for individuals with autism, such as auditory-motor mapping training (AMMT), which has shown promise in improving verbal communication and social skills. Music therapy can also foster emotional expression, social connection, and a sense of belonging. The chapter concludes by emphasizing the importance of understanding and embracing the individual’s musical preferences and strengths in order to support their development and well-being.
This chapter explores the widespread issue of addiction, focusing on sugar addiction as a prevalent yet often overlooked example. It compares the addictive potential of sugar to cocaine, highlighting the detrimental health consequences of excessive sugar consumption. The chapter also examines the neural mechanisms underlying addiction, explaining how the brain’s pleasure system adapts to frequent drug use, leading to cravings and withdrawal symptoms. Music is presented as a potential antidote to addiction, offering distraction, mood regulation, and alternative sources of pleasure. Research suggests that music therapy can be a promising intervention for individuals struggling with addiction, as it activates the brain’s pleasure pathways and fosters social connection. The chapter also discusses the importance of personalized playlists in addiction management, emphasizing the need to avoid music associated with past addictive behaviours. It concludes by offering practical recommendations for utilizing music to overcome cravings, regulate emotions, and build resilience in the face of addiction. The potential of music therapy to address the underlying emotional and social factors contributing to addiction is also highlighted.
This study assessed whether a music therapy program improved mental health and school attendance among girls in the Democratic Republic of Congo (DRC) following economic and conflict-related insecurity. It included 483 girls aged 10–14 who participated in the Healing in Harmony (HiH) program, implemented by World Vision and Make Music Matter in Kasai-Central province. Participants completed surveys before and after the program, and up to two follow-up interviews assessing depression, anxiety, self-esteem, and school attendance. Before the program, 36.0% (95% CI 31.7%–40.3%) and 60.5% (95% CI 56.1%–64.8%) screened positive for depression and anxiety, respectively. After participation, the risk of screening positive declined by 75% for depression (RR = 0.27, 95% CI 0.22–0.32) and by about half for anxiety (RR = 0.46, 95% CI 0.41–0.53), with improvements sustained up to 17 months. Self-esteem scores increased by 3.93 points (95% CI 3.22–4.64, p<0.001). School absenteeism decreased from 10% (95% CI 7.2%–12.6%) to 5.4% (RR = 0.54, 95% CI 0.40–0.73). Participation in HiH was associated with sustained improvements in mental health and school attendance. These findings support integrating psychosocial care into humanitarian responses to improve both mental health and educational outcomes for crisis-affected children.
Music therapy attempts to facilitate communication and expression – core problems for autistic people – through the development of experiences and relationships mediated by music. This commentary assesses a Cochrane Review of the effects of music therapy, compared with placebo or standard care, for autistic people, and its conclusion that music therapy is probably associated with an increased chance of global improvement and perhaps a slight increase in quality of life and reduction in total autism symptom severity in the short to medium term. The review was not able to examine longer-term effects as the longest follow-up period was 12 months. The certainty of the evidence was graded from moderate to very low, and therefore the results need to be viewed with caution.
Music therapy is a commonly used intervention added to usual care for psychiatric disorders.
Aims
We review the evidence for music therapy and assess its efficacy as an adjunct therapy across psychiatric disorders.
Method
A systematic literature search was conducted in four scientific databases to identify relevant meta-analyses. Articles were assessed with the AMSTAR-2 tool. The results of the high-quality articles were recalculated with the data from the primary studies. We decided to add the results of the lower-rated articles, using a narrative approach. We pooled the primary studies and calculated standardised mean differences (SMD) for the transdiagnostic outcomes of depression, anxiety and quality of life. We used the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) tool to assess the level of evidence.
Results
Meta-analyses were available for autism, dementia, depression, insomnia, schizophrenia and substance use disorders. We identified 40 relevant articles. One article per domain was identified as high quality. Music therapy added to treatment as usual showed therapeutic value in each disorder. The transdiagnostic results showed a positive effect of music therapy on depression (SMD = 0.57, 95% CI 0.36–0.78), anxiety (SMD = 0.47, 95% CI 0.27–0.66) and quality of life (SMD = 0.47, 95% CI 0.24–0.71). However, these effects were not maintained at follow-up, and all results were based on low or very low evidence.
Conclusions
Music therapy shows promising potential as an adjunctive treatment for psychiatric disorders, but methodological weaknesses and variability limit the evidence. More high-quality, well-powered studies are needed to reliably confirm its effect size.
Music therapy can effectively address children’s psychological, emotional, cognitive, and social needs. Music therapy can provide a safe and supportive environment for children to process their emotions and deal with the grief of losing a parent.
Online delivery is new to the field of music therapy (MT). This research investigated older adults’ perceived quality of MT online by certified music therapists. In this feasibility study, applying both process and outcome assessments, nine older adults volunteered to participate. Zoom was used, and a virtual music therapy (VMT) kit was developed as a resource. Surveys and observed technical difficulties revealed that perceived quality varied slightly by level of technical difficulty experienced; however, overall mean perceived quality was 7.2 out of 9. Post-study interviews revealed three main themes: (a) individual experiences with VMT, (b) individuals’ suggestions for further development of VMT sessions, and (c) individuals’ personal outcomes from VMT sessions. Participants reported overall positive experiences with VMT. Despite a slight decline in perceived quality when more technical difficulties were present, each participant reported a desire for more sessions, and they would recommend it to others.
Compassion fatigue is a condition that occurs in individuals who are continuously involved in providing care or emotional support to others who are experiencing suffering or difficulties. This condition can affect the physical, emotional, and psychological well-being of health professionals. The results of a literature review show that music therapy can effectively reduce stress levels, emotional exhaustion, and burnout symptoms associated with compassion fatigue. This article proposes the use of music therapy as an effective alternative to reduce compassion fatigue.
Creativity is connected to healing in many different ways. Creative people are more likely to experience post-traumatic growth or beneficial psychological changes that come in the aftermath of trauma. Creative activities can also help maintain emotional equilibrium. The cognitive reappraisal of seemingly negative events is associated with divergent thinking. Notably, the act of drawing, writing, or making music simply for the pleasure of the act can improve one’s mood by helping reduce sadness, anxiety, and anger. Even passively engaging in the arts can improve one’s mood and stave off potential cognitive decline.