International Journal of Clinical Biochemistry and Research

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Get Permission Bashetti and Kumar G: Effect of Music therapy on negative affectivity and social inhibition in elderly women


Introduction

Music is a divine mode for management of several conditions. Extensive literature is available to support the importance of music in health care management.1 In ancient context this mode of treatment is called as raga chikitsa. Indian classical music consists of several ragas. The literary meaning of raga (sankrit word) is ‘Mood’ or ‘colour’. It was reported that certain ragas are effective in relieving stress and balance emotions. Hence, there is a tradition of music therapy, used as an adjuvant mode of treatment for various physical and psychological illnesses. The ancient manuscript named Raga Chikitsa had enlisted various ragas and their therapeutic effects. Few among those are, to treat hysterics (mental tension) Khamaj, Pooriya and Darbari kanada ragas are used. For excess mental instability, over excitement and anger malhar raga had proven to be effective. To cope up with emotions, gain peace and stability Jaijaivanti raga is found effective. Individuals with negative emotions like negative affectivity and social inhibition are considered as type D personality. In current life style all individuals are experiencing high levels of stress. Listening to ragas is a simple and cost effective method to regulate negative e motions. The present study was undertaken to observe the effectiveness of raga Bhairavi on negative affectivity and social inhibition in elderly women (type D personality).

Materials and M ethods

Study design

Cross sectional study

Study setting

The present study was conducted at Little Flower Hospital & Research Centre, Angamaly, Kerala.

Study population

Thirty elderly women within the age group of 50-65 years were part of the study after obtaining the informed consent. Willing participants were recruited in the study and those with any severe complications were excluded from the study.

Study tools

Questionnaire

The study used type D (DS-14) questionnaire to assess the negative emotions like negative affectivity and social inhibition.2

Intervention

Raga therapy was administered for 15 minutes duration where first five minutes is listening to OM and then 10 minutes of listening to Raga Bhairavi. The intervention was given once a day for five days in a week for six weeks.

Ethical considerations

The present study was approved by ethical committee of the institution and confidentiality of the data was maintained. (No EC/17/112-14)

Statistical analysis

Data was analyzed using SPSS 20.0. Student t test was applied to observe the significance of difference between the pre and post intervention values.

Results

Data was presented in table no 1. The mean value of negative affectivity was 8 before the intervention and it was reduced to 6 after the intervention. The mean value of social inhibition was 7 before the intervention and it was reduced to 5 after the intervention. There was a significant decrease in both negative affectivity and social inhibition followed by the raga therapy.

Table 1
Parameter Pre-intervention Post-intervention P value
Negative affectivity 8±0.22 6±1.3 0.0001***
Social inhibition 7±1.44 5±0.67 0.0001***

Negative affectivity and social inhibition before and after intervention in elderly women

[i] (*P<0.05 is significant, **P<0.01 is significant, ***P<0.0001 is significant)

Discussion

Music therapy is one of the traditional therapies used in treating the mental and physical of the patients suffering from various health aliments. It is learnt to reduce stress, anxiety and depression and also will make the patient to respond positivity to the treat given for the disease the patient suffering with. Music therapy is learnt to reduce certain dementia related disabilities like Alzheimer’s.3 Music used by the music therapists to enhance the interpersonal or social, affective, behavioral and cognitive functions.4 A randomized controlled trial using music exercises was conducted in Belgium to observe the cognitive functions and mood in the patients with dementia. The results showed a positive and statistical significance in the improvement of cognitive functioning in the experimental group.5 Ancient Indian therapy was performed by applying classical music which includes various raagas and each raaga is known to have specific type of effect on various systems. The present study was undertaken to observe the effectiveness of raga Bhairavi on negative affectivity and social inhibition in elderly women (type D personality). There was a significant decrease in both negative affectivity and social inhibition followed by the raga therapy. Ragas were reported to heal both body and mind and also activate the chakras .9, 8, 7, 6 Several diseases were healed using the music therapy as per the available literature. Interestingly, Raga therapy was used as a supplementary therapy in the management of diseases like cancer, Alzheimer’s also.12, 11, 10 Raga therapy was reported to balance emotions acting through brain structures.14, 13 Raga therapy was reported to activate the thalamus, cerebellum and insula through which it stimulates the reward centers of the brain. Ragas activate the opiod system of the brain and causes analgesia effect.14 Further, the raga therapy inhibits the stress axis and relieves the stress and other negative emotions like depression, anxiety.16, 15 It was reported that raga therapy increases secretion of dopamine and also increases secretion of hormones like growth hormone and limits the production of interleukins.16 Ragas also improve the cognitive functions by activating the brain areas like frontal gyrus.17 In a research performed to learn the effectiveness of live music when compared to recorded music, it was observed that participant on live music showed less tension and anxiety when compared to those attending tape-recorder music. Suggesting that live music is preferably better than recorded.18

In study music therapy was applied in the older adults to observe their depression level. It was reported that the there was a positive effect of music, wherein the participants showed reduced depression level along with controlled blood pressure.19 Music therapy when given to oncology patients, the patients undergoing chemotherapy had observed that there was a significant improvement in their mood states and showed a positive response to the treatment leading to improved quality of life.20 This states that music therapy not only reduces stress but also helps in improvement in quality of life, mood states and also improves memory and cognitive skills of the individuals on regular practice. Hence music therapy can be considered as one of the effective non-pharmacological, non-invasive treatment used to relieve stress, reduce anxiety and depression. It is also an adjunctive therapy helping the patients with various diseases to cope-up with and positively respond to the treatment given. It improves quality of life, mood states and cognitive skills when practiced regularly as a part of daily activities.

Conclusion

The study results suggest that the raga therapy is effective in the management of negative emotions in elderly women with type D personality. The study recommends regular implementation of Raga therapy living with the present life style for management of negative emotions.

Acknowledgement

We would like to thank the participants for active participation in this study. We acknowledge Dr. J K Mukkadan, Research Director, for his constant support and encouragement. Special thanks to Dr. C J Joseph, Consultant Psychiatrist of Brain and Mind Clinic, Little Flower Hospital and Research Centre for his constant support and suggestions throughout the study.

Source of funding

None.

Conflict of interest

None.

References

1 

About Music Therapy & AMTA". American Music Therapy Association2011

2 

J Denollet H Rombouts T.C Gillebert D.L Brutsaert S.U Sys D.L Brutsaert Personality as independent predictor of long-term mortality in patients with coronary heart diseaseLancet1996347899941742110.1016/s0140-6736(96)90007-0

3 

R Kneafsey The therapeutic use of music in a care of the elderly setting: a literature reviewJ Clin Nurs19976341346

4 

Music Therapy Interventions in Trauma, Depression, & Substance Abuse: Selected References and Key FindingsAmerican Music Therapy Association2008

5 

Ann Van de Winckel Hilde Feys Willy De Weerdt René Dom Cognitive and behavioural effects of music-based exercises in patients with dementiaClin Rehabil200418325332610.1191/0269215504cr750oa

6 

J Bradt C Dileo D Grocke L Magill Music interventions for improving psychological and physical outcomes in cancer patientsCochrane Database Syst Rev20116CD006908

7 

Ikyul Bae Heon Man Lim Myung-Haeng Hur MyeongSoo Lee Intra-operative music listening for anxiety, the BIS index, and the vital signs of patients undergoing regional anesthesiaComplement Ther Med201422225125710.1016/j.ctim.2014.02.002

8 

Maria Jiménez-Jiménez Alma García-Escalona Alejandra Martín-López Raquel De Vera-Vera Joaquin De Haro Intraoperative stress and anxiety reduction with music therapy: A controlled randomized clinical trial of efficacy and safetyJ Vasc Nurs201331310110610.1016/j.jvn.2012.10.002

9 

Leodoro J. Labrague Denise M. McEnroe-Petitte Influence of Music on Preoperative Anxiety and Physiologic Parameters in Women Undergoing Gynecologic SurgeryClin Nurs Res201625215717310.1177/1054773814544168

10 

Joke Bradt Cheryl Dileo D Grocke L Magill Music interventions for preoperative anxietyCochrane Database Syst Rev20118691110.1002/14651858.cd006908.pub2

11 

K Zhou X Li J Li M Liu S Dang A clinical randomized controlled trial of music therapy and progressive muscle relaxation training in female breast cancer patients after radical mastectomy: Results on depression, anxiety and length of hospital stayEur J Oncol Nurs20141915459

12 

Stéphane Guetin Kevin Charras Alain Berard Christophe Arbus Patrick Berthelon Frédéric Blanc An overview of the use of music therapy in the context of Alzheimer's disease: A report of a French expert groupDementia201312561963410.1177/1471301212438290

13 

S. L. Jacobsen C. H. McKinney U. Holck Effects of a Dyadic Music Therapy Intervention on Parent-Child Interaction, Parent Stress, and Parent-Child Relationship in Families with Emotionally Neglected Children: A Randomized Controlled TrialJournal of Music Therapy20145143103320022-2917, 2053-739510.1093/jmt/thu028Oxford University Press (OUP)https://dx.doi.org/10.1093/jmt/thu028

14 

S K Kar T Ganguly S S Roy A Goswami Effect of Indian Classical Music (Raga Therapy) on Fentanyl, Vecuronium, Propofol Requirements and Cortisol levels in Cardiopulmonary BypassJ Anesth Crit Care Open Access20152247

15 

Alisa Yamasaki Abigail Booker Varun Kapur Alexandra Tilt Hanno Niess Keith D. Lillemoe Andrew L. Warshaw Claudius Conrad The impact of music on metabolismNutrition20122811-12107510800899-900710.1016/j.nut.2012.01.020Elsevier BVhttps://dx.doi.org/10.1016/j.nut.2012.01.020

16 

Aaron Nelson Wolfgang Hartl Karl-Walter Jauch Gregory L Fricchione Herbert Benson Andrew L Warshaw The impact of music on hypermetabolism in critical illnessCurr Opinion Clin Nutr Metab Care200811679079410.1097/mco.0b013e328314dd01

17 

Stefan Koelsch Towards a neural basis of music-evoked emotionsTrends Cogn Sci201014313113710.1016/j.tics.2010.01.002

18 

L. M. Bailey The Effects of Live Music versus Tape-Recorded Music on Hospitalized Cancer PatientsMusic Therapy198331172810.1093/mt/3.1.17

19 

M F Chan E A Chan E Mok F Y K Tse Effect of music on depression levels and psychological responses in community-based older adultsInt J Mental Health Nurs2009184285294

20 

E. G. Waldon The Effects of Group Music Therapy on Mood States and Cohesiveness in Adult Oncology PatientsJ Music Ther200138321223810.1093/jmt/38.3.212



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54-56


Authors Details

Srilatha Bashetti, Sai Sailesh Kumar G


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