Improvement of pain experience and changes in heart rate variability through music-imaginative pain treatment

  • Music-imaginative Pain Treatment (MIPT) is a form of music therapy addressing pain experience and affective attitudes toward pain. It includes two self-composed music pieces: one dedicated to the pain experience (pain music, PM) and the other to healing imagination (healing music, HM). Our non-experimental study addresses patients with chronic somatoform pain disorders participating in MIPT. The goal is to gain insight into the direct effect mechanisms of MIPT by combining outcome measures on both the objective physiological and subjective perception levels. The research questions are directed toward changes in pain experience and heart rate variability and their correlations. Thirty-seven hospitalized patients with chronic or somatoform pain disorders receiving MIPT participated in this study. Demographic data and psychometric measures (Symptom Check List SCL90, Childhood Trauma Questionnaire CTQ) were collected to characterize the sample. Subjective pain experience was measured byMusic-imaginative Pain Treatment (MIPT) is a form of music therapy addressing pain experience and affective attitudes toward pain. It includes two self-composed music pieces: one dedicated to the pain experience (pain music, PM) and the other to healing imagination (healing music, HM). Our non-experimental study addresses patients with chronic somatoform pain disorders participating in MIPT. The goal is to gain insight into the direct effect mechanisms of MIPT by combining outcome measures on both the objective physiological and subjective perception levels. The research questions are directed toward changes in pain experience and heart rate variability and their correlations. Thirty-seven hospitalized patients with chronic or somatoform pain disorders receiving MIPT participated in this study. Demographic data and psychometric measures (Symptom Check List SCL90, Childhood Trauma Questionnaire CTQ) were collected to characterize the sample. Subjective pain experience was measured by McGill Pain Questionnaire (SF-MPQ), and Heart Rate Variability by 24 h-ECG. Data analysis shows a reduction of reported pain from MT1 = 19.1 (SD = 7.3) to MT2 = 10.6 (SD = 8.0) in all dimensions of the SF-MPQ. HRV analyses shows a reduced absolute power during PM and HM, while a relative shift in the autonomic system toward higher vagal activity appears during HM. Significant correlations between HRV and MPQ could not be calculated. Findings are interpreted as a physiological correlate to the psychological processes of the patients. Future studies with more participants, a control-group design, and the integration of medium- and long-term effects are recommended.show moreshow less

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Metadaten
Author:Susanne MetznerORCiDGND, Marc N. Jarczok, Irina Böckelmann, Sina Glomb, Manuela Delhey, Harald Gündel, Jörg Frommer
URN:urn:nbn:de:bvb:384-opus4-979425
Frontdoor URLhttps://opus.bibliothek.uni-augsburg.de/opus4/97942
ISSN:2673-561XOPAC
Parent Title (English):Frontiers in Pain Research
Publisher:Frontiers Media S.A.
Place of publication:Lausanne
Type:Article
Language:English
Date of first Publication:2022/08/10
Publishing Institution:Universität Augsburg
Release Date:2022/09/16
Tag:psychosomatics; somatoform pain disorder; music-imaginative pain treatment; heart rate variability; pain perception
Volume:3
First Page:943360
DOI:https://doi.org/10.3389/fpain.2022.943360
Institutes:Philosophisch-Sozialwissenschaftliche Fakultät
Philosophisch-Sozialwissenschaftliche Fakultät / Musik
Philosophisch-Sozialwissenschaftliche Fakultät / Musik / Musiktherapie
Dewey Decimal Classification:7 Künste und Unterhaltung / 78 Musik / 780 Musik
Licence (German):CC-BY 4.0: Creative Commons: Namensnennung (mit Print on Demand)