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Psychological Intervention Effects of Group Music Therapy on Patients with Parkinson's Disease

Article information

Res Community Public Health Nurs. 2016;27(2):153-162
Publication date (electronic) : 2016 June 30
doi : https://doi.org/10.12799/jkachn.2016.27.2.153
Eunsook Bae1, Mijung Kim2
1Department of Nursing, Gimhae College, Gimhae, Korea.
2Masan Wongwang Boeun House, Masan, Korea.
Corresponding author: Bae, Eunsook. Department of Nursing, Gimhae College, 112 Saman-ro, Gimhae 50811, Korea. Tel: +82-55-320-1733, Fax: +82-55-320-1728, baesukkr3966@gimhae.ac.kr
Received 2015 November 05; Revised 2016 May 29; Accepted 2016 June 17.

Abstract

Purpose

Music therapy is a non-pharmacological treatment of the behavioral and psychological symptoms. This study was conducted to contribute to the rehabilitation of patients with idiopathic Parkinson's disease in the areas of functionality, emotionality and sociability.

Methods

The study included 35 participants, aged between 52 and 77 years, who were diagnosed with idiopathic Parkinson's disease (IPD) and reported suffering from depression, chronic illness anticipated stigma, and worrying about quality of life . The patients were recruited from the department of outpatient neurology at School of Medicine, D University in B Metropolitan City. Group music therapy was performed for nine weeks. The results were analyzed by repeated measures ANOVA.

Results

In terms of stigma, there were significant differences between two groups and time (p<.05). Analysis of the interaction between time and service method revealed significant differences (p<.05). Between time, and the interaction between time and service method revealed significant differences in terms of quality of life (p<.05).

Conclusion

The results suggest that group music therapy will be effective on the psychosocial well-being of patients with Parkinson's disease living in assisted and independent living communities.

Keywords: Parkinson disease; Music therapy; Depression; Quality of life

Notes

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science ICT & Future Planning (No. 2014R1A1A1008093).

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Article information Continued

© 2016 Korean Academy of Community Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Funded by : National Research Foundation of Koreahttp://dx.doi.org/10.13039/501100003725
Award ID : 2014R1A1A1008093

Figure 1

Figure 1

Research design of the study.

Table 1

Homogeneity of Demographic Characteristics and Disease Characteristics between the Two Groups (N=35)

Characteristics Categories Cont. (n=20) Exp. (n=15) χ2 or Fisher exact p
n (%) or M±SD n (%) or M±SD
Gender Female 10 (50.0) 9 (60.0) 0.35 .557
Male 10 (50.0) 6 (40.0)
Age (year) 66.95±8.38 71.27±6.26 13.37 .104
60~64 4 (20.0) 2 (13.3)
65~69 5 (25.0) 4 (26.7)
70~74 7 (35.0) 6 (40.0)
≥75 4 (20.0) 3 (20.0)
Education level ≤Elementary school 9 (45.0) 6 (40.0) 25.72 .503
Middle school 7 (35.0) 5 (33.3)
≥High school 4 (20.0) 4 (26.7)
Marital state Divorce, separation bereavement 9 (45.0) 10 (66.7) 12.01 .097
Married (live spouse) 11 (55.0) 5 (33.3)
Average monthly income (10,000 won) <50 5 (25.0) 6 (40.0) 7.01 .058
50~99 10 (50.0) 5 (33.3)
≥100 5 (25.0) 4 (26.7)
Living together with Spouse 10 (50.0) 4 (26.7) 7.50 .056
Son or daughter 5 (25.0) 2 (13.3)
No one 2 (10.0) 8 (53.3)
Spouse and children 3 (15.0) 1 (6.7)
Job Yes 7 (35.0) 2 (13.3) 2.11 .244
No 13 (65.0) 13 (86.7)
Duration of patients' illness (year) ≤4 7 (35.0) 6 (40.1) 2.30 .745
5~8 8 (40.0) 4 (26.6)
≥9 5 (25.0) 5 (33.3)
Age of onset (year) ≤60 60.40±8.80
4 (20.0)		 65.07±6.60
2 (13.3)		 -2.01 .072
61~70 12 (60.0) 11 (73.3)
≥71 4 (20.0) 2 (13.3)
Gait disability Yes 12 (60.0) 7 (46.7) 0.61 .433
No 8 (40.0) 8 (53.3)

Cont.=control group; Exp.=experimental group.

Table 2

Homogeneity Test of Dependent Variables before Treatment between Experimental and Control Groups (N=35)

Variables Cont. (n=20) Exp. (n=15) t p
M±SD M±SD
Depression 18.75±11.18 11.93±7.53 2.07 .059
Chronic illness anticipated stigma 39.35±18.77 38.40±11.59 1.12 .141
Health related quality of life 29.47±5.83 25.10±7.07 0.95 .062

Cont.=control group; Exp.=experimental group.

Table 3

Repeated Measure ANOVA of Depression, Chronic Illness Anticipated Stigma and Quality of Life between the Two Groups (N=35)

Variables Groups Pretest Posttest 1 Posttest 2 p† F (p) Sources F (p)
M±SD M±SD M±SD Post 1/Pre Post 2/Post 1
Depression Cont. 18.75±11.18 16.95±9.98 19.00±11.30 .326 .023 0.21 (.809) Group 0.98 (.332)
Exp. 11.93±7.53 11.60±10.62 11.20±9.62 .827 .668 0.02 (.977) Time 1.13 (.324)
p† .059 .365 .331 Time*Group 0.83 (.421)
CIAS Cont. 39.35±18.77 41.45±15.28 45.45±15.36 .978 <.001 0.89 (.416) Group 5.70 (.024)
Exp. 38.40±11.59 37.47±10.60 31.33±13.51 .710 .066 1.55 (.225) Time 9.10 (<.001)
p† .141 .162 .006 Time*Group 6.47 (.003)
Quality of life Cont. 29.47±5.83 16.87±6.53 17.00±6.30 .001 .912 20.25 (.000) Group 2.43 (.129)
Exp. 25.10±7.07 22.40±7.39 26.25±7.49 .063 .009 3.53 (.036) Time 4.75 (.027)
p† .062 .731 .852 Time*Group 3.94 (.045)

p=p for group differences; Cont.=control group; Exp.=experimental group; CIAS=chronic illness anticipated stigma.