Forskning i musikterapi
- posttraumatisk stressbelastning (PTSD)
DOI:
https://doi.org/10.7146/tdm.v12i1.158436Nøgleord:
musikterapi, PTSD, Symptomreduktion, review, effektResumé
Denne artikel præsenterer videnskabelige undersøgelser af musikterapi med mennesker, der har fået diagnosen PTSD. Der er forskningsmæssig evidens for, at musikterapi kan reducere symptomer på posttraumatisk stress hos børn, unge og voksne. Undersøgelser af musikterapi med voksne med posttraumatisk stress viser reduktion af symptomer som flashbacks, undgåelsesadfærd, stress samt dissociation, depression og angst. Musikterapi med voksne kan endvidere skabe forbedringer i forhold til søvnkvalitet og social kontakt samt styrke oplevelsen af mening og sammenhæng i tilværelsen. Undersøgelser af musikterapi med børn og unge med indlæringsproblemer, som følge af PTSD, viser reduktion af hyperaktivitet, aggression og depression samt øget lydhørhed og forbedrede sociale kompetencer.
Musikterapeutisk behandling i form af improvisation med instrumenter, sangskrivning eller musiklytning med eller uden guidning giver mennesker med PTSD mulighed for at bearbejde traumatiske oplevelser, så de bedre kan tolereres og håndteres. Musikterapi giver også mulighed for at opleve samhørighed med andre mennesker. Via musikalsk kontakt kan klienter støttes til at regulere forhøjet arousal og modulere følelser og derved opnå større ro samt sund spontanitet frem for at reagere automatisk med frygt og mistillid. Musikterapi kan desuden give adgang til indre ressourcer, såsom positive oplevelser af tryghed, omsorg, skønhed og håb.
Referencer
Ahonen, H., & Desideri, A.M. (2014). Heroine’s journey – Emerging story by refugee women during group analytic music therapy. Voices: A World Forum for Music Therapy, 14(1).
Alanne, S. (2010). Music psychotherapy with refugee survivors of torture. Interpretations of three clinical case studies. Sibelius Academy, Music Education Department, Studia Musica 44.
American Psychiatric Association (APA) (2013). The diagnostic and statistical manual of mental disorders, fifth edition. Washington DC: American Psychiatric Publishing.
Auf der Heyde, T.M.C.(2012). International rhythms disrupted by a history of trauma: An indepth case study of analytical music therapy. Ph.d. afhandling, Graduate Faculty in Clinical Psychology, The City University of New York.
Baker, F., & Jones, C. (2006). The effect of music therapy services on classroom behaviours of newly arrived refugee students in Australia – a pilot study. Emotional and Behavioural Difficulties, 11(4), 249-260.
Beck, B. D. (2007). Traume og mestring – receptiv musikterapi i ungdomspsykiatrisk ambulatorium. I: L.O. Bonde (Red.) Psyke og Logos, s.449-524. Virum: Dansk Psykologisk Forlag.
Beck, B. D. (2012). Guided Imagery and Music with adults on long-term sick leave suffering from chronic stress – a mixed methods study. Ph.d.afhandling, Institut for Kommunikation, Aalborg Universitet. http://www.mt-phd.aau.dk/phd-theses/
Beck, B.D. (2014). Musikterapi med traumatiserede flygtninge. I: L.O. Bonde (Red.), Musikterapi: Teori, uddannelse, praksis, forskning. Århus: Klim.
Bensimon, M., Amir, D., & Wolf, Y. (2008). Drumming through trauma: Music therapy with post-traumatic soldiers. The Arts in Psychotherapy, 35(1), 4-48.
Bensimon, M., Amir, D., & Wolf, Y. (2012). A pendulum between trauma and life: Group music therapy with post-traumatized soldiers. The Arts in Psychotherapy, 39, 223-233.
Blake, R.L. (1994). Vietnam veterans with post traumatic stress disorder: Findings from a music and imagery project. Journal of the Association
for Music and Imagery, 3, 5-18.
Bishop, S. (1994). The use of GIM with female survivors of abuse in an inpatient psychiatric setting. Upubliceret afhandling, The Bonny Foundation, Salina, Kansas.
Blanaru, M., Bloch, B., Vadas, L., Arnon, Z., Ziv, N., Kremer, I, & Haimov, I. (2012). The effects of music relaxation and muscle relaxation techniques on sleep quality and emotional measures among individuals with posttraumatic stress disorder. Mental Illness, 4, 59-65.
Burt, J.W. (1995) Distant thunder: Drumming with Vietnam veterans. Music Therapy Perspectives, 13(2), 110-112.
Carr, C., d'Ardenne, P., Sloboda, A., Scott, C., Wang, D., & Priebe, S. (2012). Group music therapy for patients with persistent post-traumatic stress disorder—An exploratory randomized controlled trial with mixed methods evaluation. Psychology and Psychotherapy: Theory, Research and Practice, 85(2), 179-202.
Choi, C.M (2007). The effects of the modified CARING at Columbia Music Therapy program on the psychological conditions of refugee adolescents from North Korea. Ph.d.-afhandling, Teachers College, Columbia University.
Choi, C.M. (2010). A pilot analysis of the psychological themes found during the CARING at Columbia Music Therapy program with refugee
adolescents from North Korea. Journal of Music Therapy, 47(4), 380-407.
Christensen, E. (2014). Musik i kroppen og hjernen. I: L.O. Bonde (Red.), Musikterapi: Teori, uddannelse, praksis, forskning. Århus: Klim.
Coulter, S. J. (2000). Effect of song writing versus recreational music on posttraumatic stress disorder (PTSD) symptoms and abuse attribution
in abused children. Journal of Poetry Therapy, 13(4), 189-208.
Dammeyer, C. (2013). Guidet musik- og kropslytning. En ny form for receptiv musikterapi inden for traditionen Guided Imagery and Music (GIM) – i psykodynamisk traumebehandling af patienter med PTSD i voksenpsykiatrien. Musikterapi i psykiatrien online, 8(1), 42-59. http://journals.aau.dk/index.php/MIPO/article/view/257
Dansk Flygtningehjælp (2015). http://flygtning.dk/danmark/center-for-udsatte-flygtninge/fakta-om-flygtninge-med-traumer/ Nedtaget 25.1.2015.
Ditlevsen, D.N., & Elklit, A. (2012). Gender, trauma type, and PTSD prevalence: a re-analysis of 18 Nordic convenience samples. Annals of General Psychiatry, 11, 26.
Felsenstein, R. (2013). From uprooting to replanting: on post-trauma group music therapy for pre-school children. Nordic Journal of Music Therapy, 22(1), 69-85.
Gilles, D. Taylor, F., Gray, C., O'Brien, L., & D'Abrew, N. (2013). Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents (review). Evidence Based Child Health, 8(3), 1004-116.
Herman, J. L. (1995). I voldens kølvand. Om psykiske traumer og deres heling. København: Hans Reitzels Forlag.
Hernandez-Ruiz, E. (2005). The effect of music therapy on the anxiety levels and sleep patterns of abused women in shelters. Journal of Music Therapy, 42(2), 140-158.
Holck, U. (2014). Kommunikativ musikalitet – et grundlag for musikterapeutisk praksis. I: L.O. Bonde (Red.), Musikterapi: Teori, uddannelse, praksis, forskning (s. 130-137). Århus: Klim.
Jespersen, K. V. (2012). Musik, søvn og traumatiserede flygtninge – et pilotstudie. Dansk Musikterapi, 9(1), 27-31.
Jespersen, K. V. & Vuust, P. (2012). The effect of relaxation music listening on sleep quality in traumatized refugees: A pilot study. Journal of Music Therapy, 49(2), 205-229.
Killpatrick, D.G., Resnick, H.S., Milanak, M.E., Miller, M.W., Keyes, K.M., & Friedman, M.J. (2013). National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria. Journal of Traumatic Stress, 26, 537-547.
Koelsch, S. (2009). A neuroscientific perspective on music therapy. The Neurosciences and Music III – Disorders and Plasticity: Annals of New York Academic Science, 1169, 374-384.
Körlin, D., Nybäck, H., & Goldberg, F. (2000). Creative art groups in psychiatric care: Development and evaluation of a therapeutic alternative. Nordic Journal of Psychiatry, 54, 333-340.
Körlin, D. (2010). Music listening, imagery and creativity in psychiatry. Saarbrucken: Lambert Academic Publishing.
Lambert, J., Holzer, J., & Hasbun, A. (2014). Association between parents´ PTSD severity and children´s psychological distress: a metaanalysis. Journal of Traumatic Stress, 27(1), 9-17.
Levine, P. A. (2010). Trauma, rhythm, contact and flow. I: J.V. Loewy, & A.F. Hara, A.F. (Red.), Caring for the caregiver: The use of music therapy in grief and trauma. Silver Spring MD: The American Music Therapy Association Inc.
Levine, P. (2012). Den tavse stemme. Hvordan kroppens sprog kan opløse traumer og skabe velvære. København: Hans Reitzels Forlag.
Maack, C. (2012). Outcomes and processes of the Bonny Method of Guided Imagery and Music and its adaptations and psychodynamic imaginative trauma therapy for women with Complex PTSD. Ph.d.-afhandling, Institut for Kommunikation, Aalborg Universitet. Nedtaget 16.12.2014.
Mejsner, T. G. (2005). Tværfagligt samarbejde i retspsykiatrisk regi med udgangspunkt i et musikterapiforløb med en patient med anden etnisk baggrund. Musikterapi i psykiatrien online, 4, 85-91. http://journals.aau.dk/index.php/MIPO/article/view/78
Orth, J. (2005). Music therapy with traumatized refugees in a clinical setting. Voices: A World Forum for Music Therapy, 5(2). https://normt.uib.no/index.php/voices/article/view/227/171
Osborne, N. (2009). Music for children in zonesof conflict and post-conflict: A psychobiological approach. I: S. Malloch, & C. Trevarthen (Red.), Communicative musicality. Exploring the basis of human companionship. New York: Oxford University Press Inc.
Porges, S. W. (2010). Music therapy & trauma. Insights from the polyvagal theory. I: K. Stewart (Red.), Music therapy and trauma: Bridging theory and clinical practice. New York: Satchnote Press.
Porges, S. (2011). Neuroception. Et underbevidst system til opdagelse af trusler og tryghed. I: S. Hart (Red.), Dissociationsforstyrrelser. København: Hans Reitzels Forlag.
Pratchett, L.C. & Yehuda, R. (2011). Foundations of posttraumatic stress disorder: Does early life trauma lead to adult posttraumatic stress disorder? Development and Psychopathology, 23(2), 477-491.
Stern, D. (2005). Det nuværende øjeblik i psykoterapi og hverdagsliv. København: Hans Reitzels Forlag.
Stewart, K. (Red.). (2010). Music therapy and trauma: Bridging theory and clinical practice. New York: Satchnote Press.
Sutton, J. (Red.) (2002). Music, music therapy and trauma: International perspectives. London: Jessica Kingsley Publishers.
Videnscentret ved Veterancentret (2013). Efter Afghanistan. Rapport over veteraners psykiske velbefindende to et halvt år efter hjemkomst. København: Forsvaret. Nedtaget 26.3.15 fra http://veteran.forsvaret.dk/SiteCollectionDocuments/USPER_Efter_afghanistan.pdf
Wolf, H.-G. (Red.) (2007). Musiktherapie und trauma. 15. Musiktherapietagung am Freien Musikzentrum München e.V. (3.- 4. Marts 2007). Wiesbaden: Reichert Verlag.
World Health Organisation (WHO) (2010). International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10). Geneva: World Health Organisation.
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