DOI QR코드

DOI QR Code

Effects of the Relaxing Music Appreciation on Mood State and Autonomic Nervous System in Hospitalized Mental Illnesses

이완음악감상이 입원한 정신질환자의 기분상태 및 자율신경계에 미치는 영향

  • Received : 2022.11.15
  • Accepted : 2022.12.20
  • Published : 2022.12.30

Abstract

This study was a randomized before-and-after design of 17 subjects in the experimental group and 17 subjects in the control group to investigate the effects of listening to relaxing music on the mood state and autonomic nervous system, that is, heart rate of hospitalized patients with mental illness. The collected data were analyzed with SPSS V15.0. There was a statistically significant difference between the two groups in mood state and autonomic nervous system, that is heart rate and the effect of listening to relaxation music was objectively verified(<.05). among the subdomains of mood states, tension(<.00), depression (<.00), vitality (<.03), fatigue () <.01), excluding anger (>.39) and confusion (>.33) showed a significant difference, proving that it is an effective intervention method applied to hospitalized mentally ill patients. In the future, we would like to suggest long-term intervention research and development and application, and research on the effect of mood change and heart rate using individual preferred music.

본 연구는 이완음악감상이 입원한 정신질환자의 기분상태 및 자율신경계 즉 심박동수에 미치는 영향을 파악하고자 실험군 17명, 대조군 17명을 대상으로 시행한 무작위 대조군 전후설계이다. 수집된 자료는 SPSS V15.0으로 분석하였다. 기분상태와 자율신경계 즉 심박동수는 두 집단 간에 통계적으로 유의한 차이가 있어 이완음악감상의 효과를 객관적으로 검증하였다(<.05). 기분상태의 하위 영역 중 분노(>.39)와 혼돈(>.33)을 제외한 긴장(<.00), 우울(<.00), 활력(<.03), 피로(<.01)에서 유의한 차이가 있는 것으로 나타나 입원한 정신질환자에게 적용할 수 있는 효과적인 중재방법임을 입증하였다. 향후 장기적인 중재 연구개발 및 적용과 개인의 선호음악을 이용하여 기분변화와 자율신경계에 효과연구를 제언하고자 한다.

Keywords

References

  1. National law information center. (2022). Act on the promotion of mental health and support for welfare services for mental illnesses(Online). https://law.go.kr. 
  2. Ministry of health and welfare. (2021). Results of the 5th national health and medical condition survey (Online). http://korea.kr/archive/expDocView.do?docid=40056. 
  3. Korea society of addiction psychiatry. (2019). Addiction psychiatry(Online). http://www.addictionacademy.org. 
  4. National Mental Health. (2017). National mental health statistics-pilot study: third round of qualification. Seoul: Iemun. p 316. 
  5. Yoo, S. Y. (2015). Analysis of Research Trends about Hospitalization Stress - Focused on Patients. The Korean journal of stress research. 23(23), 49-61. DOI : 10.17547/kjsr.2015.23.2.49. 
  6. Lee, Y. H. (2001). A Study on the Music Therapy Against Stress. The Graduate School of Education Kyung hee University.
  7. Knight, E. J., & Richard, N. S. (2001). Relaxing music prevents stress-induced increases in subjective anxiety, systolic blood pressure, and heart rate in healthy males and females. Journal of Music therapy, 38(4), 254-326. DOI : 10.1093/jmt/38.4.254. 
  8. Radocy, R. E., & Boyle, J. D. (2001). Music psychology. Hakjisa : Seoul. 
  9. Kim, C. Y. (2020). Effects of Music Therapy on Anxiety, Pain, Blood Pressure, Heart Rate and Respiratory rate in Mastectomy Patients. Department of Nursing. The Graduate School, CHA University. DOI : 10.1186/s131019-020-01141-y. 
  10. Iwanaga, M., & Moroki, Y. (1999). Subjective physiological responses to music stimuli controlled over activity and preference", Journal of Music Therapy, 36, 26-38. DOI : 10.1093/jmt/36.1.26. 
  11. Gold, C., Heldal, T. O., Dahle, T., & Wigram, T. (2005). Music therapy for schizophrenia or schizophrenia-like illness. The Coherence Collaboration, 2, 187-193. DOI : 10.1002/14651858.CD004025.pub2, 
  12. Grocke., D. (2009). The effect of group music therapy on quality of life for participants living with severe and enduring mental illness. Journal of Music Therapy. 46(2), 90-104. DOI : 10.1093/jmt/46.2.90, Jul. 2009. 
  13. Silverman, M. J. (2006). Psychiatric Patients' Perception of Music Therapy and Other Psychoeducational Programming. Journal of Music Therapy, 43, 94-110, DOI : 10.1093/jmt/43.2.111. 
  14. McNair, D. M., Heuchert, J. P., & Shilony., E. (2003). Profile of Mood States(POMS) bibliography. Toronto: Multi-Health Systems. 
  15. Lee, J. Y., Min, K. H., & Kim, M. H. (2015). Validation of the Music in Mood Regulation Scale in Korean sample. Journal of Social and Personality Psychology. 29(1), 1-22. DOI : 10.21193/kjspp.2015.29.1.001. 
  16. B. C. Choi. "The Music Therapy(2nd edition)" Seoul: Hakjisa Publisher. 2006 
  17. Radocy, R. E., & Boyle, J. D. (1997). Psychological Foundations of musical Behavior. Charles C. Thomas Publisher, Ltd. 
  18. Kim, S. S., Choi, K. Y., Sim, J. H., & Hong, G. N. (2020). Understanding Music and Therapeutic Relationship. Seoul : Jeong Minsa. 
  19. Grocke, D., & Wigram, T. (2011). Receptive methods in music therapy. (S. Y. Moon, & Y. J. Lee Trans.). Seoul: Hakjisa. (Original work published 2007). 
  20. Cho, H. J., & Moon, J. Y. (2017). The Effects of Guided Imagery Activities Using Music on Mood States, and Physiological Responses of Psychiatric Inpatients. Journal of Rehabilitation Research, 20(1), 113-130. 
  21. Thaut., M. H. (2005). Rhythm, music, and the brain. New York: Routledge. 
  22. Khalfa, S., Isabelle, P., Jean-Pierre, B., & Manon, R. (2002). Event-related skin conductance responses to musical emotions in humans. Neuroscience letters, 328(2), 145-149. DOI : 10.1016/S0304-3940(02)00462-7. 
  23. Koelsch, S., (2007). Music and emotion: electrophysiological correlates of the processing of pleasant and unpleasant Music. Psychophysiology, 44(2), 293-304. DOI : 10.1111/j.1469-8986.2007.00497.x. 
  24. Evans, D., (2002). The effectiveness of music as an intervention for hospital patients: a systematic review. Journal of advanced Nursing, 37(1), 8-18. DOI : 10.1046/j.1365-2648.2002.02052.x. 
  25. Moon, J. Y., (2012). Psychiatric Patient's Perception of Music Therapy and Other Psychoeducational Therapy Programs. Journal of Music Therapy, 14(3), 31-53. 
  26. Choi, Y. N., (2000). The influence of music therapy on mental patients interpersonal skills and mentally disordered behaviors. Graduate School of Education Ewha University. 
  27. Ji, H. H., & Jo, H. S. (2017). Effects of music therapy on subjective stress response, salivary, cortisol, and fatigue for intensive care nurses. Journal of Health Promotion. 17(2), 119-127. DOI : 10.15384/kjhp.2017.17.2.119. 
  28. Magee, W. L., & Davidson, J. W. (2002). The effect of music therapy on mood states in neurological patients: a pilot study. Journal of music therapy, 39(1), 20-29. DOI : 10.1093/jmt/39.1.20, 
  29. Bloch, B. et al. (2010). The effects of music relaxation on sleep quality and emotional measures in people living with schizophrenia. Journal of Music Therapy, 47(1), 27-52. DOI : 10.1093/jmt/47.1.27 
  30. Clark, I. N., Baker, F. A., & Taylor., N. F. (2016). Older adults' music listening preferences to support physical activity following cardiac rehabilitation", Journal of Music Therapy, 53(4), 364-397. DOI : 10.1093/jmt/thw011. 
  31. Madson, A. T., & Silverman, M. J. (2010). The effect of music therapy on relaxation, anxiety, pain perception, and nausea in adult solid organ transplant patients. Journal of Music Therapy, 47(3), 220-232. DOI : 10.1093/jmt/47.3.220, 
  32. Kim, J. H. (2011). Effect of Progressive Muscle Relaxation with Music on Stress and Physiological Response of Individuals with Schizophrenia. Journal of Interdisciplinary Therapy. 3(2), 5-20. 
  33. Kim, J. Y. (2009). The Use of Imagery-centered Music Listening for Relaxation for Women with High-Risk Pregnancy. Journal of Music Therapy Education, 7(1), 17-35. 
  34. Wheeler, B. L., Shultis, C. L., & Donna, W. P. (2015). Clinical training guide for the student music therapist. (Y. S. Kim & E. J. Kim, trans.). Seoul: Hakjisa. (Original work published 2005).