• Journal of Music and Human Behavior
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• v.15 no.2
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• pp.69-92
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• 2018

The purpose of this study was to investigate whether a songwriting intervention would improve self-expression of adolescents with cochlear implants (CI). In this study, the songwriting intervention was designed to incorporate previous research findings on music perception of individuals with CIs and to provide musical experiences in which adolescents with CIs could be successful in using music resources for their self-expression. Accordingly, stepwise songwriting procedures were constructed and music technology (i.e., GarageBand as an iPad application) was used. Two adolescents with CIs participated in the intervention once a week for 8 weeks. Changes in level of participation in songwriting tasks, verbal expression, self-reports about the songwriting process were examined. The results demonstrated that the participants showed increased attempts to express themselves via music making. It was also shown that their negative perception of their ability to verbally express themselves decreased. They were observed as becoming more competent in creating music by deciding how various musical elements should be played and making rhythm or melodic patterns by themselves. These results indicate that the songwriting intervention can facilitate self-expression of adolescents with CIs. Further implications in terms of the psychosocial needs of individuals with CIs are presented.

• Therapeutic Science for Rehabilitation
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• v.5 no.1
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• pp.33-42
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• 2016

Objective : The purpose of this study was to verify the effects of auditory stimulus using music on unilateral neglect in patients with stroke. Methods : This study used a single subject (ABA) design. The subject who showed unilateral neglect caused by stroke received auditory stimulus using music for 60 minutes per sessions. A total of 20 sessions were conducted. The unilateral neglect was measured by the Star cancellation test and Line bisection test during each session, and Catherine Bergego Scale was used to evaluate the degree of unilateral neglect in daily life pre-and post-test. Also, Positive Affect and Negative Affect Schedule was used to test subject's emotional status. Results : During the intervention period, the results of the Star cancellation test and Line bisection test showed the trend of reduction of unilateral neglect symptom and the effects of intervention were maintained after intervention. After intervention, the results of CBS indicated decreased unilateral neglect symptom in activities of daily living and the results of PANAS indicated increased positive affect. Conclusions : The result of this study indicate that auditory stimulus has a positive effect on the unilateral neglect, and may be considered as alternative choice in clinical occupational therapy for reducing unilateral neglect.

• Journal of Music and Human Behavior
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• v.13 no.1
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• pp.61-87
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• 2016

With broad individual variability in social communication skills of children with autism spectrum disorders and increasing focus on interventions targeting social communication of this population, there is a need for systematic analysis of how social communication outcomes are measured. This study aimed to systematically analyze the measurement tools used in the music therapy interventions for improving social communication of children with ASD. Electronic databases and music therapy journals were searched for controlled studies published between 1980 and 2015. A total of 21 studies were included for the analysis. The results demonstrated that direct observation of behaviors was the most frequently used and the combination of targeted social communication areas and specific measurements used for a specific skill varied among the studies. In addition, 90.4% of studies reported interrater reliability. These results indicate that there has been a diversity in approaches to measure social communication skills despite increasing attempts for systematic measurements. In consideration of the nature of social communication development in children with ASD, multifaceted strategy to understand and assess the target skills in terms of specific behavior acquisition, social functioning in general, and social cognition was recommended.

• Journal of Music and Human Behavior
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• v.17 no.1
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• pp.97-125
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• 2020

This case study examined the effects of synchronization-based group music therapy for improving peer interaction of children with autism spectrum disorder (ASD). The participants were five children between the ages of 6 and 10 with ASD. A total of eight 30-minute music therapy sessions were conducted two times a week. During sessions, target behaviors (i.e., engagement in joint action, synchronized movements, eye contact, and initiation of social interaction) were observed and analyzed. Also, the PIPPS-P was completed by parents to identify behavioral changes in real-life environments from pretest to posttest. Following the intervention, all of the participants showed increases in synchronized movements with peers and attempts to initiate social interaction. In addition, parents rated their children's play behavior as being improved in their everyday living environment. These results support that synchronous movements between children with ASD, which were facilitated with rhythmic cueing, led to enhanced engagement in joint action. Considering that those movements are the basis for further social skills (e.g., play behavior), this study also indicates that synchronization-based group music therapy could be an effective therapeutic approach for improving the peer interaction of this population.

• 재활복지
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• v.22 no.1
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• pp.169-194
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• 2018

The aim of this study is to examine changes in swallowing function and quality of life with therapeutic singing-based music therapy for patients with dysphagia. The music therapy program was based on the previous study (Kim, 2010), and designed to improve breathing, phonation, and swallowing functions focusing on laryngeal elevation. Three patients with dysphagia participated in this study and each participant received a total of 11 or 12 individual music therapy sessions and each session was conducted for 30 minutes. In this study, three kinds of measurements were used. First, the measures of maximum phonation time (MPT), fundamental frequency, average intensity, jitter, shimmer, noise to harmonics ratio (NHR) by Praat test, second, laryngeal-diadochokinesis (L-DDK) to investigate laryngeal elevation, and last, the Swallowing-Quality of Life (SWAL-QOL) was measured. These cases have shown improved breathing, phonation, swallowing function, and the scores of SWAL-QOL in all of the patients. It suggests that this music therapy intervention was effective on laryngeal elevation, and the music intervention with therapeutic singing can be effectively implemented in further research for patients with dysphagia.

• Journal of Music and Human Behavior
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• v.13 no.1
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• pp.89-110
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• 2016

This study examined the effect of an interactive instrument playing program on the social interaction of adults with autism spectrum disorder (ASD). A single subject design with multiple baselines across participants was applied, and three adults with severe ASD in their late 20s living at a group home participated in this study. Participants received a total of 25 group sessions. During the intervention, participants engaged in structured instrument playing in which initiation and response to socially interactive behaviors were musically cued, and target behaviors were reinforced in the musical environment. At pre- and posttest, the frequency of initiation of and responding to social interaction behaviors were recorded and analyzed. The results of this study showed that the frequency of both initiation of, and response to, social interaction increased for all participants during the intervention phase, compared to the baseline phase. This result demonstrates that interactive instrument playing increased social behaviors of adults with ASD. It also shows that musically delivered social information can facilitate adults with ASD understanding the intention of social partners in social contexts and motivate this population to engage in social interaction.

• Stress
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• v.25 no.2
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• pp.86-92
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• 2017

The present study investigated the effect of music intervention on the anxiety of children and adolescents using meta-analysis, and the specific research purposes were as follows. The targets of the present study were previous studies analyzed the effect of music intervention on anxiety collected the final 28 theses for academic degrees and five scholarly journal articles were used in the analysis. To examine the publication bias of the studies used in the analysis, funnel plot and fail-safe N were verified, and found the publication bias was not significant enough to influence the present study. The homogeneity test showed that the effect size was heterogeneous, and accordingly, a random effect model analysis was carried out and the overall effect size was found to be -1.034. The analysis on the difference in the effect showed that the effect size varied according to subject classification and intervention location for categorical variables and size for continuous variables.

• Journal of Music and Human Behavior
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• v.16 no.1
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• pp.25-46
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• 2019

This pilot study involved a single session of song-based music therapy to relieve the anxiety of intensive care unit (ICU) caregivers. Six caregivers of ICU patients participated in the intervention session individually. During the initial stage of the intervention, the participants' current emotional states were identified. Then they listened to familiar songs and playing a tone chime, which was intended to help them relax their body and reduce their psychological resistance. During singing experiences as an essential part of the intervention, the participants discussed the lyrics of songs in an attempt to find the meaning related to them. Also, they sang the songs with a live accompaniment in which their emotional states were reflected with changes in musical elements (e.g., tempo, dynamics, rhythm, or chords). In the final stage, they identified personal application to their everyday lives. To analyze the results, the State-Trait Anxiety Inventory (STAI) and a visual analog scale on emotional states were completed by participants before and after the session, and participants' verbal responses during the session were also recorded. According to the results, STAI anxiety scores significantly declined following the session. Also, they showed significant increases in positive emotions and significant decreases in negative emotions. This suggests that short-term music therapy can be an effective intervention for relieving the psychological distress of ICU caregivers.

• Journal of Music and Human Behavior
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• v.6 no.2
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• pp.71-100
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• 2009

The purpose of this study was to examine the effect of group music therapy program on alineation of adolescents from enmeshed or disengaged families. The Family Adaptability and Cohesion Evaluation Scales III was administered to screen out subjects at a high school in Seoul. Based on the low scores, between 10 and 25, rated on the scale, 4 students were selected from 148 initial respondents. Subjects participated in group music therapy program for 7 weeks and a total of 14 music therapy sessions were provided for them. After the program, content analysis of the subjects' verbal and musical expressions observed during the program was conducted, with regard to the measures of the Student Alienation Scale. The results showed negative self-expression decreased while positive self-concepts increased. These results indicate that by providing the opportunity to experience group cohesiveness and group support, group music therapy program may effectively reduce alienation of adolescents from enmeshed or disengaged families.

• Journal of Music and Human Behavior
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• v.7 no.1
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• pp.61-77
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• 2010

As a means to support maternal transition, a home-based music intervention was employed to facilitate mothers' singing to their infants. Four mothers were recruited as volunteers for this study their typically developing infants ranged in age from 2 months to 11 months. Interviews were conducted after the completion of the intervention. An educational music intervention was used to introduce the benefits of mothers' singing to their infants and to encourage four mothers to perform regular singing to their infants for the two-week period. In the interview, mothers provided valuable information regarding their personal experiences, thoughts, abilities to carry out the daily singing, and additional support needs in singing. All mothers demonstrated positive experiences and needs for future intervention development. Overall, the results showed that music-involved educational intervention is beneficial for mothers to support their maternal transition. The need emerged for future studies to develop music-involved educational intervention to support maternal transition.