Introduction
How many of you resort to music when stressed, bored, or even studying and working? Most of the time, music succeeds in lighting up the mood or relaxing us, leading us to feel better.
Of course, scientists and specialists have noticed the remarkable effects of music on humans, leading them to develop music therapy, which can treat many health conditions.
What is music therapy (MT)?
Music therapy can be defined as the controlled form of listening to music to influence patients psychologically, emotionally, and physiologically throughout the treatment for their health conditions.1
The first documented case of music therapy was in 1914, upon observing the beneficial effects of phonographs in recovery wards. After World War II, music was used in veteran hospitals to boost the morale of people with physical and emotional trauma.1
How does music therapy work?
Music has been proven to affect several chemicals in the body, causing its therapeutic benefits. These chemicals are:
- Dopamine: When this chemical is released, it leads to an increase in the pleasure receptors and aids in improving the patients’ mood by making them feel good
- Endorphins: These hormones give us a sense of euphoria and happiness and work as a strong pain reliever
- Immunoglobulin A: These cells are important for the immune system because they seek and attack any threatening agents in the body
- Cortisol: A stress hormone proven to decrease its levels via MT procedures
Is there a difference between music medicine and music therapy?
In music medicine, the patient listens to music provided by the healthcare specialist in an inpatient department, while music therapy is all about using all forms of music provided by a music therapist.2
Benefits of music therapy
Stress reduction
We all know how stress can affect our health physically and psychologically, and it contributes to the prognosis of many conditions like cancer, cardiovascular diseases, depression, anxiety disorder, and burnout syndrome.
Often to cope with stress, large numbers of people resort to tranquillisation medications, which have several dangerous side effects and addiction. Therefore, it is important to look for other therapeutic methods for stress reduction.3
There have been several studies on the effect of music therapy on stress. Some of the suggested effects of music therapy are:
- Reduced cortisol levels
- Lowered heart rate
- Decreased mean arterial pressure
- Reduced negative emotions and feelings such as state anxiety, subjective worry, nervousness, and restlessness
- Increased positive emotions and feelings like happiness and relaxation3
Pain management
Numerous studies have been conducted to observe the effect of music on pain, and it has been estimated that music has had significant effects in reducing pain and the emotional distress from pain, anaesthetic use, and both opioid and non-opioid intake.4
Another study found that music was beneficial as an adjuvant in chronic pain and its depressive symptoms, especially when the patients themselves chose the music.5
Depression, anxiety, and sleep problems
The findings from several studies indicate that music therapy provides short-term positive effects for patients with depression. When music therapy is added to the treatment as usual (TAU), it was observed that symptoms were more improved when compared with TAU alone. Moreover, music therapy was effective in reducing anxiety levels.6
A review of numerous studies showed that listening to music has helped reduce anxiety in patients waiting for surgeries, patients with cancer, patients having dialysis, and people with dental anxiety. Other studies also suggested that listening to music might help improve the speed of falling asleep.
Dementia and cognitive impairment
A group of studies showed that music had a significant, yet small, effect on cognitive functioning for older adults with dementia or mild cognitive impairment.7
Another group of studies showed that providing dementia patients in institutional care with at least five sessions of music-based therapeutic interventions improved overall behavioural problems and reduced depressive symptoms at the end of the treatment.8
Parkinson’s disease
Parkinson’s disease is a neurodegenerative disorder that affects the patient’s movement. There has been some evidence that music therapy has positive effects on a patient’s motor ability by stimulating it through listening, rhythmic auditory stimulation, and body rhythm during MT sessions.9
Autism
Music therapy has been found to be effective in reducing total autism symptom severity and increasing the chance of global improvement.10 Music tends to increase awareness and attention in children with autism, as well.11
Schizophrenia
A group of studies indicated that using music as an adjunct therapy for people with schizophrenia significantly improved negative and depressive symptoms in addition to their quality of life.12
Fibromyalgia
This can also be called fibromyalgia syndrome (FMS) and is a long-term condition that causes pain and fatigue, leading to other problems such as difficulty with sleeping, mental processes, and low moods.
Music therapy was beneficial in the treatment of pain, depression, and the improvement in the quality of life of patients with fibromyalgia.13
Cancer
Music therapy has shown significant advantages for cancer patients in different studies, such as increasing self-confidence, relaxation, facilitating group interactions, stress relief, and generating positive feelings.14
Moreover, it has been noticed that music therapy contributes to reducing pain, anxiety, and depression levels in cancer patients.15
Pregnancy
It’s well known that pregnancy can be extremely stressful and tiring and that the birthing parent’s health can affect the health of their foetus(es). Therefore, a study was conducted to observe the effects of music therapy on pregnant people. The results showed a clear decrease in stress, anxiety, and depression levels after only two weeks of music therapy.16
Various physical illnesses and disorders
Music therapy can aid in different disorders, for example:
- In chronic obstructive pulmonary disease (COPD), studies showed that music-based interventions helped relieve symptoms such as shortness of breath, anxiety, and sleep disturbances
- In multiple sclerosis, music therapy was beneficial for balance, coordination, pain, some aspects of gait and walking, and emotional status
- Music therapy is helpful in the rehabilitation of people who have had strokes
- Music therapy is useful in treating tinnitus, which can be caused by several conditions like earwax blockage, noise-induced hearing loss, and ear or sinus infections
General mental health
Various studies support using music therapy in mental health care. Music therapy is successful in making patients participate more, express their feelings, and manage some of their symptoms.17
Summary
Music has always been and will always be our companion in different aspects of our lives. Music therapy is a remarkable treatment that has helped provide relief to many patients, all with no negative side effects. So, we can say that we’re healing our souls while being entertained by music.
References
- Mofredj A, Alaya S, Tassaioust K, Bahloul H, Mrabet A. Music therapy, a review of the potential therapeutic benefits for the critically ill. Journal of Critical Care [Internet]. 2016 Oct 1 [cited 2024 Jan 31]; 35:195–9. Available from: https://www.sciencedirect.com/science/article/pii/S0883944116300934
- Bhandarkar S, Salvi BV, Shende P. Current scenario and potential of music therapy in the management of diseases. Behavioural Brain Research [Internet]. 2024 Feb 26 [cited 2024 Jan 31];458:114750. Available from: https://www.sciencedirect.com/science/article/pii/S0166432823004680
- De Witte M, Pinho ADS, Stams GJ, Moonen X, Bos AER, Van Hooren S. Music therapy for stress reduction: a systematic review and meta-analysis. Health Psychology Review [Internet]. 2022 Jan 2 [cited 2024 Jan 31];16(1):134–59. Available from: https://www.tandfonline.com/doi/full/10.1080/17437199.2020.1846580
- Lee JH. The effects of music on pain: a meta-analysis. J Music Ther. 2016;53(4):430–77.
- Garza-Villarreal EA, Pando V, Vuust P, Parsons C. Music-induced analgesia in chronic pain conditions: a systematic review and meta-analysis. Pain Physician. 2017 Nov;20(7):597–610.
- Aalbers S, Fusar-Poli L, Freeman RE, Spreen M, Ket JC, Vink AC, et al. Music therapy for depression. Cochrane Database Syst Rev. 2017 Nov 16;11(11):CD004517.
- Dorris JL, Neely S, Terhorst L, VonVille HM, Rodakowski J. Effects of music participation for mild cognitive impairment and dementia: A systematic review and meta-analysis. J Am Geriatr Soc. 2021 Sep;69(9):2659–67.
- van der Steen JT, Smaling HJ, van der Wouden JC, Bruinsma MS, Scholten RJ, Vink AC. Music-based therapeutic interventions for people with dementia. Cochrane Database Syst Rev. 2018 Jul 23;7(7):CD003477.
- Machado Sotomayor MJ, Arufe-Giráldez V, Ruíz-Rico G, Navarro-Patón R. Music therapy and parkinson’s disease: a systematic review from 2015–2020. International Journal of Environmental Research and Public Health [Internet]. 2021 Jan [cited 2024 Jan 31];18(21):11618. Available from: https://www.mdpi.com/1660-4601/18/21/11618
- Geretsegger M, Fusar-Poli L, Elefant C, Mössler KA, Vitale G, Gold C. Music therapy for autistic people. Cochrane Database of Systematic Reviews [Internet]. 2022 [cited 2024 Jan 31];(5). Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004381.pub4/full
- Barrow-Moore J. The effects of music therapy on the social behavior of children with autism.
- Jia R, Liang D, Yu J, Lu G, Wang Z, Wu Z, et al. The effectiveness of adjunct music therapy for patients with schizophrenia: A meta‐analysis. Psychiatry Research [Internet]. 2020 Nov 1 [cited 2024 Jan 31];293:113464. Available from: https://www.sciencedirect.com/science/article/pii/S0165178120331255
- Wang M, Yi G, Gao H, Wu B, Zhou Y. Music-based interventions to improve fibromyalgia syndrome: A meta-analysis. EXPLORE [Internet]. 2020 Nov 1 [cited 2024 Jan 31]; 16(6):357–62. Available from: https://www.sciencedirect.com/science/article/pii/S1550830720301683
- Pothoulaki M, MacDonald R, Flowers P. An Interpretative Phenomenological Analysis of an Improvisational Music Therapy Program for Cancer Patients. Journal of Music Therapy [Internet]. 2012 [cited 2024 Jan 31]; 49(1):45–67. Available from: https://academic.oup.com/jmt/article-lookup/doi/10.1093/jmt/49.1.45.
- Stanczyk MM. Music therapy in supportive cancer care. Reports of Practical Oncology & Radiotherapy [Internet]. 2011 Sep 1 [cited 2024 Jan 31]; 16(5):170–2. Available from: https://www.sciencedirect.com/science/article/pii/S1507136711000617
- Chang M, Chen C, Huang K. Effects of music therapy on psychological health of women during pregnancy. Journal of Clinical Nursing [Internet]. 2008 Oct [cited 2024 Jan 31]; 17(19):2580–7. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2702.2007.02064.x
- McCaffrey T, Edwards J, Fannon D. Is there a role for music therapy in the recovery approach in mental health? The Arts in Psychotherapy [Internet]. 2011 Jul 1 [cited 2024 Jan 31]; 38(3):185–9. Available from: https://www.sciencedirect.com/science/article/pii/S0197455611000438