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Live music therapy with lullaby singing as affective support during venepuncture: A case study with microanalysis of two premature born infants
Örebro University, School of Music, Theatre and Art, Örebro University, Sweden. Centre for Clinical Research, Värmland County Council, Karlstad, Sweden. (Musiken och Människan, PEARL- Pain in Early Life)ORCID iD: 0000-0002-4436-4258
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (PEARL- Pain in Early Life)ORCID iD: 0000-0002-5996-2584
Centre for Clinical Research, Värmland County Council, Karlstad, Sweden.
Örebro University, School of Music, Theatre and Art, Örebro University, Sweden. (Musiken och Människan)ORCID iD: 0000-0002-5809-3575
2015 (English)Conference paper, (Refereed)
Abstract [en]

Introduction: Acute and repeated pain has long-term negative impact on infants’ development and future behaviour. The use of analgesic drugs has negative side-effects, which emphasizes the need for complementary approaches to pain management.

Objective: The objectives were to analyze the live lullaby singing for two premature infants during venepuncture in comparison to standard care only, and the infants’ physiological and affective responses emerging before, during and after this procedure.

Methods: Preterm and ill term infants (n=38) were subjected to venepuncture with and without live infant-directed lullaby singing, in a randomised order with a cross over design. Physiological data were collected and the procedures were videotaped. Two premature infants’ behavioural and physiological responses as well asthe live-performed lullaby, were analysed in-depth with microanalysis and with the pain assessment tool Behavioral Indicators of Infant Pain (BIIP).Results: Live singing with premature infants is a social communicative interaction. If the vocal performance is predictable and regular from start, it may optimize homeostasis during painful procedures.

Conclusion: Since emotional regulation is a central feature of music therapy this case study brings important clinical implications for how the affective interaction between the music therapist or the parent and the infant should be composed during painful procedures.Pain involves the interaction of biopsychosocial and situational factors, therefore more research is needed to explore the potential benefits of music therapy including the role of the parents.

Place, publisher, year, edition, pages
2015.
Keyword [en]
pain management, premature infants, music therapy, infant directed singing, lullaby, microanalysis
National Category
Medical and Health Sciences Musicology
Research subject
Musicology
Identifiers
URN: urn:nbn:se:oru:diva-47279OAI: oai:DiVA.org:oru-47279DiVA: diva2:898065
Conference
Nobel Day Festivities at School of Health and Medical Sciences, Örebro University, Örebro, Sweden, December 10, 2015
Projects
Doktorandprojektet Interactive infant-directed singing as supportive music therapy for premature and term newborns during painful procedures.
Note

Funding Agency:

Centrum för klinisk forskning, Landstinget i Värmland

Available from: 2016-01-27 Created: 2016-01-03 Last updated: 2016-01-29Bibliographically approved

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Ullsten, AlexandraEriksson, MatsVolgsten, Ulrik
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School of Music, Theatre and Art, Örebro University, SwedenSchool of Health and Medical Sciences, Örebro University, Sweden
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