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Live music therapy with lullaby singing as affective support during painful procedures: a case study with microanalysis
Örebro University, School of Music, Theatre and Art. 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. Örebro University Hospital. (PEARL- Pain in Early Life)ORCID iD: 0000-0002-5996-2584
Centre for Clinical Research, Värmland County Council, Karlstad, Sweden.ORCID iD: 0000-0003-0534-4921
Örebro University, School of Music, Theatre and Art. (Musiken och Människan)ORCID iD: 0000-0002-5809-3575
2017 (English)In: Nordisk tidskrift for musikkterapi - Nordic Journal of Music Therapy, ISSN 0803-9828, Vol. 26, no 2, 142-166 p.Article in journal (Refereed) Published
Abstract [en]

During the most vulnerable period in a child’s life, preterm and sick infants are exposed to a high number of painful procedures, sometimes without the comfort and affection of their parents. Since repeated pain and frequent use of analgesic drugs may have consequences for the neurological and behaviour-oriented development of the infant, it is vital to identify effective non-pharmacological interventions with regard to procedural pain. This paper reviews the use of live lullaby singing as an adjuvant to the control of premature infant pain. The objectives of this case study were to analyse the live lullaby singing for two premature infants during venipuncture in comparison to standard care only, and the infants’ physiological and affective responses emerging before, during and after this procedure. The empirical data stem from a quantitative clinical study. From this larger study, two premature infants were selected. Through microanalysis, with in-depth analysis of video footage, and pain assessment with Behavioral Indicators of Infant Pain (BIIP), painful standard care procedures with and without live lullaby singing, were analysed. The results show that live lullaby singing with premature infants is a communicative interaction which may optimize the homeostatic mechanisms of the infant during painful procedures. This case study shows the importance of predictability of the affective support, right from the start of the live singing intervention. It is important in a painful context that vocal interactions provide regular and comforting intensity, shape and temporal structures.

Place, publisher, year, edition, pages
Oxon, United Kingdom: Routledge, 2017. Vol. 26, no 2, 142-166 p.
Keyword [en]
Pain management, premature infants, music therapy, infant directed singing, lullaby
National Category
Musicology
Research subject
Health and Medical Care Research
Identifiers
URN: urn:nbn:se:oru:diva-49326DOI: 10.1080/08098131.2015.1131187ISI: 000394440800004Scopus ID: 2-s2.0-84988566335OAI: oai:DiVA.org:oru-49326DiVA: diva2:911552
Note

Funding Agencies:

Värmland County Council, Sweden

Queen Silvia's Jubilee Fund, Sweden

Karin and Erik Gerdens Foundation, Sweden

Berit and Carl-Johan Wettergrens Foundation, Sweden

Available from: 2016-03-13 Created: 2016-03-13 Last updated: 2017-10-18Bibliographically approved

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Ullsten, AlexandraEriksson, MatsKlässbo, MariaVolgsten, Ulrik
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School of Music, Theatre and ArtSchool of Health and Medical Sciences, Örebro University, SwedenÖrebro University Hospital
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Nordisk tidskrift for musikkterapi - Nordic Journal of Music Therapy
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CiteExportLink to record
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