Psychotherapeutisch orientierte vibroakustische Therapie für funktionelle Neurologische Störung: Eine Pilotstudie

Autor/innen

  • Mikaela Leandertz University of Jyväskylä http://orcid.org/0000-0001-8069-3027
  • Jussi Joukainen Central Finland Health Care District
  • Tuula Pesonen Central Finland Health Care District
  • Esa Ala-Ruona University of Jyväskylä

DOI:

https://doi.org/10.47513/mmd.v13i1.754

Abstract

Funktionelle neurologische Störungen (FND) betreffen weltweit eine signifikante Anzahl von Menschen. Früher auch als Konversionsstörung bezeichnet, ist FND eine Störung der Kommunikation zwischen Geist und Körper, die zum Auftreten  von neurologischen Symptomen führt, die mit neurologischen oder medizinischen Diagnosen nicht vereinbar sind. FND-Patienten machen einen beachtlichen Teil der neurologischen Patienten aus, und dennoch zählen diese zu den am schwierigsten zu diagnostizierenden und zu behandelnden Patienten. Diese Pilot-Fallstudie nutzte einen psychotherapeutisch orientierten Ansatz der vibroakustischen Therapie und active Therapiemethoden im Therapieprozess eines Patienten mit der Diagnose FND. Das in dieser Studie verwendete Behandlungsprotokoll unterstreicht einen interdisziplinären, multimodalen und vielfältigen Ansatz zur Überweisung und Behandlung von FND-Patienten. Die Auswertung der qualitativen Daten

zusammen mit den quantitativen Ergebnissen der Studie lieferte eine umfassende  Konzeptualisierung dieses Falles. Aus diesem Ansatz wurden wertvolle Perspektiven gewonnen, die klinischen Befunde wurden durch die quantitativen Ergebnismessungen gut unterstützt.

Keywords: Funktionelle neurologische Störung, Dissoziation, vibroakustische Therapie, Musiktherapie, interdisziplinär.  

Autor/innen-Biografien

Mikaela Leandertz, University of Jyväskylä

Mikaela Leandertz, MA, MTA, MT-BC is a certified music therapist from Canada, and doctoral student of music therapy at the Department of Music, Art and Culture Studies, University of Jyväskylä, Finland.

Jussi Joukainen, Central Finland Health Care District

Jussi Joukainen, MD, is a consultant at the Department of Neurology, Central Finland Health Care District, Finland.

Tuula Pesonen, Central Finland Health Care District

Tuula Pesonen, MD, PhD, is a senior consultant of the Outpatient Clinic of Consultation-Liason Psychiatry at the Department of Psychiatry, Central Finland Health Care District, Finland.

Esa Ala-Ruona, University of Jyväskylä

Esa Ala-Ruona, PhD, is a music therapist, psychotherapist (advanced level of competence) and senior researcher at the Music Therapy Clinic for Research and Training, Department of Music, Art and Culture Studies, University of Jyväskylä, Finland.

Literaturhinweise

Carson, A.J., Brown, R., David, A.S., et al. Functional (conversion) neurological symptoms: Research since the millennium. J Neurol Neurosurg Psychiatry. 2012; 83: 842 – 850.

Mayou, R. Are treatments for common mental disorders also effective for functional symptoms and disorder? [published online December, 2007]. Psychosom Med. doi: 10.1097/PSY.0b013e31815b00a6.

Ali, S., Jabeen, S., Pate, R.J., et al. Conversion disorder – mind versus body: A review. Innov Clin Neurosci. 2015; 12: 27 – 33.

Cottencin, O. Conversion disorders: Psychiatric and psychotherapeutic aspects [published online October 25, 2013]. Clin Neurophys. doi: 10.1016/j.neucli.2013.09.005.

de Schipper, L.J., Vermeulen, M., Eeckhout, A.M., Foncke, E.M.J. Diagnosis and management of functional neurological symptoms: The Dutch experience. Clinical Neurology and Neurosurgery. 2014; 122: 106 – 112.

Zsigmond, A.S., Snaith, R.P. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67: 361 – 370.

Bjelland, I., Dahl, A.A., Tangen Huag, T., Neckelmann, D. The validity of the Hospital Anxiety and Depression Scale an updated literature review. Journal of Psychosomatic Research. 2002; 52: 69 – 77.

Montgomery, S.A., Åsberg, M. A new depression scale designed to be sensitive to change. Br J Psychiatry. 1979; 134(4): 382-389.

Maust, D., Cristancho, M., Gray, L., Rushing, S., Tjoa, C., Thase, M.E. In: Aminoff, MJ, Boller, F & Swaab, DF, eds. Handbook of Clinical Neurology. 106th vol. Netherlands: Elsevier Health Sciences; 2012: 227-237.

Bernstein, E.M., Putnam, F.W. Development, reliability, and validity of a dissociation scale. J Nerv Ment Dis. 1986; 174 (12): 727-735. doi: 10.1097/00005053-198612000-00004.

Wiener, A. The dissociative experiences scale. The American Journal of Psychiatry. 1992; 149(1): 143

van Ijzendorn, M.H., Schuengel, C. The measurement of dissociation in normal and clinical populations: Meta-analytic validation of the dissociative experiences scale (DES). Clin Psych Rev. 1996; 16(5): 365 – 382.

Hays, R.D., Sherbourne, C.D., Mazel, R.M., The RAND-36 item health survey 1.0. Health Econ. 1993; 2: 217-227.

Aalto, A.M., Aro, A.R., & Taperi, J. RAND-36 terveyteen liittyvän elämänlaadun mittarina. Mittarin luotettavuus ja suomalaiset västöarvot. [RAND-36 as a measure of health-related quality of life. Reliability, construct validity and reference values in the Finnish general population.] Helsinki: Stakes, Tutkimuksia 101, 1999.

Campbell, E.A., Hynynen, J., Burger, B., Ala-Ruona, E. Exploring the use of vibroacoustic treatment for managing chronic pain and comorbid mood disorders: A mixed methods study. [Published online May 7, 2019]. Nordic Journal of Music Therapy. doi: 10.1080/08098131.2019.1604565.

Punkanen, M., Ala-Ruona, E. Contemporary vibroacoustic therapy: Perspectives on clinical practice, research, and training. Music and Medicine. 2012; 4(3): 128 – 135.

Grocke, D.E., Wigram, T. Receptive Methods in Music Therapy. 1st ed. London: Jessica Kingsley Publishers; 2007.

Naghdi, L., Ahonen, H., Macario, P., Bartel, L. The effect of low-frequency sound stimulation on patients with fibromyalgia: A clinical study. [Published online December 29, 2014]. Pain Res Manag. doi: 10.1155/2015/375174.

Rüütel, E. The psychophysiological effects of music and vibroacoustic stimulation. [Published online July 4, 2009]. Nordic Journal of Music Therapy. doi: 10.1080/08098130209478039

Clements-Cortes, A., Ahonen, H., Evans, M., Freedman, M., Bartel, L. Short-term effects of rhythmic sensory stimulation in Alzheimer’s disease: An exploratory pilot study. Journal of Alzheimer’s Disease. 2016; 52: 651 – 660.

Bruscia, K.E. The Dynamics of Music Psychotherapy. Gilsum: Barcelona Publishers; 1998.

Sheiby, B.B. An intersubjective approach to music therapy: Identification and processing of musical countertransference in a music psychotherapeutic context. Perspectives. 2005; 23(1): 8 – 17.

Bruscia, K.E. Defining Music Therapy. 2nd ed. Gilsum: Barcelona Publishers; 1998.

Wigram, T. Improvisation. London: Jessica Kingsley Publishers; 2004.

Loewy, J. Music psychotherapy assessment. Music Therapy Perspectives. 2000; 18: 47 – 58.

Snaith, R.P. The hospital anxiety and depression scale. Health and Quality of Life Outcomes. 2003; 1.

Hubschmid, M., Aybek, S., Maccaferri, G.E. et al. Efficacy of brief interdisciplinary psychotherapeutic intervention for motor conversion disorder and nonepileptic attacks. General Hospital Psychiatry. 2015; 37(5): 448 – 455.

Heijmans, M., Olde Hartman, T.C., Weel-Baumgarten, E.M., Dowrick, C., Lucassen, P., Weel, C. Experts’ opinions on the management of medically unexplained symptoms in primary care A qualitative analysis of narrative reviews and scientific editorials. Family Practice. 2011; 28(4): 444 – 455.

Kroenke,K. Efficacy of treatment for somatoform disorders: a review of randomized controlled trials. Psychosom Med. 2007; 69(9): 881-888.

Wigram, T., Nygaard Pedersen, I., Ole Bonde, L. A Comprehensive Guide to Music Therapy. London and Philadelphia: Jessica Kingsley Publishers; 2002.

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Veröffentlicht

2021-01-23

Ausgabe

Bd. 13 Nr. 1 (2021)

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