기능성 신경 질환을 위한 심리치료 중심 음향 진동 요법: 예비 연구
##semicolon##
https://doi.org/10.47513/mmd.v13i1.754초록
초록
기능성 신경질환(FND)은 전 세계 수많은 사람들에게 영향을 끼치고 있다. 이전에는 전환장애라고 불렸던, FND는 신경학적 또는 의학적 진단과 양립할 수 없는 신경학적 증상을 경험하게 만드는 몸과 마음 사이에 소통 장애이다. FND 환자들은 신경학과 환자들 중 상당 부분을 차지한다. 하지만 이런 환자들은 여전히 진단하고 치료하기 가장 어려운 환자로 간주되고 있다. 이 예비 연구는 FND를 진단받은 환자들의 치료 과정에 심리치료 중심 음향 진동 요법과 적극적 음악 치료 방법을 활용하였다. 본 연구에 사용된 치료 프로토콜은 FND 환자들의 진료 필요(referral)와 치료에 대해 학제적이고(interdisciplinary) 다양한 접근법을 강조하고 있다. 연구의 양적 결과와 함께 질적 데이터를 검토했을 때, 이 사례에 대한 포괄적 개념 해석을 할 수 있었다. 본 연구는 결과 지표들이 임상적 근거를 제시할 뿐만 아니라 새로운 관점을 제안할 것이다.
키워드: 기능성 신경질환, 분열, 음향 진동 요법, 음악 치료, 학제적
##submission.citations##
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.