Psychotherapeutically Oriented Vibroacoustic Therapy for Functional Neurological Disorder: A Pilot Study
DOI:
https://doi.org/10.47513/mmd.v13i1.754Özet
Functional Neurological Disorder (FND) affects a significant number of people worldwide. Previously referred to as conversion disorder, FND is a disorder of the communication between mind and body resulting in the experience of neurological symptoms incompatible with neurological or medical diagnoses. FND patients account for a notable portion of neurologists' patients, and yet these patients are still considered some of the most difficult to diagnose and treat. This pilot case study utilized a psychotherapeutically oriented approach to vibroacoustic therapy and active music therapy methodology in the therapy process of a patient diagnosed with FND. The treatment protocol used in this study highlights an interdisciplinary, multimodal, and diverse approach to referral and treatment for FND patients. Review of the qualitative data together with the quantitative outcomes of the study provided a comprehensive conceptualization of this case. Valuable perspectives were gained from this approach, and the clinical findings were well supported by the quantitative outcome measures.Referanslar
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.
