On the Intersection of Ache Discount, Music Remedy, and Mindfulness

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Ache – whether or not it’s barely noticeable or fully debilitating it’s one thing that we’ve got all skilled in our lives.

There are lots of totally different approaches to coping with ache. Music remedy could also be utilized in serving to purchasers with power, acute, and even procedural ache. Music may assist to scale back the quantity of medicines taken to lower ache (Lee, 2016). 

There are a number of explanation why music remedy could be so efficient in ache discount. Gate management principle of ache has been central to ache discount in music remedy. It states, ache experiences should not linear however impulses should move by way of a gate with a purpose to attain increased processing and be perceived as ache. A number of components similar to cognitive state, feelings, and previous experiences can affect the gate and subsequently, the ache we really feel (Campbell et al., 2020).  Due to this fact, as a result of a number of components could have an effect on this gate, we might be able to have an effect on ache notion by modifying any of those components. For instance, the quantity of hysteria we expertise can have an effect on the quantity of ache we really feel. If we’re in a position to scale back the quantity of hysteria in flip we might be able to lower the extent of ache perceived. 

Distraction can also be highly effective in ache reduction because the mind can solely course of a lot info at one time and provides it full consideration (McCaul & Malott, 1984). If we’re experiencing ache and we’re additionally actively listening to music our brains can not absolutely course of the unfavourable stimulus and we really feel much less ache. Most popular music could be such a strong distraction and have an effect on ache notion as a result of it will probably seize our consideration and might join us to constructive feelings and reminiscences (Ziemba, 2014, p.19). 

Nonetheless, is feeling our ache essential or is it greatest to distract ourselves? Can we miss one thing after we attempt to take away all ache in our lives? May we have the ability to take care of ache extra successfully by transferring by way of it slightly than distracting ourselves till it goes away? Whereas we might get right into a philosophical debate on whether or not or not experiencing ache permits us to additionally expertise pleasure, allow us to study what analysis has been executed on the subject. 

Mindfulness observe offers with feeling ache and permitting our focusing to relaxation there.

As outlined by Jon Kabbat-Zinn, mindfulness is the, “consciousness that arises by way of paying consideration, on goal, within the current second, non-judgmentally” (Kabat-Zinn, 1990, xxxvii). Though it’s been practiced in Asia for hundreds of years, mindfulness was launched within the west in 1979 when Jon Kabbat-Zin started his Mindfulness Primarily based Stress Discount program for folks experiencing power ache on the College of Massachusetts Medical Faculty. Inside mindfulness observe, all sensations are acknowledged, together with ache, with out judgment, in that second. 

One research discovered {that a} mindfulness program helped people expertise advantages associated to ache, sleep, and psychological well being. People reported that not solely did their general ache lower however how a lot the ache bothered them decreased as nicely and that they had been in a position to have extra distance from the ache by viewing it with out judgment. (Brintz et al., 2020). A meta-analysis discovered that, “Mindfulness meditation was related to statistically important enchancment in despair, bodily health-related high quality of life, and psychological health-related high quality of life.” (Hilton et al., 2017). 

Because the pain-reducing results of mindfulness and music remedy have turn out to be extra broadly identified, we are actually beginning to see analysis on combining the 2 for efficient remedy. One research discovered that combining mindfulness and music remedy interventions helped sufferers with osteosarcoma by lowering their nervousness, ache, and sleep issues (Lui et al., 2019). 

So which method is greatest – distraction or focus with out judgment?

As a music therapist, I’ve personally used music as a distraction for purchasers throughout procedures. I’ve additionally mixed music with mindfulness as a method to acknowledge and transfer by way of excessive discomfort in a shopper experiencing postoperative ache. Maybe it’s not about which methodology is healthier however widening our view to incorporate extra choices. At instances, totally different approaches could also be kind of efficient because of a wide range of components and realizing our purchasers’ wants and capability is essential. When there’s multiple method of lowering ache, we now have a alternative which is a strong factor.

– Rebecca Woodruff, MTA

 

References:

Brintz, C.E., Roth, I., Faurot, Okay., Rao, S., & Gayloyd, S.A. (2020). Feasibility and Acceptability of an Abbreviated, 4-Week Mindfulness Program for Persistent Ache Administration. Ache Medication, 21(11), 2799–2810. https://doi.org/10.1093/pm/pnaa208

Campbell, T.S., Johnson, J.A., Zernicke, Okay.A. (2020). Gate Management Principle of Ache. In: Gellman, M.D. (eds) Encyclopedia of Behavioral Medication. Springer, Cham. https://doi.org/10.1007/978-3-030-39903-0_1134

Hilton, L., Hempel, S., Ewing, B.A., Apaydin, E., Xenakis, L., Newberry, S., Colaiaco, B., Ruelaz Maher, A., Shanman, R.A., Sorbero, M.E., &  Maglione, M.A. (2017). Mindfulness Meditation for Persistent Ache: Systematic Overview and Meta-analysis. Annals of Behavioral Medication, 51(2), 199–213. https://doi.org/10.1007/s12160-016-9844-2

Kabat-Zinn, J. (1990). Full Disaster Residing, Utilizing the Knowledge of Your Physique and Thoughts to Face Stress, Ache, and Sickness. Bantam Books.  

Lee, J. H. (2016). The results of music on ache: A meta-analysis. Journal of Music Remedy, 53(4), 430-477.

Liu, H., Gao, X., & Hou, Y.. (2019). Results of mindfulness-based stress discount mixed with music remedy on ache, nervousness, and sleep high quality in sufferers with osteosarcoma. Brazilian Journal of Psychiatry, 41(Braz. J. Psychiatry, 2019 41(6)), 540–545. https://doi.org/10.1590/1516-4446-2018-0346

McCaul, Okay. D., & Malott, J. M. (1984). Distraction and dealing with ache. Psychological Bulletin, 95(3), 516–533. https://doi.org/10.1037/0033-2909.95.3.516

Ziemba, Amanda Lynn, “The Efficacy of Music as a Non-Analgesic Technique of Decreasing Ache Notion throughout Chilly Pressor Trials” (2014). Grasp’s Theses. Paper 553.