ABSTRACT

Traumatic brain injury (TBI) causes deficits in executive function (EF), as well as problems in behavioural and emotional self-regulation. Neurological music therapy may aid these aspects of recovery. We performed a cross-over randomized controlled trial where 40 persons with moderate-severe TBI received a 3-month neurological music therapy intervention (2 times/week, 60 min/session), either during the first (AB, n = 20) or second (BA, n = 20) half of a 6-month follow-up period. The evidence from this RCT previously demonstrated that music therapy enhanced general EF and set shifting. In the current study, outcome was assessed with self-report and caregiver-report questionnaires performed at baseline, 3-month, 6-month, and 18-month stages. The results showed that the self-reported Behavioural Regulation Index of the Behaviour Rating Inventory of Executive Function (BRIEF-A) improved more in the AB than BA group from baseline to 3-month stage and the effect was maintained in the 6-month follow-up. No changes in mood or quality of life questionnaires were observed. However, a qualitative content analysis of the feedback revealed that many participants experienced the intervention as helpful in terms of emotional well-being and activity. Our results suggest that music therapy has a positive effect on everyday behavioural regulation skills after TBI.

摘要

创伤性脑损伤 (TBI) 会导致执行功能 (EF) 缺陷，以及行为和情绪自我调节方面的问题。神经音乐疗法可能有助于恢复的这些方面。我们进行了一项交叉随机对照试验，其中 40 名中重度 TBI 患者在第一次（AB，n  = 20）或第二（BA，n = 20) 6 个月随访期的一半。该 RCT 的证据先前表明，音乐疗法增强了一般 EF 和设置转换。在目前的研究中，结果是通过在基线、3 个月、6 个月和 18 个月阶段进行的自我报告和照顾者报告问卷进行评估的。结果表明，AB组执行功能行为评定量表（BRIEF-A）的自我报告行为调节指数从基线到3个月的改善程度高于BA组，并且在6个月的随访中效果保持不变。 -向上。没有观察到情绪或生活质量问卷的变化。然而，对反馈的定性内容分析显示，许多参与者认为干预对情绪健康和活动有帮助。