Effect of Music Therapy Derived from the Five Elements in Traditional Chinese Medicine on Post-stroke Depression

Journal

Journal of Traditional Chinese Medicine

Year

2017

Abstract

Objective: To evaluate the clinical efficacy and safety of five phase music therapy in patients with depression after ischemic stroke. Methods: A total of 92 patients with post-stroke depression were randomly divided into the control group (32 cases), treatment group A (30 cases), and treatment group B (30 cases). All groups were given basic therapies for cerebral infarction. In addition, the control group was administerd 50 mg of oral sertraline hydrochloride daily, while treatment groups A and B received needling at Baihui (GV 20) plus acupoint injection at Yanglingquan (GB 34) daily; treatment group B also received music therapy derived from the five phases in Traditional Chinese Medicine theory twice daily. All treatments were administered for 5 d per treatment cycle for three cycles, with a 1 d interval between cycles. In all three groups, Hamilton's depression scale (HAMD-17) score and the activities of daily life (ADL) score were measured before and after treatment, and side effects were assessed with the treatment emergent symptom scale. Results: The HAMD-17 score significantly decreased after treatment in all three groups, and the post-treatment reduction in HAMD-17 score was markedly greater in treatment group B than in treatment group A (P < 0.01). The ADL score significantly increased after treatment in all three groups, and the post-treatment increase in ADL score was significantly greater in treatment group B than in treatment group A (P < 0.01). The treatment emergent symptom scale score was highest in the control group, and lowest in group B, and significantly differed between the three groups (P < 0.01). Conclusion: Five phase music therapy plus acupoint needling and acupoint injection can improve the symptoms in patients with post-stroke depression.

Music and Health Institute Terms

Acupuncture; Depression; Functional Status; Music Therapy; Observational Measures; Stroke; Symptom Management

Indexed Terms

Chinese medicine; post-stroke depression; acupuncture; Elderly; brain infarction; clinical effectiveness; controlled study; daily life activity; disease assessment; disease severity assessment; EMBASE keywords; Hamilton Depression Rating Scale; human; major clinical study; patient safety; quality of life; randomized controlled trial; severity scale score; treatment emergent signs and symptoms adverse response scale

Study Type

Randomized Controlled; Trial; Quantitative Methods

Document Type

Article

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