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Clinical effectiveness of mindfulness-based music therapy on improving emotional regulation in blind older women: A randomized controlled trial.

Sunny H W Chan, Meryl Y C Cheung, Armstrong T S Chiu, Mimi H T Leung, Michael C C Kuo, Donald Y C Yip, Carole C Y Hui, Sally W I Kam, King Yeung, Doreen S P Mui, Shu-Mei Wang, Calvin C K Yip

Integrative Medicine Research December 1, 2023 DOI: 10.1016/j.imr.2023.100993 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 92
Population Older women with blindness in Hong Kong
Interventions Mindfulness-based music therapy Mindfulness intervention
Duration 8-week intervention
Topics Meditation
Keywords Emotional regulation Music therapy Treatment outcome Visually impaired persons
Citations 7
Registration NCT05583695
Key findings Mindfulness-based music therapy improved emotional regulation more than mindfulness intervention alone in older women with blindness.

Abstract

This study aimed to investigate clinical effectiveness of a structured eight-week mindfulness-based music therapy (MBMT) program on improving mood regulation in older women with blindness. This investigation compared a MBMT group with a mindfulness intervention (MI) group and a control group. Ninety-two older females with blindness from a residential setting in Hong Kong were recruited and randomly allocated to a MBMT (n = 31), MI (n = 30), or control (n = 31) group. Psychological measurements regarding mood regulation and general mood states (namely, Difficulties in Emotion Regulation Scale [DERS], Geriatric Depression Scale [GDS], and Depression Anxiety Stress Scales-21), were taken at pretest and posttest. Outcome assessors were blinded to group assignment. Data was analyzed based on intention-to-treat basis. At posttest, DERS scores in the MBMT group (mean differences and 95% confidence interval: 12.1, 5.5 to 18.8) and the MI group (7.2, 0.5 to 13.8) were lower than that in the control group. GDS scores in the MBMT group (2.9, 1.7 to 4.0) and the MI group (1.7, 0.6 to 2.9) were lower than those in the control group. Compared with the MI group, the MBMT group improved emotional awareness sub-scores in DERS (2.1, 0.2 to 4.1) and appeared to lower depression in GDS scores (1.1, -0.0 to 2.3; p = 0.053). MBMT seems more beneficial than MI alone for improving emotional regulation in older women with blindness. The combination of mindfulness and music can generate a synergetic effect by enhancing both attention and appraisal components within the emotional-regulation process. ClinicalTrials.gov, NCT05583695.

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