Live music therapy with lullaby singing as affective support during painful procedures: A case study with microanalysis.

During the most vulnerable period in a child's life, preterm and sick infants are exposed to a high number of painful procedures, sometimes without the comfort and affection of their parents. Since repeated pain and frequent use of analgesic drugs may have consequences for the neurological and behav...

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Publicado en:Nordic Journal of Music Therapy Vol. 26; no. 2; pp. 142 - 167
Autores principales: Ullsten, Alexandra, Eriksson, Mats, Klässbo, Maria, Volgsten, Ulrik
Formato: case study pictorial tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2017
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: Live music therapy with lullaby singing as affective support during painful procedures: A case study with microanalysis.
      aug:
        au:
          Ullsten, Alexandra
          Eriksson, Mats
          Klässbo, Maria
          Volgsten, Ulrik
        affil: Department of Musicology, Örebro University, Örebro, Sweden
      sug:
        subj:
          Music
          Music Therapy
          Infant, Premature
          Pain Measurement
          Pain
          Pain Management
          Infant
          Infant: 1-23 months
      ab: During the most vulnerable period in a child's life, preterm and sick infants are exposed to a high number of painful procedures, sometimes without the comfort and affection of their parents. Since repeated pain and frequent use of analgesic drugs may have consequences for the neurological and behaviour-oriented development of the infant, it is vital to identify effective non-pharmacological interventions with regard to procedural pain. This paper reviews the use of live lullaby singing as an adjuvant to the control of premature infant pain. The objectives of this case study were to analyse the live lullaby singing for two premature infants during venipuncture in comparison to standard care only, and the infants' physiological and affective responses emerging before, during and after this procedure. The empirical data stem from a quantitative clinical study. From this larger study, two premature infants were selected. Through microanalysis, with in-depth analysis of video footage, and pain assessment with Behavioral Indicators of Infant Pain (BIIP), painful standard care procedures with and without live lullaby singing, were analysed. The results show that live lullaby singing with premature infants is a communicative interaction which may optimize the homeostatic mechanisms of the infant during painful procedures. This case study shows the importance of predictability of the affective support, right from the start of the live singing intervention. It is important in a painful context that vocal interactions provide regular and comforting intensity, shape and temporal structures.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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