Effects of sacred music on the spiritual well-being of bereaved relatives: a randomized clinical trial

Abstract

OBJECTIVE To evaluate the effects of instrumental sacred music and sacred music with vocals on the spiritual well-being of bereaved relatives. METHOD This is a randomized clinical trial carried out with family members bereaving the death of loved ones to cancer. Participants were allocated into three groups: Group 1 (control), Group 2 (experimental using sacred music with vocals) or Group 3 (experimental using instrumental sacred music). Spiritual well-being was assessed through the Spiritual Well-Being Scale. RESULTS Sixty-nine (69) family members participated. Mean scores before and after the intervention indicated high levels of spiritual well-being (106.4 and 105.5 in Group 1; 103.2 and 105.2 in Group 2; 107.4 and 108.7 in Group 3) and religious well-being (57.9 and 56.9 in Group 1; 56.3 and 56.4 in Group 2; 57.4 and 58.1 in Group 3), and moderate levels of existential well-being (48.5 and 48.6 in Group 1; 46.9 and 48.9 in Group 2; 49.9 and 50.7 in Group 3), with the exception of Group 3 which presented a high level of existential well-being after the intervention. CONCLUSION The results show that there were no statistically significant differences in the spiritual well-being scores between the experimental groups and the control group. We evidence the need for further studies that use music therapy as a Nursing intervention for bereaved families. Brazilian Registry of Clinical Trials: RBR-2wtwjz.

A música como auxílio terapêutico de crianças hospitalizadas

“…Touch, hearing, breathing, circulation and reflexes are physically activated. [3][4][5][6][7] Thus, it is stated that some research has identified that the physiological effects of music involve sensory, hormonal and physio motor reactions, such as changes in metabolism, adrenaline release, respiratory rate regulation, changes in blood pressure, reduced fatigue, muscle tone and raising the threshold of sensory stimuli, improving attention and concentration. It is also known that it is an excellent therapeutic tool that is easy to use, affordable, has no side effects and can be used in various contexts and for various diseases.…”

“…2 In this perspective, in addition to music being a way for patients to cope with adversity, stressful and traumatic events, it also contributes to welcoming and communicating with health professionals, constituting bonds and commitments that should guide intervention projects. 3 It has also been pointed as a complementary therapeutic resource in the management and control of signs and symptoms, as well as in the field of communication, making care more humanized. 4 In this perspective, it is emphasized that the musical sensation begins in the child, as an emotion of pure auditory pleasure, evolving to the integrative regions of the brain, such as brain reflexes, evaluative conditioning, emotional contagion, visual imagination, episodic memory and musical expectation, thus composing amplifying schemes that enable the child to verbalize their stresses, anxieties, fears and frustrations.…”

Characteristics of caregivers submitted to music therapy after the death of loved ones

“…It is a transversal approach to a database of a randomized clinical study (7) , performed in the households of bereaved family members, who have lost their loved ones (parents or espouses) due to cancer. The data were gathered between January 2014 and March 2015, through a semi-structured form.…”

“…Post-loss music therapy, that is, when it is carried out after the patient's death, aims to provide bereaved family members social, emotional, and spiritual support in the process of elaborating the loss. Based on that supposition, an investigation has aimed to assess the effects of sacred music, instrumental and chanted ones, on the spiritual well-being of bereaved family members, despite not having statistically significant results, it identified that listening to sacred music tends to improve the levels of spiritual well-being for bereaved family members (7) , as well as it helps in the process of elaborating the loss.…”

Intervenções não medicamentosas na promoção da saúde

“…fazê-lo permitir-se à reflexão sobre o seu adoecimento (BERGOLD;ALVIM, 2011)MARCON;SALES, 2014;VALENTIN et al, 2015),influenciam no estado de ânimo e humor, na fé e no suporte a dor da possibilidade de perda do ente querido(SANTOS; ZANINI;ESPERIDIÃO, 2015;SILVA et al, 2017;MARCON;SALES, 2014) A perspectiva da Musicoterapia direcionada a grupos e comunidades ou "musicoterapia social e comunitária" que vem romper, inclusive, com a musicoterapia tradicional, ultrapassando os limites físicos de um lugar, almeja a prática musical como mediadora da transformação social(ARNDT; CUNHA; VOLPI, 2016).…”