The Effects of Group Therapeutic Singing on Cortisol and Motor Symptoms in Persons With Parkinson's Disease

Stegemöller, Elizabeth L.; Zaman, Andrew; Shelley, Mack; Patel, Bhavana; Kouzi, Ahmad El; Shirtcliff, Elizabeth A.

doi:10.3389/fnhum.2021.703382

Cited by 4 publications

(1 citation statement)

References 50 publications

(53 reference statements)

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“…It should be noted that psychotherapy has been investigated thoroughly with regards to its effect on depression in PD [60][61][62]. Furthermore, alternative treatment methods like sensory focused exercise [63], acupuncture [64,65], bright light therapy [66], or therapeutic singing [67] have been suggested for stress-alleviation as well. Elaborate discussion of those methods would go beyond the scope of this manuscript.…”

Section: Psychotherapy and Othersmentioning

confidence: 99%

Alleviating Stress in Parkinson’s Disease: Symptomatic Treatment, Disease Modification, or Both?

Goltz,

van der Heide,

Helmich

2024

JPD

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Psychological stress, a state of mental strain caused by mentally or physically threatening situations, plays a significant role in Parkinson’s disease (PD). Motor symptoms worsen during acute stress and common non-motor symptoms in PD, such as anxiety and depression, are linked to chronic stress. Although evidence in humans is lacking, animal models of PD suggest that chronic stress can accelerate dopaminergic cell death. This suggests that stress-reducing interventions have not only symptomatic, but perhaps also disease-modifying effects. Our objective was to identify the most promising strategies for stress-reduction in PD and to analyze their potential value for disease-modification. An unstructured literature search was performed, primarily focusing on papers published between 2020–2023. Several large clinical trials have tested the efficacy of aerobic exercise and mindfulness-based interventions on PD symptoms. The evidence is promising, but not definitive yet: some exercise trials found a reduction in stress-related symptoms, whereas others did not or did not report it. In the majority of trials, biological measures of stress and of disease progression are missing. Furthermore, follow-up periods were generally too short to measure disease-modifying effects. Hence, mechanisms underlying the intervention effects remain largely unclear. These effects may consist of attenuating progressive neurodegeneration (measured with MRI-markers of substantia nigra integrity or cortical thickness), or a strengthening of compensatory cerebral mechanisms (measured with functional neuroimaging), or both. Lifestyle interventions are effective for alleviating stress-related symptoms in PD. They hold potential for exerting disease-modifying effects, but new evidence in humans is necessary to fulfill that promise.

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Section: Psychotherapy and Othersmentioning

confidence: 99%

Alleviating Stress in Parkinson’s Disease: Symptomatic Treatment, Disease Modification, or Both?

Goltz,

van der Heide,

Helmich

2024

JPD

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Music Therapy and Music-Based Interventions for Neurologic Palliative Care

Potvin,

Morrow,

Pegg

2023

Current Clinical Neurology

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Therapeutic Group Singing for Individuals with Parkinson’s Disease: A Conceptual Framework

Lee

Dvorak

2023

Music Therapy Perspectives

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Parkinson’s disease (PD) is a complex, progressive, and degenerative neurological disorder. With millions affected worldwide, music therapists may have the opportunity to work with individuals with PD and their families. To better understand biological, psychological, and social factors associated with PD, and the interactions between these three systems, researchers encourage a biopsychosocial approach. A biopsychosocial approach supports the idea that biological, psychological, and social systems influence and interact with each other, affecting overall health and quality of life. Music therapy affects biopsychosocial functioning through the use of evidence-based music interventions. One such music therapy intervention supported in the literature for use with individuals with PD and their families is therapeutic group singing. However, this research evidence is diverse and complex. Thus, the purpose of this paper is to present a conceptual framework of the biopsychosocial approach in music therapy focused on therapeutic group singing for individuals with Parkinson’s disease (PD). Our aims include: (1) identifying biopsychosocial (i.e., physical, psychological, and social) factors associated with PD, (2) presenting evidence-based outcomes of therapeutic group singing on biopsychosocial functioning, and (3) crafting a conceptual framework to consolidate evidence about therapeutic group singing as an effective intervention for this population. Research outcomes from various studies demonstrate benefits in biological, psychological, and social functioning from therapeutic group singing interventions. Overall, evidence suggests that therapeutic group singing – as visualized in the conceptual framework – is an effective intervention to address biopsychosocial functioning for individuals with PD and their families.

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The Effects of Group Therapeutic Singing on Cortisol and Motor Symptoms in Persons With Parkinson's Disease

Cited by 4 publications

References 50 publications

Alleviating Stress in Parkinson’s Disease: Symptomatic Treatment, Disease Modification, or Both?

Alleviating Stress in Parkinson’s Disease: Symptomatic Treatment, Disease Modification, or Both?

Music Therapy and Music-Based Interventions for Neurologic Palliative Care

Therapeutic Group Singing for Individuals with Parkinson’s Disease: A Conceptual Framework

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