Skip to main navigation menu Skip to main content Skip to site footer

Trabalhos baseados em pesquisa

ANO XXIII – NÚMERO 32 – EDIÇÃO COMEMORATIVA 25 ANOS – 2021

Efficacy of Music-centered Improvisational Music Therapy on the treatment of preschool children on the Autism Spectrum: a controlled study

DOI
https://doi.org/10.51914/brjmt.32.2021.159
Submitted
June 1, 2021
Published
18-02-2022

Abstract

Music is related as a treatment for people with Autism Spectrum Disorder (ASD), although controlled studies with specific Music Therapy approaches are scanty. Aiming to investigate the effects of Music-centered Improvisational Music Therapy on the treatment of preschool children with ASD, 45 autistic children aged 2 to 6 years old were assigned to Control (n=19) and Intervention (n=26) conditions. They were submitted to evaluation before and after condition (T1 and T2) through Psychiatric and Music Therapy scales. The intervention group received individual weekly sessions on Music-centered Improvisational Music Therapy. Both groups kept usual care during study. Intervention group participated in maintenance evaluation (T3) two months after T2. Statistical analyses showed that the groups were paired on T1. Differences between T1 and T2 were significant for almost all scales on the Intervention group while the Control group showed significance only on one communication subscale. The intervention group showed moderate to large effect size, while the Control group showed a small effect size. Most improvements were not maintained on T3. Correlations between initial data and treatment response rate are discussed. Results suggest the value of Music-centered Improvisational Music Therapy in promoting improvements on behaviors, communication, and socialization for pre-school children with ASD.

References

  1. Aigen, K. (2005). Music-Centered Music Therapy. Gilsum NH: Barcelona Publishers.
  2. Aman, M. G., & Singh, N. N. (1986). Aberrant Behavior Checklist – Manual. New York:
  3. Slosson Educational Publications
  4. American Psychiatric Association APA (2013). Diagnostic and statistical manual of mental disorders (DSM-5). Arlington: American Psychiatric Publishing.
  5. André, A. M., Batista, D. O., Freire, M. H., Sampaio, R. T., & Melo, A. (2018). Análise psicométrica das Escalas Nordoff Robbins como instrumento de avaliação no tratamento musicoterapêutico de crianças autistas em acompanhamento no Hospital das Clínicas da Universidade Federal de Minas Gerais (HC-UFMG). Per Musi, 2018(2018), 1-12.doi:10.35699/2317-6377.2018.5273
  6. André, A. M. B. (2017). Tradução e validação da Escala Nordoff Robbins de Comunicabilidade Musical. Dissertação de mestrado, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.
  7. André, A. M. B. (2021). Tradução e Validação das Escalas Nordoff Robbins: “Relação Criança Terapeuta na Experiência Musical Coativa” e “Musicabilidade: Formas de Atividade, Estágios e Qualidades de Engajamento.”Tese de doutorado, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.
  8. André, A. M. B., Gomes, C. M. A., & Loureiro, C. M. V. (2020a). Confiabilidade Inter-examinadores da Escala de Relação Criança-Terapeuta na Experiência Musical Coativa para validação no contexto brasileiro. Hodie, 20(e64243), 1–18.doi:10.5216/mh.v20.64243
  9. André, A. M. B., Gomes, C. M. A., & Loureiro, C. M. V. (2020b). Análise de confiabilidade da Escala de Comunicabilidade Musical. Per Musi, 40, 1–12.
  10. André, A. M. B., Gomes, C. M. A., & Loureiro, C. M. V. (2021a). Measuring the structural validity of two Nordoff-Robbins Scales for a patient with Autism. In S. I. D. V. Navarro & G. A. Juarez (Eds.), Ciências Humanas: estudos para uma visão holística da sociedade volume 1 (pp. 51–66). Artemis. doi:10.37572/EdArt_2706213786
  11. André, A. M. B., Gomes, C. M. A., & Loureiro, C. M. V. (2021b). Measuring the structural validity of two Nordoff-Robbins Scales for a patient with Tuberous Sclerosis. In Francisca de Fátima de Santos Freire (Ed.), Serviços e cuidados em saúde 3 (pp. 195–214). Atena. doi:10.22533/at.ed.00221180619
  12. André, A. M., Gomes, C. M. A., & Loureiro, C. M. V. (2017). Equivalência de itens, semântica e operacional da versão brasileira da Escala Nordoff Robbins de Comunicabilidade Musical. Opus, 23(2), 153. doi:10.20504/opus2017b2309.
  13. André, A. M., Gomes, C. M. A., & Loureiro, C. M. V. (2018). Reliability Inter-Examiners Of The Nordoff Robbins Musical Communicativeness Scale Brazilian Version. 11th International Conference of Students of Systematic Musicology, 101–105.
  14. Autism Research Institute (ARI) (2007). Autism Treatment Evaluation Checklist (ATEC). Retrieved April 19, 2009, from https://www.autism.com/ind_atec
  15. Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., ... & Durkin, M. S. (2018). Prevalence of autism spectrum disorder among children aged 8 years—Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. MMWR Surveillance Summaries, 67(6), 1.doi:10.15585/mmwr.ss6706a1
  16. Berger, D. S. (2003). Music Therapy, Sensory Integration and the Autistic child. London, UK: Jessica Kingsley Publishers Ltd.
  17. Bieleninik, Ł., Geretsegger, M., Mössler, K., Assmus, J., Thompson, G., Gattino, G., ... & Suvini, F. (2017). Effects of improvisational music therapy vs enhanced standard care on symptom severity among children with autism spectrum disorder: the TIME-A randomized clinical trial. Jama, 318(6), 525-535.doi:10.1001/jama.2017.9478
  18. Boso, M., Emanuele, E., Minazzi, V., Abbamonte, M., & Politi, P. (2007). Effect of Long-Term Interactive Music Therapy on Behavior Profile and Musical Skills in Young Adults with Severe Autism. The Journal of Alternative and Complementary Medicine, 13(7), 709-712. doi: 10.1089/acm.2006.6334
  19. Brandalise, A. (2001). Musicoterapia músico-centrada: Linda – 120 sessões. São Paulo: Apontamentos.
  20. Bruscia, K. E. (2016). Defining Music Therapy (3rd ed.). Dallas: Barcelona Publishers. (First edition published 1998).
  21. Dancey, C. P., & Reidy, J. (2013). Estatística sem matemática para psicologia (5th ed.). Porto Alegre: Penso Editora.
  22. El-Khouri, R. N. (2006). Uma leitura Junguiana do procedimento da Improvisação Musical Clínica em Musicoterapia. 63f. Monografia de especialização, Universidade Estadual de Campinas, Campinas, SP, Brasil.
  23. Fabricius, T. (2012). On neural systems for speech and song in autism. Letter to the editor. Brain, 135(11), e222. doi: 10.1093/brain/aws179
  24. Farmer, K. J. (2003). Effect of Music vs. Nonmusic Paired with Gestures on Spontaneous Verbal and Nonverbal Communication Skills of Children with Autism Between the Ages 1-5. Master thesis, Florida State University, Tallahassee,FL, USA.
  25. Finnigan, E., & Starr, E. (2010). Increasing social responsiveness in a child with autism: acomparison of music and non-music interventions. Autism, 14(4), 321-348. doi: 10.1177/1362361309357747
  26. Freire, M., André, A., & Kummer, A. (2015). Protocolo de atendimento de Musicoterapia Improvisacional musicocentrada para crianças com autismo. Brazilian Journal of Music Therapy, XVII(18), 104-117.
  27. Gattino, G. (2012). Musicoterapia aplicada à avaliação da comunicação não verbal de crianças com transtornos do espectro autista: revisão sistemática e estudo de validação. Dissertação de mestrado, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.
  28. Gattino, G. S., Riesgo, R. S., Longo, D., Leite, J. C. L., & Faccini, L. S. (2011). Effects of relational music therapy on communication of children with autism: a randomized controlled study. Nordic Journal of Music Therapy, 20(2), 142-154.Doi:10.1080/08098131.2011.566933
  29. Geretsegger, M., Elefant, C., Mössler, K. A., & Gold, C. (2015). Music therapy for people with autism spectrum disorder. Cochrane Database Syst Rev, 6(6), CD004381.doi:10.1002/14651858.CD004381.pub3
  30. Geretsegger, M., Holck, U., & Gold, C. (2012). Randomised controlled trial of improvisational music therapy’s effectiveness for children with autism spectrum disorders (TIME-A): study protocol. BioMed Central Pediatrics, 12(2). doi:10.1186/1471-2431-12-2
  31. Guy, W. (2000). Clinical Global Impressions (CGI) Scale. Washington, DC: American Psychiatric Association.
  32. Hutka, S. A., Bidelman, G. M., & Moreno, S. (2013). Brain signal variability as a window into the bidirectionality between music and language processing: Moving from a linear to a nonlinear model. Frontiers in psychology, 4, 984.doi:10.3389/fpsyg.2013.00984
  33. Kim, J., Wigram, T., & Gold, C. (2008). The Effects of Improvisational Music Therapy on Joint Attention Behaviors in Autistic Children: A Randomized Controlled Study. J Autism Dev Disord, 38, 1758–1766. doi: 10.1007/s10803-008-0566-6
  34. Kim, J., Wigram, T., & Gold, C. (2009). Emotional, motivational and interpersonal responsiveness of children with autism in improvisational music therapy. Autism, 13(4), 389-409.doi: 10.1177/1362361309105660
  35. Landa, R. J. (2008). Diagnosis of autism spectrum disorders in the first 3 years of life. Nature Clinical Practice Neurology, 4, 138-147. doi: 10.1038/ncpneuro0731
  36. Lanovaz, M. J., Rapp J. T., & Ferguson, S. E. (2012). The Utility Of Assessing Musical Preference Before Implementation Of Noncontingent Music To Reduce Vocal Stereotypy. Journal Of Applied Behavior Analysis, 45(4), 845–851. doi:10.1901/jaba.2012.45-845
  37. Marteleto, M. R. F., & Pedromônico, M. R. M. (2005). Validity of autism behavior checklist (ABC): preliminary study. Revista Brasileira de Psiquiatria, 27(4), 295-301.
  38. Mers, C. (2007). Effects of music therapy on prosocial behavior of students with autism and developmental disabilities. Dissertação de Mestrado, University of Nevada, Las Vegas, NV, USA.
  39. Molnar-Szakacs, I., & Heaton, P. (2012). Music: a unique window into the world of autism. Annals of New York Academic Science, 1252, 318-324.doi:10.1111/j.17496632.2012.06465.x.
  40. Molnar-Szakacs, I., Wang, M. J., Laugeson, E. A., Over, K., Wu, W. L., & Piggot, J. (2009). Autism, Emotion Recognition and the Mirror Neuron System: The Case of Music. Mcgill Journal of Medicine, 12(2), 87-98.
  41. Nordoff, P., & Robbins, C. (2007). Creative Music Therapy: a guide to fostering clinical musicianship (2nd edition, revised and expanded by Clive Robbins). Illinois: Barcelona Pub. (First edition published 1977)
  42. Ouimet, T., Foster, N. E. V., Tryfon, A., & Hyde, K. L. (2012). Auditory-musical processing in autism spectrum disorders: a review of behavioral and brain imaging studies. Annals of New York Academic Science, 1252, 325–331. doi:10.1111/j.17496632.2012.06453.x
  43. Pereira, A., Riesgo, R. S., & Wagner, M. B. (2008). Childhood autism: translation and validation of the Childhood Autism Rating Scale for use in Brazil. Jornal de Pediatria, 84(6), 487-494.
  44. Reitman, M.; Lim, N., Roca, C., & Padilla, A. (2006). Effectiveness of Music Therapy interventions on joint attention in children diagnosed with autism: apilot study. Resumo, Carlos Albizu University.
  45. Rojas, D. G., Angulo, G. P., & Rodríguez, R. M. S. (2018). Efectos de la Musicoterapia en el Trastorno de Espectro Autista. Revista de Educación Inclusiva, 11(1), 175-192.
  46. Rossignol, D. A. (2009). Novel and emerging treatments for autism spectrum disorders: a systematic review. Ann Clin Psychiatry, 21(4), 213-236.
  47. Sarapa, K. B., & Katusic, A. H. (2012). Application of music therapy in children with autistic spectrum disorder/Primjena muzikoterapije kod djece s poremecajem iz autisticnog spektra. Revija za Rehabilitacijska Istrazivanja, 48(2), 124-129.
  48. Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H., & Aluwahlia, S. (1983). A Children’s Global Assessment Scale (CGAS). Archives of General Psychiatry, 40, 1228-1231.
  49. Simpson, K., & Keen, D. (2011). Music interventions for children with Autism: narrative review of the literature. J Autism Dev Disord, 41(11), 1507-14. doi:10.1007/s10803-0101172-y
  50. Wan, C., & Schlaug, G. (2010). Neural pathways for language in autism: the potential for music based treatments. Future Neurol, 5(6), 797-805. doi:10.2217/fnl.10.55
  51. Wigram, T., & Gold, C. (2006). Music therapy in the assessment and treatment of autistic spectrum disorder: clinical application and research evidence. Child: care, health and development, 5(32), p.535-542.doi:10.1111/j.1365-2214.2006.00615.x

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

1 2 > >>