Monday, January 13, 2020
Music-Induced Affect as Treatment of Elderly Depression Essay
Abstract            Depression in elderly patients is one of the most prevalent psychological problems today. However, research and knowledge regarding this subject is limited and those involved in the application of this knowledge to help elderly individuals experiencing depression are lacking in efficient strategies and training. This paper aims to explore the efficacy of inducing positive affect through music as a strategy in treating depression in elderly individuals. The paper focuses on the effectiveness of music alone as tool in treating depression based on its capability to induce positive affect. It is hypothesized that positive affect continuously induced via music within a set time-period will lessen signs of depression. Introduction Depression has recently been recognized as one of main psychological problems facing society today. Literature shows that treatment of depression needs to be specialized in terms of the population it addresses. Certain groups, such as adolescents, respond to certain treatments differently when compared to another group, such as the elderly. (Aryan & Alvidres, 2001; Von Kroff et al, 2001) Depression among the elderly has specifically been found to be rampant and mostly unchecked mainly due to the fact that it was regarded earlier on as a normal step in an individual’s aging. (Casey, 1994) The need for further research on the subject is stressed by the fact that treatments and solutions for depression among elderly individuals are studied only in areas wherein a majority of the population is in the late stages of life. (Bramesfeld, 2003) Also, research has shown that general practitioners involved in treating depression in the elderly need to have more training and information on how best to handle depression in older patients. (Rothera et al, 2002) Diagnosis of depression is also a problem with 70-90% of depressed elderly patients going undiagnosed. (Koenig, 1999) A new strategy being researched for its effectiveness in treating depression employs the use of music techniques. Hendricks et al (1999) showed the potency of music in treating adolescent depression mainly because of its ability to inspire a change in the individual’s emotions. Hanser & Thomson (1994) and Hanser (1990) studies have also shown promise in the use of music techniques to treat depression in older individuals. This paper aims to validate these previous studies but will focus only on the musical aspect of the treatment. Previous research included exercise, muscle relaxation techniques, and recall of experiences which could have confounded the results of the previous studies attesting to the effectiveness of music techniques. Research Question             The goal of this paper is to determine whether there is a significant relationship between music-induced affect and depression. Can positive affect induced by music reduce depression? It is hypothesized that positive music-induced affect has a significant negative relationship with depression. Methods            The design of the study is experimental and random. Specifically, it makes use of a 2Ãâ€"2 between-subjects factorial design. One variable will be the music-induced affect which will have two levels in the experiment, presence and absence of music-induced affect. Negative music-induced affect will not be used for ethical reasons. The other variable will be the test scores of the participants assessing the intensity of their depression. This will have two levels, test scores prior to the application of the music technique and test scores acquired after application. The two variables contribute tot eh 2Ãâ€"2 factorial design. (Mann, 1949) Setting            The study will be conducted in a laboratory setting within primary care facilities from which the participants will be gathered. Performing the experiment in a primary care facility will be more convenient especially because the participants involved are elderly individuals. The laboratory setting will control for confounding variables that could be present in a real environment. Population            The research sample will be composed of individuals from age 65 onwards coming from primary care facilities and who have been diagnosed with depression (ranging from mild to severe). This is to avoid ethical and scientific concerns regarding clinically-induced depression. Data Collection The independent variable is the positive music-induced affect will be measured with the State Form of the Multiple Affect Adjective Check List-Revised (MAACL-R). (Zuckerman & Lubin, 1985) The depression level, the dependent variable, of the participants will be measured with the Beck Depression Inventory (BDI). (Beck et al, 1961) Participants will be randomly assigned to two groups. The experimental group will be administered with music sessions aimed at inducing positive affect. The music will be pre-tested on a different set of participants also with depression to check its validity in inducing positive affect. The control group will not be administered with music sessions and will only be administered the Beck Depression Inventory at the start and at the end of the experimentation period.            The experimental group will be administered the selected music once daily for a duration of four weeks. During the sessions, participants of the experimental set-up will be asked to clear their minds and to concentrate only on the music being played. The State Form of the Multiple Affect Adjective Check List-Revised will be administered before and after each session to ensure that positive affect was induced. The Beck Depression Inventory will also be administered to this group at the start and end of the four-week experimentation period to document depression levels. Data Analysis            Collected data will be analyzed statistically with the use of a one-way analysis of variance (one-way ANOVA). The computed marginal means in the ANOVA will be the determining statistical value indicating the effect of positive music-induced affect on depression scores with the Beck Depression Inventory. Conclusion            Music as a technique employed in treating depression will provide healthcare workers and low-income families with a relatively cost-free strategy of helping elderly individuals experiencing depression. This is also a technique that doesn’t require much training or medical expertise in its administration. All one would need in order to be able to administer this technique is knowledge as to which music selections are prescribed and certified to induce positive affect. This technique, because of its simplicity and speed of application, could also be used as a supplementary strategy to medication, counseling and psychotherapies being employed to treat depression in elderly patients.            The research, however, has many limitations. The range of elderly individuals that will be available for experimentation will only be confined to a specific locality. Time constraints will also be an issue. Further study should be conducted on a larger sample size and over a longer experimentation period. Different music styles and variations can also be checked to ascertain maximum effectiveness of the treatment. Gender could also be checked as a factor.            Depression is indeed a psychological problem that afflicts today’s elderly individuals. Research regarding effective techniques has to be continued and expanded in order for healthcare workers to be able to best address this growing problem. References Arean, P., & Alvidrez, J. (2001). Treating Depressive Disorders Who Responds, Who Does Not Respond, and Who Do We Need to Study? Journal of Family Practices, 50(6), 529 Beck, A., Ward, C., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression, Archives of General Psychiatry, 4, 561-571. Bramesfeld, A. (2003). Service provision for elderly depressed persons and political and professional awareness for this subject: a comparison of six European countries. International Journal of Geriatric Psychiatry, 18, 392-401 Casey, D. (1994). Depression in the elderly. Southern Medical Journal, 87(5), 559-563 Hanser, S. B. (1990). A music therapy strategy for depressed older adults in the community. Journal of Applied Gerontology, 9, 283-298. Hanser, S. B., & Thompson, L. W. (1994). Effects of music therapy strategy on depressed older adults. Journal of Gerontology, 49, 265-269. Hendricks, C., Robinson, B., Bradley, L., & Davis, K. (1999). Using music techniques to treat adolescent depression. Journal of Humanistic Counseling, Education & Development, 38(1), 39-46 Koenig, H. (1999). Late-life depression: How to treat patients with comorbid chronic illness.Geriatrics, 54(5), 56-61 Mann, H.B. (1949). Analysis and design of experiments; analysis of variance and analysis of variance designs. New York, Dover Publications. Rothera, I., Jones, R., & Gordon, C. (2002). An examination of the attitudes and practice of general practitioners in the diagnosis and treatment of depression in older people. International Journal Of Geriatric Psychiatry, 17, 354-358 Von Kroff, M., Katon, W., Wells, K., & Wagner, E. (2001). Improving Depression Care Barriers, Solutions, and Research Needs. Journal of Family Practice, 50(6), 529-561 Zuckerman M, & Lubin B. (1985) Manual for the Multiple Affect Adjective Check List-Revised. San Diego: Educational and Industrial Testing
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