اثر موسیقی درمانی بر پرخاشگری، علایم بیش فعالی و کمبود توجه در کودکان مبتلا به اختلال نقص توجه بیش فعالی
محورهای موضوعی : تکتونواستراتیگرافی
1 - دانشیار، گروه آموزشی فیزیولوژی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران.
کلید واژه: کودکان, اختلال نقص توجه-بیش فعالی, موسیقی درمانی,
چکیده مقاله :
اختلال نقص توجه – بیش فعالی بیماری نسبتا شایعی در بین کودکان می باشد که با نشانه‌های پرخاشگری، بیش فعالی، اضطراب و کمبود توجه همراه می‌باشد. با توجه به اثرات جانبی داروهایی که برای درمان این اختلال استفاده می‌شود، این مطالعه با هدف بررسی اثر موسیقی درمانی بر بهبود نشانه‌های این اختلال انجام گرفته است. این مطالعه نیمه تجربی در سال 1395 در دانشگاه آزاد اسلامی واحد شیراز بر روی 20 کودک ایرانی با اختلال نقص توجه – بیش فعالی انجام گرفت. در این بررسی که به روش پیش و پس آزمون انجام گرفت، کودکان به 2 گروه 10 نفره تجربی و کنترل تقسیم شدند. کودکان گروه تجربی به مدت 3 هفته تحت 20 جلسه 2 ساعته موسیقی درمانی با روش آموزشی ارف قرار گرفتند. داده‌های بدست آمده از سنجش دو آزمون آخن باخ و کانرز با استفاده از روش آماری تحلیل کوواریانس و با کمک نرم افزار SPSS-18 تحلیل شدند و اختلاف بین گروهها در سطح 05/0>P معنی دار در نظر گرفته شد. نتایج بدست آمده از آنالیز دادهها بیان‌گر آن است که در این کودکان بیمار، موسیقی درمانی باعث کاهش پرخاشگری و بیش‌فعالی در سطح 01/0>P و افزایش توجه در سطح 001/0>P نسبت به گروه کنترل می‌شود. لذا موسیقی درمانی به احتمال زیاد، از راه اصلاح عملکرد مغز باعث بهبود نشانه‌های پرخاشگری، کمبود توجه و بیش فعالی در کودکان با اختلال نقص توجه - بیش فعالی شده است.
Background & Aims: Attention deficit - hyperactivity disorder(ADHD) is relatively common among children is associated with symptoms of aggression, hyperactivity, anxiety, and attention deficit. Due to side-effects of the medications used to treat this disorder, this study aimed to investigate effects of music therapy on improvement of disorder symptoms has been made.
Materials &Methodes:This semi-experimental study at Islamic Azad University of Shiraz in 1395 on 20 Iranian children with Attention Deficit-Hyperactivity Disorder - ADHD was conducted. The study which was performed by pre & post-test, children were divided into two groups of 10 experimental and control group. Children of experimental group were trained 20 sessions of 2 hours a day music therapy for 3 weeks in methods of Orff's. Data obtained from two tests of Aachen Bach and Connors using covariance method and with SPSS-18 software were analyzed and in all cases, significant difference between groups at P<0/05 was considered.
Results: The results of data analysis indicated that in children with attention deficit- hyperactivity disorder, music therapy causes to reduce aggression and hyperactivity at P<0/01 and increase the attention at P<0/001 than to the control group.
Conclusion: Music therapy likely by modifying brain function, has caused to improve symptoms of aggression, attention deficit-hyperactivity disorder in children with Attention Deficit-Hyperactivity Disorder.
-Anna, M., & Mike, J. (2011). Music therapy for depression:it seems to work,but how?. Br J Psychiatry, 199(2): 92-93.
-- Banerjee, T.D., Middleton, F., & Faraone, S.V. (2007). Environmental risk factors for attention-deficit hyperactivity disorder. Acta Paediatr, 96(9):1269-1274.
- Barklyey, R.A. (2004). Adolescents with attention defcit hyperactivity disorder an overview of emprricalty based treatment. J PsychiatrPract ,10(1): 39-56.
-Carson, D.S., Comish, L., Guastella, A., Hunt, G.E., & McGregor, I.S.(2010). Oxytocin decrease methamphetamine self-administration hyperactivity and relaps to methamphetamine seeking behaviorhn rat. Neuropharmacology ,58(1): 38-43.
-Chalbianloo, C.H., & Abdi, R.(2014). The Role of Alpha in Frontal and Temperament-character Dimensions in Predicting of Interpersonal Problems of Patents with Borderline Personality by Mediating of Emotion Discrimination.Journal of Psychological Methodes and Models. 5(17):93-111.
- Choi Ae,N,A., Soolee, M., & Sooklee, J. (2010). Group Music Intervention Reduces Aggression and Improves Self-esteem in Children with Highly Aggressive Behavior: A Pilot Controlled Trial. Evid Based Complement Alternat Med, 7(2): 213–217.
- Daneshpour, A., & Sarvghad, S.(2009). The Relation between Metacognitive Strategies with Aggression and Coping Styles in Shiraz High School Students. Journal of Psychological Methodes and Models. 1(2):75-92.
-Deault, L.C.(2010).Systematic review of parenting in relation to the development of comorbidities and functional impairments in children with attention-deficit/hyperactivity disorder (ADHD).Child Psychiatry Hum Dev, 41(2):168- 192.
- Deming, A.M. & Lochman, J.E. (2008).The Relation of Locus of Control, Anger, and Impulsivity to Boys' Aggressive Behavior. Behavioral Disorders. 33(2): 108-119.
-Feduccia, A.A., & Duvauchelle, C.L. (2008). Auditory stimuli enhance MDMA conditioned reward and MDMA-induced nucleus accumbens dopamine, serotonin and locomotor responses. Brain Res Bull. 77(4):189-96.
- France, B., Neale, BM., Faraone, S.V.(2009). Genume-wide association studies in ADHD. Hum Genet, 126(1): 13-50.
- Grönlund, E. Renck, B. Weibull, J. (2005). Dance/Movement Therapy as an Alternative Treatment for Young Boys Diagnosed as ADHD: A Pilot Study. Am J Dance Ther; 27(2): 63-85.
-Hakimi Rad, E. Afrooz, G. Beh-Pajooh, A. Ghobari–Bonab, B. & Arjmandnia, A. (2014). The effects of response inhibition and working memory training programs on improving social skills in children with Attention Deficit / Hyperactivity Disorder. J Psychological Studies; 9(4): 9-30. (Persian).
-Hosseini, S.E. Karimi, S. Naziry, G. Shojaee, S.S. (2016). The Effectiveness of Instrumental and Relaxing Music on Spiritual Health in Teenagers. Journal of Woman and Society.;7(25):67-80
-Hosseini, S.E. Bagheri, M. & Honarparvaran, N. (2013). Investigating the effect of music on labor pain and progress in the active stage on first labor. Eur Rev Med Pharmacol Sci; 17(11): 1479-1487.
-Huang-Pollock, C.L. Mikami, A.Y. Pfiffner, L. & McBurnett, K. ( 2009). Can executive functions explain the relationship between attention deficit hyperactivity disorder and social adjustment. J Abnorm Child Psychol; 37(5): 679-691.
-Humphreys, K.L., Galán, C.A., Tottenham, N., & Lee, S.S.(2016). Impaired Social Decision-Making Mediates the Association Between ADHD and Social Problems. J Abnorm Child Psychol , 44(5):1023-1032.
-Hyun, Ju, C, SooJi, K. (2010). Education-oriented Music Therapy as an after-school program for students with emotional and behavioral problems. Arts Psychother; 37(3): 190-196.
-Jackson, N.A. (2003). A survey of music therapy methods and their role in the treatment of early elementary school children with ADHD. J Music Ther. 40(4): 302-323.
- Joanne, L., Kristen, S., AnnMarie, D., Aimee, T., & Peter, H. (2013). The effects of Music Therapy on vital signs,feeding and sleep in premature infant. Pediatrics, 131(5): 902-918.
- Jorgensen Carrer, L.R. (2015). Music and Sound in Time Processing of Children with ADHD. Front Psychiatry, 6(1): 127.
-Joseph, B., Carter, R. P., Paul, H. K., Yvonne, W., & Stephen, V. F. (2013). Examining the nature of the association between Attention-Deficit/Hyperactivity Disorder and Nicotine dependence:Afamilial risk analysis. J Psychiatry, 58(3): 177-183.
-Karimi S, Hossieni E, & Naziri G. (2016). Effectiveness of group music therapy on agitatedbehaviors in elderlies with Alzheimer's disease. Horizon Med Sci .; 22 (4) :275-281
-Kiani, B., Hadianfard, H. (2016).The Impact of Intervention Based on Mindfulness on Planning of Adolescents with Subthreshold Symptoms of Attention Deficit-Hyperactivity Disorder in Tower of London Test. Journal of Psychological Methodes and Models. 7(23): 117-134.
-Kollins, S.H. (2008). ADHD, substance use disorders, and psychostimulant treatment: current literature and treatment guidelines. J AttenDisord, 12(2):115-125.
-Lubar, J. F. (1995). Neurofeedback for the management of attention-deficit/hyperactivity disorders. In M. S. Schwartz (Ed.), Biofeedback: A practitioner's guide (pp. 493-522). New York: Guilford Press.
- Mansouriyeh, N., Alilou, M., Rostami, R., Hashemi, T.(2013).The effect of (rTMS) in reducing craving intensity in meta-amphetamine users. J. Appl. Psychol, 6 (4): 43-56.
-Meepien, D., Iamsupasit, S., & Suttiwan, P. (2010). Effect of self control training to reduc aggressive behaviors of female adolesecent offenders in Ban Pranee Juvenile vocational training Center. J Health Res,24(1): 35-38.
- Mells, M.R., & Argiolas, A.(2011). Central control of penile erection : re-visitation of the role of oxytocin and its interaction with dopamine and giutamic acid in male rats. NeurosciBiobehav Rev, 35(3): 939-955.
- Minaei, A. (2006). Adaptation and standardization of Child Behavior Checklist, Youth Self-report, and Teacher’s Report Forms. Research on Exceptional Children m, 6(1): 529-558.
-Monaco, C.M., Gebhardt, K.M., Chlebowski, S.M., Shaw, K.E., Cheng, J.P., & Henchir, J.J. (2014). A Combined Therapeutic Regimen of Buspirone and Environmental Enrichment Is More Efficacious than Either Alone in Enhancing Spatial Learning in Brain-Injured Pediatric Rats. J Neurotrauma ,31(23): 1934-1941.
- Nazla, D., Jorg, A., Doris, G., & Irene, B. E. (2012). Neurofeedback for the treatment of children and adolescents with ADHD : a randomized and controlled clinical trial using parental reports. BMC Psychiatry, 12: 107-113.
- Niehues, J., Delwing, D., Delwing, D., & Geraldo, J. (2011).The power of classic music to reduce anxiety in rats treated with Simvastatin. Basic and Clinical Neuroscience,2(4):5-11.
- Nizamie, S.H., & Tikk, S.K. (2014). Psychiatry and music. Indian J Psychiatry, 56(2): 128–140.
-Rapport, M.D., Bolden, J., Kofler, M.J., Sarver, D.E., Raiker, J.S., & Alderson, R.M. (2009). Hyperactivity in boys with attention -deficit hyperactivity disorder (ADHD):a ubiquitous core symptom or manifestation of working memory deficits. J Abnorm Child Psychol, 9(1): 321-335.
-Reid, R.,Trout, A.L., & Schartz, M.(2005). Self-regulation interventions for children with ADHD. Except Child ,71(4)
: 361-377.
-Richard, N.S., Tokhsati, S.R., & Field, S.E. (2005). The effect of music on cognitive performance:insight from neurobiological and animal study. Behavcognneurosic Rev, 4(4): 235-240.
-Rickson, D.J., Watkins, W.G. (2003). Music therapy to promote prosocial behaviors in aggressive adolescent boys--a pilot study. Music Ther , 40(4): 283-301.
- Shahaeian, A., Laeia, S., & Yosofy, F. (2007). Standardization, reliability and factor analysis critical rating scale, the short form Conners for parents of children 6 to 11 years old in the city of Shiraz. J Psychological Studies ,3(3): 97-120.
- Taghi Pour Javan A, Abedi A, Hassan Nattaj F, & Dehghani M. (2012). The Effectiveness of Rhythmic Movement Games on Memory in Children with Mental Retardation. J Life Sci Biomed; 2(4): 161-166.
- Tavakoli, F., Hosseini, S.E., Mokhtari, M., Vahdati, A., Razmi, N., Vessal, M. (2012). Role of music in morphine rewarding effects in mice using conditioned place preference (CPP) method. NeuroEndocrinol Lett , 33(7): 709-712.
-Timothy, E., Wilens, M.D., & Thomas, J. (2010). Understanding Attention-Deficit/Hyperactivity Disorder From Childhood to Adulthood. Postgrad Med , 122(5): 97–109.
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