Effects of preferred music therapy on peer attachment, depression, and salivary cortisol among early adolescents in Taiwan

J Adv Nurs. 2019 Sep;75(9):1911-1921. doi: 10.1111/jan.13975. Epub 2019 Mar 13.

Abstract

Aims: To explore the effects of preferred music therapy on peer attachment, depression, and salivary cortisol among early adolescents.

Background: As adolescents enter puberty, they start to seek partnering relationships among peers. Peer attachment is central for adolescents and greatly influences their physical and psychological development.

Design: A pre-test-posttest control group design.

Methods: The data were collected from July - October 2016. A total of 65 individuals were included. The treatment group received 40 min of music therapy twice per week over the course of 10 weeks. The control group maintained its typical routine. The research data were collected using structured questionnaires, including basic information, the Inventory of Peer Attachment, the Beck Depression Inventory-II questionnaires, and salivary cortisol concentrations. Statistical analysis methods included percentages, chi-square tests, t tests, analyses of covariance, and the Johnson-Neyman technique.

Results: There were statistically significant differences in peer attachment, depression, and salivary cortisol levels in the music group compared to the control group (p < 0.05). Additionally, the findings showed that early adolescents with more severe depression experienced greater improvement through preferred music therapy.

Conclusion: The results allude to the beneficial effects of receiving preferred music therapy in terms of the peer attachment, depression, and salivary cortisol levels of early adolescents. Adjustments should be made based on the characteristics of student groups to develop suitable and safe music therapy and to reduce the risks of poor mental health.

目的: 探讨首选音乐疗法对早期青少年同伴依恋、抑郁和唾液皮质醇的影响。 背景: 随着青少年进入青春期,他们开始寻求同伴之间的伙伴关系。同伴依恋是青少年的中心,对他们的身心发展影响很大。 设计: 试验前-试验后控制组设计。 方法: 数据收集自2016年7月至10月。共有65人参加。治疗组在10周内每周接受两次40分钟的音乐治疗。对照组保持其典型的常规。研究数据采用结构化问卷收集,包括基本信息、同伴依恋量表、Beck抑郁量表II问卷和唾液皮质醇浓度。统计分析方法包括百分比、卡方检验、t检验、协方差分析和Johnson-Neyman技术。 结果: 音乐组的同伴依恋、抑郁和唾液皮质醇水平与对照组相比有统计学意义(P<0.05)。此外,研究结果表明,抑郁更严重的早期青少年通过首选的音乐治疗经历了更大的改善。 结论: 研究结果表明,在早期青少年的同伴依恋、抑郁和唾液皮质醇水平方面,接受首选音乐治疗的会产生有益效果。应根据学生群体的特点进行调整,以发展合适、安全的音乐治疗,降低心理健康不良的风险。.

Keywords: adolescents; depression; music therapy; nursing; peer attachment; salivary cortisol.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Asian People / psychology*
  • Depressive Disorder / therapy*
  • Female
  • Humans
  • Hydrocortisone / analysis*
  • Interpersonal Relations
  • Male
  • Music Therapy / methods*
  • Peer Group
  • Saliva / chemistry*
  • Taiwan

Substances

  • Hydrocortisone