Otizm spektrum bozukluğu olan çocuklarda müzik terapinin otizm belirtileri ve yaşam kalitesine etkisi
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Dosyalar
Tarih
2019
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Amaç: Bu çalışmanın amacı, müzik terapinin otizm spektrum bozukluğu (OSB) olan çocuklarda otizm belirtileri ve
yaşam kalitesi üzerine etkisinin araştırılmasıdır. Yöntem: Çalışmada OSB’li iki grup 24 olgu, aylık rutin çocuk
psikiyatri kontrolleri ve özel eğitim ve dışında herhangi bir eğitim veya tedavi almayan bir grup ile bunlara ek olarak
müzik terapi alan diğer grup, müzik terapi öncesi ve sonrasına ilişkin otizm belirtileri ve yaşam kalitesi açısından
karşılaştırılmıştır. Olguların hiçbiri psikiyatrik ilaç kullanmamıştır. Müzik terapi grubundaki çocuklara müzik terapisti
tarafından sekiz hafta süreyle, haftada iki kez 40 dakikalık improvizasyonel müzik terapi uygulanmıştır. Otizm
belirtileri Otizm Davranış Kontrol Listesi (ODKL), yaşam kalitesi Çocuklar için Yaşam Kalitesi Ölçeği (ÇİYKÖ) ile
belirlenmiştir. Bulgular: Müzik terapi öncesi için iki grup arasında ODKL ve ÇİYKÖ alt ölçeklerinde istatistiksel
olarak anlamlı bir fark saptanmamış olup, müzik terapi sonrası için iki grup arasında ODKL ilişki kurma, dil becerileri,
toplam ölçek puanında (p=0.012, p=0.04, p=0.032) ve ÇİYKÖ duygusal yaşam kalitesi puanlarında (p<0.001)
istatistiksel olarak anlamlı farklılıklar bulunmuştur. Ayrıca, müzik terapi grubundaki OSB’li çocukların müzik terapi
sonrası öncesine göre ODKL ilişki kurma, beden-nesne kullanımı, dil becerileri, toplumsal-öz bakım, ölçek toplam
puanlarında istatistiksel olarak anlamlı düzeyde düşük puanlar aldıkları (sırasıyla, p<0.001, p=0.017, p=0.009,
p=0.027, p<0.001) ve ÇİYKÖ duygusal, toplumsal, okul, ruhsal-toplumsal ve ölçek toplam puanlarında ise istatistiksel
olarak anlamlı düzeyde yüksek puanlar aldıkları saptanmıştır (sırasıyla, p=0.002, p<0.001, p=0.009, p<0.001,
p<0.001). Tartışma: Çalışmamızda müzik terapinin OSB’li çocuklarda hem otizm spektrum belirtileri, hem de yaşam
kalitesi açısından ek olumlu gelişmeler sağladığı saptanmıştır. Çalışmamızda elde edilen bu sonuçlar literatürle
uyumlu olup müzik terapinin OSB’li çocuklarda rutin tedaviye ek olarak tamamlayıcı bir yöntem olarak kullanılabileceğini
düşündürmektedir. (Anadolu Psikiyatri Derg 2019; 20(4):436-441)
Objective: The purpose of this research is to investigate the effect of music therapy on autistic symptoms and quality of life in children with autism spectrum disorder (ASD). Methods: In this research, 24 ASD diagnosed children in two groups; one group that received no treatment except monthly routine child psychiatric follow-up and special education, and the other group that received additional music therapy were compared in terms of pre and post music therapy autistic symptoms and quality of life. None of the children used psychiatric drugs. The children in the music therapy group received twice-weekly forty minute sessions of improvisational music therapy for eight weeks by a music therapist. Autistic symptoms were assessed with the Autism Behavior Checklist (AuBC) and quality of life was assessed with Pediatric Quality of Life Inventory (PedsQL). Results: There was statistically significant difference in relationship building, language skills, total scores of AuBC (p=0.012, p=0.04, p=0.032) and in emotional quality of life scores of PedsQL (p=0.001) between two groups after music therapy with no statistically significant difference in AuBC or PedsQL scores before music therapy. In addition, it was revealed that ASD children in music therapy group had statistically significant lower scores in relationship building, body-object use, language skills, social self-care, total scores of AuBC (respectively, p<0.001, p=0.017, p=0.009, p=0.027, p<0.001) and statistically significant higher scores in emotional, social, school, psychosocial, total quality of life scores of PedsQL (respectively, p=0.002, p<0.001, p=0.009, p<0.001, p<0.001) after music therapy compared to before. Discussion: In our research, it was revealed that music therapy provide additional positive results in autism spectrum symptoms and quality of life in children with ASD. These results obtained in our study were consistent with the literature and suggested that music therapy could be used as a complementary method in addition to routine treatment in children with ASD.
Objective: The purpose of this research is to investigate the effect of music therapy on autistic symptoms and quality of life in children with autism spectrum disorder (ASD). Methods: In this research, 24 ASD diagnosed children in two groups; one group that received no treatment except monthly routine child psychiatric follow-up and special education, and the other group that received additional music therapy were compared in terms of pre and post music therapy autistic symptoms and quality of life. None of the children used psychiatric drugs. The children in the music therapy group received twice-weekly forty minute sessions of improvisational music therapy for eight weeks by a music therapist. Autistic symptoms were assessed with the Autism Behavior Checklist (AuBC) and quality of life was assessed with Pediatric Quality of Life Inventory (PedsQL). Results: There was statistically significant difference in relationship building, language skills, total scores of AuBC (p=0.012, p=0.04, p=0.032) and in emotional quality of life scores of PedsQL (p=0.001) between two groups after music therapy with no statistically significant difference in AuBC or PedsQL scores before music therapy. In addition, it was revealed that ASD children in music therapy group had statistically significant lower scores in relationship building, body-object use, language skills, social self-care, total scores of AuBC (respectively, p<0.001, p=0.017, p=0.009, p=0.027, p<0.001) and statistically significant higher scores in emotional, social, school, psychosocial, total quality of life scores of PedsQL (respectively, p=0.002, p<0.001, p=0.009, p<0.001, p<0.001) after music therapy compared to before. Discussion: In our research, it was revealed that music therapy provide additional positive results in autism spectrum symptoms and quality of life in children with ASD. These results obtained in our study were consistent with the literature and suggested that music therapy could be used as a complementary method in addition to routine treatment in children with ASD.
Açıklama
WOS: 000480458500012
Anahtar Kelimeler
autism spectrum disorder, music therapy, improvisational music therapy, quality of life
Kaynak
Anadolu Psikiyatri Dergisi-Anatolian Journal Of Psychiatry
WoS Q Değeri
Q4
Scopus Q Değeri
Q4
Cilt
20
Sayı
4
