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      Application of Music Therapy in Improving Sleep Quality and Psychological Health of Pregnant Women with Hypertension: A Retrospective Study

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          Abstract

          Objective:

          The aim of the study was to retrospectively study the effect of music therapy on sleep quality and mental health level of pregnant women with hypertension in pregnancy (HIP).

          Methods:

          A total of 188 pregnant women with gestational hypertension admitted to The Fourth Hospital of Shijiazhuang from January 2022 to January 2023 were selected as the research objects. Based on various management methods documented in the medical record system, the individuals were divided into a control group ( n = 88, routine management) and an observation group ( n = 100, routine management + music therapy). The State-Trait Anxiety Inventory (STAI), Athens Insomnia Scale (AIS), and pregnancy outcomes were compared between the two groups.

          Results:

          No significant difference in the STAI and AIS scores before treatment was found between the two groups on admission ( P > 0.05). The AIS and STAI scores in the observation group were lower than those in the control group 2 days after delivery ( P < 0.05). The total incidence of adverse pregnancy outcomes in the observation group (8.00%) was lower than that in the control group (11.37%), but no significant difference between the two groups ( P > 0.05).

          Conclusions:

          The implementation of music therapy for patients with HIP can alleviate their negative emotions to a certain extent and can improve sleep, offering certain clinical promotion value.

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          Most cited references25

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          Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria.

          To describe and validate the Athens Insomnia Scale (AIS). The AIS is a self-assessment psychometric instrument designed for quantifying sleep difficulty based on the ICD-10 criteria. It consists of eight items: the first five pertain to sleep induction, awakenings during the night, final awakening, total sleep duration, and sleep quality; while the last three refer to well-being, functioning capacity, and sleepiness during the day. Either the entire eight-item scale (AIS-8) or the brief five-item version (AIS-5), which contains only the first five items, can be utilized. The validation of the AIS was based on its administration to 299 subjects: 105 primary insomniacs, 144 psychiatric patients and 50 non-patient controls. Regarding internal consistency, for both versions of the scale, the Cronbach's alpha was around 0. 90 and the mean item-total correlation coefficient was about 0.70. Moreover, in the factor analysis, the scale emerged as a sole component. The test-retest reliability correlation coefficient was found almost 0.90 at a 1-week interval. As far as external validity is concerned, the correlations of the AIS-8 and AIS-5 with the Sleep Problems Scale were 0.90 and 0.85, respectively. The high measures of consistency, reliability, and validity of the AIS make it an invaluable tool in sleep research and clinical practice.
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            Brain correlates of music-evoked emotions.

            Music is a universal feature of human societies, partly owing to its power to evoke strong emotions and influence moods. During the past decade, the investigation of the neural correlates of music-evoked emotions has been invaluable for the understanding of human emotion. Functional neuroimaging studies on music and emotion show that music can modulate activity in brain structures that are known to be crucially involved in emotion, such as the amygdala, nucleus accumbens, hypothalamus, hippocampus, insula, cingulate cortex and orbitofrontal cortex. The potential of music to modulate activity in these structures has important implications for the use of music in the treatment of psychiatric and neurological disorders.
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              The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI).

              Two studies are reported describing the development of a short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI) for use in circumstances where the full-form is inappropriate. Using item-remainder correlations, the most highly correlated anxiety-present and anxiety-absent items were combined, and correlated with scores obtained using the full-form of the STAI. Correlation coefficients greater than .90 were obtained using four and six items from the STAI. Acceptable reliability and validity were obtained using six items. The use of this six-item short-form produced scores similar to those obtained using the full-form. This was so for several groups of subjects manifesting a range of anxiety levels. This short-form of the STAI is therefore sensitive to fluctuations in state anxiety. When compared with the full-form of the STAI, the six-item version offers a briefer and just as acceptable scale for subjects while maintaining results that are comparable to those obtained using the full-form of the STAI.
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                Author and article information

                Journal
                Noise Health
                Noise Health
                NH
                Noise Health
                Noise & Health
                Wolters Kluwer - Medknow (India )
                1463-1741
                1998-4030
                Jul-Sep 2024
                30 September 2024
                : 26
                : 122
                : 332-337
                Affiliations
                [1 ]Department of Obstetrics and Gynecology, The Fourth Hospital of Shijiazhuang, Shijiazhuang, Hebei Province 050000, China
                [2 ]Department of Cardiology, The 980th Hospital of the Joint Logistics Support Force of the People’s Liberation Army of China, Shijiazhuang, Hebei Province 050000, China
                Author notes
                Address for correspondence: Yun Rong, Department of Obstetrics and Gynecology, The Fourth Hospital of Shijiazhuang, No. 16, Tangu North Street, Shijiazhuang City, Hebei Province 050000, China. E-mail: rongyun19821219@ 123456163.com
                Article
                NH-26-332
                10.4103/nah.nah_58_24
                11539989
                39345073
                e4939765-4bb4-47b0-9eaa-eb7c86d90dd0
                Copyright: © 2024 Noise & Health

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 27 March 2024
                : 24 April 2024
                : 24 April 2024
                Funding
                Funding: This research received no external funding.
                Categories
                Original Article

                hypertension pregnancy-induced,sleep,mental health,music

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