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1- Islamic Azad university .Science and research Branch
2- University of social welfare& Rehabilitation Sciences. , Ashayerih.neourosientice@yahoo.com
3- Tehran university
4- .Eslmic Azad university Eslamshahr Branch
Abstract:   (98 Views)
abstract
Objective: Multiple Sclerosis (MS) is a chronic autoimmune, demyelinating disorder of the central nervous system (CNS). Psychological well-being often declines as a consequence of this impairment. Application of neurological musical intervention in adaptations with limitation of neurological impairments has been under the consideration of researches. This study is designed to investigate the effectiveness of neurological music intervention on the psychological well-being of woman with MS.
Materials & Methods: A semi-experimental study with pre-test and post-test design was conducted. 20 women from the Iranian MS Association, with relapsing- remitting course, age 20 to 30 years, were selected with the Convenience Sampling method. After grouping them with variables such as education, age, marital status, occupation and low Extended Disability Status (EDSS), they were randomly paired and assigned to experimental and control groups after obtaining consent from them and taking the pretest. The exclusion criteria for the participants of this study were as follows: no psychological symptoms ) such as : depression ( and no other attempts at musical training during intervention. Neurological music intervention based on " Musical Executive Function Training" (Thaut, 2005) to affect the frontal and prefrontal lobe was designed with assisting a musician based on Iranian culture.  The 8 designations of the training program included: " Executive function", "Goal regulation support ", Group motivation ", "Impulsivity control"," Inhibition "Responsibility"  "Problem solving creativity" and" Decision making/creativity ". The internal validity of program was gathered. The experimental group received 30 sessions of two times a week for three months in MS association center while the control group did not receive any training.  Scores were gathered using Ryff (1995) 42- item psychological well-being scale in the pre-test and post-test stages and the Kurtke (1983) Extended Disability Status Scale was used to evaluate physical disabilities of MS participants.
 Results: The results, analyzed using ANCOVA and MONCOVA indicated significant improvement in psychological well-being (p< 0.05) and medium effect size (0/38) according to the Cohen Scale. No significant improvement in 6 Ryff subscales was observed but a small effect was indicated in self-acceptance (0/02), personal growth (0/02), purpose of life (0/01), environmental mastery (0/07), autonomy (0/09) and small to medium size of effect in positive relation (0/23). 
Conclusion: According to experts there is no cure for multiple sclerosis - although there are numerous treatments and rehabilitation interventions to slow down and reduce the physical and psychological symptoms. These findings suggest that neurological music intervention based on "Musical Executive Function Training" has a potentially dual effect on cognitive and affective aspects of the brain. This kind of music intervention includes group and individual improvisation and composition exercises which improved to practice executive function skills such as organization, problem solving, decision making and comprehension. Results in this study indicate that neurological music intervention improves psychological well-being in woman with MS. Although there was no significant effect on the subscale of psychological well-being a small to medium size effect was observed on different subscales of well-being. It appears this intervention can be applied to clinical and rehabilitation settings
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Type of Study: Original | Subject: Exceptional Children Psychology
Received: 22/09/2018 | Accepted: 5/01/2019

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