M. Risch et al., Music therapy for chronic headaches. Evaluation of music therapeutic groups for patients suffering from chronic headaches, SCHMERZ, 15(2), 2001, pp. 116
Problem. This paper presents a new approach to music therapeutic treatments
. We developed a short time treatment (8 group sessions) for patients suffe
ring from chronic headaches. The multimodal concept of this headache treatm
ent and particularly the effect of a sound trance on headache patients are
explained and evaluated in this paper.
Methods. An evaluation study was done with 34 patients, who belonged to fou
r therapy groups. in order to evaluate this treatment the patients were int
erviewed and had to fill out several self-rating scales about pain and some
psychological variables (e. g. depression) before, directly after and 6-12
months after the treatment. This treatment group (n=26) was compared to a
small waiting group (n=9). A case study elucidated the psyche-social anamne
sis, and the process and outcome of the music therapy.
Results. The case study shows that the sound trance caused a loss of the af
fect control or at least reduced it. This experience enabled the patients t
o develop creative solutions, which resulted in a pain relief 6-12 month la
ter. The comparison of the statistic means directly before and after the tr
eatment did not reveal many therapeutic effects. Yet, 6-12 months later man
y patients reported less days at which they suffered from headaches;and the
y also significantly improved their ability of pain control.
Conclusion. The results indicate that music therapy groups are more success
ful than a waiting group. The study's results agree with numerous other psy
chological evaluation studies and shows once more that music therapists wor
king with patients suffering from chronic headaches are able to achieve suc
cessful results particularly long-dated. Thus,creative therapeutic approach
es supplement the medical treatment, as they help the patients to develop a
n adaptive way of coping their pain. Yet, it will need further research to
confirm the benefit of music therapy for patients suffering from chronic pa
in.