The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
권호 표지
DOI QR코드

DOI QR Code

The effects of music therapy program with the hand manipulation on the depression and cognition in elderly women with mild depression

손 조작을 통한 음악치료 프로그램이 경도우울증 여성노인의 우울과 인지에 미치는 영향

  • Jung Min Lee (Division of Integrated Art Therapy, School of Korean Medicine, Pusan National University) ;
  • Young-Kyu Kwon (Division of Integrated Art Therapy, School of Korean Medicine, Pusan National University) ;
  • Dong Ju Lee (Department of Archaeological Art History, Graduate School, Dong-A University)
  • 이정민 (부산대학교 한의학전문대학원 통합예술치료학과) ;
  • 권영규 (부산대학교 한의학전문대학원 통합예술치료학과) ;
  • 이동주 (동아대학교 대학원 고고미술사학과)
  • Received : 2022.04.21
  • Accepted : 2022.08.19
  • Published : 2022.09.01
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this study is to investigate the effect of music therapy combined with hand manipulation on depression and cognition in elderly women with mild depression. Methods: In order to investigate the effects of a music therapy program through hand, 20 elderly women with a GDS-K score of 14-18 were selected among women aged 65 to 84 living in Busan. The 10 subjects in the experimental group were given the music therapy program 3 times a week for 4 weeks, 12 sessions, and the 10 subjects in the control group were not given it. GDS-K and K-MoCA were performed before and after the experiment, and data analysis was performed through Wilcoxon's test using the SPSS 24.0 statistical package program. Results: The music therapy program through hand manipulation is effective in reducing depression in elderly women with mild depression, and there was a significant decrease. The sub-domains of depression, such as tension and depressive emotions, life dissatisfaction, lethargy, cognitive difficulties, low energy, and loss of motivation, were significantly reduced. In addition, it has an effect on cognition, and it significantly increased in attention, delayed recall ability, which are sub-domains of cognition. There is a significant difference in depression between the experimental group and the control group, and there is a significant difference in cognition between the two groups. Conclusions: The music therapy program with hand manipulation has a positive effect on depression and cognition in elderly women with mild depression.

Keywords

Acknowledgement

연구에 도움을 주신 동아대학교 대학원 음악문화학과 교수님들과 동기들께 감사를 표합니다. 이 논문은 2020학년도 동아대학교 대학원 석사학위논문을 학술지 형식에 맞추어 투고하는 것입니다.

References

  1. Im, J.H. Development of a percussion-oriented group music therapy program for the reduction of depression in the general elderly and verification of effectiveness. Culture and Fusion. 2020; 42(8) 563-591. https://doi.org/10.33645/cnc.2020.08.42.8.563
  2. Ministry of Public Administration and Security. Resident registration demographics [serial online] 2017[cited 2022 Apr 20]. Available from: https://jumin.mois.go.kr/#
  3. Statistics Korea. 2017 Life Table. [serial online] 2018[cited 2022 Apr 20]. Available from: https://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=371860
  4. Kim, A.S. Psychology of old age and old age. Seoul: Sigma press;2012:279-319
  5. Chung, H.J., Yun, J.Y., Lee, H.S., Lee, S.H., & Shim G.W. Factors associated with depression in Korean older adults. Korean Society of Clinical Geriatrics. 2001;2(2):81-95.
  6. Kim, B.J. Individual and regional level factors influencing depression in the elderly. Wellness Society of Korea. 2020;15(4):695-706. http://dx.doi.org/10.21097/ksw.2020.11.15.4.69
  7. Park, J.Y. Depression and suicide in the elderly. Hallym University Aging Society Research Institute (Edit). Understanding the Aging Society: Aging and Society. Seoul: Sohwa press:2010:133-139.
  8. Oh, B.H. Elderly suicide problem and prevention. Korean Society of Clinical Geriatrics. 2006;7(1),88-92.
  9. Statistics Korea. Cause of death statistics in 2019. [serial online] 2020[cited 2022 Apr 20]. Available from: https://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=385219
  10. Park, J.H., Lee, Y.H. Effect of gender, age, and education level on the Korean version of the mental state test in rural elderly people. Neuropsychiatry. 1999;38(1),173-180.
  11. Shin, I.S., Kim, J.M., Yoon, J.S., Kim, S.J., Yang, S.J., Lee, S.H., et al. A comparison of the prevalence and risk factors of dementia in Gwangju in urban-rural areas. Neuropsychiatry. 2002;41(6), 1165-1173.
  12. Yoon, S.J., Lee, Y.H., Son, T.Y., Oh, H.J., Han, G.S., Kim, K.H. Associated factors between dementia and depression in the elderly in the community. Korean Gerontology. 2002;21(3)59-73.
  13. Korea Centers for Disease Control and Prevention. National health and nutrition survey in 2019. [serial online] 2021[cited 2022 Apr 20]. Available from: https://knhanes.kdca.go.kr/knhanes/sub03/ sub03_02_05.do
  14. Cha, J.Y., Moon, J.Y. A meta-analysis of music therapy studies for the reduction of depression. Korean Art Research No. 11 pp. 193-224 Korean Gerontology. 2015;28(2), 345-355.
  15. Huang, E.Y., Mun, S.R., Kim, G.S., & Ko, B.S. All That Elderly Music Therapy: Theory and practice of music therapy for the elderly. Seoul: Hakjisa press: 2020:61-99.
  16. Baek,Y.S., & Kim,S.J. The effect of music autobiography program through life retrospective on the improvement of depression in the super-aged elderly. Korean journal of gerontological social welfare. 2021;76(2),9-33. https://doi.org/10.21194/kjgsw.76.2.202106.9
  17. Gil, T.S., & Jang, S.J. Analysis of game effects on changes in depression and self-esteem in music therapy for the elderly using rhythm action games. Journal of the Korea Computer Game Society. 2012;25(3). 93-103.
  18. Shin, J.A. The effect of fan dance learning on the improvement of brain function in the elderly-Focused on active brain waves, left and right brain activity, and brain utilization ability-. PhD thesis in University Graduate School. 2016:119-122.
  19. Lee, E.K. Comparison of activation degree of upper extremity muscle in elderly according to hand percussion instrument playing method. Master's thesis in Ewha Womans University Graduate School of Education. 2014:27-45.
  20. Yoo, S.Y., & Huang, S.G. The effects of hand function training on emotional change of the silver generation. Korean Society of Science and Art Convergence. 2015;19, 503-513. http://dx.doi.org/10.17548/ksaf.2015.03.19.503
  21. Yesavage, J. A., Brink, T. L., Rose, T. L., Lum,O., Huang,V., & Adey,M. Development and validation of a geriatric depression screening scale:A preliminary report, Journal of Psychiatric Research. 1983;17(1), 37-49. https://doi.org/10.1016/0022-3956(82)90033-4
  22. Jeong, I.G., Kwak, D.I., Cho, S.H., & Lee, H.S. A study on the standardization of the Korean Form of Geriatric Depression Scale (KGDS). 1997;1(1), 61-72.
  23. Kim, J.Y., Park, J.H., Lee, J. J., Huh, Y.S., Lee, S.B., & Han, S. K. Standardization of the Korean Version of the Geriatric Depression Scale: Reliability, Validity, and Factor Structure. Journal of Korean Neuropsychiatric Association, Psychiatry Invest. 2008;5,232-238. https://doi.org/10.4306/pi.2008.5.4.232
  24. Jung, Y.K. Detection of memory mild cognitive impairment through Montreal Cognitive Assessment. Master's thesis in Chonnam National University Graduate School of Psychology. 2010:6-25.
  25. Kang, Y.W., Park, J.S., Yoo, K.H., & Lee, B.C. Reliability, validity, and normative study of the Korean-Montreal Cognitive Assessment (K-MoCA) as a screening test for vascular cognitive impairment. Korean Psychological Association. 2009;28(2), 549-562. https://doi.org/10.15842/kjcp.2009.28.2.013
  26. Yong, B.G. Yellow emperor's inner canon. Seoul: Nonjang press: 2010:52-87.
  27. Kim,H.B., Ac, L., & Om, Dipl. Handbook of oriental medicine(4th ed). AcupunctureMedia.com press; 2013:3-28.
  28. Zhou,X.S. A diagram explanation of the basic theory of Chinese medicine(2nd ed). Beijing People's Health press; 2004:211-217.
  29. Heo, J. Original DongUiBoGam. Seoul: Namsandang press: 1998.
  30. Penfield, W., & Boldrey, E. Somatic Motor and Sensory Representation in the Cerebral Cortex of Man as Studied by Electrical Stimulation. Brain. 1937;60(4), 389-443. http://doi=10.1.1.873.4232&rep=rep1&type=pdf https://doi.org/10.1.1.873.4232&rep=rep1&type=pdf
  31. Seo, D.N. fMRI study on the hand-related motor area in the human brain. Department of East-West Medical Engineering, Kyung Hee University Graduate School Master's thesis. 2006:17-18.
  32. Park, H.K. Neuroscience in pictures. Paju, Gyeonggi-do: Sumunsa press: 2020:62-91.
  33. Lee, H.G., Kang, J.H., Kim, G.Y., Kim, B.H., Kim, S.A., & Kim, H.J. New Terms Human Anatomy & Physiology. 4th Edition. Seoul Hyeonmunsa press: 2019:301-306.
  34. Donald, A.N. Neumann KINESIOLOGY : Kinesiology of the Musculoskeletal System. Seoul: Beommun Education press: 2018:283-320.
  35. Shi, X.M., Wang, L.L., Liang, F.R., Wang, H., & Du, W.H. Acupuncture. 2nd Edition. Beijing, Chinese medicine press: 2007:126-127.
  36. Roland, PE., Larsen, B., Lassen, N.A., & Skinhoj, E. Supplementary motor area and other cortical areas in organization of voluntary movements in man. Journal of Neurophysiology. 1980;43(1),118-36. http://doi:10.1152/jn.1980.43.1.118
  37. Lee, H.G., Yang, J.S. Hemodynamic response in the primary motor area of the cerebral cortex during hand movements. Journal of the Korean Society for Social and Physical Education. 2016;65,527-539.
  38. Cole, M.W., Reynolds, J.R., Power, J.D., Repovs, G., Anticevic, A., & Braver, T.S. Multitask connectivity reveals flexible hubs for adaptive task control. Nature Neuroscience. 2013;16,1348-1355. http://doi:10.1038/nn.3470
  39. Lee, K.J., Kim, S.J. Effect of percussion instrument performance program on depression and self-esteem of elderly in facilities. Journal of the Korean Society for Home Management. 2011;29(5),153-163.
  40. Cho, S.Y. A Comparative study on yin-yang and the five elements in The yellow emperor's inner classic and Illustrated text on traditional music. Journal of the traditional Korean music education. 2020;49(49),75-93.
  41. Baidubaike. Shixuanxue. [cited 2022 Aug 3]. Available from: https://baike.baidu.com/item/%E5%8D%81%E5%AE%A3%E7%A9%B4/9109044