Impact of BMGIM Music Therapy on Emotional State in Patients with Inflammatory Bowel Disease: A Randomized Controlled Trial
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Keyword(s)Inflammatory bowel disease
Background. Patients with inflammatory bowel disease (IBD) have a high prevalence ofemotional disturbances which worsen the symptoms of the disease. As a therapeutic alternative thatis part of a comprehensive care alongside medication, the Bonny Method of Guided Imagery andMusic (BMGIM) music-assisted therapy has achieved promising emotional improvements in patientswith chronic diseases. The objective of the study was to determine the impact of a treatment based ona BMGIM group adaptation on patients with inflammatory bowel disease (IBD) and their emotionalstate, therefore analyzing state of mind, quality of life, anxiety, depression, immunocompetence as amarker of well-being, and levels of acute and chronic stress. Methods. Longitudinal, prospective,quantitative, and experimental study including 43 patients with IBD divided into an interventiongroup (22 patients), who received eight sessions over eight weeks, and a control group (21 patients).A saliva sample was taken from each patient before and after each session in order to determinecortisol and IgA levels. Similarly, a hair sample was taken before the first and after the last session todetermine the cumulative cortisol level. All molecules were quantified using the ELISA immunoassaytechnique. In addition, patients completed several emotional state questionnaires: HADS, MOOD,and CCVEII. Results. An improvement was observed in the following states of mind: sadness, fear,anger, and depression. No significant effect was observed in state of mind in terms of happinessor anxiety, in the levels of cortisol in hair, and in patients’ perceived quality of life. A reduction incortisol was observed in saliva, although this did not significantly affect the IgA titer. Conclusions.BMGIM seems to improve the emotional state of patients with IBD.