Rapport
médical #3 (en anglais)
Composite effects of group drumming
music therapy on modulation of neuroendocrine-immune parameters in
normal subjects
Bittman BB, Berk LS, Felten DL, Westengard J, Simonton OC, Pappas J, Ninehouser
M
ALTERNATIVE THERAPIES IN HEALTH AND MEDICINE
7 (1): 38-47 JAN 2001
Document type: Article
Language: English
Cited References: 51 Times
Abstract:
Context Drum circles have been part of healing rituals
in many cultures throughout the world since antiquity. Although drum
circles are gaining increased interest as a complementary therapeutic
strategy in the traditional medical arena, limited scientific data
documenting biological benefits associated with percussion activities
exist.
Objective To determine the role of group-drumming
music therapy as a composite activity with potential for alteration
of stress-related hormones and enhancement of specific immunologic
measures associated with natural killer cell activity and cell-mediated
immunity.
Design A single trial experimental intervention
with control groups.
Setting The Mind-Body Wellness Center, an outpatient medical facility
in Meadville, Pa.
Participants A total of 111 age- and sex-matched
volunteer subjects (55 men and 56 women, with a mean age of 30.4
years) were recruited.
Intervention Six preliminary supervised groups were
studied using various control and experimental paradigms designed
to separate drumming components for the ultimate determination of
a single experimental model, including 2 control groups (resting
and listening) as well as 4 group-drumming experimental models (basic,
impact, shamanic, and composite). The composite drumming group using
a music therapy protocol was selected based on preliminary statistical
analysis, which demonstrated immune modulation in a direction opposite
to that expected with the classical stress response. The final experimental
design included the original composite drumming group plus 50 additional
age- and sex-matched volunteer subjects who were randomly assigned
to participate in group drumming or control sessions.
Main Outcome Measures Pre- and postintervention
measurements of plasma cortisol, plasma dehydroepiandrosterone, plasma
dehydroepiandrosterone-to-cortisol ratio, natural killer cell activity,
lymphokine-activated killer cell activity, plasma interleukin-2,
plasma interferon-gamma, the Beck Anxiety Inventory, and the Beck
Depression Inventory II.
Results Group drumming resulted in increased dehydroepiandrosterone-to-cortisol
ratios, increased natural killer cell activity, and increased lymphokine-activated
killer cell activity without alteration in plasma interleukin 2 or
interferon-gamma, or in the Beck Anxiety Inventory and the Beck Depression
Inventory II.
Conclusions Drumming is a complex composite intervention
with the potential to modulate specific neuroendocrine and neuroimmune
parameters in a direction opposite to that expected with the classic
stress response.
Addresses:
Bittman BB, Mind Body Wellness Ctr, 18201 Conneaut Lake Rd, Meadville, PA 16335
USA
Mind Body Wellness Ctr, Meadville, PA 16335 USA
Loma Linda Univ, Sch Med, Ctr Neuroimmunol, Loma Linda, CA 92350 USA
Simonton Canc Ctr, Pacific Palisades, CA USA
Loma Linda Univ, Med Ctr, Clin Labs, Loma Linda, CA 92350 USA
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