dc.contributor.advisor	Ferro, Eugenio Rodriguez
dc.contributor.advisor	Prieto Garzon, Lina Maria
dc.contributor.author	Esteban Cardenas, Manuel Francisco
dc.contributor.orcid	Esteban Cardenas, Manuel Francisco [0000-0002-8516-6151]
dc.date.accessioned	2024-11-07T15:32:51Z
dc.date.available	2024-11-07T15:32:51Z
dc.date.issued	2024-10
dc.description.abstract	Introducción: La musicoterapia es una intervención clínica basada en evidencia, con eficacia en la reducción de síntomas como ansiedad, depresión y modulación de procesos neuroquímicos que promueven el bienestar. Con estudios en los que pasa desapercibido el rol que podría jugar la intensidad de sesiones, en estos efectos. Especialmente en población hospitalizada, teniendo que una estadía limitada llevaría a buscar la mejor concentración posible de sesiones. Materiales y métodos: Se realizó un experimento clínico aleatorizado con dos grupos de intervención: alta y baja frecuencia de musicoterapias semanales. La muestra incluyó pacientes hospitalizados en la Clínica Montserrat que cumplieron con criterios de inclusión y exclusión. La asignación a los grupos se realizó de manera aleatoria y las mediciones se realizaron utilizando escalas de síntomas ansiosos, depresivo y estrés, cuestionarios de sensaciones a la musicoterapia y una pregunta sobre la satisfacción de vida. Resultados: Ambos grupos resultaron comparables tras la aleatorización y ambos presentaron mejoras significativas en ansiedad, depresión y satisfacción con la vida después de la intervención. De estos, los de alta frecuencia mostraron una reducción significativa en los niveles de estrés en comparación los de baja frecuencia (p<0.05). Finalmente, observando que las expectativas positivas hacia la musicoterapia se asociaron a una mayor reducción de síntomas. Discusión: En el análisis de los resultados, se encontró que ambos grupos (alta y baja frecuencia) no presentaron diferencias significativas en las mediciones iniciales de satisfacción de vida, malestar emocional (DASS-21) ni sensaciones relacionadas con la musicoterapia (CISMA). Sin embargo, tras las intervenciones, el grupo de alta frecuencia mostró una disminución significativa en los niveles de estrés (p=0,027, r=0,26). Además, se observaron correlaciones positivas entre una mayor expectativa hacia la musicoterapia y mejores resultados en satisfacción de vida, puntajes totales de DASS-21 y sensaciones positivas (CISMA). Este estudio demuestra que la musicoterapia activa, especialmente con una alta frecuencia de sesiones, es una intervención eficaz para reducir el estrés y mejorar el bienestar emocional en pacientes hospitalizados con enfermedad mental. Los resultados resaltan la importancia de considerar la frecuencia de la musicoterapia al diseñar programas de intervención en el contexto hospitalario, y sugieren que una mayor frecuencia de sesiones podría ser beneficiosa para los pacientes.
dc.description.abstractenglish	Introduction: Music therapy is an evidence-based clinical intervention, effective in reducing symptoms such as anxiety, depression and modulating neurochemical processes that promote well-being. Studies have overlooked the role that session intensity could play in these effects. Especially in the hospitalized population, having a limited stay would lead to seeking the best possible concentration of sessions. Materials and methods: A randomized clinical experiment was conducted with two intervention groups: high and low frequency of weekly music therapies. The sample included patients hospitalized at the Montserrat Clinic who met inclusion and exclusion criteria. Group assignment was randomized and measurements were made using scales of anxiety, depression and stress symptoms, questionnaires of sensations of music therapy and a question about life satisfaction. Results: Both groups were comparable after randomization and both showed significant improvements in anxiety, depression and life satisfaction after the intervention. Of these, high-frequency participants showed a significant reduction in stress levels compared to low-frequency participants (p<0.05). Finally, positive expectations towards music therapy were associated with a greater reduction in symptoms. Discussion: In the analysis of the results, it was found that both groups (high and low frequency) did not present significant differences in the initial measurements of life satisfaction, emotional distress (DASS-21) or sensations related to music therapy (CISMA). However, after the interventions, the high-frequency group showed a significant decrease in stress levels (p=0.027, r=0.26). In addition, positive correlations were observed between a higher expectation towards music therapy and better results in life satisfaction, total DASS-21 scores and positive sensations (CISMA). This study demonstrates that active music therapy, especially with a high frequency of sessions, is an effective intervention to reduce stress and improve emotional well-being in hospitalized patients with mental illness. The results highlight the importance of considering the frequency of music therapy when designing intervention programs in the hospital context, and suggest that a higher frequency of sessions could be beneficial for patients.
dc.description.degreelevel	Especialización	spa
dc.description.degreename	Especialista en Psiquiatría	spa
dc.description.sponsorship	Instituto Colombiano del Sistema Nervioso Clinica Montserrat
dc.format.mimetype	application/pdf
dc.identifier.instname	instname:Universidad El Bosque	spa
dc.identifier.reponame	reponame:Repositorio Institucional Universidad El Bosque	spa
dc.identifier.repourl	repourl:https://repositorio.unbosque.edu.co
dc.identifier.uri	https://hdl.handle.net/20.500.12495/13141
dc.language.iso	es
dc.publisher.faculty	Facultad de Medicina	spa
dc.publisher.grantor	Universidad El Bosque	spa
dc.publisher.program	Especialización en Psiquiatría	spa
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dc.rights	Attribution 4.0 International	en
dc.rights.accessrights	https://purl.org/coar/access_right/c_abf2
dc.rights.accessrights	info:eu-repo/semantics/openAccess
dc.rights.local	Acceso abierto	spa
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/
dc.subject	Terapias de arte sensorial
dc.subject	Musicoterapia
dc.subject	Música
dc.subject	Depresión
dc.subject	Ansiedad
dc.subject	Estrés Psicológico
dc.subject	Bienestar psicológico
dc.subject.keywords	Sensory art therapies
dc.subject.keywords	Music therapy
dc.subject.keywords	Music
dc.subject.keywords	Depression
dc.subject.keywords	Anxiety
dc.subject.keywords	Psychological stress
dc.subject.keywords	Psychological well-being
dc.subject.nlm	WM 100
dc.title	Musicoterapia activa de alta, contra baja intensidad en pacientes hospitalizados en la clínica Montserrat
dc.title.translated	High versus low intensity active music therapy in patients hospitalized at the Montserrat clinic
dc.type.coar	https://purl.org/coar/resource_type/c_7a1f
dc.type.coarversion	https://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driver	info:eu-repo/semantics/bachelorThesis
dc.type.hasversion	info:eu-repo/semantics/acceptedVersion
dc.type.local	Tesis/Trabajo de grado - Monografía - Especialización	spa

Musicoterapia activa de alta, contra baja intensidad en pacientes hospitalizados en la clínica Montserrat

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