Group singing in bereavement: effects on mental health, self-efficacy, self-esteem and well-being.
Identifieur interne : 000057 ( Main/Exploration ); précédent : 000056; suivant : 000058Group singing in bereavement: effects on mental health, self-efficacy, self-esteem and well-being.
Auteurs : Daisy Fancourt [Royaume-Uni] ; Saoirse Finn [Royaume-Uni] ; Katey Warran [Royaume-Uni] ; Theresa Wiseman [Royaume-Uni]Source :
- BMJ supportive & palliative care [ 2045-4368 ] ; 2019.
Abstract
OBJECTIVES
Bereavement is associated with negative affective, cognitive, behavioural and physiological responses. However, factors, such as coping, self-efficacy and self-esteem, can buffer negative effects of grief, and can be increased through mutual support interventions, such as shared leisure activities. This study used a non-randomised controlled design to explore the effects of group choir singing on mental health among people who have been bereaved due to cancer.
METHODS
A total of 58 adults bereaved in the last 5 years who had not started psychological therapy in the last 12 weeks or medication for anxiety or depression in the last month were recruited and elected to join a choir (n=29) or participate in the non-intervention control group (n=29). Joining a choir involved engaging in 90 min weekly singing and social sessions for 12 weeks with a post-intervention assessment at week 24. We used linear mixed effects models adjusted for demographics, health-related variables, musical engagement and time since bereavement to model changes over time between the two groups in symptoms of anxiety, depression, well-being, self-efficacy and self-esteem.
RESULTS
Participants who sang in a choir had more stable symptoms of depression and levels of well-being, as well as gradual improvements in their sense of self-efficacy and self-esteem over the 24 weeks. In contrast, those in the control group showed gradual increases in depressive symptoms, reductions in levels of well-being and self-esteem and no improvement in their self-efficacy. These results were independent of all covariates.
CONCLUSIONS
Weekly group singing could be a promising mutual support intervention for people experiencing grief.
TRIAL REGISTRATION NUMBER
NCT02756780.
DOI: 10.1136/bmjspcare-2018-001642
PubMed: 31243022
Affiliations:
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type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName type="university">University College de Londres</orgName></affiliation></author><author><name sortKey="Finn, Saoirse" sort="Finn, Saoirse" uniqKey="Finn S" first="Saoirse" last="Finn">Saoirse Finn</name><affiliation wicri:level="3"><nlm:affiliation>Centre for Performance Science, Royal College of Music, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Performance Science, Royal College of Music, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Warran, Katey" sort="Warran, Katey" uniqKey="Warran K" first="Katey" last="Warran">Katey Warran</name><affiliation wicri:level="3"><nlm:affiliation>Centre for Performance Science, Royal College of Music, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Performance Science, Royal College of Music, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Wiseman, Theresa" sort="Wiseman, Theresa" uniqKey="Wiseman T" first="Theresa" last="Wiseman">Theresa Wiseman</name><affiliation wicri:level="3"><nlm:affiliation>Applied Health Research, The Royal Marsden NHS Foundation Trust, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Applied Health Research, The Royal Marsden NHS Foundation Trust, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></analytic><series><title level="j">BMJ supportive & palliative care</title><idno type="eISSN">2045-4368</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>Bereavement is associated with negative affective, cognitive, behavioural and physiological responses. However, factors, such as coping, self-efficacy and self-esteem, can buffer negative effects of grief, and can be increased through mutual support interventions, such as shared leisure activities. This study used a non-randomised controlled design to explore the effects of group choir singing on mental health among people who have been bereaved due to cancer.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A total of 58 adults bereaved in the last 5 years who had not started psychological therapy in the last 12 weeks or medication for anxiety or depression in the last month were recruited and elected to join a choir (n=29) or participate in the non-intervention control group (n=29). Joining a choir involved engaging in 90 min weekly singing and social sessions for 12 weeks with a post-intervention assessment at week 24. We used linear mixed effects models adjusted for demographics, health-related variables, musical engagement and time since bereavement to model changes over time between the two groups in symptoms of anxiety, depression, well-being, self-efficacy and self-esteem.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Participants who sang in a choir had more stable symptoms of depression and levels of well-being, as well as gradual improvements in their sense of self-efficacy and self-esteem over the 24 weeks. In contrast, those in the control group showed gradual increases in depressive symptoms, reductions in levels of well-being and self-esteem and no improvement in their self-efficacy. These results were independent of all covariates.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Weekly group singing could be a promising mutual support intervention for people experiencing grief.</p></div><div type="abstract" xml:lang="en"><p><b>TRIAL REGISTRATION NUMBER</b></p><p>NCT02756780.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">31243022</PMID><DateRevised><Year>2020</Year><Month>03</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2045-4368</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2019</Year><Month>Jun</Month><Day>26</Day></PubDate></JournalIssue><Title>BMJ supportive & palliative care</Title></Journal><ArticleTitle>Group singing in bereavement: effects on mental health, self-efficacy, self-esteem and well-being.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">bmjspcare-2018-001642</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1136/bmjspcare-2018-001642</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Bereavement is associated with negative affective, cognitive, behavioural and physiological responses. However, factors, such as coping, self-efficacy and self-esteem, can buffer negative effects of grief, and can be increased through mutual support interventions, such as shared leisure activities. This study used a non-randomised controlled design to explore the effects of group choir singing on mental health among people who have been bereaved due to cancer.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A total of 58 adults bereaved in the last 5 years who had not started psychological therapy in the last 12 weeks or medication for anxiety or depression in the last month were recruited and elected to join a choir (n=29) or participate in the non-intervention control group (n=29). Joining a choir involved engaging in 90 min weekly singing and social sessions for 12 weeks with a post-intervention assessment at week 24. We used linear mixed effects models adjusted for demographics, health-related variables, musical engagement and time since bereavement to model changes over time between the two groups in symptoms of anxiety, depression, well-being, self-efficacy and self-esteem.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Participants who sang in a choir had more stable symptoms of depression and levels of well-being, as well as gradual improvements in their sense of self-efficacy and self-esteem over the 24 weeks. In contrast, those in the control group showed gradual increases in depressive symptoms, reductions in levels of well-being and self-esteem and no improvement in their self-efficacy. These results were independent of all covariates.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Weekly group singing could be a promising mutual support intervention for people experiencing grief.</AbstractText><AbstractText Label="TRIAL REGISTRATION NUMBER" NlmCategory="BACKGROUND">NCT02756780.</AbstractText><CopyrightInformation>© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fancourt</LastName><ForeName>Daisy</ForeName><Initials>D</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-6952-334X</Identifier><AffiliationInfo><Affiliation>Department of Behavioural Science and Health, University College London, London, UK d.fancourt@ucl.ac.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Finn</LastName><ForeName>Saoirse</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Centre for Performance Science, Royal College of Music, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Warran</LastName><ForeName>Katey</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Centre for Performance Science, Royal College of Music, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wiseman</LastName><ForeName>Theresa</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Applied Health Research, The Royal Marsden NHS Foundation Trust, London, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName><AccessionNumberList><AccessionNumber>NCT02756780</AccessionNumber></AccessionNumberList></DataBank></DataBankList><GrantList CompleteYN="Y"><Grant><GrantID>205407/Z/16/Z</GrantID><Acronym>WT_</Acronym><Agency>Wellcome Trust</Agency><Country>United Kingdom</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>06</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMJ Support Palliat Care</MedlineTA><NlmUniqueID>101565123</NlmUniqueID><ISSNLinking>2045-435X</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">bereavement</Keyword><Keyword MajorTopicYN="N">depression</Keyword><Keyword MajorTopicYN="N">psychological care</Keyword></KeywordList><CoiStatement>Competing interests: The funding for this study was provided by the Tenovus Cancer Care, the charity that runs the choirs used as the intervention in this study. However, no member of the staff from Tenovus Cancer Care was involved in the specifics of the study design or in the collection, analysis or interpretation of data, the writing of the report or the decision to submit the paper for publication.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>08</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>04</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>05</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>6</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>6</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>6</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31243022</ArticleId><ArticleId IdType="pii">bmjspcare-2018-001642</ArticleId><ArticleId IdType="doi">10.1136/bmjspcare-2018-001642</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>University College de Londres</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Fancourt, Daisy" sort="Fancourt, Daisy" uniqKey="Fancourt D" first="Daisy" last="Fancourt">Daisy Fancourt</name></region><name sortKey="Finn, Saoirse" sort="Finn, Saoirse" uniqKey="Finn S" first="Saoirse" last="Finn">Saoirse Finn</name><name sortKey="Warran, Katey" sort="Warran, Katey" uniqKey="Warran K" first="Katey" last="Warran">Katey Warran</name><name sortKey="Wiseman, Theresa" sort="Wiseman, Theresa" uniqKey="Wiseman T" first="Theresa" last="Wiseman">Theresa Wiseman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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