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Red : Background
Green : Aim/purpose
Yellow : Method
Turqoise : Result
Grey : Conclusion
Red : Background
Green : Aim/purpose
Yellow : Method
Turqoise : Result
Grey : Conclusion
This paper argues that studies of mental health and wellbeing can be contextualized
within an evolutionary approach that highlights the coregulating processes of emotions
and motives. In particular, it suggests that, although many mental health symptoms are
commonly linked to threat processing, attention also needs to be directed to the major
regulators of threat processing, ie, prosocial and affiliative interactions with self and
others. Given that human sociality has been a central driver for a whole range of human
adaptations, a better understanding of the effects of prosocial interactions on health is
required, and should be integrated into psychiatric formulations and interventions. Insight
into the coregulating processes of motives and emotions, especially prosocial ones, offers
improved ways of understanding mental health difficulties and their prevention and relief.
Red : Background
Green : Aim/purpose
Yellow : Method
Turqoise : Result
Grey : Conclusion
The purpose of this study was to examine the effects of an easy listening music
intervention on satisfaction, anxiety, pain, sedative and analgesic medication
requirements, and physiological parameters in Chinese adult patients undergoing
colonoscopy in Hong Kong. Patients undergoing colonoscopy, aged 45 or older, able to
communicate in Chinese, and hemodynamically stable were invited for the study. A
randomized controlled trial was adopted. Eligible patients were randomly assigned either
to a music group, which received standard care and additional easy listening music (a
series of 15 popular non-rock Chinese songs) through earphones and MP3 for 20 mins
before and during the procedure, or to a control group which received standard care only.
Standard care comprised of all nursing and medical care provided for patients undergoing
colonoscopy. Measures comprised of the State-Trait Anxiety Inventory, visual analog
scales of pain level, procedure satisfaction and satisfaction with pain management, the use
of sedative and analgesic drugs, heart rate, and blood pressure data were collected at
baseline (T0), during (T1) and 30 mins after the procedure (T2). Eighty participants (40
music vs 40 control) completed the study with no attrition. Participants in the music
group reported significantly higher levels in both procedure satisfaction (p=0.043) and
satisfaction with pain management (p=0.045) than those in the control group. No
significant difference was found between groups on anxiety, pain, additional sedative and
analgesic use, heart rate, and systolic and diastolic blood pressure (p>0.05). Nevertheless,
most participants appreciated the songs provided in MP3 and found it helpful for
relaxation during the procedure and would prefer it again (p<0.001). Easy music listening
can enhance patients’ satisfaction in both procedure and pain management for adults
undergoing a colonoscopy procedure.
Red : Background
Green : Aim/purpose
Yellow : Method
Turqoise : Result
Grey : Conclusion
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