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Exp Clin Endocrinol Diabetes 2015; 123(10): 617-621
DOI: 10.1055/s-0035-1555941
Article
© Georg Thieme Verlag KG Stuttgart · New York

Group Singing as a Therapy during Diabetes Training – A Randomized Controlled Pilot Study

J. B. Groener
1   Department of Endocrinology and Clinical Chemistry, University of Heidelberg, Germany
,
I. Neus
1   Department of Endocrinology and Clinical Chemistry, University of Heidelberg, Germany
,
S. Kopf
1   Department of Endocrinology and Clinical Chemistry, University of Heidelberg, Germany
,
M. Hartmann
2   Department of General Internal and Psychosomatic Medicine, University of Heidelberg, Germany
,
J. Schanz
1   Department of Endocrinology and Clinical Chemistry, University of Heidelberg, Germany
,
E. Kliemank
1   Department of Endocrinology and Clinical Chemistry, University of Heidelberg, Germany
,
B. Wetekam
1   Department of Endocrinology and Clinical Chemistry, University of Heidelberg, Germany
,
L. Kihm
1   Department of Endocrinology and Clinical Chemistry, University of Heidelberg, Germany
,
T. Fleming
1   Department of Endocrinology and Clinical Chemistry, University of Heidelberg, Germany
,
W. Herzog
2   Department of General Internal and Psychosomatic Medicine, University of Heidelberg, Germany
,
P.P. Nawroth
1   Department of Endocrinology and Clinical Chemistry, University of Heidelberg, Germany
› Author Affiliations
Further Information

Publication History

received 13 March 2015
first decision 21 May 2015

accepted 10 July 2015

Publication Date:
04 August 2015 (online)

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Abstract

Comprehensive diabetes treatment has been shown to reduce quality of life in diabetic patients. However, there is evidence to suggest that group singing can have positive effects on quality of life in various clinical settings. In this randomized controlled pilot study, the effect of singing as a therapy to reduce stress and improve quality of life was investigated in insulin-dependent diabetic patients, undergoing a lifestyle intervention program. Patients from the singing group felt less discontented following treatment. This effect, however, was lost after 3 months. No effect on serum cortisol and plasma adrenocorticotropic hormone (ACTH) levels could be seen when comparing the singing group with the control group, although reduced levels of ACTH and cortisol 3 days after treatment could be found and were still present after 3 months within the group of patients who undertook singing as a therapy. Singing led to an increase in bodyweight, which interestingly had no effect on glucose control or methylglyoxal levels. Therefore, singing during a lifestyle intervention program for insulin-dependent diabetic patients had a short lasting and weak effect on patients' mood without affecting glucose control, but no significant effect on stress related hormones.

Key words

therapeutic singing - mood - stress - ACTH - cortisol - quality of life
 

  • References

  • 1 Huang ES, Brown SE, Ewigman BG et al. Patient perceptions of quality of life with diabetes-related complications and treatments. Diabetes care 2007; 30: 2478-2483
    CrossrefPubMedGoogle Scholar
  • 2 Rubin RR, Ciechanowski P, Egede LE et al. Recognizing and treating depression in patients with diabetes. Current diabetes reports 2004; 4: 119-125
    CrossrefPubMedGoogle Scholar
  • 3 Kreutz G, Bongard S, Rohrmann S et al. Effects of choir singing or listening on secretory immunoglobulin A, cortisol, and emotional state. Journal of behavioral medicine 2004; 27: 623-635
    CrossrefPubMedGoogle Scholar
  • 4 Clift S, Hancox G, Morrison I et al. Choral singing and psychological wellbeing: Quantitative and qualitative findings from English choirs in a cross-national survey. Journal of Applied Arts and Health 2010; 1: 19-34
    CrossrefPubMedGoogle Scholar
  • 5 Johnson JK, Louhivuori J, Stewart AL et al. Quality of life (QOL) of older adult community choral singers in Finland. International psychogeriatrics/IPA 2013; 25: 1055-1064
    CrossrefPubMedGoogle Scholar
  • 6 Lord VM, Cave P, Hume VJ et al. Singing teaching as a therapy for chronic respiratory disease–a randomised controlled trial and qualitative evaluation. BMC pulmonary medicine 2010; 10: 41
    CrossrefPubMedGoogle Scholar
  • 7 Bonilha AG, Onofre F, Vieira ML et al. Effects of singing classes on pulmonary function and quality of life of COPD patients. International journal of chronic obstructive pulmonary disease 2009; 4: 1-8
    PubMedGoogle Scholar
  • 8 Pacchetti C, Mancini F, Aglieri R et al. Active music therapy in Parkinson’s disease: an integrative method for motor and emotional rehabilitation. Psychosomatic medicine 2000; 62: 386-393
    CrossrefPubMedGoogle Scholar
  • 9 Chuang CY, Han WR, Li PC et al. Effects of music therapy on subjective sensations and heart rate variability in treated cancer survivors: a pilot study. Complementary therapies in medicine 2010; 18: 224-226
    CrossrefPubMedGoogle Scholar
  • 10 Sakamoto M, Ando H, Tsutou A. Comparing the effects of different individualized music interventions for elderly individuals with severe dementia. International psychogeriatrics/IPA 2013; 25: 775-784
    CrossrefPubMedGoogle Scholar
  • 11 Grocke D, Bloch S, Castle D. The effect of group music therapy on quality of life for participants living with a severe and enduring mental illness. Journal of music therapy 2009; 46: 90-104
    CrossrefPubMedGoogle Scholar
  • 12 Giaquinto S, Cacciato A, Minasi S et al. Effects of music-based therapy on distress following knee arthroplasty. British journal of nursing (Mark Allen Publishing) 2006; 15: 576-579
    CrossrefPubMedGoogle Scholar
  • 13 Cooke ML, Moyle W, Shum DH et al. A randomized controlled trial exploring the effect of music on agitated behaviours and anxiety in older people with dementia. Aging & mental health 2010; 14: 905-916
    CrossrefPubMedGoogle Scholar
  • 14 Kenny DT, Faunce G. The impact of group singing on mood, coping, and perceived pain in chronic pain patients attending a multidisciplinary pain clinic. Journal of music therapy 2004; 41: 241-258
    CrossrefPubMedGoogle Scholar
  • 15 Hwang E-Y, Oh S-HA. Comparison of the Effects of Music Therapy Interventions on Depression, Anxiety, Anger, and Stress on Alcohol-Dependent Clients: A Pilot Study. Music and Medicine 2013; 5: 136-144
    CrossrefPubMedGoogle Scholar
  • 16 Bierhaus A, Fleming T, Stoyanov S et al. Methylglyoxal modification of Nav1.8 facilitates nociceptive neuron firing and causes hyperalgesia in diabetic neuropathy. Nature medicine 2012; 18: 926-933
    CrossrefPubMedGoogle Scholar
  • 17 Distler MG, Plant LD, Sokoloff G et al. Glyoxalase 1 increases anxiety by reducing GABAA receptor agonist methylglyoxal. The Journal of clinical investigation 2012; 122: 2306-2315
    CrossrefPubMedGoogle Scholar
  • 18 Hartmann M, Kopf S, Kircher C et al. Sustained effects of a mindfulness-based stress-reduction intervention in type 2 diabetic patients: design and first results of a randomized controlled trial (the Heidelberger Diabetes and Stress-study). Diabetes care 2012; 35: 945-947
    CrossrefPubMedGoogle Scholar
  • 19 Kopf S, Oikonomou D, Hartmann M et al. Effects of stress reduction on cardiovascular risk factors in type 2 diabetes patients with early kidney disease – results of a randomized controlled trial (HEIDIS). Experimental and clinical endocrinology & diabetes: official journal. German Society of Endocrinology [and] German Diabetes Association 2014; 122: 341-349
    PubMedGoogle Scholar
  • 20 McLellan AC, Phillips SA, Thornalley PJ. The assay of methylglyoxal in biological systems by derivatization with 1,2-diamino-4,5-dimethoxybenzene. Analytical biochemistry 1992; 206: 17-23
    CrossrefPubMedGoogle Scholar
  • 21 Kivimaki M, Head J, Ferrie JE et al. Work stress, weight gain and weight loss: evidence for bidirectional effects of job strain on body mass index in the Whitehall II study. International journal of obesity 2005 2006; 30: 982-987
    CrossrefPubMedGoogle Scholar
  • 22 Heraclides AM, Chandola T, Witte DR et al. Work stress, obesity and the risk of type 2 diabetes: gender-specific bidirectional effect in the Whitehall II study. Obesity (Silver Spring, Md) 2012; 20: 428-433
    CrossrefPubMedGoogle Scholar
  • 23 Nyberg ST, Heikkila K, Fransson EI et al. Job strain in relation to body mass index: pooled analysis of 160 000 adults from 13 cohort studies. Journal of internal medicine 2012; 272: 65-73
    CrossrefPubMedGoogle Scholar
  • 24 Fujihara K, Saito A, Heianza Y et al. Impact of psychological stress caused by the Great East Japan Earthquake on glycemic control in patients with diabetes. Experimental and clinical endocrinology & diabetes: official journal, German Society of Endocrinology [and] German Diabetes Association 2012; 120: 560-563
    PubMedGoogle Scholar
  • 25 Rubino F, Marescaux J. Effect of duodenal-jejunal exclusion in a non-obese animal model of type 2 diabetes: a new perspective for an old disease. Annals of surgery 2004; 239: 1-11
    CrossrefPubMedGoogle Scholar