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Psychophysiological Effects of Biographical Interventions in People With Unresponsive Wakefulness Syndrome and Minimally Conscious State

Authors: Teresa Grimm; Teresa Grimm; Martin Groß; Martin Groß; Urs M. Nater; Oliver Summ; Oliver Summ; +1 Authors

Psychophysiological Effects of Biographical Interventions in People With Unresponsive Wakefulness Syndrome and Minimally Conscious State

Abstract

BackgroundVarious music interventions can evoke favorable behavioral responses or physiological reactions in people with disorders of consciousness (DOC), such as coma, unresponsive wakefulness syndrome (UWS), and minimally conscious state (MCS). However, it appears that no study thus far has investigated the effects of music on the endocrine system of people with DOC.ObjectiveThis explorative study aimed to investigate the effects of biographical music and biographical language on the physiological and endocrine systems of people with UWS and MCS.MethodA cohort of 20 people with DOC (10 women, 10 men; age range 19–77) received 20 min of biographical music and biographical language. Before and afterward, they were exposed to silence. Physiological and hormonal measurements were conducted before, during, and after the interventions.ResultsPairedt-tests showed a significant decrease of salivary cortisol in the condition with biographical language interventions.ConclusionBiographical interventions can modulate reactions in the endocrine system in people with DOC. Further studies are needed to establish whether and how individuals living with DOC show psychoneuroendocrine responses to music and other arts-based interventions.

Keywords

REHABILITATION, amylase, AWARENESS, PSYCHOSOCIAL STRESS, disorders of consciousness (DOC), MUSIC-THERAPY, cortisol, 501010 Klinische Psychologie, unresponsive wakefulness syndrome (UWS), RC346-429, BRAIN-FUNCTION, CORTISOL, minimally conscious state (MCS), AUTONOMIC NERVOUS-SYSTEM, 501010 Clinical psychology, SEVERE DISORDER, dehydroepiandrosterone (DHEA), biographical music, Neurology, VEGETATIVE STATE, biographical language, Neurology. Diseases of the nervous system, RESPONSES

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
Average
Green
gold