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Potential Psychological and Biological Mechanisms Underlying the Effectiveness of Neonatal Music Therapy during Kangaroo Mother Care for Preterm Infants and Their Parents

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  • Łucja Bieleninik

    (Department of Clinical and Health Psychology, Faculty of Social Sciences, Institute of Psychology, University of Gdansk, 80-309 Gdansk, Poland
    GAMUT—The Grieg Academy Music Therapy Research Centre, NORCE Norwegian Research Centre AS, 5029 Bergen, Norway)

  • Mark Ettenberger

    (Music Therapy Service, University Hospital Fundación Santa Fe de Bogotá, Bogotá 110111, Colombia
    SONO—Centro de Musicoterapia, Bogotá 110221, Colombia)

  • Shulamit Epstein

    (School for Creative Arts Therapies, University of Haifa, Haifa 3498838, Israel)

  • Cochavit Elefant

    (School for Creative Arts Therapies, University of Haifa, Haifa 3498838, Israel)

  • Shmuel Arnon

    (Department of Neonatology, Meir Medical Center, Kfar Saba 44281, Israel
    Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel)

Abstract

Neonatal music therapy (MT) has become more accessible worldwide. Previous research suggests multiple benefits of MT for preterm infants and their caregivers; however, far too little attention has been paid to understanding the mechanisms of change in previous Neonatal Intensive Care Unit (NICU)-MT research so far. This perspective article describes potential mechanisms of MT interventions exposed during kangaroo mother care on the preterm infant’s response (behavioral and physiological outcomes) and the mother-infant relationship. The paper focuses on the hypothalamic–pituitary–adrenal axis’ role in stabilization of behavioral state, the autonomic nervous system’s role in stabilization of physiologic state, as well as co-regulation as a potential mechanism for the developing of the parent-infant relationship. Mechanisms play a pivotal role in understanding variables related to the therapy course and well as in generating new knowledge regarding treatment susceptibility and optimizing resources. Understanding of the mechanisms of how interventions may lead to specific outcomes plays an important role in addressing the issue of improvement of currently available approaches of MT used in the NICU.

Suggested Citation

  • Łucja Bieleninik & Mark Ettenberger & Shulamit Epstein & Cochavit Elefant & Shmuel Arnon, 2021. "Potential Psychological and Biological Mechanisms Underlying the Effectiveness of Neonatal Music Therapy during Kangaroo Mother Care for Preterm Infants and Their Parents," IJERPH, MDPI, vol. 18(16), pages 1-12, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8557-:d:613803
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    References listed on IDEAS

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    1. Mark Ettenberger & Łucja Bieleninik & Shulamit Epstein & Cochavit Elefant, 2021. "Defining Attachment and Bonding: Overlaps, Differences and Implications for Music Therapy Clinical Practice and Research in the Neonatal Intensive Care Unit (NICU)," IJERPH, MDPI, vol. 18(4), pages 1-10, February.
    2. Karolina Lutkiewicz & Łucja Bieleninik & Mariusz Cieślak & Mariola Bidzan, 2020. "Maternal–Infant Bonding and Its Relationships with Maternal Depressive Symptoms, Stress and Anxiety in the Early Postpartum Period in a Polish Sample," IJERPH, MDPI, vol. 17(15), pages 1-12, July.
    3. Ambra Palazzi & Camila Canani Nunes & Cesar Augusto Piccinini, 2018. "Music therapy and musical stimulation in the context of prematurity: A narrative literature review from 2010–2015," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 1-20, January.
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    Cited by:

    1. Delia Cristóbal Cañadas & Antonio Bonillo Perales & Rafael Galera Martínez & María del Pilar Casado-Belmonte & Tesifón Parrón Carreño, 2022. "Effects of Kangaroo Mother Care in the NICU on the Physiological Stress Parameters of Premature Infants: A Meta-Analysis of RCTs," IJERPH, MDPI, vol. 19(1), pages 1-12, January.

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