Heike Argstatter - Academia.edu (original) (raw)

Papers by Heike Argstatter

Einleitung: Das Deutsche Zentrum für Musiktherapieforschung DZM e.V. entwickelt und überprüft sei... more Einleitung: Das Deutsche Zentrum für Musiktherapieforschung DZM e.V. entwickelt und überprüft seit einigen Jahren musiktherapeutische Konzepte für erwachsene CI-Träger. Die positiven Effekte von Musiktherapie auf die allgemeine Hörwahrnehmung sowie insbesondere die Musikwahrnehmung[zum vollständigen Text gelangen Sie über die oben angegebene URL]

The international tinnitus journal, 2012

INTRODUCTION Musical training positively influences the cortical plasticity of the brain and has ... more INTRODUCTION Musical training positively influences the cortical plasticity of the brain and has proven to be effective in treating chronic tinnitus. OBJECTIVES A neuro-music therapy concept, the "Heidelberg Neuro-Music Therapy" treatment was developed and evaluated. DESIGN A prospective, cross-sectional design was used. MATERIALS AND METHODS N = 135 patients (mean age 47 years) with chronic, tonal tinnitus attended a standardized protocol for Neuro-Music Therapy (either "standard therapy" ST or "compact therapy" CT). The results were compared to a cognitive behavioral placebo music therapy procedure (PT). Tinnitus distress was assessed using the German version of the Tinnitus-Questionnaire (TQ) at admission, at discharge and six months after therapy. Changes were assessed statistically and by means of clinical significance. RESULTS TQ scores significantly improved - independent of group allocation. But more than 80% of the music therapy patients (both ...

International journal of clinical and experimental medicine, 2012

OBJECTIVE The "Heidelberg Model of Music Therapy for Chronic Tinnitus" is a manualized ... more OBJECTIVE The "Heidelberg Model of Music Therapy for Chronic Tinnitus" is a manualized short term treatment (nine 50-minutes sessions of individualized therapy on five consecutive days). It has proven to be efficient in reducing tinnitus symptoms in the short run. Now the long-term impact of the treatment after up to 5.4 years should be explored. MATERIALS AND METHODS 206 patients who had attended the neuro-music therapy were addressed in a structured follow-up questionnaire survey. 107 complete questionnaires entered analysis. Follow-up time was 2.65 (SD 1.1) years. RESULTS 76% of the patients achieved a reliable reduction in their tinnitus scores, the overall tinnitus distress as measured by the Mini-TQ diminished from 11.9 (SD = 4.9) to 7.4 (SD = 5.2) points, 87% of the patients were satisfied by the way they were treated during therapy, and 71% of the patients did not undergo any further treatment after. Evaluation of therapeutic elements displays, that only music ther...

ABSTRACT Tinnitus hat eine hohe Prävalenz mit zzt. mehr als 1 Mio. potenziell behandlungsbedürfti... more ABSTRACT Tinnitus hat eine hohe Prävalenz mit zzt. mehr als 1 Mio. potenziell behandlungsbedürftiger Patienten in Deutschland, davon rund 50% mit tonalem Tinnitus. Obwohl Tinnitus eines der häufigsten Symptome im HNO-Bereich ist, herrscht bei der Therapie Polypragmasie. Vielen angebotenen Verfahren fehlt die wissenschaftliche Fundierung. Daher wurde eine neue musiktherapeutische Behandlungsform entwickelt und wissenschaftlich evaluiert (psychologische, audiologische und bildgebende Untersuchungen).Die Vorteile dieser Therapie liegen in einer Integration bekannter und erprobter akustischer und therapeutischer Module, die in Form von spezifischen musiktherapeutischen Techniken (Resonanzübung, neuroauditive Kortexreprogrammierung, Tinnitusdekonditionierung) umgesetzt werden.Bei über 190 Patienten mit chronisch-tonalem Tinnitus weist die hier vorgestellte Musiktherapie unter den Aspekten Dauer, Erfolg sowie katamnestische Stabilität der Behandlung im Vergleich zu herkömmlichen Therapieformen die besten Ergebnisse auf. Außerdem ergeben sich durch die Resultate der bildgebenden Verlaufsuntersuchungen stichhaltige Gründe, die neuronale Modellierung von chronisch-tonalem Tinnitus zu überdenken.

In a cross-cultural study, eighteen musical segments, representing six basic emotions (happiness,... more In a cross-cultural study, eighteen musical segments, representing six basic emotions (happiness, anger, disgust, surprise, sadness, and fear) were presented to subjects from Western Europe and Asia. Results give evidence for a pan-cultural emotional sentience in music. However, there were distinct cultural, emotion and item-specific differences in emotion

Musiktherapeutische Umschau

International Journal of Audiology

Objective Reporting of clinical significance is recommended because findings can be statistically... more Objective Reporting of clinical significance is recommended because findings can be statistically significant without being relevant to patients. For aiding clinical interpretation of the Tinnitus Questionnaire (TQ), many investigators use a 5-point change cut off as a minimal clinically important difference (MCID). But there are shortcomings in how this value was originally determined. Design The MCID was evaluated by analysing retrospective clinical data on the TQ (German-version). Following recommended standards, multiple estimates were computed using anchor-and distribution-based statistical methods. These took into account not only patients' experience of clinical improvement, but also measurement reliability. Study sample Pre-and post-intervention scores were assessed for 202 patients. Results Our six estimates ranged from 5 to 21 points in TQ change score from pre-to postintervention. The 5-point TQ change score was obtained using a method that considered change between groups, and did not account for measurement error or bias. The size of the measurement error was considerable, and this comprises interpretation of individual patient change scores. Conclusions To enhance confidence that a TQ change over time in individual patients is clinically meaningful, we advise at least the median MCID of 12 points.

Frontiers in Neuroscience

Background: Tinnitus is the perception of a phantom sound without external acoustic stimulation. ... more Background: Tinnitus is the perception of a phantom sound without external acoustic stimulation. Recent tinnitus research suggests a relationship between attention processes and tinnitus-related distress. It has been found that too much focus on tinnitus comes at the expense of the visual domain. The angular gyrus (AG) seems to play a crucial role in switching attention to the most salient stimulus. This study aims to evaluate the involvement of the AG during visual attention tasks in tinnitus sufferers treated with Heidelberg Neuro-Music Therapy (HNMT), an intervention that has been shown to reduce tinnitus-related distress. Methods: Thirty-three patients with chronic tinnitus, 45 patients with recent-onset tinnitus, and 35 healthy controls were tested. A fraction of these (21/21/22) were treated with the "compact" version of the HNMT lasting 1 week with intense treatments, while non-treated participants were included as passive controls. Visual attention was evaluated during functional Magnet-Resonance Imaging (fMRI) by a visual Continous Performance Task (CPT) using letter-based alarm cues ("O" and "X") appearing in a sequence of neutral letters, "A" through "H." Participants were instructed to respond via button press only if the letter "O" was followed by the letter "X" (GO condition), but not to respond if a neutral letter appeared instead (NOGO condition). All participants underwent two fMRI sessions, before and after a 1-week study period. Results: The CPT results revealed a relationship between error rates and tinnitus duration at baseline whereby the occurrence of erroneous "GO omissions" and the reaction time increased with tinnitus duration. Patients with chronic tinnitus who were treated with HNMT had decreasing error rates (fewer GO omissions) compared to treated recent-onset patients. fMRI analyses confirmed greater activation of the AG during CPT in chronic patients after HNMT treatment compared to treated recent-onset patients. Conclusions: Our findings suggest that HNMT treatment helps shift the attention from the auditory phantom percept toward visual cues in chronic tinnitus patients and that this shift in attention may involve the AG.

Frontiers in Neuroscience

Background: Suffering from tinnitus causes mental distress in most patients. Recent findings poin... more Background: Suffering from tinnitus causes mental distress in most patients. Recent findings point toward a diminished activity of the brain's default-mode network (DMN) in subjects with mental disorders including depression or anxiety and also recently in subjects with tinnitus-related distress. We recently developed a therapeutic intervention, namely the Heidelberg Neuro-Music Therapy (HNMT), which shows an effective reduction of tinnitus-related distress following a 1-week short-term treatment. This approach offers the possibility to evaluate the neural changes associated with the improvements in tinnitus distress. We previously reported gray matter (GM) reorganization in DMN regions and in primary auditory areas following HNMT in cases of recent-onset tinnitus. Here we evaluate on the same patient group, using functional MRI (fMRI), the activity of the DMN following the improvements tinnitus-related distress related to the HNMT intervention. Methods: The DMN activity was estimated by the task-negative activation (TNA) during long inter-trial intervals in a word recognition task. The level of TNA was evaluated twice, before and after the 1-week study period, in 18 treated tinnitus patients ("treatment group," TG), 21 passive tinnitus controls (PTC), and 22 active healthy controls (AC). During the study, the participants in TG and AC groups were treated with HNMT, whereas PTC patients did not receive any tinnitus-specific treatment. Therapy-related effects on DMN activity were assessed by comparing the pairs of fMRI records from the TG and PTC groups. Results: Treatment of the TG group with HNMT resulted in an augmented DMN activity in the PCC by 2.5% whereas no change was found in AC and PTC groups. This enhancement of PCC activity correlated with a reduction in tinnitus distress (Spearman Rho: −0.5; p < 0.005). Conclusion: Our findings show that an increased DMN activity, especially in the PCC, underlies the improvements in tinnitus-related distress triggered by HNMT and identify the DMN as an important network involved in therapeutic improvements.

Journal of Biomusical Engineering

Background: Epidemiological data indicate that many patients suffering from tinnitus also present... more Background: Epidemiological data indicate that many patients suffering from tinnitus also present some degree of hearing loss. Auditory stimulation procedures are promoted as important therapy option. One music-based intervention is the neuro-music therapy according to the Heidelberg model, a manualized short term intervention comprising nine 50-minutes sessions of individualized music therapy over a period of five consecutive days. The modules are based on the individual tinnitus pitch. We expected that patients presenting hearing loss would benefit from the use of hearing aids and achieve better results than patients not provided with suitable hearing aids. Methods: A retrospective analysis of patients attending a neuro-music therapy was conducted. Patients were eligible if they suffered from chronic, tonal tinnitus. The target Group consisted of n=40 presenting hearing loss compensated for with suitable hearing loss (=Group A). A matched sample of n=40 patients presenting hearing loss but not provided with hearing loss (Group B) formed the comparison Group and a sample of n=40 patients with normal hearing thresholds (Group C) served as controls. All three samples were stratified according to the variables tinnitus handicap (i.e. initial TQ-score) and gender. For patients in Group A and B also hearing loss in the region of the tinnitus pitch was considered. Results: There was a significant overall improvement in tinnitus questionnaire total scores (TQ) from baseline (admission) to end of treatment. However about 8 out of 10 patients in Groups A and C accomplished a reliable reduction in TQ scores, compared to about 3 out of 10 patients in Group B. Conclusions: Based on these results, we conclude that a hearing aid can compensate for a hearing loss and improve the chance for positive therapy outcome while if a hearing loss is not compensated for, success rate declines considerably.

Nordic Journal of Music Therapy

Taylor & Francis has a flexible approach to subscriptions enabling us to match individual librari... more Taylor & Francis has a flexible approach to subscriptions enabling us to match individual libraries' requirements. This journal is available via a traditional institutional subscription (either print with free online access, or onlineonly at a discount) or as part of the Behavioural Science subject package or Social Sciences, Arts and Humanities full text package. For more information on our sales packages please visit www.tandfonline.com/ librarians_pricinginfo_journals. All current institutional subscriptions include online access for any number of concurrent users across a local area network to the currently available backfile and articles posted online ahead of publication. Subscriptions purchased at the personal rate are strictly for personal, non-commercial use only. The reselling of personal subscriptions is prohibited. Personal subscriptions must be purchased with a personal cheque or credit card. Proof of personal status may be requested.

Nordic Journal of Music Therapy, 2016

Psychology of Music, 2015

The perception of basic emotions such as happy/sad seems to be a human invariant and as such deta... more The perception of basic emotions such as happy/sad seems to be a human invariant and as such detached from musical experience. On the other hand, there is evidence for cultural specificity: recognition of emotional cues is enhanced if the stimuli and the participants stem from the same culture. A cross-cultural study investigated the following research questions: (1) How are six basic universal emotions (happiness, sadness, fear, disgust, anger, surprise) perceivable in music unknown to listeners with different cultural backgrounds?; and (2) Which particular aspects of musical emotions show similarities and differences across cultural boundaries? In a cross-cultural study, 18 musical segments, representing six basic emotions (happiness, sadness, fear, disgust, anger, surprise) were presented to subjects from Western Europe (Germany and Norway) and Asia (South Korea and Indonesia). Results give evidence for a pan-cultural emotional sentience in music. However, there were distinct cul...

Neural Regeneration Research, 2015

Cochlear Implants International, 2015

ABSTRACT Objectives Although cochlear implant (CI) users achieve good speech comprehension, they ... more ABSTRACT Objectives Although cochlear implant (CI) users achieve good speech comprehension, they experience difficulty perceiving music and prosody in speech. As the provision of music training in rehabilitation is limited, a novel concept of music therapy for rehabilitation of adult CI users was developed and evaluated in this pilot study. Methods Twelve unilaterally implanted, postlingually deafened CI users attended ten sessions of individualized and standardized training. The training started about 6 weeks after the initial activation of the speech processor. Before and after therapy, psychological and musical tests were applied in order to evaluate the effects of music therapy. CI users completed the musical tests in two conditions: bilateral (CI + contralateral, unimplanted ear) and unilateral (CI only). Results After therapy, improvements were observed in the subjective sound quality (Hearing Implant Sound Quality Index) and the global score on the self-concept questionnaire (Multidimensional Self-Concept Scales) as well as in the musical subtests for melody recognition and for timbre identification in the unilateral condition. Discussion Preliminary results suggest improvements in subjective hearing and music perception, with an additional increase in global self-concept and enhanced daily listening capacities. Conclusions The novel concept of individualized music therapy seems to provide an effective treatment option in the rehabilitation of adult CI users. Further investigations are necessary to evaluate effects in the area of prosody perception and to separate therapy effects from general learning effects in CI rehabilitation.

SAGE Open, 2013

The aim of this pilot study was the evaluation of the neuro-music therapy approach as a new treat... more The aim of this pilot study was the evaluation of the neuro-music therapy approach as a new treatment option for patients with recent-onset tinnitus whose tinnitus symptoms were enduring after initial pharmacological treatment. In all, 15 patients with recent-onset tinnitus took part in our manualized short-term music-therapeutic treatment. Tinnitus severity and individual tinnitus distress were assessed by the German version of the tinnitus questionnaire (TQ) and the Attention and Performance Self-Assessment Scale (APSA) at three different measurement times: baseline (T0), start of treatment (T1), and end of treatment (T2). Score changes in TQ and APSA from start to end of treatment indicated significant improvements in tinnitus-related distress. According to the Jacobson and Truax reliable change index (RC), 73.3% of the patients showed a reliable reduction in individual TQ-score. The neuro-music therapy for recent-onset tinnitus according to the “Heidelberg Model” introduced in t...

Musik-, Tanz- und Kunsttherapie, 2006

Zusammenfassung. Hintergrund: Herzkatheteruntersuchungen sind mittlerweile Routineverfahren. Da v... more Zusammenfassung. Hintergrund: Herzkatheteruntersuchungen sind mittlerweile Routineverfahren. Da viele Patienten die Untersuchung als belastend empfinden, wurden begleitende psychosoziale Interventionen vorgeschlagen. Ziel der vorliegenden Studie war die Überprüfung der Wirksamkeit von Musiktherapie bei Herzkatheteruntersuchungen auf das subjektive und objektive Angsterleben sowie eine daraus folgende Reduktion von Sedativa. Methoden: Eine dreiarmige (Musikexposition während der HKU; Musikexposition + ergänzendes musiktherapeutisches Coaching; Kontrollgruppe mit Standardbehandlung) randomisierte Studie mit N = 83 Patienten (48 männlich, 35 weiblich, Alter 66 ± 11 Jahre). Zielvariablen waren subjektiv empfundene Angst (STAI-S) sowie physiologische Variablen (Blutdruck, Puls, Cortisol, IgA). Ergebnisse: In der Expositionsgruppe konnte die subjektive Angst (STAI-S) gegenüber den beiden anderen Gruppen prä-post signifikant gesenkt werden (Exposition 11 P, Coaching 4 P, Kontrolle 6 P; p =...

The international tinnitus journal, 2012

International journal of clinical and experimental medicine, 2012

Musiktherapeutische Umschau

International Journal of Audiology

Frontiers in Neuroscience

Journal of Biomusical Engineering

Nordic Journal of Music Therapy

Nordic Journal of Music Therapy, 2016

Psychology of Music, 2015

Neural Regeneration Research, 2015

Cochlear Implants International, 2015

SAGE Open, 2013

Musik-, Tanz- und Kunsttherapie, 2006