اثربخشی موسیقی‌درمانی شناختی رفتاری بر تنظیم شناختی هیجان افراد سالمند

Cognitive emotion regulation refers to the ability to manage personal emotional reactions through cognitive strategies that occur after an unfortunate event. Emotional dysfunction is thought to be common among the elderly due to their certain limitations. Cognitive-behavioral Music therapy (CBMT) seems to be capable to act as a bridge to new insights and behaviors. Hence, the aim of the current study was to determine the effectiveness of CBMT on cognitive regulation of emotion in the elderly. The present study was a quasi-experimental study with the pretest-posttest and a control group design. The statistical population consisted of all the elderly registered in the day care centers in Babol, Iran in 2019 among which one was selected using convenience sampling method. Out of 53 people eligible to participate in the study according to the inclusion and exclusion criteria, 30 were randomly assigned in two groups of experiment and control (each group with 15 people). Experimental group underwent six sessions of cognitive-behavioral music therapy, while no intervention was performed for the control group. The research tool was Garnefskis’s cognitive emotion regulation questionnaire. Data were analyzed using univariate analysis of covariance in SPSS-22 software. Findings indicated that CBMT resulted in cognitive regulation of elderly emotions (P<0.05). Based on the findings, CBMT can be applied as an effective model in counseling and psychotherapy centers for cognitive regulation of emotion in the elderly. This treatment method contributes to the cognitive control and the alteration of negative and self-defeating thoughts.
References 
li Azad, M., Manshei, GF., & Ghamrani, A. (2019). The Effectiveness of acceptance and commitment therapy on cognitive regulation of emotion and tolerance of ambiguity of students with obsessive-compulsive disorder. Psychology of Exceptional People, 9 (36), 33-53.  [Persian]
Ahmadi, T., Khairati, H., & Ghobari Bonab, B. (2019). The Effectiveness of mindfulness-based education on cognitive emotion regulation and cognitive flexibility of mothers of children with learning disabilities. Empowerment of exceptional children, 10(3), 125-138. [Persian]
Anderson, SH. (2000).  The Effects of a rational emotive behavior therapy intervention on irrational beliefs and burnout among middle school teachers in the state of Iowa. (Doctoral Dissertation, University of Northern Iowa).  https://scholarworks.uni.edu/
Anvari, J., & Sardary, B. (2018). The Effectiveness of positive psychotherapy on improving cognitive emotion regulation strategies in male secondary high school students with anxiety symptoms. Positive Psychology Research, 5(2), 31-46. [Persian]
Baltazar, M., & Saarikallio, S. (2019). Strategies and mechanisms in musical affect self-regulation: A new model. Musicae Scientiae, 23 (2), 177-195.
Carruthers, E. (2014). Safety, connection, foundation: Single-session individual music therapy with adolescents. Canadian Journal of Music Therapy, 20 (2), 43-63.
Cristea, I. A., Szentagotai Tatar, A., Nagy, D., & David, D. (2012). The Bottle is half empthy and that's bad, but not tragic: Differential effects of negative functional reappraisal. Motivation and Emotion, 36(4), 550–563. https://doi.org/10.1007/s11031-012-9277-6
Chin, T. C., & Rickard, N.S. (2013). Emotion regulation strategy mediates both positive and negative relationship between music uses and well-being. Psychology of Music, 42 (5), 692-713.
Dadkhah, a., & shirin bayan, P. (2012). Cognititve emotional regulation in aged people: Standardizaion of cognitive emotional regulation quetionare in Iran. Iranian Rehabilitiation Jornale, 10 (15), 7-24.
David, D., JayLynn, S., & Ellis, A. (2010). Rational and irrational beliefs: Research, theory, and clinical practice. Oxford University Press.
Dehdari, T., Delvarianzadeh, M., Ariaeean, N., khosravi, F., & Bahar, A. (2019). Nutritional status and its related factors in older people residing in nursing homes in semnan province. Iranian Journal of Ageing (Salmand), 14 (2), 224- 235. [Persian]
Field, T. A., Beeson, E. T., & Jones, L. K. (2015). The new ABCs: A practitioner’s guide to neuroscience-informed cognitive-behavior therapy. Journal of Mental Health Counseling, 37(3), 206–220. 
Ellis, A. (1977). A Garland of rational songs. Institute for Rational-Emotive Therapy. 
Ellis, A. (1980). Therapy, similarities and differences.Cognitive Therapy and Research, 4 (4), 325-340
Ellis, A., & Becker, I. (1982). A Guide to personal happiness. Wilshire Book Company.
Ellis, A. (1999). How to make yourself happy and remarkably less disturbable. Impact Publishers.
Eric S. D., Norton, A., & Chapman, R. (2019). Using music for case conceptualization: Looking through an Adlerian lens. The Journal of Individual Psychology, 75 (2), 156-170
Garnefski, N., Kraaij, V., & Spinhoven, P (2001). Negative life events, cognitive emotion regulation and depression. Personality and Individual Differences, 30 (8), 1311- 1327.
Gross, J. J. (1998). Antecedent and response-focused emotion regulation: Divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74, 224–237.
Gladding, T.S. (2011). The Creative arts in counseling (4^thed.). American Counseling Association.
Guterman, J. (2006, Octo. 19). Rational Humorous Songs and Shame-Attacking Exercises in REBT. [Videofile].  YouTube.  https://www.youtube.com/watch?v=BK7MSxKQHtY
Hakvoort L., & Bogaerts, S. (2013). Theoretical foundations and workable assumptions for cognitive behavioral music therapy in forensic psychiatry. The Arts in Psychotherapy, 2 (40), 192–200
Heather, M. & Gross J. J. (2010). Emotion regulation in older age. Current Directions in Psychological Science, 19(6), 352-357.
Hilliard, E.R. (2001). The Use of cognitive-behavioral music therapy in the treatment of women with eating disorders. Music Therapy Perspectives, 19(2), 109–113.
Ismailzadeh, S., Hemmati Rad, G., & Sadat Madani, F. (1391). Analysis of praise in two anecdotes of spiritual Masnavi from the perspective of irrational beliefs of Albert Ellis. Studies of Lyrical Language and Literature, 2 (3), 7-20. [Persian]
Johari Fard, R. (2009). Basics of clinical music therapy. Journal of Psychotherapy News, 12 (44), 40-63. [Persian]
Johari Fard, R (2009). Theme therapy, research in psychology and music therapy methodology (1^thed.). Asim Publishing. [Persian]
Jungensmeier, B. (2012). The Effects of lyric analysis and songwriting music therapy techniques on self-esteem and coping skills among homeless adolescents.)Master’s thesis, The University of Kansas(. https://kuscholarworks.ku.edu/
Kerr, T., Walsh, J., & Marshall, A. (2001). Emotional change processes in music-assisted reframing. Journal of Music Therapy 38(3), 193-211.
Khanzadeh, M., Aminimanesh, S., & Aghamohammadi, S. (2019). Difficulty in emotional regulation and pain in the elderly. Journal of Gerontology, 3 (2), 1-10. [Persian]
Knight, M., Seymour, T. L., Gaunt, J. T., Baker, C., Nesmith, K., & Mather, M. (2007). Aging and goal-directed emotional attention: Distraction reverses emotional biases. Emotion, 7(4), 705–714.
Laukka, P. (2007). Uses of music and psychological well-being among the elderly. Journal of Happiness Studies, 8 (2), 215-241 
Lownds, K. M. (2015). Music theraapy songwriting practicices with older adults. )Master’s Thesis. University of Kentucky(. https://uknowledge.uky.edu/music_etds/51/
Lucky, S. (2018, Jan. 9). Rational emotional behavior therapy in song. Albert Ellis Institute. albertellis.org/rebt-in-song-lessons-in-low-frustration-tolerance/
Magill, L., Levin T., & Spodek L. (2016). One-session music therapy and CBT for critically ill cancer patients. Psychiatric Services, 59 (10), 1216-1217.
Mihalca, A., & Mihaela, Y. T. (2012). Cognitive emotion regulation strategies and social functioning in adolescents. Procedia -Social and Behavioral Sciences, 82 (2013), 574 – 579.
Mohammadi, L., Salehzade Abarghoei, M., & Nasirian M. (2015). Effectiveness of Acceptance and Commitment Therapy on Cognitive Emotion Regulation in Men under Methadone Treatment. Positive Psychology Research, 23 (9), 853-861.[Persian]
Naeem, F., Trimmer, C., & Tyo, R.  (2016). It is Time for the CBT Songs: Music as a medium to deliver cognitive behaviour therapy. Jornale of Biomusical Engineering, 4 (1), 110-124.
NajiRanjbaranpour, S., & Nasrollahi, B. (2018). Social adjustment and problem solving in the elderly: The role of cognitive emotion regulation. Psychology of Aging, 5 (2), 143-155. [Persian]
Narimani, M., Ali Sari Nasirloo, K., & Effat Parvar, S. (2013). The Effectiveness of emotion-focused education on cognitive emotion regulation strategies of emotionally abused students. Practical Consulting, 3(2), 37-50. [Persian]
Robertson, D., & Codd, T. (2019). “Stoicism” as cognitive-behavioural therapy (CBT). The Behavior Therapist, 42(2), 42-50.
Rajabi, F., & Eslami, A. (2017). The Effectiveness of life skills training on psychological well-being and happiness of older women. Journal of Aging Psychology, 4 (4), 301-312. [Persian]
Register, D. M., & Hilliard, R. E. (2008). Using orff-based techniques in children's bereavement groups: A cognitive-behavioral music therapy approach. The Arts in Psychotherapy, 35(2), 162-170.
Rezayi, F., Amiri, M., & Taheri, E. (2017). Effectiveness of cognitive-behavioral group therapy on reducing social anxiety and negative cognitive evaluation among hard of hearing young girls. Counseling Culture and Psycotherapy, 8(32), 133-160.
Rodda, J., Boyce, N., & Walker, Z. (2008). The Old age psychiatry handbook. John Wiley & Sons Ltd.
O’Donohue, W., Fisher, E. J., & Hayes, C. S. (2003).  Cognitive behavior therapy: Applying empirically supported techniques in your practice. John Wiley & Sons, Inc.
Park, A. A. (2011). Theoretical orientations applied by music therapists working in adult psychiatric inpatient settings. )Master’s thesis, Molloy College(.  https://digitalcommons.molloy.edu/etd/22/
Parker, F. (2019). Music therapy as a behavior modification for students with severe behavior. )Doctoral dissertation, Auburn University). https://etd.auburn.edu.
Shafiabadi, A., & Naseri, Gh. (2015). Theories of psychotherapy and counseling. Samat Publications. [Persian]
Shariat, A., Ghazanfari, A., Yarmohammadian, A., Solati, K., & Charami, M. (2019). The Effectiveness of Gestalt therapy on depression, differentiation, cohesive self-awareness and positive psychological characteristics of the elderly. Psychology of Aging, 6 (3), 249-267. [Persian]
Sheibani Tazraji, F., Pakdaman, S., Dadkhah, A., & Hasanzadeh Tavakoli, M R. (2010). The Effect of music therapy on depression and loneliness in old people. Salmand: Iranian Journal of Ageing, 5 (2), 54-60. [Persian]
Sherdell, L., Waugh, C. E., & Gotlib, I. H. (2012). Anticipatory pleasure predicts motivation for reward in major depression. Journal of Abnormal Psychology, 121 (2), 51–60.
Silverman, M.J. (2011). Effects of music therapy on change and depression on clients in detoxification. Journal of Addictions Nursing, 22 (4), 185-192.
Sloboda, J., & Goethem, V. A. (2011). The Functions of music for affect regulation. Musicae Scientiae, 15(2) 208–228.
Stige, B., Ansdell, G., Elefant, C. & Pavlicevic M. (2011). Where music helps: Community music therapy in action and reflection (1th Ed).  Routledge.
 Thompson, R. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child, 59(3), 25–52.
Trimmer, C G., Tyom, R. I., Pikard, J., McKenna, C., & Naeem, F. (2018). Low-intensity cognitive behavioural therapy-based music group (CBT-Music) for the treatment of symptoms of anxiety and depression: A Feasibility study. Behavioural and Cognitive Psychotherapy, 46 (2), 168–181. 
Ugwuanyi, C. S., Ede, M. O., Onyishi, C. N., Ossai, O. V., Nwokenna, E. N., Obikwelu, L. C., Ikechukwu-Ilomuanya, A., Amoke, C. V., Okeke, A. O., Ene, C. U., Offordile, E. E., Ozoemena, L. C., & Nweke, M. L. (2020). Effect of cognitive-behavioral therapy with music therapy in reducing physics test anxiety among students as measured by generalized test anxiety scale. Medicine, 99(17), 1-8.
Vafaeifard, M., Rahimi, M., Behnamfar, M., & Khorasan, A. (2017). Cognitive therapy approach and study of two cognitive distortions (exaggerated generalization and hasty conclusion) based on Masnavi allegories Rumi. Textual Criticism of Persian Literature, 2 (34), 46-49. [Persian]
Vesali, H., Lachini, A., Afshani, R., & Mahdoodi Zaman, M. (2019). The Eelationship between defense styles and cognitive emotion regulation strategies with death anxiety in the elderly. Thought and Behavior in Clinical Psychology, 15 (55), 26-17. [Persian]
Watts. R. E. (1994). A New rational emotive behavior song. Journal of Professional Counseling: Practice, Theory & Research, 23(2), 42-44.
Warren, J. M. (2011). Rational rhymes for addressing common childhood issues, Journal of Creativity in Mental Health, 6 (4), 329-339.
Wanqing, Y. E., Xiaotong, L. E., & Dahua, W. (2018).  The Relationship between cognitive emotion regulation of negative marital events and marital satisfaction among older people: A cross-lagged analysis. Acta Psychologica Sinica, 50(4), 426-435.
Yankura, J., & Dryden, W. (1994). Albert Ellis (Key Figures in Counselling and Psychotherapy series). SAGE Publications Ltd.
Yazdanbakhsh, K., Karami, J., & Derikvand, F. (2020). Effectiveness of compassion-focused therapy on cognitive emotion regulation in high school girl students bullying. Journal of Psychological Studies, 16(1), 107-122. [Persian]
Zadeh Mohammadi, A. (2009). Applications of music therapy in psychiatry, medicine and psychology. Shabahang Publications. [Persian]