The Journal of the Acoustical Society of Korea (한국음향학회지)

The Acoustical Society of Korea (한국음향학회)
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Effects of musical harmony on the suppression of tinnitus: preliminary basic study

음악적 화성의 이명 억제 효과: 선행 기초 연구

  • 김성찬 (제주대학교 의공학협동과정) ;
  • 홍금나 (제주대학교 대학원) ;
  • 최민주 (제주대학교 의공학협동과정)
  • Received : 2022.08.03
  • Accepted : 2022.09.13
  • Published : 2022.09.30
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Abstract

This study is a preliminary experiment to test on the effect of musical harmony on the suppression of the discomfort from tinnitus. The experiment was conducted on 25 adults with normal hearing. They listened to the three types (1. original music, 2. melody only, 3. harmony only) of Brandenburg concerto no. 3, G Major (J S Bach) and rated tinnitus annoyance scales. The results show that the tinnitus annoyance was significantly reduced when they listened to the tinnitus sound and any of the three types of the same musics compared to when listening to the tinnitus sound only (p < 0.019). Suppression of tinnitus was observed to be greater in the original music containing harmony and the harmony part only than in the music excluding the harmony part (the melody part only) (p < 0.012). The suppression effect was slightly better in the original music including the harmony part than in the harmony part only, but there was no statistical significance (p = 0.189). The experimental results suggest that the harmony in music plays an important role in suppressing tinnitus annoyance, compared to the melody. Validations with tinnitus patients are necessary to underpin the findings, which can enable us to embark further studies for making use of them for clinical applications.

본 연구에서는 음악의 화성적 요소가 이명을 억제하는 효과에 대한 선행적인 기초 실험을 수행했다. 정상 청력을 가진 25명의 성인을 대상으로, 이명 소리와 함께 화성부와 선율부로 구성된 Brandenburg concerto no. 3, G Major(J S Bach)를 3가지 형태(1. 원곡, 2. 선율부, 3. 화성부)로 들려주며 이명의 거슬림을 평가하도록 했다. 실험 결과, 이명 소리만 청취할 때에 비해 음악을 함께 청취할 경우 모든 3가지 곡에 대해 이명의 거슬림이 유의하게 감소했다(p < 0.019).이명 억제 효과는 화성이 포함된 원곡 및 화성부로만 이루어진 곡에서 화성을 제외한 곡(=선율부) 보다 크게 나타났다(p < 0.012). 이명 억제 효과는 화성부로만 되어있는 곡보다 화성부를 포함하는 원곡에서 약간 좋으나, 통계적인 유의성은 없는 것으로 나타났다(p = 0.189). 본 연구는 이명을 억제하는 음악에서 화성적 요소가 선율적인 요소보다 더 중요한 역할을 한다는 실험 결과를 제시하고 있으며, 향후 이명 환자를 통한 검증과 임상적인 활용을 위한 후속 연구가 제안된다.

Keywords

References

  1. A. Davis and A. E. Refaie, "Epidemiology of Tinnitus," in Handbook of The Handbook of Tinnitus, edited by R. Tyler (Singular, San Diego, 2000).
  2. S. Y. Yoo, T. S. Kim, I. S. Moon, S. N. Park, J. E. Shin, H. K. Lee, G. J. Im, J. H. Jang, E. J. Jeon, S. H. Choi, J. H. Choi, J. Choi, K. W. Heo, D. G. Hur, and E. C. Nam, "Current trends in the treatment of subjective tinnitus at university hospitals in Korea" (in Korean), Korean J. Otolaryngol - Head Neck Surg. 56, 266-277 (2013).
  3. R. S. Tyler, Neurophysiological Models, Psychological Models, and Treatments for Tinnitus (Thieme Medical Publishers, Inc, New York, 2006), pp.1-22.
  4. P. B. Davis, B. Paki, and P. J. Hanley, "Neuromonics tinnitus treatment: third clinical trial," Ear Hear, 28, 242-259 (2007). https://doi.org/10.1097/AUD.0b013e3180312619
  5. A. H. H. Al-Jassim, "The use of Walkman mini-sterco system as a tinnitus masker," J. Lar. Otol. Lond. 102, 27-29 (1988). https://doi.org/10.1017/S0022215100103871
  6. I. H. Moon, K. S. Lee, Y. H. Han, J. Y. Sung, I. S. Choi, J. Y. Park, C. S. Chang, and B. H. Jun, "Tinnitus masking effects using various kinds of sound and music" (in Korean), Korean J. Otolaryngol - Head Neck Surg. 42, 173-183 (1999).
  7. D. Hann, G. D. Searchfield, M. Sanders, and K. Wise, "Strategies for the selection of music in the short-term management of mild tinnitus," Aust N Z J Psychiatry, 30, 129-140 (2008).
  8. J. Chen, P. He, and F. Pan, "Research on synthesizing music for tinnitus treatment based on chaos," Proc. ICSP, IEEE, 2286-2291 (2014).
  9. J. Chen, F. Pan, P. Zhong, T. He, L. Qi, J. Lu, P. He, and Y. Zheng, "An automatic method to develop music with music segment and long short term memory for tinnitus music therapy," IEEE Access, 8, 141860-141871 (2020). https://doi.org/10.1109/access.2020.3013339
  10. G. F. Reed, "An audiometric study of two hundred cases of subjective tinnitus," AMA Arch. Otolaryngol. 71, 84-94 (1960). https://doi.org/10.1001/archotol.1960.03770010088009
  11. J. Vernon and J. Fenwick, "Identification of tinnitus: a plea for standardization," J. Lar. Otol. Lond. 98, 45-53 (1984). https://doi.org/10.1017/S1755146300090107
  12. Y. J. Chong, M. I. Yoon, J. D. Lee, S. W. Kim, Y. J. Lee, E. K. Gho, and K. M. Chon, "A psychologic study in tinnitus disorder: CMI and SCL-90-R" (in Korean), Korean J. Otolaryngol - Head Neck Surg. 4, 366-373 (1997).
  13. K. M. Chon, K. S. Cho, J. D. Kim, J. C. Lee, I. W. Lee, and E. K. Goh, "Relationship between subjective expression and pitch in tinnitus" (in Korean), Korean J. Otolaryngol - Head Neck Surg. 48, 961-966 (2005).
  14. S. J. Lee and S. K. Lee, "Relationships of tinnitus to frequency and hearing loss in elderly patients" (in Korean), Korean J. Otolaryngol - Head Neck Surg. 50, 869-875 (2007).
  15. H. J. Auo, K. H. Park, S. W. Yeo, K. H. Chang, H. G. Choi, B. J. Choi, M. A. Han, and S. N. Park, "Treatment response of modified tinnitus retraining therapy with medical therapy in the patients with tinnitus" (in Korean), Korean J. Otolaryngol - Head Neck Surg. 52, 648-654 (2009).
  16. C. W. Yang, J. Jung, S. H. Kim, J. Y. Byun, M. S. Park, and S. G. Yeo, "Comparison of clinical characteristics in patients with bilateral and unilateral tinnitus" (in Korean), Acta Otolaryngol. 135, 1128-1131 (2015).
  17. J. H. Kim, J. H. Kim, S. I. Cho, S. H. Park, S. H. Kim, I. H. Chu, and S. G. Kim, "Psychiatric characteristics according to tinnitus severity" (in Korean), Korean J. Biol. Psychiatry, 22, 7-13 (2015).
  18. S. Kemp and R. N. George, "Masking of tinnitus induced by sound," JSLHR, 35, 1169-1179 (1992).
  19. D. Tang, H. Li, and L. Chen, Hearing Loss: Mechanisms, Prevention and Cure. vol 1130 (Springer, Singapore, 2019), pp. 109-128.
  20. R. O. C. King, G. Singh Shekhawat, C. King, E. Chan, K. Kobayashi, and G. D. Searchfield, "The effect of auditory residual inhibition on tinnitus and the electroencephalogram," Ear Hear, 42, 130-141 (2021). https://doi.org/10.1097/AUD.0000000000000907
  21. H. K. Lee, "Tinnitus retraining therapy" (in Korean), Korean J. Audiol, 6, 71-75 (2002).
  22. J. S. Phillips and D. McFerran, "Tinnitus retraining therapy (TRT) for tinnitus," Cochrane Database Syst. Rev. 3, CD007330 (2010).
  23. A. T. Beck, C. H. Ward, M. Mendelson, J. Mock, and J. Erbaugh, "An inventory for measuring depression," Arch. Gen. Psychiatry, 4, 561-571 (1961). https://doi.org/10.1001/archpsyc.1961.01710120031004
  24. A. T. Beck, N. Epstein, G. Brown, and R. A. Steer, "An inventory for measuring clinical anxiety: psychometric properties," J Consult Clin Psychol. 56, 893 (1988). https://doi.org/10.1037/0022-006X.56.6.893
  25. H. M. Kehrle, A. L. L. Sampaio, R. C. Granjerio, T. S. Oliveria, and C. A. O. P. Oliveira, "Tinnitus annoyance in normal-hearing individuals: correlation with depression and anxiety," Annals of Otology, Rhinology & Laryngology, 125, 185-194 (2016). https://doi.org/10.1177/0003489415606445
  26. K. B. Koh, H. N. Kim, H. K. Lee, and S. K. An, " The relationship of stress perception and psychopathology with intensity of tinnitus in patients with tinnitus" (in Korean), Korean J. Psychosom. Med. 5, 151-157 (1997).
  27. A. Meckley Kutyana, "Heart rate variability biofeedback for tinnitus: preliminary findings from multiple case studies," Biofeedback, 43, 142-148 (2015). https://doi.org/10.5298/1081-5937-43.3.04
  28. L. T. Betz, A. Muhlberge, B. Langguth, and M. Schecklmann, "Stress reactivity in chronic tinnitus," Sci. Rep. 7, 1-9 (2017). https://doi.org/10.1038/s41598-016-0028-x
  29. H. J. Jung, Music Therapy : Understanding and Application (Ewha Womans University Press, Seoul, 2005), pp. 234.
  30. B. K. Lee, "The dramatic meaning of neapolitan sixth chords in handel's oratorios" (in Korean), J. Music Theory, 17, 34-65 (2011).
  31. J. H. Hwang and S. Y. Lee, "The relationship between the harmony progression and the emotional symptoms of characters in the movie, ｢The hours｣" (in Korean), J. DCS. 14, 678-685 (2014).
  32. K. Bruscia, "The practical side of improvisational music therapy," Music Ther. Perspect. 6, 11-15 (1989). https://doi.org/10.1093/mtp/6.1.11
  33. M. P. C. G. Lourenco, J. Simoes, J. W. S. Vlaeyen, and R. F. F. Cima, "The daily experience of subjective tinnitus: Ecological momentary assessment versus end-of-day diary," Ear Hear, 43, 45-52 (2022). https://doi.org/10.1097/AUD.0000000000001054
  34. S. N. Park, "Tinnitus retraining therapy protocol" (in Korean), Audiol. Speech Res. 12, S38-S40 (2016). https://doi.org/10.21848/asr.2016.12.s1.s38