Sukamto Koesnoe
Faculty of Medicine University of Indonesia, Ciptomangunkusumo Hospital, Jakarta

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Journal : Narra J

Effects of traditional music therapy on the psycho-neuro-immuno-endocrine aspect of burnout syndrome in healthcare workers: A randomized controlled trial Ardani, Yanuar; Shatri, Hamzah; Koesnoe, Sukamto; Yunir, Em; Wiguna, Tjhin; Wibowo, Heri; Sawitri, Dian R.; Sarwono, Sugeng J.; Masyur, Muhtaruddin; Ricardo, William; Katarina, Matilda; Anggono, Rendi F.
Narra J Vol. 5 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i1.1686

Abstract

Burnout syndrome (BOS) is an occupational phenomenon highly prevalent among healthcare workers, particularly physicians and nurses. Despite its prevalence, no single therapy universally addresses all cases of BOS. The aim of this study was to develop a novel approach to managing BOS through traditional music therapy, evaluated from psychosomatic, neurological, immunological, and endocrine perspectives. The study involved 80 participants who were randomly assigned to either the intervention or control group. The intervention group received traditional music therapy for 10–15 minutes, three times a week, over four weeks. Key outcomes were assessed at weeks 2 and 4. Measurements included the Maslach Burnout Inventory (MBI), heart rate variability (HRV), saliva cortisol, saliva β-endorphin, saliva immunoglobulin A (IgA), and serum FOXP3. Instruments included the MBI-HSS questionnaire and HRV measuring devices. Over four weeks, significant improvements were observed in the MBI scores (p=0.001), HRV (p=0.001), and FOXP3 delta (p=0.035) in the intervention group compared to the control group. However, no significant differences were found for cortisol, β-endorphin, or IgA. These findings suggest that traditional music therapy positively impacts the psychological, neurological, and immunological aspects of BOS and potentially influences immunological and endocrine responses. Future research should explore the effects of longer intervention durations, test varying doses, and examine the combination of music therapy with other non-pharmacological treatments to enhance its therapeutic potential.
Co-Authors Achmad, Ibrahim Adli, Mizanul Adna, Rury Maharani Aldy Heriwardito Andhika Rachman Anggono, Rendi F. Anindito, Bagus Anna Uyainah Ardani, Yanuar Ariadno, Aru Arif Mansjoer Astrid Citra Padmita, Astrid Citra Aulia Rizka, Aulia Bernie Endyarni Medise Buharman, Borries Foresto Ceva W. Pitoyo Chyntia Olivia Maurine Jasirwan, Chyntia Olivia Maurine Cosphiadi Irawan Dadang Makmun Dewanta, Widhi Dian R. Sawitri, Dian R. E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Edy Rizal Wahyudi Eka Ginanjar Ekanara, Nabilla Gita Em Yunir, Em Esthika Dewiasty, Esthika Evy Yunihastuti Ferliani Ferliani, Ferliani Gurmeet Singh Harry Isbagio Heri Wibowo Hermanadi, Muhammad Ikrar Heru Sundaru Ika Prasetya Wijaya Ikhwan Rinaldi Indria Yogani, Indria Irene Yuniar, Irene Irman Firmansyah Johan, Alvin Katarina, Matilda Kuntjoro Harimurti Marbun, Maruhum Bonar Hasiholan Maria, Suzy Masyur, Muhtaruddin Muhadi Muhadi, Muhadi Muhammad Alkaff Murdani Abdullah Nababan, Saut Horas H. Nuri Purwito Adi Olfriani, Ciho R.R., Aditia Retnaningdyah, Windri Ricardo, William Rini Mulia Sari Rini Sekartini Robert Sinto Rudi Putranto Rudy Hidayat Sally Aman Nasution, Sally Aman Samsuridjal Djauzi Sari, Nina Kemala Sarwono, Sugeng J. Saskia Aziza Nursyirwan, Saskia Aziza Siti Taqwa Fitria Lubis, Siti Taqwa Fitria Soedjatmiko Sulaiman, Andri S Teguh Harjono Karjadi, Teguh Harjono Teguh Harjono Karyadi, Teguh Harjono Tjhin Wiguna Ummu Habibah, Ummu Wahyuni Indawati, Wahyuni Wicaksana, Bramantya Wijaya, Indra Wirahmadi, Angga Wulandari, Risky Wulyo Rajabto Yulidar Yulidar