TOMATIS® Stress Rehabilitation Statistical Analysis

® TOMATIS

Stress Rehabilitation Statistical Analysis First Presented at Château St Just, Paris 15 May 2016 Maria Moell Lundqvist Founder & Director Tomatis® New Zealand

The TomatisŽ Stress Rehabilitation Program was Financed by: Swedish Social Insurance Agency Alecta Occupational Insurance Participants’ Employers

Presentation Outline • • • • • •

Participants Tomatis® Intervention Measurements Results Control Group Conclusions

© Maria Moell Lundqvist, Tomatis® New Zealand

Participants • Client data:

98 (101) clients pre/post 81 (84) clients pre/post/follow-up

• Inclusion criteria:

All clients from 2003 to 2011 ≥ 20 Maastricht VE or ≥ 4.0 SMBQ

© Tomatis Nordiska AB

• M/F: 70% women, 30% men • Background: majority professionals with stable family situation

• Diagnoses: burnout, stress, insomnia, post traumatic stress disorder (PTSD), depression, stroke, whiplash, concussion, brain trauma © Maria Moell Lundqvist, Tomatis® New Zealand

Tomatis® Program • Listening program:

2, 3 or 4 intensive blocks of 30 hours listening training each

• Average length: 90 hours • Voice: 30% of clients

also did active voice work

• Total program duration: 6 months • Follow-up: After 6 months

© Maria Moell Lundqvist, Tomatis® New Zealand

Questionnaires Used Initial assessment

30 h

30 h

30 h

6 months’ follow-up

1. Karolinska Sleep Questionnaire 2. Shirom-Melamed Burnout Questionnaire 3. Maastricht Vital Exhaustion Index These are standardized questionnaires extensively used in research.

© Maria Moell Lundqvist, Tomatis® New Zealand

Karolinska Sleep Questionnaire KSQ measures sleep quality, awakening, and tiredness during the day • 11 questions, range from 1=”Never” to 6=”Always” • Sub-scales: Sleep Quality, Awakening, Tiredness • Calculate average score for each sub-scale Do you have difficulties falling asleep?

Do you wake up too early?

1 2 3 4 5 6 1 2 3 4 5 6

© Maria Moell Lundqvist, Tomatis® New Zealand

Karolinska Sleep Questionnaire Mean Values

Š Maria Moell Lundqvist, TomatisŽ New Zealand

Karolinska Sleep Questionnaire Basic Statistics (Statistica Software)

T-test for Dependent Samples. Marked differences are significant at

p < .00001 Mean

Std.Dv.

KSQ Sleep Quality Before Tomatis

3.798016

1.085350

KSQ Sleep Quality After Program

2.841837

1.061503

KSQ Sleep Quality Before Tomatis

3.829698

1.100644

KSQ Sleep Quality 6 Months’ Follow-up

2.882716

1.079704

N

Diff.

98

0.956179

81

0.946982

Std.Dv. Diff.

t

df

p

0.972632

9.732034

97

0.000000

0.860244

9.907465

80

0.000000

© Maria Moell Lundqvist, Tomatis® New Zealand

Karolinska Sleep Questionnaire Box & Whisker Plot – Sleep Quality Index Mean, Mean±SE, Mean±SD Box & Whisker Plot - Karolinska Sleep Questionnaire - Sleep Quality 6

5

4

3

2

1

Before Tomatis 6 month's follow-up

© Maria Moell Lundqvist, Tomatis® New Zealand

Mean Mean±SE Mean±SD

Shirom-Melamed Burnout Questionnaire SMBQ measures different factors of burnout syndrome • 22 questions, range from 1=”Never” to 7=”Always” • Sub-scales: Burnout, Listlessness, Tension, Cognitive Weariness, Global (=all questions) • Calculate average score for each sub-scale I feel physically drained

1 2 3 4 5 6 7

I have difficulty concentrating

1 2 3 4 5 6 7

My thinking process is slow

1 2 3 4 5 6 7

© Maria Moell Lundqvist, Tomatis® New Zealand

Shirom Melamed Burnout Questionnaire Mean Values Before Tomatis After program

7

6 months' follow-up

6 5 4 3 2 1

Burnout

Listlessness

Tension

Cognitive Weariness

Š Maria Moell Lundqvist, TomatisŽ New Zealand

Global

Shirom Melamed Burnout Questionnaire Basic Statistics (Statistica Software) T-test for Dependent Samples. Marked differences are significant at

p < .00001 Mean

Std.Dv.

SMBQ Global Before Tomatis

5.063823

0.773305

SMBQ Global After Program

3.151522

1.153174

SMBQ Global Before Tomatis

5.063148

0.751942

SMBQ Global 6 Months’ Follow-up

2.898681

1.017667

N

Diff.

100

1.912301

84

2.164467

Std.Dv. Diff.

t

df

p

0.981573

19.48201

99

0.000000

0.964159

20.57511

83

0.000000

© Maria Moell Lundqvist, Tomatis® New Zealand

Shirom Melamed Burnout Questionnaire Box & Whisker Plot – Global Index Mean, Mean±SE, Mean±SD Box & Whisker Plot - Shirom Melamed Burnout Questionnarie - Global Index 7

6

5

4

3

2

1

Before Tomatis 6 months' follow-up

© Maria Moell Lundqvist, Tomatis® New Zealand

Mean Mean±SE Mean±SD

Maastricht Vital Exhaustion Index VE measures ”life exhaustion”, a marker of longstanding stress characterized by excessive fatigue, lack of energy, increased irritability, demoralization and depression • 23 questions: ”Yes”=2, ”No”=0, ”Don´t know”=1 Do you often feel tired?

Yes No Don’t know

Do you feel you want to give up trying?

Yes No Don’t know

Do little things irritate you more than they used to?

Yes No Don’t know

© Maria Moell Lundqvist, Tomatis® New Zealand

Maastricht Vital Exhaustion Index Mean Values

© Maria Moell Lundqvist, Tomatis® New Zealand

Maastricht Vital Exhaustion Index Basic Statistics (Statistica Software)

T-test for Dependent Samples. Marked differences are significant at

p < .00001 Mean

Std.Dv.

VE Before Tomatis

32.02970

7.767182

VE After Program

13.73267

9.789679

VE Before Tomatis

32.28916

7.962611

VE 6 Months’ Follow-up

11.72289

8.819758

N

Diff.

101

18.29703

83

20.56627

Std.Dv. Diff.

t

df

p

9.508464

19.33886

100

0.000000

9.936620

18.85627

82

0.000000

© Maria Moell Lundqvist, Tomatis® New Zealand

Maastricht Vital Exhaustion Index Box & Whisker Plot Mean, Mean±SE, Mean±SD Box & Whisker Plot - Maastricht Vital Exhaustion Index 45 40 35 30 25 20 15 10 5 0

Before Tomatis 6 months' follow-up

© Maria Moell Lundqvist, Tomatis® New Zealand

Mean Mean±SE Mean±SD

Maastricht Vital Exhaustion Index Development During the Tomatis® Program

© Maria Moell Lundqvist, Tomatis® New Zealand

Maastricht Vital Exhaustion Index Before and 6 monthsâ&#x20AC;&#x2122; Follow-up, All Clients

Return to Work

Š Maria Moell Lundqvist, TomatisŽ New Zealand

Comparison Group

Other Intervention • • • • • •

Well-known stress rehabilitation clinic Structured intervention program 40 participants, 70% women 6 months’ duration KSQ, SMBQ and VE before, after program & 6 months follow-up Participants referred by the same insurance companies © Maria Moell Lundqvist, Tomatis® New Zealand

KSQ – Tomatis® vs Control Tomatis®

Other intervention

6

6

5

5

4

4

3

3

2

2

1

Sleep Quality

Awakening

p<0.00001

Tiredness

1

Sleep Quality

ns

Awakening

Tiredness

p<0.05

p<0.001

© Maria Moell Lundqvist, Tomatis® New Zealand

SMBQ – Tomatis® vs Control 7

Tomatis® 7

6

6

5

5

4

4

3

3

2

2

1

1

Other intervention

p<0.00001

© Maria Moell Lundqvist, Tomatis® New Zealand

p<0.001

Vital Exhaustion – Tomatis® vs Control Other intervention

Tomatis® 45

45

40

40

35

35

30

30

25

25

20

20

15

15

10

10

5

5

0

0

p<0.00001

p<0.001

© Maria Moell Lundqvist, Tomatis® New Zealand

Return to Work – Tomatis® vs Control Tomatis®

Other intervention

© Maria Moell Lundqvist, Tomatis® New Zealand

Conclusions 1. KSQ, SMBQ and VE clearly demonstrate the effectiveness of the Tomatis® Rehabilitation Program 2. VE is a good predictor of program length: 3 x VE ≈ No of Tomatis® hours 3. VE reacts very fast (20 hours), SMBQ takes a little longer, KSQ a few months 4. Tomatis® Level 1 programs go a long way 5. Add Tomatis® Active Voice work if possible 6. Trust statistics: Results reliable; data extremely robust

© Maria Moell Lundqvist, Tomatis® New Zealand

Swedish Team: Tomatis® Consultants Level 4

Helena BOWIN

Torbjörn FREIJ

Maria MOELL Ewa HERMANSSON LUNDQVIST

• Antonia JACOBAEUS, MD

© Maria Moell Lundqvist, Tomatis® New Zealand

Maria Moell Lundqvist • Master of Science in Engineering Physics and 18 years in global corporations • Introduced Tomatis® in Sweden • Founder and Director of Tomatis® Nordiska 1998 – 2012 • Awarded ”Business Owner of the Year” 2006 in Sollentuna/Stockholm • Tomatis® Consultant Level 4 and Tomatis® International Trainer • Introducing Tomatis® in New Zealand since 2012 © Maria Moell Lundqvist, Tomatis® New Zealand

Many thanks for making this study possible!

The Participants, their Families, and Employers Swedish Social Insurance Agency Alecta Occupational Insurance Invaluable advice and support from researchers at Uppsala University and Karolinska Institute

Download a copy of the presentation and learn more about our work at

www.tomatis.co.nz/stress