Music interventions for improving psychological and physical outcomes in cancer patients

Department of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, 1505 Race Street, rm 1041, Philadelphia, PA, USA, 19102.
Cochrane database of systematic reviews (Online) (Impact Factor: 6.03). 08/2011; 8(8):CD006911. DOI: 10.1002/14651858.CD006911.pub2
Source: PubMed


Having cancer may result in intense emotional, physical and social suffering. Music therapy and music medicine interventions have been used to alleviate symptoms and treatment side effects in cancer patients. In music medicine interventions, the patient simply listens to pre-recorded music that is offered by a medical professional. Music therapy requires the implementation of a music intervention by a trained music therapist, the presence of a therapeutic process, and the use of personally tailored music experiences. This review included 30 trials with a total of 1891 participants. The findings suggest that music therapy and music medicine interventions may have a beneficial effect on anxiety, pain, mood, quality of life, heart rate, respiratory rate, and blood pressure in cancer patients. Most trials were at high risk of bias and, therefore, these results need to be interpreted with caution. No evidence of a difference between music therapy or music medicine and control was found for depression, fatigue, or physical status. However, only a small number of trials investigated the effect of music on these outcomes. We could not draw any conclusions about the effect of music interventions on distress, body image, oxygen saturation level, immunologic functioning, spirituality, and communication outcomes because there were not enough trials looking at these aspects. Therefore, more research is needed. The limited number of trials in this review prevented a comparison being made between music therapy interventions and pre-recorded music listening offered by medical personnel.

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    • "Currently studies on relaxing music have determined a close relationship between music and health procedures, that it may be used in every area of healthcare, and is a treatment method that is painless, reliable, cheap and without side effects [4]. A metaanalytical study has shown that relaxing music affects blood pressure and heart rate in coronary heart patients and cancer patients [5] [6]. "
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    ABSTRACT: The positive changes in human behavior caused by relaxing music demonstrate the psychological effect of music on human body. A meta-analytical study has shown that relaxing music affects blood pressure and heart rate in coronary heart patients and cancer patients. The aim of our study is to research whether there is a significant effect on heart rate and heart rate variability due to listening to relaxing music during ECG GATED MPS imaging under gamma camera. The music group (n = 50 patients) could choose from 15 different musical types including folk music (no lyric). The other 50 patients were placed in a "no music group" and did not get headphones or any music. There was a statistically significant reduction in the heart rate of patients in the music group compared to those in the control group. Relaxing music provides great benefits to both patient and clinician. There is close relationship between relaxing music and health procedure, can use every area of the health noninvasiv, safe, cheap and is a method don't have side effect. Copyright © 2015 Elsevier Ltd. All rights reserved.
    Complementary Therapies in Clinical Practice 02/2015; 21(2). DOI:10.1016/j.ctcp.2014.12.003
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    • "Ultimately, patients with cancer need additional emotional support , education, and engagement in positive strategies to increase their abilities to manage their illnesses (Robb, Burns, & Carpenter, 2011). However, a gap in the literature remains regarding if, how, and why MT interventions impact CRF (Bradt et al., 2011). "
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    ABSTRACT: Cancer-related fatigue (CRF) is an under-treated condition frequently experienced by cancer patients that can negatively affect wellbeing both during and after hospitalization. The purpose of this mixed-methods pilot study was to determine if and how cognitive-behavioral music therapy (CBMT) might reduce fatigue of hospitalized patients on an adult Blood and Marrow Transplant (BMT) unit. The researchers measured the effects of CBMT on five aspects of participants’ fatigue using a convergent parallel mixed-methods design. Participants (N = 11) were randomly assigned to experimental or wait-list control conditions and completed the Multidimensional Fatigue Inventory ( Smets, Garssen, Bonke, & Haes, 1995) at pre- and posttest. Experimental participants completed a semi-structured interview before hospital discharge. Quantitative results indicated no significant between-group differences concerning fatigue. However, experimental participants tended to have decreases in mean fatigue scores from pre- to posttest while control participants had increases in mean fatigue scores from pre- to posttest. Qualitative data tended to support quantitative data and indicated that CBMT a) influenced fatigue cognitively by increasing motivation and self-efficacy, b) influenced fatigue affectively by promoting relaxation and restful states, and c) represented a meaningful, unique, and holistic service for hospitalized BMT patients. CBMT may be an effective intervention concerning various aspects of fatigue for hospitalized BMT patients. Due to the small sample size, results should be interpreted with caution. Limitations of the study, implications for clinical practice, and suggestions for future research are provided.
    The Arts in Psychotherapy 11/2014; 41(5). DOI:10.1016/j.aip.2014.09.002 · 0.58 Impact Factor
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    • "Recently this topic has been thoroughly and independently reviewed [17e22]. Meta-analysis has shown music to have merely a modest influence over blood pressure and heart rate for patients with coronary artery disease [23] and cancer [24]. This suggests that further research is still required regarding music therapies when evaluated using haemodynamic parameters. "
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    ABSTRACT: Music has been employed in various clinical settings to reduce anxiety. However, meta-analysis has shown music to have little influence on haemodynamic parameters. This study aimed at investigating the effect of relaxing music on heart rate recovery after exercise. Twenty-three student volunteers underwent treadmill exercise and were assessed for heart rate recovery and saliva analysis; comparing exposure to sedative music with exposure to silence during the recovery period immediately following exercise. No differences were found between music and non-music exposure regarding: heart rate recovery, resting pulse rate, and salivary cortisol. Music was no different to silence in affecting these physiological measures, which are all associated with anxiety. Relaxing music unaccompanied by meditation techniques or other such interventions may not have a major role in reducing anxiety in certain experimental settings.
    Complementary therapies in clinical practice 05/2014; 20(2):114-7. DOI:10.1016/j.ctcp.2014.01.001
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