Abstract
Context
Eighty-seven patients newly diagnosed with lung, breast, or gastrointestinal cancer
and undergoing chemotherapy in the infusion suite of a large urban hospital in New
York City.
Objective
Patients were enrolled in this study of music therapy's impact on resilience in coping
with the impact of symptoms inclusive of symptom clustering.
Methods
Patients were randomly assigned to three arms: clinical instrumental improvisation
or clinical vocal improvisation 43 subjects to instrumental improvisation or vocal
improvisation and 44 subjects to control. All subjects received a Medical Music Psychotherapy
Assessment including psychosocial information and music preferences, pre-/post-Resilience
Scale, Hospital Anxiety and Depression Scale, Visual Analogue Scale/Faces Scale, and
a pain—Color Analysis Scale. Interventions included 20-minute music therapy (MT) and
two additional sessions.
Results
Significant increases in Resilience Scale in MT groups after treatment with instrumental
and vocal MT interventions equally potent-reflect average changes of 3.4 and 4.83
(P = 0.625), respectively. Although Hospital Anxiety and Depression Scale scores showed
little impact of MT on perceived anxiety/depression, a strong correlation is seen
between vocal intervention and lower depression scores through Visual Analogue Scale–rendered
postsessions. This yielded a significant decrease in pain levels immediately after
MT, with the final session showing the most significant change in pain level. Resilience
in enduring procedures is a necessary component of combating potential negative illness
perception.
Conclusion
Our study shows MT's facility to propel resilience in patients newly diagnosed with
cancer, particularly when promoting and pairing adaptation toward coping through the
expression of perceived negative effects of emotional and physiological symptoms.
Key Words
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References
- Cancer statistics, 2019.CA Cancer J Clin. 2019; 69: 7-34
- Cancer.org.https://www.cancer.org/research/cancer-facts-statistics.htmlDate: 2019Date accessed: September 20, 2019
- How many cancer patients use complementary and alternative medicine.Integr Cancer Ther. 2011; 11: 187-203
- The use of complementary therapies by breast cancer patients attending conventional treatment.Eur J Cancer. 1998; 34: 324-328
- Behavioral and psychological predictors of chemotherapy adherence in patients with advanced non-small cell lung cancer.J Psychosom Res. 2008; 65: 549-552
- Quality of life in hematologic oncology patients undergoing chemotherapy. Rev Esc Enferm USP.2013. 2013; 47: 355-361
- Prevalence of depression and anxiety among cancer patients.Caspian J Intern Med. 2014; 5: 167-170
- Music listening as a nursing intervention.Holist Nurs Pract. 2002; 16: 70-77
- Medical music therapy: A meta-analysis & agenda for future research.Jeffrey Books, Cherry Hill, NJ2005
- Music psychotherapy assessment.Mus Ther Perspect. 2000; 18: 47-58
- Music therapy and pediatric pain.Jeffrey Books, Cherry Hill, NJ1997
- Investigating emotion with music: neuroscientific approaches.Ann N Y Acad Sci. 2005; 1060: 412-418
- The impact of music interventions on anxiety for adult cancer patients.Integr Cancer Ther. 2013; 12: 393-403
- The effect of live music on decreasing anxiety in patients undergoing chemotherapy treatment.J Music Ther. 2007; 44: 242-255
- The impact of music therapy versus music medicine on psychological outcomes and pain in cancer patients: a mixed methods study.Support Care Cancer. 2014; 23: 1261-1271
- Effectiveness of music intervention in ameliorating cancer patients' anxiety, depression, pain, and fatigue.Cancer Nurs. 2014; 37: E35-E50
- Outcomes of music therapy interventions in cancer patients—a review of the literature.Crit Rev Oncol Hem. 2019; 138: 241-254
- Music therapy and radiation oncology: state of art and future directions.Complement Ther Clin Pract. 2020; 39: 101124
- Music-based interventions in palliative cancer care: a review of quantitative studies and neurobiological literature.Support Care Cancer. 2013; 21: 2609-2624
- Music intervention efficacy in elderly: a promising non-pharmacological approach to cognitive dysfunctions.Neurol Sci. 2017; 38: 933-934
- Music therapy in pediatric asthma improves pulmonary function while reducing hospitalizations.J Asthma. 2020; : 1-9
- AIR: advances in respiration-music therapy in the treatment of chronic pulmonary disease.Respir Med. 2015; 109: 1532-1539
- The clinical use of piano with patients suffering from breathing distress related to pain.in: Azoulay R. Loewy J.V. Music, the breath and health: Advances in integrative music therapy. Satchnote Press, New York2009: 213-222
- Exploring the role of music therapy in multiple sclerosis: brief updates from research to clinical practice.Neurol Sci. 2019; 40: 2277-2285
- Introducing a music program in the perioperative area.AORN J. 1997; 66: 674-682
- Music interventions for preoperative anxiety.Cochrane Database Syst Rev. 2013; : CD006908
- The effects of music assisted relaxation on preoperative anxiety.J Music Ther. 1995; 32: 2-21
- Music and preoperative anxiety: a randomized, controlled study.Anesth Analg. 2002; 94: 1489-1494
- Effects of music therapy on anxiety and physiological parameters in angiography: a systematic review and meta-analysis.J Neurointerv Surg. 2019; 11: 416-423
- Music interventions for improving psychological and physical outcomes in cancer patients.Cochrane Database Syst Rev. 2016; : CD006911
- Music interventions for psychological and physical outcomes in cancer: a systematic review and meta-analysis.Support Care Cancer. 2012; 20: 3043-3053
- Kind of blue: a systematic review and meta-analysis of music interventions in cancer treatment.Psychooncology. 2017; 27: 386-400
- The sound of music: differentiating musicians using a fast, musical multi-feature mismatch negativity paradigm.Neuropsychologia. 2012; 50: 1432-1443
- Music listening enhances cognitive recovery and mood after middle cerebral artery stroke.Brain. 2008; 131: 866-876
- Music therapy increases comfort and reduces pain in patients recovering from spine surgery.Am J Orthop. 2017; 46: E13-E22
- The use of music therapy during the treatment of cancer patients: a collection of evidence.Glob Adv Health Med. 2012; 1: 24-37
- Music therapy with adults diagnosed with cancer and their families.in: Edwards J. Handbook of music therapy. Oxford University Press, London, UK2016: 112-135
- The neuroscience of emotion in music.in: Malloch S. Trevarthen C. Communicative musicality: Exploring the basis of human companionship. Oxford University Press, New York2009: 105-146
- Music therapy for mood disturbance during hospitalization for autologous stem cell transplantation.Cancer. 2003; 98: 2723-2729
- The lived experience of listening to music while recovering from surgery.J Holist Nurs. 2000; 18: 378-390
- The effect of music listening on older adults undergoing cardiovascular surgery.Nurs Crit Care. 2006; 11: 224-231
- Music for stress and anxiety reduction in coronary heart disease patients.Cochrane Database Syst Rev. 2013; : CD006577
- Music interventions for mechanically ventilated patients.Cochrane Database Syst Rev. 2014; 2014: CD006902
- The impact of music therapy on anxiety in cancer patients undergoing simulation for radiation therapy.Int J Radiat Oncol Biol Phys. 2017; 99: 103-110
- Effects of live music during chemotherapy in lymphoma patients: a randomized, controlled, multi-center trial.Support Care Cancer. 2019; 27: 3887-3896
- Guided imagery and music (GIM) as therapy and rehabilitation for cancer survivors.Nord J Music Ther. 2016; 25: 84-85
- Study of two non-pharmacological methods, progressive muscle relaxation and music, on pain relief of cancerous patients.Hayat. 2006; 12: 63-72
- The effects of music therapy and guided visual imagery on chemotherapy induced nausea and vomiting.Oncol Nurs Forum. 1985; 12: 47-52
- Differences between supportive music and imagery and music listening during outpatient chemotherapy and potential moderators of treatment effects.J Music Ther. 2018; 55: 83-108
- The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation.WW Norton, New York2011
- NICU music therapy: song of kin as critical lullaby in research and practice.Ann NY Acad Sci. 2015; 1337: 178-185
- The effects of music therapy on vital signs, feeding, and sleep in premature infants.Pediatrics. 2013; 131: 902-918
- Neurobiological foundations of neurologic music therapy: rhythmic entrainment and the motor system.Front Psychol. 2014; 5: 1185
- Neurobiology of rhythmic motor entrainment.Ann N Y Acad Sci. 2003; 999: 313-321
- Entrainment mechanisms are involved in pain reduction, muscle relaxation, and music-mediated imagery.J Music Ther. 1985; 22: 183-192
- Emotional responses to pleasant and unpleasant music correlate with activity in paralimbic brain regions.Nat Neurosci. 1999; 2: 382-387
- Music as a therapeutic intervention on an inpatient euroscience unit.Complement Ther Clin Pract. 2010; 16: 138-142
- Emotional foundations of music as a non-pharmacological pain management tool in modern medicine.Neurosci Biobehav Rev. 2011; 35: 1989-1999
- Music therapy in cancer care: from life to death.in: Barraclough J. Enhancing cancer care: Complementary therapy and support. Oxford University Press, Oxford2007: 211-221
- Thirty-five years of anxiolytic music (AAM) in pain and aversive clinical settings.in: Mondanaro J. Sara G. Music and medicine: Integrative models in the treatment of pain. Satchnote Press, New York2013: 29-42
- Music therapy based release strategies in the treatment of acute and chronic pain: an individualized approach.in: Mondanaro J. Sara G. Music and medicine: Integrative models in the treatment of pain. Satchnote Press, New York2013: 133-148
- The influence of music therapy on preoperative anxiety in pediatric oncology patient oncology patients undergoing invasive procedures.Arts Psychother. 2020; 68: 101649
- An explorative study of qualities in interactive processes with children and their parents in music therapy during and after pediatric hematopoietic stem cell transplantation.Medicines (Basel). 2019; 6: 28
- Analysing and exploring practice: a working model of music therapy as procedural support for invasive medical procedures.Nord J Music Ther. 2016; 25: 25
- The effect of music-based imagery and musical alternate engagement on the burn debridement process.J Burn Care Rehabil. 2001; 22: 47-53
- Music therapy at the end of life.Jeffrey Books, Cherry Hill, NJ2006
- Music therapy for end-of-life care.Cochrane Database Syst Rev. 2014; 2014: CD007169
- The effect of music on the neurohormonal stress response to surgery under general anesthesia.Anesth Analg. 2004; 98: 527-532
- The effects of music listening after a stressful task on immune functions, neuroendocrine responses, and emotional states in college students.J Music Ther. 2003; 40: 189-211
- The effects of active and passive participation in musical activity on the immune system as measured by salivary immunoglobulin A (SlgA).J Music Ther. 2002; 39: 30-39
- Complementary, holistic, and integrative medicine: music for procedural pain.Pediatr Rev. 2013; 34: e42-e46
- Project sleep: the role and effect of a comprehensive, multidisciplinary music therapy quality improvement program.J Sleep Dis Res. 2018; 1: 26-41
- Music therapy as a potential intervention for sleep improvement.Nat Sci Sleep. 2020; 12: 1-9
- Sleep/sedation in children undergoing EEG testing: a comparison of chloral hydrate and music therapy.J Perianesth Nurs. 2005; 20: 323-331
- Pain research in complementary and alternative medicine in Australia: a critical review.J Altern Complement Med. 2013; 19: 81-91
- The meaning of the music: the role of music in palliative care music therapy as perceived by bereaved caregivers of advanced cancer patients.Am J Hosp Palliat Med. 2008; 26: 33-39
- The healing and spiritual properties of music therapy at a cancer care center.J Altern Complement Med. 2012; 18: 402-407
- The Joanna Briggs Institute best practice information sheet: music as an intervention in hospitals.Nurs Health Sci. 2011; 13: 99-102
- Integrative therapies during and after breast cancer treatment: ASCO endorsement of the SIO clinical practice guideline.J Clin. 2018; 36: 2647-2655
- The course of symptoms of anxiety and depression from time of diagnosis up to 2 years follow-up in head and neck cancer patients treated with primary (chemo)radiation.Oral Oncol. 2020; 102: 104576
- Time-dependent risk of depression, anxiety, and stress-related disorders in patients with invasive and in situ breast cancer.Int J Cancer. 2017; 140: 841-852
- Culturally-informed music psychotherapy: using Latin American music and repertoire in the treatment of pain and anxiety experienced by individuals receiving chemotherapy.in: Mondanaro J. Sara G. Music and medicine: Integrative models in the treatment of pain. Satchnote Press, New York2013: 421-450
- Medical music therapy in the case of a woman diagnosed with acute myeloid leukemia: a family systems approach.in: Dileo C. Advanced practice in medical music therapy. Jeffrey Books, Cherry Hill, NJ2015: 209-217
- Relationship among symptom clusters, quality of life, and treatment-specific optimism in patients with cancer.Support Care Cancer. 2018; 26: 2685-2693
- Development and psychometric evaluation of the resilience scale.J Nurs Meas. 1993; 1: 165-178
- Reliability and validity of the hospital anxiety and depression scale and the Beck depression inventory (full and FastScreen scales) in detecting depression in persons with hepatitis C.J Affect Disord. 2006; 100: 265-269
- Music therapy pediatric pain management: assessing and attending to the sounds of hurt, fear and anxiety.in: Loewy J. Music therapy and pediatric pain. Jeffrey Books, 1997: 45-56
- Tonal intervallic synthesis in medical music therapy.in: Baker F. Ulig S. Voicework in music therapy. Jessica Kingsley Publishers, London2011: 252-268
- Music therapy for hospitalized infants and their parents.in: Edwards J. Music therapy and parent-infant bonding. Oxford University Press, London2011: 73-85
- Relationship between resilience, psychological distress and physical activity in cancer patients: a cross-sectional observation study.PLoS One. 2016; 11: e0154496
Article info
Publication history
Published online: November 01, 2020
Accepted:
October 27,
2020
Identification
Copyright
© 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
