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Giordano F, Rutigliano C, Ugolini C, Iacona E, Ronconi L, Raguseo C, Perillo T, Rosa A, Santoro N, Testoni I. Effect of Music Therapy on Chemotherapy Anticipatory Symptoms in Adolescents: A Mixed Methods Study. J Pain Symptom Manage 2024; 68:e62-e74. [PMID: 38679306 DOI: 10.1016/j.jpainsymman.2024.04.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 04/10/2024] [Accepted: 04/14/2024] [Indexed: 05/01/2024]
Abstract
INTRODUCTION This study explores the feasibility and effects of music therapy on anticipatory nausea and vomiting, stress, pain and quality of life in adolescents undergoing chemotherapy. METHODS This is a single group, quasi-experimental study using pre/post-test design. Participants received four individual sessions of music therapy (MT), led by a certified music therapist. State-Trait-Anxiety Inventory Y-1, and a 0-4 Likert scale for pain, nausea and vomiting were recorded. Heart rate variability (LF/HF) was collected during sessions. PedsQL was collected before and at the end of the trial. Semi-structured interviews were conducted with participants. RESULTS A significant reduction in anxiety, nausea and vomiting, both pre-post single sessions and between different sessions, was observed. A significant increase in LF/HF and PedsQL scores was observed. Relevant themes also emerged from interviews. CONCLUSION Results support the feasibility of introducing music therapy with adolescents undergoing chemotherapy. Perceived stress and psychological/physical wellbeing were improved in participants.
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Affiliation(s)
- Filippo Giordano
- Department of Precision and Regenerative Medicine and Ionian Area (F.G.), University of Bari, Bari, Italy; Pediatric Hemathology-Oncology Unit (F.G., C.R., C.R., A.R., N.S.), University Hospital of Bari, Bari, Italy.
| | - Chiara Rutigliano
- Pediatric Hemathology-Oncology Unit (F.G., C.R., C.R., A.R., N.S.), University Hospital of Bari, Bari, Italy
| | - Caterina Ugolini
- Department of Philosophy (C.U., E.I., I.T.), Sociology, Education and Applied Psychology (FISPPA), University of Padova, Padua, Italy
| | - Erika Iacona
- Department of Philosophy (C.U., E.I., I.T.), Sociology, Education and Applied Psychology (FISPPA), University of Padova, Padua, Italy
| | - Lucia Ronconi
- Computer and Statistical Services, Multifunctional Pole of Psychology (L.R.), University of Padua, Padua, Italy
| | - Celeste Raguseo
- Pediatric Hemathology-Oncology Unit (F.G., C.R., C.R., A.R., N.S.), University Hospital of Bari, Bari, Italy
| | - Teresa Perillo
- Pediatric Hemathology-Oncology Unit (F.G., C.R., C.R., A.R., N.S.), University Hospital of Bari, Bari, Italy
| | - Angarano Rosa
- Pediatric Hemathology-Oncology Unit (F.G., C.R., C.R., A.R., N.S.), University Hospital of Bari, Bari, Italy
| | - Nicola Santoro
- Pediatric Hemathology-Oncology Unit (F.G., C.R., C.R., A.R., N.S.), University Hospital of Bari, Bari, Italy
| | - Ines Testoni
- Department of Philosophy (C.U., E.I., I.T.), Sociology, Education and Applied Psychology (FISPPA), University of Padova, Padua, Italy
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Wang X, Zhang J, Li J, Zhan Y, Xiao R, Lu Y, Yuan H. Music combined with dexmedetomidine relieves preoperative anxiety and promotes postoperative recovery in patients undergoing gynecologic laparoscopic surgery: a randomized clinical trial. Am J Transl Res 2024; 16:155-162. [PMID: 38322568 PMCID: PMC10839387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 12/27/2023] [Indexed: 02/08/2024]
Abstract
OBJECTIVES To investigate the effects of music combined with dexmedetomidine on perioperative anxiety and postoperative recovery in gynecologic laparoscopic patients. METHODS A total of 82 female patients were enrolled in this study. Patients were randomized to the patient-preferred Music+Dexmedetomidine group (M+DEX group, n=41) and the Dexmedetomidine group (DEX group, n=41). Prior to the induction of anesthesia, dexmedetomidine was pumped intravenously at 0.5 µg/kg for 10 minutes in both groups and then maintained at 0.2 µg/kg/hour until 30 minutes before the end of surgery. In contrast to the patients in the DEX group, the patients in the M+DEX group listened to 5 minutes of their favorite music during dexmedetomidine infusion. The primary outcome was the patient's preoperative State Anxiety Inventory (SAI) score. The secondary outcomes included visual analog scale (VAS) pain scores and QoR-15 scores at 24 hours postoperatively. RESULTS The clinical data of a total of 82 patients were analyzed. After the music intervention, we found that the preoperative SAI scores were lower in the M+DEX group than in the DEX group (37.9±5.6 vs. 41.5±6.9; P=0.01). The M+DEX group had lower VAS scores at 24 hours postoperatively than the DEX group (1 (1.0, 2.0) vs. 2 (2.0, 3.0), P < 0.01), and the M+DEX group had higher QoR-15 scores at 24 hours after the surgery than the DEX group (127.7±10.0 vs. 122.3±11.2; P=0.03). CONCLUSION Patients undergoing gynecologic laparoscopic surgery who listened to their favorite music before the induction of anesthesia had less preoperative anxiety and recovered better 24 hours postoperatively than those who only received dexmedetomidine.
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Affiliation(s)
- Xiaoqiang Wang
- Department of Anesthesiology, Fuyang Hospital of Anhui Medical UniversityFuyang 236000, Anhui, China
| | - Jinpeng Zhang
- Department of Anesthesiology, The First Affiliated Hospital of Anhui Medical UniversityHefei 230022, Anhui, China
| | - Junqing Li
- Department of Anesthesiology, Fuyang Hospital of Anhui Medical UniversityFuyang 236000, Anhui, China
| | - Yong Zhan
- Department of Anesthesiology, Fuyang Hospital of Anhui Medical UniversityFuyang 236000, Anhui, China
| | - Rui Xiao
- Department of Anesthesiology, Fuyang Hospital of Anhui Medical UniversityFuyang 236000, Anhui, China
| | - Yao Lu
- Department of Anesthesiology, The First Affiliated Hospital of Anhui Medical UniversityHefei 230022, Anhui, China
| | - Hao Yuan
- Department of Anesthesiology, Fuyang Hospital of Anhui Medical UniversityFuyang 236000, Anhui, China
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Peppercorn J, Miller EK, Hasselmo ME. Don't You Worry 'bout a Thing: Harnessing the Power of Music to Improve Emotional Health in Oncology. JCO Oncol Pract 2023; 19:1089-1091. [PMID: 37883731 DOI: 10.1200/op.23.00555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 09/26/2023] [Indexed: 10/28/2023] Open
Abstract
In this editorial, Drs Peppercorn and noted neuroscientists Miller and Hasselmo comment on a recent randomized trial of music to reduce stress during infusion, noting that our understanding of the brain supports a unique and particularly effective role for music in improving mood and reducing distress for patients with cancer
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Affiliation(s)
- Jeffrey Peppercorn
- Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA
| | - Earl K Miller
- The Picower Institute for Learning & Memory and Department of Brain & Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA
| | - Michael E Hasselmo
- Department of Psychological and Brain Sciences, Boston University, Boston, MA
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Raudenská J, Šteinerová V, Vodičková Š, Raudenský M, Fulková M, Urits I, Viswanath O, Varrassi G, Javůrková A. Arts Therapy and Its Implications in Chronic Pain Management: A Narrative Review. Pain Ther 2023; 12:1309-1337. [PMID: 37733173 PMCID: PMC10616022 DOI: 10.1007/s40122-023-00542-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Accepted: 07/11/2023] [Indexed: 09/22/2023] Open
Abstract
Chronic nonmalignant pain is recognized as a complex, dynamic, phenomenological interplay between biological, psychological, and social factors that are individual to the person suffering from it. Therefore, its management and treatment ought to entail the individual's biopsychosocial aspects that are often addressed by collaborative, inter/multidisciplinary multimodal care, as there is no biologic treatment. In an effort to enhance inter/multidisciplinary multimodal care, a narrative review of arts therapy as a mind-body intervention and its efficacy in chronic pain populations has been conducted. Changes in emotional and physical symptoms, especially pain intensity, during arts therapy sessions have also been discussed in in the context of attention distraction strategy. Arts therapy (visual art, music, dance/movement therapy, etc.) have been investigated to summarize relevant findings and to highlight further potential benefits, limitations, and future directions in this area. We reviewed 16 studies of different design, and the majority reported beneficial effects of art therapy in patients' management of chronic pain and improvement in pain, mood, stress, and quality of life. However, the results are inconsistent and unclear. It was discovered that there is a limited amount of high-quality research available on the implications of arts therapy in chronic nonmalignant pain management. Due to the reported limitations, low effectiveness, and inconclusive findings of arts therapy in the studies conducted so far, further research with improved methodological standards is required.
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Affiliation(s)
- Jaroslava Raudenská
- Department of Nursing, 2nd Medical School and University Hospital Motol, Charles University, Prague, Czech Republic
| | - Veronika Šteinerová
- Amsterdam Emotional Memory Lab, University of Amsterdam, Amsterdam, The Netherlands
| | | | - Martin Raudenský
- Department of Art Education, Faculty of Education, Charles University, Prague, Czech Republic
| | - Marie Fulková
- Department of Art Education, Faculty of Education, Charles University, Prague, Czech Republic
| | - Ivan Urits
- Southcoast Physicians Group Pain Medicine, Southcoast Health, Wareham, MA, USA
- Department of Anesthesiology, Louisiana State University Shreveport, Shreveport, LA, USA
| | - Omar Viswanath
- Department of Anesthesiology, Louisiana State University Shreveport, Shreveport, LA, USA
- Department of Anesthesiology, University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA
- Valley Anesthesiology and Pain Consultants-Envision Physician Services, Phoenix, AZ, USA
- Department of Anesthesiology, Creighton University School of Medicine, Omaha, NE, USA
| | | | - Alena Javůrková
- Department of Nursing, 2nd Medical School and University Hospital Motol, Charles University, Prague, Czech Republic
- Department of Clinical Psychology, 3rd Medical Faculty, University Hospital KV, Prague, Czech Republic
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