The Impact of Music Therapy on Anxiety in Cancer Patients Undergoing Simulation for Radiation Therapy
Rossetti A, Chadha M, Torres BN, Lee JK, Hylton D, Loewy JV, Harrison LB
International journal of radiation oncology, biology, physics · 69 citations
How it was studied
- Design
- Randomized controlled trial (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- Government
- National Cancer Institute
- Government
- NCI NIH HHS
- Grants
- National Cancer Institute (P30 CA076292)
Based on 2 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2017-05-08 · Int J Radiat Oncol Biol Phys · vol. 99 · issue 1 · pp. 103–110
- Publisher
- Elsevier BV
- Cited
- 149 citations · more than 98% of similar papers · 10.3× the field average
- Impact
- Top 10% most cited in its field
- References
- 35 works
- Access
- Open access (hybrid journal) · CC-BY-NC-ND
- Research areas
- Music Therapy and Health · Cancer survivorship and care · Acupuncture Treatment Research Studies
- Keywords
- Anxiety, Distress, Medicine, Music therapy, Breast cancer, Head and neck cancer, Physical therapy, Randomized controlled trial, State-Trait Anxiety Inventory, Radiation therapy, Cancer, Clinical psychology, Internal medicine, Psychiatry
- MeSH
- humans, breast neoplasms, head and neck neoplasms, music therapy, radiotherapy, stress, psychological, anxiety, adult, aged, middle aged, female, male
7 authors
From US
- Andrew Rossetti · correspondingMount Sinai Beth Israel
- Manjeet ChadhaMount Sinai Health System
- B. Nelson TorresMoffitt Cancer Center
- Jae K. LeeMoffitt Cancer Center
- Donald HyltonMount Sinai Health System
- Joanne V. LoewyMount Sinai Beth Israel
Abstract
Purpose
Radiation therapy (RT) is associated with high stress levels. The role of music therapy (MT) for patients receiving RT is not well described. This study evaluates the impact of MT on anxiety and distress during simulation in patients with newly diagnosed head and neck or breast cancer.
Methods and materials
This institutional review board-approved randomized trial of MT versus no MT at the time of simulation included the pre-State-Trait Anxiety Inventory (STAI-S Anxiety) questionnaire and Symptom Distress Thermometer (SDT). Patients randomized to MT received a consultation with a music therapist, during which music of the patients' choice to be played during simulation was selected. The no-MT patients did not receive the MT consultation, nor did they hear prerecorded music during simulation. Subsequent to the simulation, all patients repeated the STAI-S Anxiety questionnaire and the SDT.
Results
Of the 78 patients enrolled (39 in MT group and 39 in no-MT group), 38 had breast cancer and 40 had head and neck cancer. The male-female ratio was 27:51. The overall mean pre- and post-simulation STAI-S scores were 38.7 (range, 20-60) and 35.2 (range, 20-72), respectively. The overall mean pre- and post-simulation SDT scores were 3.2 (range, 0-10) and 2.5 (range, 0-10), respectively. The MT group had mean pre- and post-simulation STAI-S scores of 39.1 and 31.0, respectively (P<.0001), and the mean SDT scores before and after simulation were 3.2 and 1.7, respectively (P<.0001). The no-MT group's mean pre- and post-simulation STAI-S scores were 38.3 and 39.5, respectively (P=.46), and the mean SDT scores were 3 and 3.2, respectively (P=.51).
Conclusions
MT significantly lowered patient anxiety and distress during the simulation procedure on the basis of the STAI-S questionnaire and SDT. Incorporating culturally centered individualized MT may be an effective intervention to reduce stressors. Continued research defining the role of MT intervention in improving the patient experience by reducing anxiety is warranted.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).
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