Music therapy reduces stress and anxiety in critically ill patients: a systematic review of randomized clinical trials
Umbrello M, Sorrenti T, Mistraletti G, Formenti P, Chiumello D, Terzoni S
Minerva anestesiologica · 86 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Systematic review (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Funding not disclosed
Publication
- Published
- 2019-07-01 · Minerva Anestesiol · vol. 85 · issue 8 · pp. 886–898
- Publisher
- Edizioni Minerva Medica
- Cited
- 189 citations · more than 93% of similar papers · 3.5× the field average
- Impact
- Top 10% most cited in its field
- References
- 70 works
- Access
- Open access (repository copy) · OTHER-OA
- Research areas
- Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Family and Patient Care in Intensive Care Units
- Keywords
- Medicine, Music therapy, Anxiety, Randomized controlled trial, Psychological intervention, CINAHL, Cochrane Library, MEDLINE, Intensive care unit, Physical therapy, Intensive care medicine, Internal medicine, Psychiatry
- MeSH
- humans, critical illness, music therapy, stress, psychological, anxiety, randomized controlled trials as topic
6 authors
From US, IT
- Michele Umbrello · correspondingAOL (United States); Ospedale San Paolo; Ospedale San Paolo; Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo
- Tiziana SorrentiCentro Cardiologico Monzino
- Giovanni MistralettiAOL (United States); University of Milan; Ospedale San Paolo; Ospedale San Paolo; Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo
- Paolo FormentiAOL (United States); Ospedale San Paolo; Ospedale San Paolo; Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo
- Davide ChiumelloAOL (United States); University of Milan; Ospedale San Paolo; Ospedale San Paolo; Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo
- Stefano TerzoniUniversity of Milan
Abstract
Introduction
The underlying clinical condition and the Intensive Care Unit (ICU) environment make critical illness a stressful event. Although the usual management consists of sedation, non-pharmacological interventions such as music therapy have been suggested for their drug-sparing effect. Aim of the present review is to assess the current evidence on the effectiveness of music therapy in reducing stress and anxiety in critically ill, adult patients.
Evidence acquisition
A systematic review of publications was undertaken using MEDLINE, CINAHL, Cochrane Library, Scopus, Web of Science, Indice Italiano di Letteratura di Scienze Infermieristiche. We included studies of critically ill patients that assessed any effect of music therapy on stress and anxiety, which were variably assessed according to each study's definition.
Evidence synthesis
Eleven studies were included (10 RCTs and one quasi-experimental design), for a total of 959 patients (range 17-373). The overall quality of the studies was satisfactory; several potential sources for bias were identified. Music therapy was generally provided as a single, 30'-intervention, ranging from 15 to 60'. Only in two studies was the intervention repeated more than once daily. The control groups were standard care, relaxation, headphones with no music or noise-cancelling headphones. Music therapy determined a significant reduction in the levels of anxiety and stress, as assessed by self-reported scales and physiologic parameters. Pooled analysis was not performed due to the heterogeneity of the interventions.
Conclusions
Despite significant heterogeneity in trial designs, timing and features of the intervention, music therapy is consistently associated with a reduction in anxiety and stress of critically ill patients.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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