Effect of music listening on perioperative anxiety, acute pain and pain catastrophizing in women undergoing elective cesarean delivery: a randomized controlled trial
Kakde A, Lim MJ, Shen H, Tan HS, Tan CW, Sultana R, Sng BL
BMC anesthesiology · 16 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
- University or hospital
- Duke-NUS Medical School
- University or hospital
- SingHealth Duke-NUS Anesthesiology and Perioperative Sciences Academic Clinical Program Pilot Research Grant
Based on 2 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2023-04-03 · BMC Anesthesiol · vol. 23 · issue 1 · p. 109
- Publisher
- BioMed Central
- Cited
- 28 citations · more than 98% of similar papers · 7.2× the field average
- Impact
- Top 10% most cited in its field
- References
- 20 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Pediatric Pain Management Techniques
- Keywords
- Anesthesiology, Medicine, Pain medicine, Anxiety, Perioperative, Randomized controlled trial, Anesthesia, Pain management, Acute pain, Pain catastrophizing, Physical therapy, Chronic pain, Surgery, Psychiatry
- MeSH
- humans, cesarean section, anxiety, pregnancy, music, infant, newborn, female, catastrophization, acute pain, postoperative pain
7 authors
From SG
- Avinash KakdeKK Women's and Children's Hospital
- Ming Jian LimKK Women's and Children's Hospital
- Haiying ShenKK Women's and Children's Hospital
- Hon Sen TanKK Women's and Children's Hospital; Duke-NUS Medical School
- Chin Wen Tan · correspondingKK Women's and Children's Hospital; Duke-NUS Medical School
- Rehena SultanaDuke-NUS Medical School
Abstract
Background
Anxiety may adversely impact mother and her newborn. Music listening is a safe and efficacious treatment that may to reduce perioperative anxiety. The effect on acute pain and pain catastrophizing scores remains unclear. We aimed to determine whether perioperative music listening reduces anxiety, acute pain, and pain catastrophizing scale (PCS) scores following elective cesarean delivery under spinal anesthesia.
Methods
After randomization into music listening and control groups, baseline patient characteristics, visual analog scale-anxiety (VAS-A) scores, pain scores, PCS total and sub-scores, and music preferences were collected preoperatively. Before surgery, parturients in the experimental group listened to music of their own choice for 30 min. Music listening was continued during administration of spinal anesthesia and cesarean delivery, and for 30 min following surgery. Postoperative VAS-A score, acute pain score, PCS scores, music preferences, satisfaction score, and feedback were recorded.
Results
We analyzed 108 parturients (music: n = 53; control: n = 55). Music listening was associated with reduced postoperative VAS-A (mean difference (MD) -1.43, 95%CI -0.63 to -2.22), PCS total score (MD -6.39, 95%CI -2.11 to -10.66), PCS sub-scores on rumination (MD -1.68, 95%CI -0.12 to -3.25), magnification (MD -1.53, 95%CI -0.45 to -2.62), and helplessness (MD -3.17, 95%CI -1.29 to -5.06) sub-scores. There was no significant difference in postoperative acute pain scores. The majority (> 95%) of parturients reported "excellent" and "good" satisfaction with music listening, and most provided positive feedback.
Conclusion
Perioperative music listening was associated with reduced postoperative anxiety and lower pain catastrophizing. Based on the good patient satisfaction and positive feedback received, the use of music listening in the obstetric setting is recommended.
Trial registration
This study was registered on Clinicaltrials.gov NCT03415620 on 30/01/2018.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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