Interactive music therapy as a treatment for preoperative anxiety in children: a randomized controlled trial
Kain ZN, Caldwell-Andrews AA, Krivutza DM, Weinberg ME, Gaal D, Wang SM, Mayes LC
Anesthesia and analgesia · 91 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Gobierno
- NICHD NIH HHS
- Subvenciones
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01 HD037007-01)
Según 2 financiadores declarados.
Publicación
- Publicado
- 2004-05-01 · Anesth Analg · vol. 98 · número 5 · págs. 1260–1266
- Editorial
- Lippincott Williams & Wilkins
- Citado
- 164 citas · más que el 97% de estudios similares · 8.1× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 16 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Pediatric Pain Management Techniques · Dental Anxiety and Anesthesia Techniques
- Palabras clave
- preoperative anxiety, pediatric anesthesia, anesthesia induction, midazolam, outpatient surgery, therapist effects, separation anxiety, children
- MeSH
- humans, midazolam, hypnotics and sedatives, music therapy, preoperative care, anesthesia, inhalation, ambulatory surgical procedures, double-blind method, anxiety, psychometrics, child, child, preschool, female, male
7 autores
- Zeev N. Kain🇺🇸 · autor de correspondenciaYale University
- Alison A. Caldwell-Andrews · autor de correspondencia
- Dawn M. Krivutza · autor de correspondencia
- Megan E. Weinberg · autor de correspondencia
- Dorothy J. Gaal · autor de correspondencia
- Shu‐Ming Wang · autor de correspondencia
- Linda C. Mayes
Resumen
El texto original del estudio, en el idioma en que se publicó.
Unlabelled
In this study, we examined whether interactive music therapy is an effective treatment for preinduction anxiety. Children undergoing outpatient surgery were randomized to 3 groups: interactive music therapy (n = 51), oral midazolam (n = 34), or control (n = 38). The primary outcome of the study was children's perioperative anxiety. We found that children who received midazolam were significantly less anxious during the induction of anesthesia than children in the music therapy and control groups (P = 0.015 and P = 0.005, respectively). We found no difference in anxiety during the induction of anesthesia between children in the music therapy group and children in the control group. An analysis controlling for therapist revealed a significant therapist effect; i.e., children treated by one of the therapists were significantly less anxious than children in the other therapist group and the control group on separation to the operating room (OR) (P < 0.05) and on entrance to the OR (P < 0.05), but not on the introduction of the anesthesia mask (P = not significant). Children in the midazolam group were the least anxious even after controlling for therapist effect (P < 0.05). We conclude that music therapy may be helpful on separation and entrance to the OR, depending on the therapist. However, music therapy does not appear to relieve anxiety during the induction of anesthesia.
Implications
Depending on the music therapist, interactive music therapy may relieve anxiety on separation and entrance to the operating room but appears less effective during the induction of anesthesia.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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