Music Therapy for Symptom Management After Autologous Stem Cell Transplantation: Results From a Randomized Study
Bates D, Bolwell B, Majhail NS, Rybicki L, Yurch M, Abounader D, Kohuth J, Jarancik S, Koniarczyk H, McLellan L, Dabney J, Lawrence C, Gallagher L, Kalaycio M, Sobecks R, Dean R, Hill B, Pohlman B, Hamilton BK, Gerds AT, Jagadeesh D, Liu HD
Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 31 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
- Organización sin fines de lucro
- Elisabeth Severance Prentiss Foundation
Según 1 financiador declarado.
Publicación
- Publicado
- 2017-05-22 · Biol Blood Marrow Transplant · vol. 23 · número 9 · págs. 1567–1572
- Editorial
- Elsevier BV
- Citado
- 49 citas · más que el 93% de estudios similares · 4.1× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 15 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY-NC-ND
- Áreas de investigación
- Music Therapy and Health · Cancer survivorship and care · Art Therapy and Mental Health
- Palabras clave
- music therapy, autologous stem cell transplantation, symptom management, pain management, nausea, non-pharmacological pain management, lymphoma, multiple myeloma, narcotic analgesic use, mood, hematologic malignancies, high-dose chemotherapy
- MeSH
- humans, lymphoma, multiple myeloma, pain, nausea, narcotics, antineoplastic agents, combined modality therapy, music therapy, hematopoietic stem cell transplantation, transplantation, autologous, prospective studies, affect, adult, aged, middle aged, female, male
22 autores
- Debbie Bates🇺🇸 · autor de correspondenciaCleveland Clinic
- Brian James Bolwell🇺🇸Cleveland Clinic
- Navneet S. Majhail🇺🇸Cleveland Clinic
- Lisa A Rybicki🇺🇸Cleveland Clinic
- Melissa A. Yurch🇺🇸Cleveland Clinic
- Donna Abounader🇺🇸Cleveland Clinic
- Joseph Kohuth🇺🇸Cleveland Clinic
- Shannon Jarancik🇺🇸Cleveland Clinic
- Heather Koniarczyk🇺🇸Cleveland Clinic
- Linda J. McLellan🇺🇸Cleveland Clinic
- Jane Dabney🇺🇸Cleveland Clinic
- Christine Lawrence🇺🇸Cleveland Clinic
- Lisa M. Gallagher🇺🇸Cleveland Clinic
- Matt E Kalaycio🇺🇸Cleveland Clinic
- Ronald M. Sobecks🇺🇸Cleveland Clinic
- Robert M. Dean🇺🇸Cleveland Clinic
- Brian Thomas Hill🇺🇸Cleveland Clinic
- Brad L. Pohlman🇺🇸Cleveland Clinic
- Betty K. Hamilton🇺🇸Cleveland Clinic
- Aaron Thomas Gerds🇺🇸Cleveland Clinic
- Deepa Jagadeesh🇺🇸Cleveland Clinic
- Hien D. Liu🇺🇸Cleveland Clinic
Resumen
El texto original del estudio, en el idioma en que se publicó.
High-dose chemotherapy followed by autologous stem cell transplantation (ASCT) is frequently performed in patients with hematologic malignancies. ASCT can result in significant nausea, pain, and discomfort. Supportive care has improved, and pharmacologic therapies are frequently used, but with limitations. Music has been demonstrated to improve nausea and pain in patients undergoing chemotherapy, but little data are available regarding the effects of music therapy in the transplantation setting. In a prospective study, patients with lymphoma or multiple myeloma undergoing ASCT were randomized to receive either interactive music therapy with a board-certified music therapist or no music therapy. The music therapy arm received 2 music therapy sessions on days +1 and +5. Primary outcomes were perception of pain and nausea measured on a visual analog scale. Secondary outcomes were narcotic pain medication use from day -1 to day +5 and impact of ASCT on patient mood as assessed by Profile of Mood States (POMS) on day +5. Eighty-two patients were enrolled, with 37 in the music therapy arm and 45 in the no music therapy arm. Patients who received MT had slightly increased nausea by day +7 compared with the no music therapy patients. The music therapy and no music therapy patients had similar pain scores; however, the patients who received music therapy used significantly less narcotic pain medication (median, 24 mg versus 73 mg; P = .038). Music therapy may be a viable nonpharmacologic method of pain management for patients undergoing ASCT; the music therapy patients required significantly fewer morphine equivalent doses compared with the no music therapy patients. Additional research is needed to better understand the effects of music therapy on patient-perceived symptoms, such as pain and nausea.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC-ND).
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