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The Effects of Clinical Music Therapy on Resiliency in Adults Undergoing Infusion: A Randomized, Controlled Trial

Mondanaro JF, Sara GA, Thachil R, Pranjić M, Rossetti A, EunHye Sim G, Canga B, Harrison IB, Loewy JV

Journal of pain and symptom management · 21 citas

Etiquetas de revisión

Financiación no declarada

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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 no declarada

Publicación

Publicado
2020-11-02 · J Pain Symptom Manage · vol. 61 · número 6 · págs. 1099–1108
Editorial
Elsevier BV
Citado
35 citas · más que el 93% de estudios similares · 3.7× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
112 trabajos
Acceso
Lectura gratuita
Áreas de investigación
Music Therapy and Health · Cancer survivorship and care · Art Therapy and Mental Health
Palabras clave
music therapy, resilience, cancer patients, chemotherapy, instrumental improvisation, vocal improvisation, symptom clustering, pain, anxiety and depression, coping, newly diagnosed cancer
MeSH
humans, treatment outcome, music therapy, depression, anxiety, music, adult, new york city

9 autores

  • John F. Mondanaro🇺🇸 · autor de correspondenciaMount Sinai Beth Israel
  • Gabriel Albert Sara🇺🇸Icahn School of Medicine at Mount Sinai
  • Roshni Thachil🇺🇸Stanford University
  • Marija Pranjić🇨🇦University of Toronto
  • Andrew Rossetti🇺🇸Mount Sinai Beth Israel
  • Grace EunHye Sim
  • Bernardo Canga🇺🇸Eastern Virginia Medical School
  • Ilene Brodoff Harrison
  • Joanne V. Loewy🇺🇸Icahn School of Medicine at Mount Sinai

Resumen

El texto original del estudio, en el idioma en que se publicó.

Context

Eighty-seven patients newly diagnosed with lung, breast, or gastrointestinal cancer and undergoing chemotherapy in the infusion suite of a large urban hospital in New York City.

Objective

Patients were enrolled in this study of music therapy's impact on resilience in coping with the impact of symptoms inclusive of symptom clustering.

Methods

Patients were randomly assigned to three arms: clinical instrumental improvisation or clinical vocal improvisation 43 subjects to instrumental improvisation or vocal improvisation and 44 subjects to control. All subjects received a Medical Music Psychotherapy Assessment including psychosocial information and music preferences, pre-/post-Resilience Scale, Hospital Anxiety and Depression Scale, Visual Analogue Scale/Faces Scale, and a pain-Color Analysis Scale. Interventions included 20-minute music therapy (MT) and two additional sessions.

Results

Significant increases in Resilience Scale in MT groups after treatment with instrumental and vocal MT interventions equally potent-reflect average changes of 3.4 and 4.83 (P = 0.625), respectively. Although Hospital Anxiety and Depression Scale scores showed little impact of MT on perceived anxiety/depression, a strong correlation is seen between vocal intervention and lower depression scores through Visual Analogue Scale-rendered postsessions. This yielded a significant decrease in pain levels immediately after MT, with the final session showing the most significant change in pain level. Resilience in enduring procedures is a necessary component of combating potential negative illness perception.

Conclusion

Our study shows MT's facility to propel resilience in patients newly diagnosed with cancer, particularly when promoting and pairing adaptation toward coping through the expression of perceived negative effects of emotional and physiological symptoms.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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