The effects of music therapy on pain and anxiety in young nulliparous patients undergoing laparoscopic cystectomy for endometriosis: a randomized controlled trial
Li W, Feng H, Yang X, Meng Y, Yang Y, Ye Q
Journal of psychosomatic obstetrics and gynaecology · 4 citas
Etiquetas de revisión
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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
- 2025-06-19 · J Psychosom Obstet Gynaecol · vol. 46 · número 1 · pág. 2519385
- Editorial
- Informa
- Citado
- 6 citas · más que el 97% de estudios similares · 6.7× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 30 trabajos
- Acceso
- Acceso abierto (publicación gratuita) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Endometriosis Research and Treatment · Anesthesia and Pain Management
- Palabras clave
- music therapy, endometriosis, laparoscopic cystectomy, postoperative pain, perioperative anxiety, nulliparous women, fertility preservation, non-pharmacological treatment, ovarian endometriotic cysts, GAD-7, visual analogue scale, postoperative recovery, nonverbal communication
- MeSH
- humans, ovarian cysts, endometriosis, laparoscopy, music therapy, cystectomy, single-blind method, anxiety, adult, female, young adult, postoperative pain
6 autores
- Wenwei Li🇨🇳Third Affiliated Hospital of Sun Yat-sen University
- Huiyan Feng🇨🇳Third Affiliated Hospital of Sun Yat-sen University
- Xiaohui Yang🇨🇳Third Affiliated Hospital of Sun Yat-sen University
- Yue Meng🇨🇳Third Affiliated Hospital of Sun Yat-sen University
- Yuebo Yang🇨🇳 · autor de correspondenciaThird Affiliated Hospital of Sun Yat-sen University
- Qingjian Ye🇨🇳 · autor de correspondenciaThird Affiliated Hospital of Sun Yat-sen University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Endometriosis (EMS) is associated with a markedly increased incidence of depression and anxiety, primarily due to cyclic pain, concerns about infertility from impaired ovarian function, and fear of disease recurrence. Surgery and its associated pain may trigger both emotional and physiological stress responses. Young, nulliparous patients with fertility intentions often experience additional psychological burdens related to surgical safety, postoperative recovery, and the potential impact on future fertility. Music has been shown to promote relaxation, reduce tension and anxiety, and alleviate pain. However, no studies have evaluated the postoperative effects of music therapy in this specific patient population.
Objective
To investigate whether music therapy can effectively reduce postoperative pain and alleviate perioperative anxiety in young patients with fertility desires undergoing laparoscopic cystectomy for endometriotic ovarian cysts, and to explore its potential as a simple, non-pharmacological intervention.
Methods/design
A single-center, two-arm, single-masked randomized controlled trial (RCT).
Setting
The Third Affiliated Hospital of Sun Yat-sen University (a teaching hospital).
Participants
A total of 149 patients were included for analysis, with 75 assigned to the music group and 74 to the control group.
Intervention
Perioperative music therapy administered to young, nulliparous patients with fertility intentions undergoing laparoscopic cystectomy for EMS.
Results
One participant withdrew during follow-up, and 149 patients were included in the final analysis. Baseline characteristics-including age, BMI, marital status, preoperative VAS scores, and GAD-7 scores and anxiety levels-showed no significant differences between groups. Postoperative VAS scores at 6 h (p = 0.20), Day 1 (p = 0.438), Day 3 (p = 0.714), and Day 7 (p = 0.899) revealed no significant differences. Similarly, GAD-7 scores and anxiety severity levels on postoperative Day 1 (p = 0.541; p = 0.984), Day 3 (p = 0.287; p = 0.436), and Day 7 (p = 0.468; p = 0.703) showed no statistical significance between groups.
Conclusion
Music therapy may serve as an adjunctive intervention for young, nulliparous patients with fertility intentions undergoing laparoscopic cystectomy for endometriosis; however, no significant effects were observed in reducing perioperative anxiety or postoperative pain in this population.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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