Financiado en parte por Vertex Pharmaceuticals
Randomized Trial of Self-Selected Music Intervention on Pain and Anxiety in Emergency Department Patients with Musculoskeletal Back Pain
Goldfine CE, Wilson JM, Kaithamattam J, Hasdianda MA, Mancey K, Rehding A, Schreiber KL, Chai PR, Weiner SG
The western journal of emergency medicine · 2 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
- Financiado por la industria
- Organización sin fines de lucro
- Bill and Melinda Gates Foundation
- Universidad u hospital
- Brigham and Women's Hospital
- Empresa
- Vertex Pharmaceuticals
- Gobierno
- National Institutes of Health
- Gobierno
- Agency for Healthcare Research and Quality
- Gobierno
- National Institute on Drug Abuse
- Gobierno
- National Institute of General Medical Sciences
- Gobierno
- AHRQ HHS
- Gobierno
- NIDA NIH HHS
- Gobierno
- NIGMS NIH HHS
- Subvenciones
- National Institute on Drug Abuse (R01DA058315); National Institutes of Health (1dp2da056107-01); National Institute on Drug Abuse (R01DA044167); Agency for Healthcare Research and Quality (R01 HS026753); National Institute on Drug Abuse (DP2 DA056107); National Institutes of Health (R01HS026753); National Institutes of Health (R01DA044167); National Institute on Drug Abuse (R25DA058490); National Institute of General Medical Sciences (R35GM128691)
Según 10 financiadores declarados.
Publicación
- Publicado
- 2025-06-25 · West J Emerg Med · vol. 26 · número 4 · págs. 1112–1119
- Editorial
- eScholarship Publishing, University of California
- 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
- 0 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Musculoskeletal pain and rehabilitation · Pediatric Pain Management Techniques
- Palabras clave
- self-selected music, music intervention, acute low back pain, emergency department patients, pain intensity, anxiety, noise cancellation, pain catastrophizing, mediation analysis, non-pharmacological pain management
- MeSH
- humans, back pain, pain measurement, music therapy, pilot projects, anxiety, adult, aged, aged, 80 and over, middle aged, emergency service, hospital, female, male, catastrophization, pain management, musculoskeletal pain
9 autores
- Charlotte E. Goldfine🇺🇸Brigham and Women's Hospital
- Jenna M. Wilson🇺🇸Brigham and Women's Hospital
- Jenson Kaithamattam🇺🇸Brigham and Women's Hospital
- Mohammad Adrian Hasdianda🇺🇸Brigham and Women's Hospital
- Kate Mancey🇳🇱Utrecht University
- Alexander Rehding🇺🇸🇳🇱Harvard University; Utrecht University
- Kristin L. Schreiber🇺🇸Brigham and Women's Hospital
- Peter Ray Chai🇺🇸Fenway Health
- Scott G. Weiner🇺🇸Brigham and Women's Hospital
Resumen
El texto original del estudio, en el idioma en que se publicó.
Introduction
Acute musculoskeletal back pain is a frequent cause of emergency department (ED) visits, often with suboptimal relief from standard treatments. Recent evidence suggests listening to music may modulate pain and anxiety. In this pilot randomized controlled trial, we evaluated the impact of a brief session of patient-selected music vs noise cancellation on pain severity and anxiety in patients presenting to the ED with back pain.
Methods
Patients with acute back pain completed a baseline survey to assess demographics, medication information, and psychosocial factors. The ED patients were randomized to listen to self-selected music or to noise cancellation (control). Patients rated their pain and anxiety (0-10) before and immediately after the intervention. We used analyses of covariance to examine whether post-intervention pain and anxiety differed between the groups, while controlling for baseline trait pain catastrophizing. A mediation analysis was conducted to explore the role of post-intervention anxiety as a mediator of the group difference in post-intervention pain.
Results
Forty patients were enrolled with an average age of 47.2 years (range 21 - 81). and 27 patients (68%) were female. At baseline, patients in the music group reported higher pain catastrophizing compared to patients in the noise cancellation group. There were no other group differences in baseline characteristics. Post-intervention, patients in the music group reported significantly lower anxiety (3.0 ± 0.7 vs 5.5 ± 0.7, P = 0.016) and pain severity (6.1 ± 0.4 vs.7.5 ± 0.4, P = 0.037) compared to the noise cancellation group. A mediation analysis showed that post-intervention anxiety partially mediated the association between intervention group (music vs noise cancellation) and post-intervention pain.
Conclusion
A brief session of self-selected music resulted in lower pain and anxiety scores than noise cancellation among patients with musculoskeletal back pain in the ED. Patients who listened to music reported lower post-intervention anxiety, which partially contributed to lower post-intervention pain severity.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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