Effect of music therapy and relaxation visualization intervention on mask anxiety in head and neck cancer patients undergoing radiotherapy-a randomized controlled trial
Joshi AM, Mehta SA, Tandiya P, Sonwani V, Pervez S, Jain S, Singh R, Wadhwani S
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 0 citas
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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
- 2025-09-08 · Support Care Cancer · vol. 33 · número 10 · pág. 839
- Editorial
- Springer Science+Business Media
- Citado
- 0 citas · más que el 22% de estudios similares · 0.0× el promedio de su campo
- Referencias
- 39 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Cancer survivorship and care · Art Therapy and Mental Health
- Palabras clave
- music therapy, head and neck cancer, radiotherapy, non-pharmacological treatment, psychological distress
- MeSH
- humans, head and neck neoplasms, music therapy, masks, anxiety, adult, aged, middle aged, india, female, male, relaxation therapy
8 autores
- Anjali Mangesh Joshi🇮🇳 · autor de correspondenciaHCG NCHRI Cancer Centre
- Suchitra Ajay Mehta🇮🇳HCG NCHRI Cancer Centre
- Poonam Tandiya🇮🇳HCG NCHRI Cancer Centre
- Vaibhav Sonwani🇮🇳HCG NCHRI Cancer Centre
- Shizan Pervez🇮🇳HCG NCHRI Cancer Centre
- Shanu Jain🇮🇳HCG NCHRI Cancer Centre
- Rita Singh🇮🇳HCG NCHRI Cancer Centre
- Santoshi Raju Wadhwani🇮🇳HCG NCHRI Cancer Centre
Resumen
El texto original del estudio, en el idioma en que se publicó.
Purpose
Head and neck cancer (HNC) patients undergoing radiation therapy (RT) often experience mask anxiety due to the use of thermoplastic masks for immobilization. This study evaluated the effectiveness of a combined music therapy and relaxation-visualization intervention in reducing mask anxiety among HNC patients receiving RT at a tertiary care super-specialty oncology hospital in central India.
Methods
A total of 216 HNC patients scheduled for RT were randomized into either the intervention group (N = 108) or the control group (N = 108). Mask anxiety was assessed using a modified distress thermometer (MDT) at baseline and after five RT sessions. Participants in the intervention group listened to pre-recorded soft instrumental, non-lyrical music and practiced a guided relaxation-visualization technique during their first five RT sessions. The control group received standard medical care.
Results
Of the enrolled participants, 208 were included in the final statistical analysis (intervention group: N = 100; control group: N = 108). At the end of five RT sessions, the intervention group showed a statistically significant reduction in mask anxiety scores [median (IQR): 2 (2)] compared to the control group [median (IQR): 6 (1)], with p < 0.001. No adverse events were reported. However, four participants discontinued the intervention, citing distracting thoughts and difficulty concentrating.
Conclusion
The findings support the potential of music therapy combined with relaxation-visualization as an effective non-pharmacological intervention to alleviate mask anxiety in HNC patients undergoing RT. Integrating such complementary strategies into routine oncology practice may enhance emotional well-being, promote treatment adherence, and improve overall treatment outcomes. Further large-scale validation is warranted.
Registration number of the clinical trial
CTRI/2023/02/049409 (Registered prospectively on 02/02/2023).
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