Comparison of group vs self-directed music interventions to reduce chemotherapy-related distress and cognitive appraisal: an exploratory study

Chen, Shu‐Chuan; Chou, Cheng Chen; Chang, Hsiu Ju; Lin, Mei

doi:10.1007/s00520-017-3850-1

Cited by 22 publications

(24 citation statements)

References 45 publications

(69 reference statements)

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“…They detected positive effects on relaxation, comfort, and happiness, as well as on stress biomarkers (resting heart rate and blood pressure). A quasi-experimental trial studying the same population and cancer treatment found a reduction in depressive symptoms, helplessness, hopelessness, and cognitive avoidance after participation in a group music therapy program (Chen et al, 2018).…”

Section: Music Therapy During Chemotherapy and Radiationmentioning

confidence: 99%

Music Therapy in the Psychosocial Treatment of Adult Cancer Patients: A Systematic Review and Meta-Analysis

et al. 2020

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Introduction: Music therapy is used as an adjunct oncological treatment aiming at the improvement of psychological and physical well-being through music. A growing body of randomized and non-randomized controlled trials has been published and reviewed recently. However, a global, quantitative assessment of the effectiveness of music therapy in adult cancer care is missing. The present study thus aims to synthesize the evidence of music therapy in different oncological treatment phases. Methods:We conducted a pre-registered systematic review and meta-analysis (PROSPERO-ID: CRD42019133084) following standard guidelines. We searched electronic databases for studies on music therapy performed by a therapist with adult cancer patients.Results: The narrative synthesis included thirty studies showing that music therapy overall had positive effects on a broad range of outcomes, with techniques and effects varying in different phases. During curative treatment, results were most promising with regard to anxiety, depression, and pain medication intake, while in palliative settings, improvements with regard to quality of life, spiritual well-being, pain, and stress were reported. Twenty-one studies were included in the meta-analysis which showed small but significant effects of music therapy on psychological well-being (d = 0.35, p < 0.001), physical symptom distress (d = −0.26, p = 0.017), and quality of life (d = 0.36, p = 0.023). Heterogeneity between effect sizes was small to medium. Moderator analyses identified studies with a single session of music therapy and the use of receptive techniques to produce larger effects regarding psychological well-being.Conclusion: Music therapy can improve relevant health-outcomes in cancer patients and should therefore be offered in various treatment phases. Future research should include potential moderators such as individual information about patients to find out who benefits most from different kinds of music therapy.

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Section: Music Therapy During Chemotherapy and Radiationmentioning

confidence: 99%

Music Therapy in the Psychosocial Treatment of Adult Cancer Patients: A Systematic Review and Meta-Analysis

et al. 2020

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“…A study by Chen et al 18 applied a 3-stage music intervention including relaxation, followed by music-listening and experience-sharing on the day of the first or second cycle of chemotherapy in breast cancer patients undergoing a total of six 3-weekly chemotherapy cycles. They demonstrated a reduction in chemotherapy-related distress, negative emotions, and cognitive avoidance, improving the impact of anxiety, depression, and distorted cognition during and beyond chemotherapy.…”

Section: Discussionmentioning

confidence: 99%

“… 4 In recent years, there has been an increasing body of research addressing health-related QoL measures, taking into account the impact of breast cancer diagnosis, treatment of side effects, and therapeutic interventions to alleviate patients’ suffering. 9 - 24 …”

Section: Introductionmentioning

confidence: 99%

“…Few studies have addressed the effect of music interventions during chemotherapy for breast cancer 14 - 19 or other types of cancer. 20 - 24 This randomized study aimed to assess the effects of a standardized music intervention combined with relaxation and breathing techniques on symptoms, adverse events, and QoL of breast cancer patients undergoing chemotherapy using sensitive instruments to assess anxiety, depression, and QoL scores, and an adapted subjective questionnaire, with objective and open questions to account for patients’ feelings toward the music intervention and their perception of its effects.…”

Section: Introductionmentioning

confidence: 99%

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Impact of a Music Intervention on Quality of Life in Breast Cancer Patients Undergoing Chemotherapy: A Randomized Clinical Trial

et al. 2020

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Background: Music can influence human behavior and may be used as a complementary therapy in health care. Objectives: To assess the effect of music interventions on symptoms, adverse events, and quality of life (QoL) of breast cancer patients undergoing chemotherapy (CT). Design: Nonblinded, randomized clinical trial. Women with breast cancer undergoing adjuvant CT were randomized into 2 groups—Group Music (GM) or Group Control (GC)—and followed during the first 3 cycles of treatment. Measurements: Sociodemographic data, WHOQOL-BREF, BDI-II, BAI, and Chemotherapy Toxicity Scale were assessed. Patients were evaluated after each session of the first 3 CT cycles. GM underwent a 30-minute musical intervention before CT. There was no intervention in the GC. Continuous data were analyzed by Student’s t test, and χ2 test was used to compare qualitative variables. Results: Higher QoL scores on functional scales were observed for the GM in comparison to the GC after the first and third sessions of CT. Depression ( P < .001) and anxiety scores ( P < .001) and vomiting ( P < .01) incidence were lower for the GM in the third session of CT. All the participants in the GM reported positive changes in life in the Subjective Impression of the Subject questionnaire, as well as improvement in fatigue and reduced stress levels. Conclusions: Improvements in QoL, anxiety, depression, and incidence of vomiting were associated with the music intervention, suggesting a positive effect of the music intervention on adverse events of cancer CT.

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“…A study of single-session music therapy has revealed a greater positive effect on post-chemotherapy anxiety than that of the control group [13]. Music used as a protective strategy for improving sleep disturbance [14], reducing fatigue [15], anxiety [16], and depression [17] in patients with cancer have been validated separately. However, the studies examined the effect of music intervention on a single symptom rather than on symptom clusters; whether a single-session music intervention (SMI) could release chemotherapy-related symptom clusters simultaneously for cancer patients still lacks deep exploration.…”

Section: Introductionmentioning

confidence: 99%

Music, heart rate variability, and symptom clusters: a comparative study

Chen

Yeh²,

Chang³

et al. 2019

Support Care Cancer

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Purpose This study aimed to explore the possible range of change of a single-session music intervention (SMI) on symptom clusters and neurological reactivity for women with breast cancer undergoing chemotherapy. Methods A parallel and randomized, controlled study with repeated measures design was used. A total of 100 women with breast cancer were randomly assigned to the SMI or a control group. The outcome measurements of symptom cluster were collected using the Multidimensional Fatigue Symptom Inventory, Pittsburgh Sleep Quality Index, the Hospital Anxiety and Depression Scale, and the neurological reactivity with heart rate variability at four time points: before commencement of the intervention (T0), immediately afterward (T1), 1 week later (T2), and 3 weeks after the intervention (T3). Results Of the 50 women in each group, 46 in the SMI and 48 in the control group completed the post-test at T3. Multivariate analysis of variance indicated that the SMI group had a medium effect in change of symptom clusters compared to the control group at T2. Moreover, after adjusting for baseline between normal and higher levels of sympathetic tone activity, significant differences existed in fatigue and depression at T2 and sleep disturbance at T3. Conclusions A single-session music intervention can be effectively used to reduce symptom clusters for women with breast cancer. Targeting those who have a higher level of sympathetic tone activity is recommended.

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Comparison of group vs self-directed music interventions to reduce chemotherapy-related distress and cognitive appraisal: an exploratory study

Abstract: Group music intervention can be considered an effective supportive care in alleviating the chemotherapy-related distress and enhancing cognition modification of women with breast cancer. Further research is needed to determine the role of cognitive appraisal in the illness trajectory.

Cited by 22 publications

References 45 publications

Music Therapy in the Psychosocial Treatment of Adult Cancer Patients: A Systematic Review and Meta-Analysis

Music Therapy in the Psychosocial Treatment of Adult Cancer Patients: A Systematic Review and Meta-Analysis

Impact of a Music Intervention on Quality of Life in Breast Cancer Patients Undergoing Chemotherapy: A Randomized Clinical Trial

Music, heart rate variability, and symptom clusters: a comparative study

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