Effectiveness of music interventions in reducing pain and anxiety of patients in pediatric and adult emergency departments: A systematic review and meta-analysis

See, C. H.; Ng, Matthew Song Peng; Ignacio, Jeanette

doi:10.1016/j.ienj.2022.101231

Cited by 3 publications

(5 citation statements)

References 45 publications

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“…However, the findings regarding which device delivered the music intervention better were unclear, and the difference in the effect of the medium on anxiety and pain was not directly discussed. Therefore, these findings indicate that selecting an appropriate device is an important factor in music interventions [ 52 ], and the effectiveness of the medium of the music intervention should be further assessed in future studies.…”

Section: Discussionmentioning

confidence: 99%

“…More than 50% (13/21, 62%) of studies included in this review allowed participants to select themes themselves, and of these, more than 70% (10/13, 77%) reported positive effects. Previous studies reported that anxiety and pain reductions were more effective when self-selected music was played [ 28 , 29 , 52 , 53 ]. The researchers interpreted that participants’ familiarity with self-selected music evoked a sense of pleasure and control that could act to reduce pain [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

“…Consistently in previous literature [ 57 ], the interventions were performed before, during, and after the surgery or procedure, and the duration of playing music varied from 10 to 60 minutes. Music duration is a factor in the intervention’s effect on pain and anxiety [ 52 ]. Yangöz and Özer [ 47 ] reported that music duration ranged from 15 to 180 minutes, and they recommended the duration be restricted to less than 20 minutes because listeners could get bored if the duration is too long.…”

Section: Discussionmentioning

confidence: 99%

“…The appropriate playing duration for a music intervention could vary according to the treatment environment (eg, the required time for a surgery or procedure differs). However, studies that determine the appropriate duration for music interventions are limited [ 51 , 52 ].…”

Section: Discussionmentioning

confidence: 99%

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Technology-Based Music Interventions to Reduce Anxiety and Pain Among Patients Undergoing Surgery or Procedures: Systematic Review of the Literature

Park,

Lee,

Howard

et al. 2024

JMIR Mhealth Uhealth

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Background Hospitalized patients undergoing surgery or procedures may experience negative symptoms. Music is a nonpharmacological complementary approach and is used as an intervention to reduce anxiety, stress, and pain in these patients. Recently, music has been used conveniently in clinical situations with technology devices, and the mode of providing music is an important factor in technology-based music interventions. However, many reviews have focused only on the effectiveness of music interventions. Objective We aimed to review randomized controlled trials (RCTs) of technology-based music interventions for reducing anxiety and pain among patients undergoing surgery or procedures. We examined the clinical situation, devices used, delivery methods, and effectiveness of technology-based music interventions in primary articles. Methods The search was performed in the following 5 electronic databases: PubMed, MEDLINE (OvidSP), CINAHL complete, PSYCINFO, and Embase. This systematic review focused on technology-based music interventions. The following articles were included: (1) RCTs, (2) studies using interactive technology (eg, smartphones, mHealth, tablets, applications, and virtual reality), (3) empirical studies reporting pain and anxiety outcomes, and (4) English articles published from 2018 to 2023 (as of January 18, 2023). The risk of bias was assessed using the Cochrane Risk of Bias tool version 2. Results Among 292 studies identified, 21 met the inclusion criteria and were included. Of these studies, 9 reported that anxiety scores decreased after music interventions and 7 reported that pain could be decreased before, during, and after procedures. The methodology of the music intervention was important to the results on anxiety and pain in the clinical trials. More than 50% (13/21, 62%) of the studies included in this review allowed participants to select themes themselves. However, it was difficult to distinguish differences in effects depending on the device or software used for the music interventions. Conclusions Technology-based music interventions could help reduce anxiety and pain among patients undergoing surgery or procedures. The findings of this review could help medical teams to choose a practical methodology for music interventions. Future studies should examine the effects of advanced technology-based music interventions using smart devices and software that promote interactions between medical staff and patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Technology-Based Music Interventions to Reduce Anxiety and Pain Among Patients Undergoing Surgery or Procedures: Systematic Review of the Literature

Park,

Lee,

Howard

et al. 2024

JMIR Mhealth Uhealth

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“…For example in childbirth (e.g., Simavli et al, 2014;Maleki and Youseflu, 2023), dysmenorrhea (Martin-Saavedra and Ruiz-Sternberg, 2018), laparoscopy (Choi et al, 2023), orthopaedics (Lin et al, 2019;Yu et al, 2020), cancer (Chow et al, 2023;Huang and Huang, 2023), fibromyalgia (Guétin et al, 2012;Usui et al, 2020), dermatology (Riew et al, 2023) and pre-and postoperative care during cardiovascular (Voss et al, 2004;Nilsson, 2009;Wang et al, 2020;Chandrababu et al, 2021;Kakar et al, 2021) or abdominal surgery (e.g., Good et al, 2005;Dale, 2021). There is evidence of music providing pain relief in patients being treated for burns (Whitehead-Pleaux et al, 2007;Hsu et al, 2016;Wu et al, 2021), and for patients in emergency departments or intensive care units (Richard-Lalonde et al, 2020;See et al, 2023;Vijay and Hauser, 2023). In most of these examples the amelioration of aspects of the pain experience -especially any accompanying negative affect such as stress or anxiety -are also reduced, indicative of the multifactorial influence of music on human psychophysiology.…”

Section: Introduction "One Good Thing About Music When It Hits You Yo...mentioning

confidence: 99%

The psychophysiology of music-based interventions and the experience of pain

Arnold,

Bagg,

Harvey

2024

Front. Psychol.

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In modern times there is increasing acceptance that music-based interventions are useful aids in the clinical treatment of a range of neurological and psychiatric conditions, including helping to reduce the perception of pain. Indeed, the belief that music, whether listening or performing, can alter human pain experiences has a long history, dating back to the ancient Greeks, and its potential healing properties have long been appreciated by indigenous cultures around the world. The subjective experience of acute or chronic pain is complex, influenced by many intersecting physiological and psychological factors, and it is therefore to be expected that the impact of music therapy on the pain experience may vary from one situation to another, and from one person to another. Where pain persists and becomes chronic, aberrant central processing is a key feature associated with the ongoing pain experience. Nonetheless, beneficial effects of exposure to music on pain relief have been reported across a wide range of acute and chronic conditions, and it has been shown to be effective in neonates, children and adults. In this comprehensive review we examine the various neurochemical, physiological and psychological factors that underpin the impact of music on the pain experience, factors that potentially operate at many levels – the periphery, spinal cord, brainstem, limbic system and multiple areas of cerebral cortex. We discuss the extent to which these factors, individually or in combination, influence how music affects both the quality and intensity of pain, noting that there remains controversy about the respective roles that diverse central and peripheral processes play in this experience. Better understanding of the mechanisms that underlie music’s impact on pain perception together with insights into central processing of pain should aid in developing more effective synergistic approaches when music therapy is combined with clinical treatments. The ubiquitous nature of music also facilitates application from the therapeutic environment into daily life, for ongoing individual and social benefit.

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Technology-Based Music Interventions to Reduce Anxiety and Pain Among Patients Undergoing Surgery or Procedures: Systematic Review of the Literature (Preprint)

Park¹,

Lee²,

Howard³

et al. 2023

Preprint

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BACKGROUND Hospitalized patients may experience negative symptoms, such as pain, anxiety, depression, sleep disturbance, stress, fatigue, or a combination of symptoms, particularly while in an unfamiliar environment OBJECTIVE The purpose of this study is to review technology-based music intervention protocol and examine the effectiveness of the intervention on anxiety and pain for hospitalized patients undergoing procedures METHODS A systematic search was conducted using electronic databases. The search keywords were selected from the main independent and dependent variables: technology-based music intervention, pain, and anxiety. A Matrix table using Excel spreadsheets was used to manage and synthesize data throughout the review process. The risk of bias was assessed using the Cochrane Risk of Bias version 2 RESULTS Two themes were identified as the effects of music intervention on anxiety, and on pain. Thirteen studies (over 75%) assessed that anxiety scores decreased after music intervention, and ten studies were completed and showed that pain could be decreased pre, post, and during procedures. Music intervention is a non-pharmacological complementary approach, and more than 70% of patients reported a positive effect when allowed to select the music themselves CONCLUSIONS Futures studies can include the implementation of appropriate music intervention in different settings and studying the effects of anxiety and pain on these patients by allowing them to control the type of music they listen to, the duration they choose and on the smart device they select to decrease pain and anxiety CLINICALTRIAL N/A

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Effectiveness of music interventions in reducing pain and anxiety of patients in pediatric and adult emergency departments: A systematic review and meta-analysis

Cited by 3 publications

References 45 publications

Technology-Based Music Interventions to Reduce Anxiety and Pain Among Patients Undergoing Surgery or Procedures: Systematic Review of the Literature

Technology-Based Music Interventions to Reduce Anxiety and Pain Among Patients Undergoing Surgery or Procedures: Systematic Review of the Literature

The psychophysiology of music-based interventions and the experience of pain

Technology-Based Music Interventions to Reduce Anxiety and Pain Among Patients Undergoing Surgery or Procedures: Systematic Review of the Literature (Preprint)

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