Music and Preoperative Anxiety: A Randomized, Controlled Study

Wang, Shuming; Kulkarni, Lina; Dolev, Jackqulin; Kain, Zeev N.

doi:10.1213/00000539-200206000-00021

Cited by 196 publications

(124 citation statements)

References 24 publications

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Section: Discussionmentioning

confidence: 99%

“…Thus, several non-pharmacological methods to reduce pre-operative anxiety have been considered, including music therapy [24,25], supply of in-depth information with leaflets [26] or videos [27,28], presence of relatives during induction [29], clown doctors [30], hypnosis [31,32] and relaxation techniques [33,34]. However, these methods are timeconsuming and costly, and are thus not always feasible in a streamlined clinical environment.…”

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confidence: 99%

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The effect of skin surface warming on pre‐operative anxiety in neurosurgery patients*

2007

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SummarySkin surface warming of patients not only improves thermal comfort, but has been shown to reduce anxiety in a pre-hospital setting. We tested the hypothesis that pre-operative warming can reduce pre-operative anxiety as effectively as a conventional dose of intravenous midazolam in patients undergoing neurosurgery. We randomly allocated 80 patients to four groups in the pre-operative holding area. Treatment was applied for 30-45 min with (1) passive insulation and placebo; (2) passive insulation and intravenous midazolam (30 lg.kg )1 ); (3) warming with forced-air and placebo; and (4) warming with forced-air and intravenous midazolam (30 lg.kg )1 ). Thermal comfort levels (VAS 0-100 mm) and anxiety levels (VAS 0-100 mm, Spielberger State-Trait Anxiety Inventory) were assessed twice: before the designated treatment was started and before induction of anaesthesia. In the midazolam and the midazolam ⁄ warming groups, anxiety VAS and Spielberger state anxiety scores decreased by ) 19 (95% CI: ) 29 to ) 9, p < 0.01) and ) 10 (95% CI: ) 14 to ) 6, p < 0.01), respectively. In the warming and the combined groups, thermal VAS increased by + 26 (95% CI: 17-34, p < 0.01). [7], and prolonged hospitalisation [5]. Pre-operative warming before induction can prevent redistribution hypothermia and can improve thermal comfort by keeping the patient warm during the preoperative period [8,9]. This benefit of pre-operative warming has been demonstrated in several studies during regional [10] and general anaesthesia [8,11,12]. The administration of pre-operative warming has even been shown to abolish completely the need for any additional intra-operative warming in certain patient populations [13,14].There is, however, another potential benefit of preoperative warming: it may reduce anxiety. In four recent studies, minor trauma victims [15], patients with lower back pain [16], patients with renal colic [17] and cholelithiasis pain [18] were assigned to passive insulation or carbon-fibre warming: The warmed patients had improved thermal comfort, less pain, and were significantly less anxious.For the reduction of pre-operative anxiety, patients typically receive medications such as oral or intravenous benzodiazepines, yet these medications are not always effective and can be associated with respiratory depression and delayed discharge [19][20][21][22][23]. Thus, several non-pharmacological methods to reduce pre-operative anxiety have been considered, including music therapy [24,25], supply of in-depth information with leaflets [26] or videos

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

The effect of skin surface warming on pre‐operative anxiety in neurosurgery patients*

2007

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“…Typically they hold graduate degrees in music therapy and are trained to deal with the psychosocial as well as clinical issues faced by patients and family members. Music therapy is particularly effective in the palliative care setting, with randomized trials indicating benefit for reducing anxiety [92][93][94][95][96], depression [97][98][99], and pain [100,101].…”

Section: Helpful Complementary Therapiesmentioning

confidence: 99%

Complementary and Alternative Therapies for Cancer

2004

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“…A música tem se inserido como uma das técnicas de relaxamento, uma vez que seus efeitos psicofisiológicos podem contribuir para a redução do estresse e dos níveis de cortisol (Nuki, Yoshiuchi, & Nomura, 1999). Algumas abordagens dentro da Medicina, da Enfermagem, da Psicologia, da Musicoterapia e da área de saúde em geral se utilizam da música enquanto técnica de relaxamento (Good, 1995;Gruzzelier, 2002;Peterson, & Silva, 2006;Wang, Kulkarni, Dolev, & Kain, 2002). Em um estudo de revisão bibliográfica realizado no período de 1994, Ferreira, Remedi e Lima (2006 verificaram que a música tem sido amplamente utilizada como recurso terapêutico e que é percebida como forma peculiar de indução de relaxamento.…”

Section: Introductionunclassified

Avaliação de Músicas Compostas para Indução de Relaxamento e de seus Efeitos Psicológicos

Nunes-Silva

Valadares

Rosa

et al. 2016

Psicol. cienc. prof.

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Resumo: O presente estudo teve por objetivo avaliar as características das músicas compostas por dois diferentes compositores para a fase preparatória da Abordagem Direta do Inconsciente/Terapia de Integração Pessoa (ADI/TIP) e seus efeitos psicológicos, buscando verificar se elas contribuem para a indução de relaxamento. Para tanto, foi realizada inicialmente a análise teórica das músicas com o intuito de verificar se apresentavam características estruturais consideradas relaxantes, evidenciadas pelos estudos experimentais revisados. Posteriormente, as músicas foram avaliadas considerando os efeitos subjetivos eliciados pela sua audição. Participaram do estudo 72 voluntários, divididos em quatro condições: 1) Compositor A; 2) Compositor B; 3) Coletânea (músicas utilizadas em estudos prévios para promover o relaxamento); e 4) Sem audição musical. Os participantes responderam a um protocolo de avaliação da percepção subjetiva de sentimentos e emoções antes e depois de serem expostos à condição experimental. Os dados do protocolo foram comparados com os dados obtidos na análise teórica das músicas. Apesar de as músicas do compositor A apresentarem mais características estruturais relaxantes do que as do compositor B, todas as músicas analisadas foram consideradas como relaxantes e tiveram efeito para redução da pontuação da categoria de "Raiva/Medo" do protocolo utilizado. Isso indica que as músicas utilizadas na fase preparatória do método ADI/TIP possuem características relaxantes e contribuem para diminuição de sensações correspondentes a uma valência negativa e excitabilidade alta, favorecendo à promoção do estado de relaxamento necessário à eficácia deste método terapêutico. Palavras-chave: Música, Relaxamento, Efeitos psicológicos, ADI / TIP.

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Music and Preoperative Anxiety: A Randomized, Controlled Study

Cited by 196 publications

References 24 publications

The effect of skin surface warming on pre‐operative anxiety in neurosurgery patients*

The effect of skin surface warming on pre‐operative anxiety in neurosurgery patients*

Complementary and Alternative Therapies for Cancer

Avaliação de Músicas Compostas para Indução de Relaxamento e de seus Efeitos Psicológicos

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