Music therapy, a review of the potential therapeutic benefits for the critically ill

Mofredj, Ali; Alaya, Sami; Tassaioust, K.; Bahloul, H.; Mrabet, Afef

doi:10.1016/j.jcrc.2016.05.021

Cited by 89 publications

(75 citation statements)

References 68 publications

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“…The decrease in SAP is in accordance with reports [47][48][49][50][51][52][53] of interventions consisting of music or massage. The intervention did not evoke unfavorable hemodynamic effects; SAP and MAP were maintained within the normal reference range.…”

Section: Discussionsupporting

confidence: 91%

Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

Papathanassoglou¹,

Hadjibalassi²,

Miltiadous³

et al. 2018

Am J Crit Care

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Background Pain, a persistent problem in critically ill patients, adversely affects outcomes. Despite recommendations, no evidence-based nonpharmacological approaches for pain treatment in critically ill patients have been developed. Objectives To investigate the effects of a multimodal integrative intervention on the incidence of pain and on secondary outcomes: intensity of pain, hemodynamic indices (systolic and mean arterial pressure, heart rate), anxiety, fear, relaxation, optimism, and sleep quality. Methods A randomized, controlled, double-blinded repeated-measures trial with predetermined eligibility criteria was conducted. The intervention included relaxation, guided imagery, moderate pressure massage, and listening to music. The primary outcome was incidence of pain (score on Critical Care Pain Observation Tool > 2). Other outcomes included pain ratings, hemodynamic measurements, self-reported psychological outcomes, and quality of sleep. Repeated-measures models with adjustments (baseline levels, confounders) were used. Results Among the 60 randomized critically ill adults in the sample, the intervention group experienced significant decreases in the incidence (P = .003) and ratings of pain (P < .001). Adjusted models revealed a significant trend for lower incidence (P = .002) and ratings (P < .001) of pain, systolic arterial pressure (P < .001), anxiety (P = .01), and improved quality of sleep (P = .02). Conclusion A multimodal integrative intervention may be effective in decreasing pain and improving painrelated outcomes in critically ill patients. (American Journal of Critical Care. 2018; 27:172-185) EFFECTS OF Unrelieved pain is common among ICU patients and may compromise outcomes, by contributing to unstable hemodynamic parameters, hypercatabolism, hyperglycemia, infections, delirium, and posttraumatic stress. 2 Pain in ICU patients may also be part of a vicious circle implicating anxiety 3 and insomnia. 4 Moreover, pain has been linked to the post-ICU syndrome 5 and may become chronic in survivors, a situation associated with poor quality of life and poor psychological and physiological outcomes. 6Management of pain in patients with a critical illness is challenging.7 Opioids, the drug class of choice, are associated with marked side effects, including respiratory depression, hypotension, decreased gastrointestinal motility, delirium, and higher costs due to increased use of resources and prolonged stay in the ICU.8 Nociception, the perception of painful stimuli, entails a complex interaction among sensory, affective, and social components.9 Moreover, anxiety, fear, and negative expectations are common in critically ill patients and may contribute to heightened perception of pain.10 Thus, the multifactorial nature of ICU pain calls for approaches that address both physiological and psychosocial responses to pain. Current guidelines highlight the need to test and implement nonpharmacological strategies for pain treatment in critically ill patients.2 Interventions that elicit a relaxation ...

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Section: Discussionsupporting

confidence: 91%

Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

Papathanassoglou¹,

Hadjibalassi²,

Miltiadous³

et al. 2018

Am J Crit Care

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“…For example, distribution of a brief and integrated brochure introducing the disease to every IBD patient might be a simple but effective way to improve patient’s illness perceptions, which was finally beneficial to illness outcomes 63. Any interventions which can relieve stress such as music, enough sleep, moderate exercise, communication with friends and massage might bring about improvements in psychological well-being and quality of life as well 64,65. What is more, these methods are quite easy to take into practice and have almost no side effects.…”

Section: Discussionmentioning

confidence: 99%

Illness perceptions and stress: mediators between disease severity and psychological well-being and quality of life among patients with Crohn’s disease

Zhang¹,

Hong²,

Zhang³

et al. 2016

PPA

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BackgroundDisease severity, illness perceptions, coping strategies, stress, psychological well-being, and quality of life were reported to have close relationships. According to the Common Sense Model, illness perceptions and coping strategies could mediate the relationship between illness stimuli and illness outcomes such as psychological health and quality of life. Stress was also associated with the individual’s disease severity, anxiety, depression, and quality of life.ObjectivesThe study aimed to explore the influencing factors of illness outcomes, and to what extent illness perceptions, coping strategies, and stress mediate the relationship between disease severity and anxiety, and depression and quality of life.MethodsOur study included 159 patients with Crohn’s disease who were attending a tertiary hospital outpatient clinic or who were hospitalized. Disease severity was measured with the Crohn’s Disease Activity Index. Illness perceptions were measured with the Brief Illness Perceptions Questionnaire. Coping strategies were measured with the Carver Brief Coping Questionnaire. Stress was measured with the Perceived Stress Questionnaire. Anxiety and depression were measured with the Hospital Anxiety and Depression Scale. Quality of life was measured with the Inflammatory Bowel Disease Questionnaire.ResultsDisease severity, illness perceptions, maladaptive coping, stress, anxiety, depression and quality of life were significantly correlated with each other among patients with Crohn’s disease. Using structural equation modeling to describe the inner relationship of the aforementioned variables, an excellent-fitted model was drawn. (χ2[10]=13.83, P=0.18, χ2/N=1.38, standardized root mean square residual [SRMR] <0.05, root mean square error of approximation [RMSEA] <0.05, goodness of fit index [GFI] >0.97, comparative fit index [CFI] >0.99). Disease severity had a direct influence on illness perceptions. Illness perceptions had a direct influence on stress. Both illness perceptions and stress had direct influences on anxiety, depression, and quality of life, while maladaptive coping did not directly influence anxiety, depression, or quality of life. Stress had a direct influence on maladaptive coping. Quality of life was also directly influenced by disease severity and anxiety.ConclusionInterrelationships between disease stimuli, disease perceptions and management and disease outcomes could be found in patients with Crohn’s disease. Illness perceptions and stress mediated an individual’s disease severity and anxiety, depression and quality of life, while coping strategy was not an applicable mediator.

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“…Within these therapies, music has been shown to have benefits on the patients' quality of life, preserving the skills of expression and socialization, improving anxiety, depression, irritability and social isolation [25]. Therefore, this therapy is being used in the field of dementia as a possible alternative for alleviating various conditions.…”

Section: Non-pharmacological Therapies In Admentioning

confidence: 99%

“…It can lessen stress response, decrease anxiety during mechanical ventilation and induce an overall relaxation response without the use of medication. For all this, music therapy has been shown to have benefits in the patients' quality of life, preserving the skills of expression and socialization while improving (i.e., decreasing) anxiety, depression, irritability and social isolation and becoming a new target to treatment in AD [25,26].…”

Section: Non-pharmacological Therapies In Admentioning

confidence: 99%

Role of Stress, Immune System and Well-being in Patients with Alzheimer's Disease

Mp¹,

M²,

Je³

2017

J Neurol Neurosci

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Alzheimer's disease (AD) is a progressive and neurodegenerative disorder that induces neuropsychiatric symptoms, disability, caregiver burden, and premature death in patients who suffer from it. It represents the most prevalent cause of dementia in our society and its incidence rates exponentially increase with age. Currently, this disorder does not have any cure and it is essential to know all the variables and factors involved in the development of this disorder. Among these factors, there are different categories such as biological and environmental aspects. It seems that the immune system (IS) and the stress system are some of them and the knowledge about their role in this disorder is an important question in this area. Moreover, it has been demonstrated that both systems are related and this relationship can also be influenced by the emotional system. In fact, the levels of the IS biomarker (immunoglobulin A) and the stress system (cortisol) are different in people with and without AD and IgA is higher in patients with high wellbeing. Therefore, the new therapies in AD should be focused on the influence of these systems and on postulating new alternative perspectives like non-pharmacological therapies.All this is essential for the study of AD in order to improve the quality of life in these patients, as well as knowing all the variables involved, so as to generate new therapeutic targets in AD.

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Music therapy, a review of the potential therapeutic benefits for the critically ill

Cited by 89 publications

References 68 publications

Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

Illness perceptions and stress: mediators between disease severity and psychological well-being and quality of life among patients with Crohn’s disease

Role of Stress, Immune System and Well-being in Patients with Alzheimer's Disease

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Music therapy, a review of the potential therapeutic benefits for the critically ill

Cited by 89 publications

References 68 publications

Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

Illness perceptions and stress: mediators between disease severity and psychological well-being and quality of life among patients with Crohn&rsquo;s disease

Role of Stress, Immune System and Well-being in Patients with Alzheimer's Disease

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Product

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Illness perceptions and stress: mediators between disease severity and psychological well-being and quality of life among patients with Crohn’s disease