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Tytuł:
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A Prospective Randomized Trial of the Influence of Music on Anxiety in Patients Starting Radiation Therapy for Cancer.
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Autorzy:
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O'steen L; Department of Radiation Oncology, University of Florida College of Medicine, Gainesville, Florida.
Lockney NA; Department of Radiation Oncology, University of Florida College of Medicine, Gainesville, Florida.
Morris CG; Department of Radiation Oncology, University of Florida College of Medicine, Gainesville, Florida.
Johnson-Mallard V; University of Florida College of Nursing, Gainesville, Florida.
Pereira D; Department of Clinical and Health Psychology, University of Florida College of Public Health and Health Professions, Gainesville, Florida.
Amdur RJ; Department of Radiation Oncology, University of Florida College of Medicine, Gainesville, Florida. Electronic address: .
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Źródło:
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International journal of radiation oncology, biology, physics [Int J Radiat Oncol Biol Phys] 2021 Mar 01; Vol. 109 (3), pp. 670-674. Date of Electronic Publication: 2020 Oct 26.
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Typ publikacji:
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Journal Article; Randomized Controlled Trial
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Język:
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English
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Imprint Name(s):
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Publication: New York, NY : Elsevier, Inc
Original Publication: Elmsford, N. Y., Pergamon Press.
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MeSH Terms:
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Music Therapy*
Anxiety/*therapy
Neoplasms/*radiotherapy
Adult ; Aged ; Aged, 80 and over ; Anxiety/diagnosis ; Anxiety/psychology ; Female ; Humans ; Middle Aged ; Music/psychology ; Neoplasms/psychology ; Patient Preference ; Prospective Studies ; Treatment Outcome
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Entry Date(s):
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Date Created: 20201030 Date Completed: 20210721 Latest Revision: 20210721
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Update Code:
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20240105
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DOI:
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10.1016/j.ijrobp.2020.09.048
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PMID:
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33121861
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Purpose: One of the most downloaded articles in 2017 from the International Journal of Radiation Oncology, Biology, and Physics was a study suggesting that music therapy during radiation therapy (RT) simulation substantially reduces anxiety. To further evaluate the potential of music's clinical efficacy in the context of radiation therapy, we conducted a randomized trial evaluating the influence of genre-based music chosen by the study participant on anxiety during the first RT treatment session with a method that is applicable to routine clinical practice.
Methods and Materials: We conducted a prospective randomized trial of music versus no music during the first RT treatment for cancer. We limited the study to women because prior studies document a higher rate of anxiety in female patients with cancer. Anxiety was evaluated before and after the first RT treatment using the State-Trait Anxiety Inventory (STAI) and Symptom Distress Thermometer (SDT). Patients randomized to music had their preferred genre of music played from a web-based application while in the treatment vault.
Results: In the study, 102 females were enrolled (51 with and 51 without music). Baseline high anxiety score before RT was recorded in 48% of patients using the STAI and 58% using the SDT. The percent decrease in mean STAI score was 16% with music versus 10% without music (P = .2197). The mean SDT percent changes were a 13% decrease with music versus a 2% increase without music (P = .3298).
Conclusions: This study documents that high anxiety is common in women receiving RT for cancer and that music, as used in this study, does not reduce anxiety to a meaningful degree.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Comment in: Int J Radiat Oncol Biol Phys. 2021 Mar 1;109(3):675-677. (PMID: 33516437)
