Effects of live music during chemotherapy in lymphoma patients: a randomized, controlled, multi-center trial

Purpose Chemotherapy is associated with both somatic and psychological side effects. Music might ease these problems. Several randomized controlled trials have investigated the effect of music, but the results are inconclusive. We aimed to examine whether live or pre-recorded music listening decreas...

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Veröffentlicht in:Supportive care in cancer 2019-10, Vol.27 (10), p.3887-3896
Hauptverfasser: Bro, Margrethe Langer, Johansen, Christoffer, Vuust, Peter, Enggaard, Lisbeth, Himmelstrup, Bodil, Mourits-Andersen, Torben, Brown, Peter, d’Amore, Francesco, Andersen, Elisabeth Anne Wreford, Abildgaard, Niels, Gram, Jeppe
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container_end_page 3896
container_issue 10
container_start_page 3887
container_title Supportive care in cancer
container_volume 27
creator Bro, Margrethe Langer
Johansen, Christoffer
Vuust, Peter
Enggaard, Lisbeth
Himmelstrup, Bodil
Mourits-Andersen, Torben
Brown, Peter
d’Amore, Francesco
Andersen, Elisabeth Anne Wreford
Abildgaard, Niels
Gram, Jeppe
description Purpose Chemotherapy is associated with both somatic and psychological side effects. Music might ease these problems. Several randomized controlled trials have investigated the effect of music, but the results are inconclusive. We aimed to examine whether live or pre-recorded music listening decreases anxiety during chemotherapy in newly diagnosed lymphoma patients. Methods A total of 143 patients with non-Hodgkin and Hodgkin lymphomas were randomly assigned into three groups receiving either 30 min of patient-preferred live music ( n  = 47), 30 min of patient-preferred pre-recorded music ( n  = 47), or standard care ( n  = 49) during up to five outpatient chemotherapy sessions. The primary endpoint was anxiety measured by the Spielberger’s State Anxiety Inventory. Secondary endpoints included blood pressure, pulse rate, nausea and vomiting, serum catecholamine levels pre- and post-intervention to measure arousal levels, and health-related quality of life. The Musical Ability Test was used to link musical ability to the primary endpoint. Results When adjusting for age, sex, diagnosis, number of sessions, and baseline anxiety, the linear mixed model showed a borderline statistically significant reduction in the primary outcome anxiety in the live music group compared to standard care (7% (95% CI, − 14% to 0%, p  = 0.05), while the effect of pre-recorded music was non-significant (5% (95% CI, − 12% to + 3%, p  = 0.18). No intervention effects were seen in secondary outcomes. Conclusion Our findings suggest that patient-preferred live music reduces anxiety among patients with malignant lymphomas undergoing chemotherapy. Musical ability among this group of cancer patients seems not to be a determining factor for effect of music intervention.
doi_str_mv 10.1007/s00520-019-04666-8
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Music might ease these problems. Several randomized controlled trials have investigated the effect of music, but the results are inconclusive. We aimed to examine whether live or pre-recorded music listening decreases anxiety during chemotherapy in newly diagnosed lymphoma patients. Methods A total of 143 patients with non-Hodgkin and Hodgkin lymphomas were randomly assigned into three groups receiving either 30 min of patient-preferred live music ( n  = 47), 30 min of patient-preferred pre-recorded music ( n  = 47), or standard care ( n  = 49) during up to five outpatient chemotherapy sessions. The primary endpoint was anxiety measured by the Spielberger’s State Anxiety Inventory. Secondary endpoints included blood pressure, pulse rate, nausea and vomiting, serum catecholamine levels pre- and post-intervention to measure arousal levels, and health-related quality of life. The Musical Ability Test was used to link musical ability to the primary endpoint. Results When adjusting for age, sex, diagnosis, number of sessions, and baseline anxiety, the linear mixed model showed a borderline statistically significant reduction in the primary outcome anxiety in the live music group compared to standard care (7% (95% CI, − 14% to 0%, p  = 0.05), while the effect of pre-recorded music was non-significant (5% (95% CI, − 12% to + 3%, p  = 0.18). No intervention effects were seen in secondary outcomes. Conclusion Our findings suggest that patient-preferred live music reduces anxiety among patients with malignant lymphomas undergoing chemotherapy. Musical ability among this group of cancer patients seems not to be a determining factor for effect of music intervention.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-019-04666-8</identifier><identifier>PMID: 30762141</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Ability tests ; Adult ; Aged ; Analysis ; Antineoplastic Agents - therapeutic use ; Anxiety ; Anxiety - prevention &amp; control ; Anxiety - psychology ; Blood Pressure - physiology ; Cancer ; Chemotherapy ; Female ; Heart Rate - physiology ; Humans ; Lymphoma ; Lymphoma - drug therapy ; Lymphoma - psychology ; Male ; Medical research ; Medicine ; Medicine &amp; Public Health ; Medicine, Experimental ; Middle Aged ; Music ; Music - psychology ; Music therapy ; Music Therapy - methods ; Nausea ; Non-Hodgkin's lymphomas ; Nursing ; Nursing Research ; Oncology ; Original Article ; Pain Medicine ; Patients ; Quality of Life - psychology ; Rehabilitation Medicine ; Vincristine</subject><ispartof>Supportive care in cancer, 2019-10, Vol.27 (10), p.3887-3896</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>COPYRIGHT 2019 Springer</rights><rights>Supportive Care in Cancer is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-499f3ce8f5327fcd442c5a785deadf54b382400418d084732d19a97e829a68a63</citedby><cites>FETCH-LOGICAL-c442t-499f3ce8f5327fcd442c5a785deadf54b382400418d084732d19a97e829a68a63</cites><orcidid>0000-0003-1291-0303</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-019-04666-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-019-04666-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30762141$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bro, Margrethe Langer</creatorcontrib><creatorcontrib>Johansen, Christoffer</creatorcontrib><creatorcontrib>Vuust, Peter</creatorcontrib><creatorcontrib>Enggaard, Lisbeth</creatorcontrib><creatorcontrib>Himmelstrup, Bodil</creatorcontrib><creatorcontrib>Mourits-Andersen, Torben</creatorcontrib><creatorcontrib>Brown, Peter</creatorcontrib><creatorcontrib>d’Amore, Francesco</creatorcontrib><creatorcontrib>Andersen, Elisabeth Anne Wreford</creatorcontrib><creatorcontrib>Abildgaard, Niels</creatorcontrib><creatorcontrib>Gram, Jeppe</creatorcontrib><title>Effects of live music during chemotherapy in lymphoma patients: a randomized, controlled, multi-center trial</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose Chemotherapy is associated with both somatic and psychological side effects. Music might ease these problems. Several randomized controlled trials have investigated the effect of music, but the results are inconclusive. We aimed to examine whether live or pre-recorded music listening decreases anxiety during chemotherapy in newly diagnosed lymphoma patients. Methods A total of 143 patients with non-Hodgkin and Hodgkin lymphomas were randomly assigned into three groups receiving either 30 min of patient-preferred live music ( n  = 47), 30 min of patient-preferred pre-recorded music ( n  = 47), or standard care ( n  = 49) during up to five outpatient chemotherapy sessions. The primary endpoint was anxiety measured by the Spielberger’s State Anxiety Inventory. Secondary endpoints included blood pressure, pulse rate, nausea and vomiting, serum catecholamine levels pre- and post-intervention to measure arousal levels, and health-related quality of life. The Musical Ability Test was used to link musical ability to the primary endpoint. Results When adjusting for age, sex, diagnosis, number of sessions, and baseline anxiety, the linear mixed model showed a borderline statistically significant reduction in the primary outcome anxiety in the live music group compared to standard care (7% (95% CI, − 14% to 0%, p  = 0.05), while the effect of pre-recorded music was non-significant (5% (95% CI, − 12% to + 3%, p  = 0.18). No intervention effects were seen in secondary outcomes. Conclusion Our findings suggest that patient-preferred live music reduces anxiety among patients with malignant lymphomas undergoing chemotherapy. 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Music might ease these problems. Several randomized controlled trials have investigated the effect of music, but the results are inconclusive. We aimed to examine whether live or pre-recorded music listening decreases anxiety during chemotherapy in newly diagnosed lymphoma patients. Methods A total of 143 patients with non-Hodgkin and Hodgkin lymphomas were randomly assigned into three groups receiving either 30 min of patient-preferred live music ( n  = 47), 30 min of patient-preferred pre-recorded music ( n  = 47), or standard care ( n  = 49) during up to five outpatient chemotherapy sessions. The primary endpoint was anxiety measured by the Spielberger’s State Anxiety Inventory. Secondary endpoints included blood pressure, pulse rate, nausea and vomiting, serum catecholamine levels pre- and post-intervention to measure arousal levels, and health-related quality of life. The Musical Ability Test was used to link musical ability to the primary endpoint. Results When adjusting for age, sex, diagnosis, number of sessions, and baseline anxiety, the linear mixed model showed a borderline statistically significant reduction in the primary outcome anxiety in the live music group compared to standard care (7% (95% CI, − 14% to 0%, p  = 0.05), while the effect of pre-recorded music was non-significant (5% (95% CI, − 12% to + 3%, p  = 0.18). No intervention effects were seen in secondary outcomes. Conclusion Our findings suggest that patient-preferred live music reduces anxiety among patients with malignant lymphomas undergoing chemotherapy. Musical ability among this group of cancer patients seems not to be a determining factor for effect of music intervention.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30762141</pmid><doi>10.1007/s00520-019-04666-8</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-1291-0303</orcidid></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Ability tests
Adult
Aged
Analysis
Antineoplastic Agents - therapeutic use
Anxiety
Anxiety - prevention & control
Anxiety - psychology
Blood Pressure - physiology
Cancer
Chemotherapy
Female
Heart Rate - physiology
Humans
Lymphoma
Lymphoma - drug therapy
Lymphoma - psychology
Male
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Middle Aged
Music
Music - psychology
Music therapy
Music Therapy - methods
Nausea
Non-Hodgkin's lymphomas
Nursing
Nursing Research
Oncology
Original Article
Pain Medicine
Patients
Quality of Life - psychology
Rehabilitation Medicine
Vincristine
title Effects of live music during chemotherapy in lymphoma patients: a randomized, controlled, multi-center trial
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