Presentation Time: 10:20 Am: Music Therapy to Alleviate Anxiety in Cervical Brachytherapy - Do We Change a Tune? a Randomized, Single Institute Study

Journal

Brachytherapy

Year

2021

Abstract

Purpose: The procedure of Intracavitary Brachytherapy (ICBT) involves use of spinal anesthesia and invasive procedure leading to anxiety among the patients. Music therapy (MT) has been established as an excellent measure to alleviate anxiety; however, the role is scarcely employed. This randomized study evaluates the impact of MT on anxiety and distress during the procedure of ICBT in cervical malignancies. Materials and Methods: In this single institute, Randomized trial comparing MT versus no MT in patients undergoing ICBT for cervical malignancies, subjective assessment for stress and anxiety was done with use of pre-State-Trait Anxiety Inventory (STAI-S Anxiety) questionnaire and Symptom Distress Thermometer (SDT). Patients under the MT group were counselled for their choice of music prior to the treatment and the non-MT group did not receive any such counselling. After the completion of treatment, both the questionnaires were again repeated and repeated-measures analysis of variance was used to assess treatment effects on STAI and SDT. Correlation between STAI and SDT was also assessed at both time points and by group with Spearman correlation coefficients. Results: A total of 70 patients with histopathological proven cervical malignancy were enrolled with 35 each in the MT and non-MT group. The median age was 48.5 years and both groups were matched in the treatment and patient characteristics. The overall mean pre- and post-simulation STAI-S scores were 42.3 (range, 22-62) and 37.7 (range, 20-64), respectively. The overall mean pre- and post-simulation SDT scores were 4.6 (range, 0-10) and 3.2 (range, 0-10), respectively. The MT group had mean pre- and post-simulation STAI-S scores of 42.8 and 32.3, respectively (p

Music and Health Institute Terms

Anesthesia; Anxiety; Cancer; Distress; Invasive Medical Procedures; Music Therapy

Indexed Terms

controlled study; human; randomized controlled trial; conference abstract; major clinical study; cancer survival; counseling; State Trait Anxiety Inventory; analysis of variance; cancer patient; thermometer; distress syndrome; brachytherapy; correlation coefficient; disease control; histopathology; implant; oncologist; operating room; physiological stress; simulation; survival; uterine cervix cancer

Study Type

Randomized Controlled Trial; Quantitative Methods

Document Type

Article

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