Covid-19 and Absence of Music Therapy: Impact on Mother-Child Dyad During Invasive Procedures in Pediatric Oncology

Journal

The Arts in Psychotherapy

Year

2021

Abstract

During COVID-19 pandemic, Italian pediatric oncology departments were obliged to adopt restrictive measures to minimize the risk of in-hospital infections in frail patients and staff members. Access to the wards was significantly reduced and music therapy (MT) activities were suspended. The aim of this study was to compare the level of anxiety and sedation in pediatric patients undergoing invasive procedure before (T1), during(T2) and after(T3) the pandemic, with and without the presence of MT. From January to September 2020, all children aged 2–15 with oncological and hematological diseases undergoing to invasive procedure were enrolled. During T1 and T3 children received preoperative preparation with MT by a certified music-therapist. In T2 they received music or video by clinical staff. Preoperative anxiety scores were measured with the m- YPAS scale. Interviews with mothers were performed. The average consumption of drugs used was analyzed. Significant differences in preoperative anxiety levels between scores in T1, T2 (p.value = 0,0000014) and in T2, T3 (p.value = 0,0000031) were observed. No difference between T1-T3 (p.value = 0,96). Higher dosage of midazolam in T2 (1,14 mg 0,189) compared to T1 (0, 71 mg 0,399) and T2 (1,14 mg 0,189) were observed. Mothers also recorded higher scores on anxiety and stress without music therapy. (PsycInfo Database Record (c) 2024 APA, all rights reserved)

Music and Health Institute Terms

Adolescents; Anxiety; Cancer; Caretakers; Children; Invasive Medical Procedures; Medication Use; Music Therapy; Pediatric Cancers; Sedation; Stress

Indexed Terms

Anxiety; Pandemics; Pediatrics; COVID-19; Surgery; Adulthood (18 yrs & older); Oncology; Adolescence (13-17 yrs); Childhood (birth-12 yrs); Preschool Age (2-5 yrs); School Age (6-12 yrs); Mother Child Relations

Study Type

Randomized Controlled Trial; Quantitative Methods

Document Type

Article

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