Music Therapy for Symptom Management After Autologous Stem Cell Transplantation: Results from a Randomized Study
Biology of Blood and Marrow Transplantation
High-dose chemotherapy followed by autologous stem cell transplantation (ASCT) is frequently performed in patients with hematologic malignancies. ASCT can result in significant nausea, pain, and discomfort. Supportive care has improved, and pharmacologic therapies are frequently used, but with limitations. Music has been demonstrated to improve nausea and pain in patients undergoing chemotherapy, but little data are available regarding the effects of music therapy in the transplantation setting. In a prospective study, patients with lymphoma or multiple myeloma undergoing ASCT were randomized to receive either interactive music therapy with a board-certified music therapist or no music therapy. The music therapy arm received 2 music therapy sessions on days +1 and +5. Primary outcomes were perception of pain and nausea measured on a visual analog scale. Secondary outcomes were narcotic pain medication use from day -1 to day +5 and impact of ASCT on patient mood as assessed by Profile of Mood States (POMS) on day +5. Eighty-two patients were enrolled, with 37 in the music therapy arm and 45 in the no music therapy arm. Patients who received MT had slightly increased nausea by day +7 compared with the no music therapy patients. The music therapy and no music therapy patients had similar pain scores; however, the patients who received music therapy used significantly less narcotic pain medication (median, 24 mg versus 73 mg; P = .038). Music therapy may be a viable nonpharmacologic method of pain management for patients undergoing ASCT; the music therapy patients required significantly fewer morphine equivalent doses compared with the no music therapy patients. Additional research is needed to better understand the effects of music therapy on patient-perceived symptoms, such as pain and nausea.
Music and Health Institute Terms
Analgesic Intake; Cancer; Discomfort; Hospital Setting; Hospitalized Patients; Medication Use; Mood Scales; Mood; Music Therapy; Nausea; Opioid Intake; Pain Management and Control; Pain Score or Rating; Pain; Postoperative Pain; Postoperative Patients; Receptive Music Methods; Self-Report Measures; Stem Cell Transplantation; Surgery; Surgical Patients; Symptom Management; Visual Analog Scale (VAS)
Affect; Elderly; Antineoplastic Agents; Combined Modality Therapy; Hematopoietic Stem Cell Transplantation; Lymphoma; Multiple Myeloma; Narcotics; Nausea; Pain; Prospective Studies; Transplantation, Autologous; Autologous stem cell transplant; Pain medication
Randomized Controlled Trial; Quantitative Methods
Bates, D.; Bolwell, B.; Majhail, N. S.; Rybicki, L.; Yurch, M.; Abounader, D.; Kohuth, J.; Jarancik, S.; Koniarczyk, H.; McLellan, L.; Dabney, J.; Lawrence, C.; Gallagher, L.; Kalaycio, M.; Sobecks, R.; Dean, R.; Hill, B.; Pohlman, B.; Hamilton, B. K.; Gerds, A. T.; Jagadeesh, D.; and Liu, H. D., "Music Therapy for Symptom Management After Autologous Stem Cell Transplantation: Results from a Randomized Study" (2017). Research on Music and Pain. 287.