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Jun 18, 2019

MASCC/ISOO Annual Meeting on Supportive Care in Cancer

19 - INPATIENT MUSIC THERAPY EFFECTS ON SELF-REPORTED SYMPTOMS IN A CANCER CENTER: A PRELIMINARY REPORT

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music therapy

integrative oncology

complementary therapy

patient reported outcomes

Abstract

Abstract

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Keywords

music therapy

integrative oncology

complementary therapy

patient reported outcomes

Abstract

Introduction: Music therapy has shown benefits for reducing distress in individuals with cancer. We explore the effects of music therapy on self-reported symptoms of patients receiving inpatient care at a comprehensive cancer center. Methods: Music therapy was available as part of an inpatient integrative oncology consultation service; we examined interventions and symptoms for consecutive patients treated by a board certified music therapist from 9/2016-5/2017. Patients completed the Edmonton Symptom Assessment Scale (ESAS, 10 symptoms, scale 0-10, 10 most severe) before and after the intervention. Data was summarized by descriptive statistics. Change in ESAS symptom and subscale scores [physical distress (PHS), psychological distress (PSS), and global distress (GDS)] were evaluated by Wilcoxon signed rank test. Results: Data were evaluable for 96 of 100 consecutive patients; 55% were women, average age 50, majority with hematologic malignancies (47%). Reasons for music therapy referral included: anxiety/stress (67%), adjustment disorder/coping (28%), and mood elevation/depression (17%). Highest (worst) symptoms at baseline were sleep disturbance (5.7) and well-being (5.5). We observed statistically and clinically significant improvement (means) for anxiety (-2.3±1.5), drowsiness (-2.1±2.2), depression (-2.1±1.9), nausea (-2.0±2.4), fatigue (-1.9±1.5), pain (-1.8±1.4), shortness of breath (-1.4±2.2), appetite (-1.1±1.7); and for all ESAS subscales (all p’s<0.02). Highest clinical response rates were observed for anxiety (92%), depression (91%), and pain (89%). Conclusions: A single, live, tailored music therapy intervention as part of an integrative oncology inpatient consultation service contributed to significant improvement in global, physical and psychosocial distress. A randomized controlled trial is justified.

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© Copyright 2019 Morressier GmbH.
All rights reserved.