The effect of music therapy on hemodialysis patients' quality of life and depression symptoms

Paula de Marchi Scarpin Hagemann, Luis Cuadrado Martin, Carmen Maria Bueno Neme, Paula de Marchi Scarpin Hagemann, Luis Cuadrado Martin, Carmen Maria Bueno Neme

Abstract

Introduction: The sources of stress involved in chronic kidney disease (CKD) can lead to depressive states, directly affecting the hemodialysis patient's quality of life (QOL). There are few reports and studies on therapeutic interventions that aim to minimize depressive symptoms in these patients and an even greater shortage of studies using music therapy.

Objective: This study evaluated the effect of music therapy on QOL and depressive symptoms in hemodialysis patients.

Method: This was a music therapy intervention study in which 23 patients were evaluated regarding QOL and depression symptoms at two distinct stages - before and after the intervention. Eight sessions of music therapy were conducted, with two weekly sessions and an average duration of 75 minutes. The intervention was conducted by the music therapist herself, using specific music therapy techniques, besides voice and guitar to conduct harmonic and rhythmic support for the groups' sound-music production.

Results: The patients showed a significant reduction in depression symptoms (p < 0.001) and better QOL results, with significant differences in the following dimensions: functional capacity (p = 0.011), pain (p = 0.036), general health (p = 0.01), vitality (p = 0.004), mental health (p = 0.012), symptom and problem list (p = 0.01), and overall health (p = 0.01).

Conclusions: Intervention with music therapy constitutes an effective option in the treatment and prevention of depressive symptoms and improved QOL of HD patients.

References

    1. Soriano S. Definición y clasificación de los estadios de La enfermedad renal crónica. Prevalencia. Claves para el diagnóstico precoz. Factores de riesgo de enfermedad renal crónica. Nefrología. 2004;24:27–34.
    1. Romão JE., Junior Doença renal crônica: definição, epidemiologia e classificação. J Bras Nefrol. 2004;26(3):1–3.
    1. Sociedade Brasileira de Nefrologia . Censo da Sociedade Brasileira de Nefrologia 2016. São Paulo: 2017. [2017 May 15]. [Internet] Available from: .
    1. Almeida AM, Meleiro AMAS. Depressão e insuficiência renal crônica: uma revisão. J Bras Nefrol. 2000;22:21–29.
    1. Ramos-Cerqueira ATA, Crepaldi AL. Qualidade de vida em doenças pulmonares crônicas: aspectos conceituais e metodológicos. J Pneumol. 2000;26:207–213. doi: 10.1590/S0102-35862000000400008.
    1. Oliveira AP, Schimidt DB, Amatneeks TM, Santos JC, Cavallet LH, Michel RB. Quality of life in hemodialysis patients and the relationship with mortality, hospitalizations and poor treatment adherence. J Bras Nefrol. 2016;38:411–420. doi: 10.5935/0101-2800.20160066.
    1. Rudnicki T. Estud Psicol. Vol. 24. Campinas: 2007. Preditores de qualidade de vida em pacientes renais crônicos; pp. 343–351.
    1. Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group KDIGO 2012 Clinical Practice Guideline for Evaluation and Management of Chronic Kidney Disease. Kidney Int. 2013;3(Suppl. Suppl):1–150.
    1. Martins MRI, Cesarino CB. Qualidade de vida de pessoas com doença renal crônica em tratamento hemodialítico. Rev Latino-Am Enferm. 2005;13:670–676. doi: 10.1590/S0104-11692005000500010.
    1. Carreira L, Marcon SS. Cotidiano e trabalho: concepções de indivíduos portadores de insuficiência renal crônica e seus familiares. Rev Latino-Am Enferm. 2003;11:823–831. doi: 10.1590/S0104-11692003000600018.
    1. Fructuoso MR, Castro R, Oliveira I, Prata C, Morgado T. Quality of life in chronic kidney disease. Nefrologia. 2011;31:91–96. doi: 10.3265/Nefrologia.pre2010.Jul.10483.
    1. Montinaro V, Iaffaldano GP, Granata S, Porcelli P, Todarello O, Schena FP, et al. Emotional symptoms, quality of life and cytokine profile in hemodialysis patients. Clin Nephrol. 2010;73:36–43. doi: 10.5414/CNP73036.
    1. Agganis BT, Weiner DE, Giang LM, Scott T, Tighiouart H, Griffith JL, et al. Depression and cognitive function in maintenance hemodialysis patients. Am J Kidney Dis. 2010;56:704–712. doi: 10.1053/j.ajkd.2010.04.018.
    1. Hedayati SS, Yalamanchili V, Finkelstein FO. A practical approach to the treatment of depression in patients with chronic kidney disease and end-stage renal disease. Kidney Int. 2012;81:247–255. doi: 10.1038/ki.2011.358.
    1. Cantekin I, Tan M. The influence of music therapy on perceived stressors and anxiety levels of hemodialysis patients. Ren Fail. 2013;35:105–109. doi: 10.3109/0886022X.2012.736294.
    1. Hou YC, Lin YJ, Lu KC, Chiang CC, Chang CC, Yang LK. Music therapy-induced changes in salivary cortisol level are predictive of cardiovascular mortality in patients under maintenance hemodialysis. Ther Clin Risk Manag. 2017;13:263–272. doi: 10.2147/TCRM.S127555.
    1. Kim Y, Evangelista LS, Park YG. Anxiolytic Effects of Music Interventions In Patients Receiving Incenter Hemodialysis: A Systematic Review and Meta-Analysis. Nephrol Nurs J. 2015;42:339–347.
    1. Barcellos LRM. Cadernos de Musicoterapia 4: etapas do processo musicoterápico ou para uma metodologia em musicoterapia. Rio de Janeiro: Enelivros; 1999. pp. 43–46.
    1. Dileo C, editor. Music Therapy and Medicine: Theoretical and Clinical Applications. Silver Spring: American Music Therapy Association; 1999.
    1. Korhan EA, Uyar M, Eyigör C, Hakverdioğlu Yönt G, Çelik S, Khorshid L. The effects of music therapy on pain in patients with neuropathic pain. Pain Manag Nurs. 2014;15:306–314. doi: 10.1016/j.pmn.2012.10.006.
    1. Zanini CRO, Jardim PCBV, Salgado CM, Nunes MC, Urzêda FL, Carvalho MVC, et al. O efeito da musicoterapia na qualidade de vida e na pressão arterial do paciente hipertenso. Arq Bras Cardiol. 2009;93:534–540. doi: 10.1590/S0066-782X2009001100015.
    1. Erkkilä J, Punkanen M, Fachner J, Ala-Ruona E, Pöntiö I, Tervaniemi M, et al. Individual music therapy for depression: randomised controlled trial. Br J Psychiatry. 2011;199:132–139. doi: 10.1192/bjp.bp.110.085431.
    1. Barcellos LRM. Challenges on music therapy clinical practice. Voices Resources; 2009. [2017 May 15]. [Internet] Available from: .
    1. Kim KB, Lee MH, Sok SR. The effect of music therapy on anxiety and depression in patients undergoing hemodialysis. Taehan Kanho Hakhoe Chi. 2006;36:231–239. doi: 10.4040/jkan.2006.36.2.321. [Article in Korean]
    1. Bruscia K. Definindo musicoterapia. 2ª ed. Rio de Janeiro: Enelivros; 2000.
    1. Cunha JA. Manual da versão em português das Escalas Beck. São Paulo: Casa do Psicólogo; 2011.
    1. Gorenstein C, Wang YP, Argimon I, Werlang B. BDI-II: Inventário de depressão de Beck II. São Paulo: Casa do Psicólogo; 2011. Adaptação para o português.
    1. Duarte PS, Miyazaki MCOS, Ciconelli RM, Sesso R. Tradução e adaptação cultural do instrumento de avaliação de qualidade de vida para pacientes renais crônicos (KDQOL-SFTM) Rev Assoc Med Bras. 2003;49:375–381. doi: 10.1590/S0104-42302003000400027.
    1. Teles F, Azevedo VFD, Miranda CT, Miranda MPM, Teixeira MC, Elias RM. Depression in hemodialysis patients: the role of dialysis shift. Clinics. 2014;69:198–202. doi: 10.6061/clinics/2014(03)10.
    1. Nifa S, Rudnicki T. Depressão em pacientes renais crônicos em tratamento de hemodiálise. Rev SBPH. 2010;13:64–75.
    1. Kurella M, Kimmel PL, Young BS, Chertow GM. Suicide in the United States End-Stage Renal Disease Program. J Am Soc Nephrol. 2005;16:774–781. doi: 10.1681/ASN.2004070550.
    1. Maratos A, Crawford MJ, Procter S. Music therapy for depression: it seems to work, but how? Br J Psychiatry. 2011;199:92–93. doi: 10.1192/bjp.bp.110.087494.
    1. Park HC, Yoon HB, Son MJ, Jung ES, Joo KW, Chin HJ, et al. Depression and health-related quality of life in maintenance hemodialysis patients. Clin Nephrol. 2010;73:374–380. doi: 10.5414/CNP73374.
    1. Cavalcante MC, Lamy ZC, Lamy F, Filho, França AKTC, Santos AM, Thomaz EBAF, et al. Factors associated with the quality of life of adults subjected to hemodialysis in a city in northeast Brazil. J Bras Nefrol. 2013;35:79–86. doi: 10.5935/0101-2800.20130014.
    1. Shimoyama S, Hirakawa O, Yahiro K, Mizumachi T, Schreiner A, Kakuma T. Health-related quality of life and caregiver burden among peritoneal dialysis patients and their family caregivers in Japan. Perit Dial Int. 2003;23:S200–S205.
    1. Lin YJ, Lu KC, Chen CM, Chang CC. The effects of music as therapy on the overall well-being of elderly patients on maintenance hemodialysis. Biol Res Nurs. 2012;14:277–285. doi: 10.1177/1099800411413259.

Source: PubMed

Sponsors and Collaborators

Medical Conditions

Drug Interventions

3
Subscribe