Listening to music prior to bronchoscopy reduces anxiety - a randomised controlled trial
Elisabeth Jeppesen, Carsten M Pedersen, Klaus R Larsen, Emil S Walsted, Anne Rehl, Julie Ehrenreich, Sascha Schnoor, Vibeke Backer, Elisabeth Jeppesen, Carsten M Pedersen, Klaus R Larsen, Emil S Walsted, Anne Rehl, Julie Ehrenreich, Sascha Schnoor, Vibeke Backer
Abstract
Background: Listening to music as a means of relieving anxiety before and during endoscopy has been examined in several studies but results so far are contradictory and inconclusive. Aims: We aimed to determine whether listening to music could reduce anxiety prior to and during bronchoscopy, and whether it is influenced by the patient's preference in music. Methods: 300 patients undergoing bronchoscopy for suspected lung cancer were randomly assigned to: self-selected music, specially-designed music (MusiCureTM), or control (no sound). Spielberger's State-Trait Anxiety Inventory (STAI) was administered three times: at admission, after 20 min with or without music (preceding bronchoscopy), and shortly before discharge. The primary outcome was STAI state score after 20 min, with or without exposure to music prior to bronchoscopy. Results: On average, music reduced the STAI score by 2.5 points (95% CI, 1.1 to 4.0; p < 0.001) compared with the control group. This reduction was largest in the self-selected music group (3.4; 95% CI, 1.5 to 5.3; p < 0.001). In contrast, specially designed music did not significantly reduce STAI score (1.7; 95% CI, -0.3 to 3.6; p = 0.1). Conclusion: Listening to music reduces anxiety in patients undergoing bronchoscopy, provided that the music complies with the patient's preferences.
Keywords: Bronchoscopy; MusiCure; anxiety; lung cancer; music; self-selected music.
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References
- Poi PJ, Chuah SY, Srinivas P, et al. Common fears of patients undergoing bronchoscopy. Eur Respir J. 1998;11:1147–9.
- Tetikkurt C, Yasar I, Tetikkurt S, et al. Role of anxiety on patient intolerance during bronchoscopy. Br J Med Med Res. 2014;4(11):2171–2180.
- Badner NH, Nielson WR, Munk S, et al. Preoperative anxiety: detection and contributing factors. Can J Anaesth. 1990May;37:444–447.
- Putinati S, Ballerin L, Corbetta L, et al. Patient satisfaction with conscious sedation for bronchoscopy. Chest J. 1999;115:1437–1440.
- Matot I, Kramer M.. Sedation in outpatient bronchoscopy. Respir Med. 2000;94:1145–1153.
- Mouchantaf FG, Shostak E, Lamb CR. Characteristics and financial costs of patients with respiratory failure at bronchoscopy. J Bronchology Interv Pulmonol. 2012;19:188–194.
- Jeppesen E, Pedersen CM, Larsen KR, et al. Music does not alter anxiety in patients with suspected lung cancer undergoing bronchoscopy: a randomised controlled trial. Eur Clin Respir J. 2016;3:33472.
- Colt HG, Powers A, Shanks TG. Effect of music on state anxiety scores in patients undergoing fiberoptic bronchoscopy. Chest J. 1999;116(3):819–824.
- Gillen E, Biley F, Allen D. Effects of music listening on adult patients’ pre‐procedural state anxiety in hospital. Int J Evid Based Healthc. 2008;6(1):24–49.
- Bradt J, Dileo C, Shim M. Music interventions for preoperative anxiety. Cochrane Database Syst Rev. 2013;(6):CD006908. DOI:10.1002/14651858.CD006908.pub2
- Spielberger CD, Gorsuch RL, Vagg PR, et al. Manual for the . State-Trait Anxiety Inventory STAI (form Y). Paolo Alto, CA: Consulting Psycologists Press, Inc; 1983.
- Spielberger CD, Gorsuch RL, Lushene RE. STAI manual for the State-Trait Anxiety Inventory. Paolo Alto, CA: Consulting Psychologists Press, Inc; 1970.
- Labbé E, Scmidt N, Babin J, et al. Coping with stress: the effectiveness of different types of music. Appl Psychophysiol Biofeedback. 2007;32:163–168.
- Chanda ML, Levitin DJ. The neurochemistry of music. Trends Cogn Sci. 2013April;17(4):179–193.
- Vuust P, Pallesen KJ, Bailey C, et al. To musicians, the message is in the meter pre-attentive neuronal responses to incongruent rhythm are left-lateralized in musicians. Neuroimage. 2005;15;24(2):560–564.
- Caldwell GN, Riby LM. The effects of music exposure and own genre preference on conscious and unconscious cognitive processes: a pilot ERP study. Conscious Cogn. 2007;16:992–996.
- McClurkin S, Smith C. The duration of self-selected music needed to reduce preoperative anxiety. J PeriAnesthesia Nurs. 2016;31(3):196–208.
- Hayes A, Buffum M, Lanier E, et al. A music intervention to reduce anxiety prior to gastrointestinal procedures. Gastroenterol Nurs. 2003;26(4):145–149.
- Bringman H, Giesecke K, Thörne A, et al. Relaxing music as pre-medication before surgery: a randomised controlled trial. Acta Anaesthesiol Scand. 2009;53:759–764.
- Norman GR, Sloan JA, Wyrwich KW. Interpretation of changes in health-related quality of life. The remarkable Universality of half a standard deviation. Med care. 2003;41(5):582–592.
- Tam WW, Lo KK, Hui DS. The effect of music during bronchoscopy: a meta-analysis. Heart Lung. 2016;45:86–94.
- Metha AC. Don’t lose the forest for the trees. Satisfaction and success in bronchoscopy. Am J Res Crit Care Med. 2002;166:1306–1307.
Source: PubMed