Kind of blue - a systematic review and meta-analysis of music intervention in cancer treatment

Margrethe Langer Bro, Kira Vibe Jespersen, Julie Bolvig Hansen, Peter Vuust, Niels Abildgaard, Jeppe Gram, Christoffer Johansen

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Abstract

Objectives: Music may be a valuable and low-cost coping strategy for cancer patients. We conducted a systematic review and meta-analysis to identify the psychological and physical effects of music interventions in cancer treatment. Methods: We included randomized, controlled trials with adult patients in active cancer treatment exposed to different music interventions versus control conditions. Qualitative studies and systematic reviews were excluded. We identified a total of 2624 records through 2 systematic searches (June 2015 and September 2016) in PubMed, Scopus, EMBASE, Cinahl, Web of Science, Cochrane, and PsycINFO and used Risk of Bias Assessment, GRADE and Checklist for Reporting Music-Based Interventions to evaluate the music applied and quality of the studies. We conducted meta-analyses using Review Manager (version 5.3). PROSPERO reg. no. CRD42015026024. Results: We included 25 RCT's (N = 1784) of which 20 were eligible for the meta-analysis (N = 1565). Music reduced anxiety (SMD −0·80 [95% CI, −1.35 to −0.25]), pain (SMD −0.88 [95% CI −1.45 to −0.32]), and improved mood (SMD −0.55 [95% CI, −0.98 to −0.13]). However, studies were hampered by heterogeneity with I 2 varying between 54% and 96%. Quality of the studies ranged from very low to low. The most effective mode of music intervention appeared to be passive listening to self-selected, recorded music in a single session design. Conclusions: Music may be a tool in reducing anxiety, pain, and improving mood among patients with cancer in active treatment. However, methodological limitations in the studies conducted so far prevent firm conclusions.

Original languageEnglish
JournalPsycho-Oncology
Volume27
Issue2
Pages (from-to)386–400
Number of pages15
ISSN1057-9249
Publication statusPublished - Feb 2018

Keywords

  • RCT
  • cancer
  • meta-analysis
  • music
  • music intervention
  • neoplasms
  • oncology
  • systematic review

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