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May 27, 2020

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  • Music for stress and anxiety reduction in coronary heart

    disease patients (Review)

    Bradt J, Dileo C, Potvin N

    This is a reprint of a Cochrane review, prepared and maintained by The Cochrane Collaboration and published in The Cochrane Library 2013, Issue 12

    http://www.thecochranelibrary.com

    Music for stress and anxiety reduction in coronary heart disease patients (Review)

    Copyright © 2013 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

    http://www.thecochranelibrary.com

  • T A B L E O F C O N T E N T S

    1HEADER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1ABSTRACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2PLAIN LANGUAGE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4SUMMARY OF FINDINGS FOR THE MAIN COMPARISON . . . . . . . . . . . . . . . . . . . 7BACKGROUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8OBJECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8METHODS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    11RESULTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Figure 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Figure 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Figure 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Figure 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Figure 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

    21DISCUSSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23AUTHORS’ CONCLUSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29CHARACTERISTICS OF STUDIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70DATA AND ANALYSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Analysis 1.1. Comparison 1 Music versus standard care, Outcome 1 Psychological distress. . . . . . . . . . 72 Analysis 1.2. Comparison 1 Music versus standard care, Outcome 2 Anxiety (all measures) - patient type. . . . . 73 Analysis 1.3. Comparison 1 Music versus standard care, Outcome 3 Anxiety (all measures) - music preference. . . . 74 Analysis 1.4. Comparison 1 Music versus standard care, Outcome 4 State anxiety (STAI) - patient type. . . . . . 75 Analysis 1.5. Comparison 1 Music versus standard care, Outcome 5 State Anxiety (STAI) - music preference. . . . 76 Analysis 1.6. Comparison 1 Music versus standard care, Outcome 6 State Anxiety (STAI) - music preference MI only. 77 Analysis 1.7. Comparison 1 Music versus standard care, Outcome 7 Anxiety (non-STAI)-patient type. . . . . . 78 Analysis 1.8. Comparison 1 Music versus standard care, Outcome 8 Anxiety (non-STAI) - music preference. . . . 79 Analysis 1.9. Comparison 1 Music versus standard care, Outcome 9 Depression. . . . . . . . . . . . . . 80 Analysis 1.10. Comparison 1 Music versus standard care, Outcome 10 Mood. . . . . . . . . . . . . . . 81 Analysis 1.11. Comparison 1 Music versus standard care, Outcome 11 Heart rate-patient type. . . . . . . . . 82 Analysis 1.12. Comparison 1 Music versus standard care, Outcome 12 Heart rate - music preference. . . . . . . 83 Analysis 1.13. Comparison 1 Music versus standard care, Outcome 13 Heart rate variability. . . . . . . . . . 84 Analysis 1.14. Comparison 1 Music versus standard care, Outcome 14 Respiratory rate - music preference. . . . . 85 Analysis 1.15. Comparison 1 Music versus standard care, Outcome 15 Systolic blood pressure. . . . . . . . . 86 Analysis 1.16. Comparison 1 Music versus standard care, Outcome 16 Diastolic blood pressure. . . . . . . . 87 Analysis 1.17. Comparison 1 Music versus standard care, Outcome 17 Mean Arterial Pressure. . . . . . . . . 88 Analysis 1.18. Comparison 1 Music versus standard care, Outcome 18 Oxygen Saturation. . . . . . . . . . 88 Analysis 1.19. Comparison 1 Music versus standard care, Outcome 19 Pain. . . . . . . . . . . . . . . 89 Analysis 1.20. Comparison 1 Music versus standard care, Outcome 20 Length of hospital stay. . . . . . . . . 90 Analysis 1.21. Comparison 1 Music versus standard care, Outcome 21 Opioid intake. . . . . . . . . . . . 90 Analysis 1.22. Comparison 1 Music versus standard care, Outcome 22 Quality of sleep. . . . . . . . . . . 91

    91APPENDICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102WHAT’S NEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102HISTORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103CONTRIBUTIONS OF AUTHORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103DECLARATIONS OF INTEREST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103SOURCES OF SUPPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103DIFFERENCES BETWEEN PROTOCOL AND REVIEW . . . . . . . . . . . . . . . . . . . . . 104INDEX TERMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    iMusic for stress and anxiety reduction in coronary heart disease patients (Review)

    Copyright © 2013 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

  • [Intervention Review]

    Music for stress and anxiety reduction in coronary heart disease patients

    Joke Bradt1, Cheryl Dileo2, Noah Potvin3

    1Department of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA. 2Department of Music Therapy and The Arts and Quality of Life Research Center, Boyer College of Music and Dance, Temple University, Philadelphia, USA. 3Department of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA

    Contact address: Joke Bradt, Department of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, 1505 Race Street, rm 1041, Philadelphia, PA, 19102, USA. [email protected]

    Editorial group: Cochrane Heart Group. Publication status and date: New search for studies and content updated (no change to conclusions), published in Issue 12, 2013. Review content assessed as up-to-date: 4 December 2013.

    Citation: Bradt J, Dileo C, Potvin N. Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database of Systematic Reviews 2013, Issue 12. Art. No.: CD006577. DOI: 10.1002/14651858.CD006577.pub3.

    Copyright © 2013 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

    A B S T R A C T

    Background

    Individuals with coronary heart disease (CHD) often suffer from severe distress due to diagnosis, hospitalization, surgical procedures, uncertainty of outcome, fear of dying, doubts about progress in recovery, helplessness and loss of control. Such adverse effects put the cardiac patient at greater risk for complications, including sudden cardiac death. It is therefore of crucial importance that the care of people with CHD focuses on psychological as well as physiological needs.

    Music interventions have been used to reduce anxiety and distress and improve physiological functioning in medical patients; however its efficacy for people with CHD needs to be evaluated.

    Objectives

    To update the previously published review that examined the effects of music interventions with standard care versus standard care alone on psychological and physiological responses in persons with CHD.

    Search methods

    We searched the Cochrane Central Register of Controlled Trials (CENTRAL) on The Cochrane Library (2012, Issue 10), MEDLINE (OvidSP, 1950 to October week 4 2012), EMBASE (OvidSP, 1974 to October week 5 2012), CINAHL (EBSCOhost, 1982 to 9 November 2012), PsycINFO (OvidSP, 1806 to October week 5 2012), LILACS (Virtual Health Library, 1982 to 15 November 2012), Social Science Citation Index (ISI, 1974 to 9 November 2012), a number of other databases, and clinical trial registers. We also conducted handsearching of journals and reference lists. We applied no language restrictions.

    Selection criteria

    We included all randomized controlled trials and quasi-randomized trials that compared music interventions and standard care with standard care alone for persons with confirmed CHD.

    1Music for stress and anxiety reduction in coronary heart disease patients (Review)

    Copyright © 2013 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

    mailto:[email protected]

  • Data collection and analysis

    Two review authors independently extracted data and assessed methodological quality, seeking additional information from the trial researchers when necessary. We present results using weighted mean differences for outcomes measured by the same scale, and stan- dardized mean differences for outcomes measured by different scales. We used post-intervention scores. In cases of significant baseline difference, we used change scores (changes from baseline).

    Main results

    We identified four new trials for this update. In total, the evidence for this review rests on 26 trials (1369 participants). Listening to music was the main intervention used, and 23 of the studies did not include a trained music therapist.

    Results indicate that music interventions have a small beneficial effect on psychological distress in people with CHD and this effect is consistent across studies (MD = -1.26, 95% CI -2.30 to -0.22, P = 0.