Health
and Wellness Research
|
| Paper
Title |
Effect
of music on power, pain, depression and disability
|
| Author(s) |
Siedliecki,
SL., Good, M |
| Journal
Reference |
Journal
of Advanced Nursing 2006;54 (5):553-562 |
| Background
and Objective |
To determine
the effects of music on power, pain depression and disability in working
age adults with chronic pain. |
| Design,
Setting, and Patients |
The
study was a randomized control trial with a convenience sample of 60
African American and Caucasian patients aged 21-65 (77% women).
Patients were suffering from non-malignant, lower back, neck, leg and/or
joint pain for a minimum of 6 months (mean 6.5 years) and were receiving
at least one form of traditional or surgical pain control. The study
was conducted across chiropractic and pain clinics in northwestern Ohio. |
| Interventions |
Individuals
were assigned to one of three study groups: 22 to a standard music
group (relaxation instrumental music commonly used in music pain studies)
, 18 to a self selected music group (patients could select music relative
to their mood e.g. upbeat, familiar, instrumental, vocal etc), and 20 to a
control group receiving standard care. Music participants used their
intervention for 1 hour per day for 7 consecutive days using a
standardized tape player and headset. |
| Outcome
Measures |
Assessment
tools included: diaries, the McGill Pain questionnaire, the Pain
Disability Questionnaire, a depression scale, the Pain disability Index
and the Power of Knowing Participation in Change tool. |
| Results |
There
was an improved sense of power in the music groups (8% in the patterning
group and 6% in the standardized group) over the control group. Both
music groups reported reductions in pain scores by 20% and the control
group increased by 2%. Depression scores decreased by 25% in the
patterning group, and 19% in the standardized music group. There was
a 9% improvement in disability scores in the patterning group and an 18%
improvement in the standardized group while the control group had a 9%
increase in disability over the same period. |
| Authors'
Conclusions |
The
music interventions had significant impact on the outcome measures
assessed with statistically significant increase in perceived power, as
well as less pain, disability, and depression. There were few
differences between the scores of the patterning or standardized music
groups. Power was not determined to be a mediating factor in
affecting the other measured variables. However, they concluded that
since at test's end those from the music groups had improved feelings of
power that predicted improved depression scores (with no significant
impact on pain or disability), that interventions promoting a sense of
power may be a more important component to treating depression than in
treating pain or disability. Sample size and lack of
homogeneity between groups limit the ability of the authors to generalize
the impact of this intervention across large population groups. |
| Clinical
Significance |
Integration
of music is simple, safe and inexpensive to add into existing
treatment plans. The significance of choice of music in this study
was minimal and as such generic music utilized for relaxation may be
useful across wide patient populations. |
| NOTE:
The clinical significance review is the opinion of Dr Ken Mueller based
upon the information available at the time of posting. Unauthorized
use of the section on clinical significance is prohibited by Canadian
Copyright. The above study information is based upon findings in the
May 2006 edition of Journal
of Advanced Nursing. For further information, please
refer to the original article utilizing the publication information
provided. May 31, 2006 |
