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GP Evidence Summary
In people with cancer, music therapy reduces anxiety, depression, pain, and fatigue
Tsai HF, Chen YR, Chung MH, et al. Effectiveness of Music Intervention in Ameliorating Cancer Patients` Anxiety, Depression, Pain, and Fatigue: A Meta-analysis. Cancer Nurs. 2014 Nov-Dec;37(6):E35-50. doi: 10.1097/NCC.0000000000000116.
Review questions
In people with cancer, does music therapy reduce anxiety, depression, pain, and fatigue (tiredness)?
Background
People with cancer can have a number of physical and psychological symptoms. Music therapy may be used to treat some of these symptoms. It involves the use of music to promote healing and improve quality of life. It can include activities such as listening to music, singing, making music, and writing songs.
How the review was done
The researchers did a systematic review, searching for published studies up to December 2012. They found 19 randomized controlled trials and 2 non-randomized trials of 1608 people (average age from 8 to 57 years).
People in the trials had various types of cancer that ranged in severity. Most were in hospital.
In most trials, music therapy involved listening, was provided to individuals (rather than groups), and allowed people to pick the music.
Music therapy was compared with usual care.
What the researchers found
The quality of evidence was rated as good in all trials (rated at least 6 out of 10).
Compared with usual care, music therapy:
- reduced anxiety, depression, and pain by a medium amount; and
- reduced fatigue by a small amount
Music therapy was more effective when patients were able to select the music.
Conclusions
In people with cancer, music therapy reduces anxiety, depression, pain, and fatigue compared with usual care.
Music therapy vs usual care for physical and psychological symptoms in people with cancer
| Outcomes | Number of trials | Effect of music therapy |
|---|---|---|
| Anxiety | 17 | Medium decrease with music therapy |
| Depression | 8 | Medium decrease with music therapy |
| Pain | 6 | Medium decrease with music therapy |
| Fatigue (tiredness) | 5 | Small decrease with music therapy |
This Evidence Summary was originally prepared for the McMaster Optimal Aging Portal.
Published: Tuesday, August 15, 2017
Please note that the information contained herein is not to be interpreted as an alternative to medical advice from a professional healthcare provider. If you have any questions about any medical matter, you should consult your professional healthcare providers, and should never delay seeking medical advice, disregard medical advice or discontinue medication based on information provided here.
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, McMaster University