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Music, heart rate variability, and symptom clusters: a comparative study.

Shu-Chuan Chen1,2, Ming-Lee Yeh3, Hsiu-Ju Chang4

  • 1School of Nursing and Midwifery, Griffith University, Nathan, Brisbane, Queensland, 4111, Australia.

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
|May 4, 2019
PubMed
Summary

A single-session music intervention effectively reduced symptom clusters in women with breast cancer. This music therapy showed benefits for fatigue, anxiety, and sleep disturbances, particularly for those with higher sympathetic tone activity.

Keywords:
AnxietyBreast cancerDepressionFatigueSleepSympathetic tone activity

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Area of Science:

  • Oncology
  • Integrative Medicine
  • Psychoneuroimmunology

Background:

  • Chemotherapy for breast cancer often leads to debilitating symptom clusters.
  • Managing these symptoms is crucial for improving patient quality of life.
  • Neurological reactivity plays a role in symptom experience.

Purpose of the Study:

  • To evaluate the impact of a single-session music intervention (SMI) on symptom clusters.
  • To assess changes in neurological reactivity in women with breast cancer undergoing chemotherapy.
  • To explore the effectiveness of music therapy as a supportive care strategy.

Main Methods:

  • A randomized controlled trial with 100 breast cancer patients was conducted.
  • Participants were assigned to either a single-session music intervention (SMI) or a control group.
  • Symptom clusters (fatigue, sleep, anxiety, depression) and heart rate variability were measured at four time points.

Main Results:

  • The SMI group demonstrated a medium effect in reducing symptom clusters compared to the control group at one week post-intervention (T2).
  • Significant improvements were observed in fatigue and depression at T2, and sleep disturbance at T3.
  • These benefits were more pronounced in patients with higher sympathetic tone activity.

Conclusions:

  • A single-session music intervention is an effective method for alleviating symptom clusters in breast cancer patients undergoing chemotherapy.
  • Music intervention shows promise in improving psychological and physiological well-being.
  • Personalized application targeting individuals with heightened sympathetic activity may enhance treatment efficacy.