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Music Therapy in Adults With COPD
Jing Huang1,2, Xiaohui Yuan3, Nan Zhang4
1School of Medicine, Shenzhen University, Shenzhen, China.
Respiratory Care
|November 4, 2020
Summary
Music therapy significantly reduces dyspnea and anxiety in patients with Chronic Obstructive Pulmonary Disease (COPD). This non-drug intervention also shows potential for improving sleep quality and physiological markers in adults with COPD.
Area of Science:
- Pulmonary Medicine
- Integrative and Complementary Medicine
- Psychosomatic Medicine
Background:
- Chronic Obstructive Pulmonary Disease (COPD) is a prevalent respiratory condition often managed with non-pharmacological interventions.
- Music therapy is increasingly explored as a complementary approach for COPD symptom management.
- The specific impacts of music therapy on COPD-related dyspnea, anxiety, and physiological parameters require further elucidation.
Purpose of the Study:
- To systematically evaluate the efficacy of music therapy in managing dyspnea, anxiety, depression, sleep quality, and physiological parameters in adults with COPD.
- To compare the effects of passive music therapy (listening) and mixed music (listening and singing) interventions.
Main Methods:
- A comprehensive systematic literature search was conducted across multiple databases (PubMed, Cochrane, Embase, Web of Science, CNKI, VIP, Wanfang) up to June 2019.
- Included were randomized controlled trials comparing music therapy with usual care or other non-musical interventions in COPD patients.
- Risk of bias was assessed using the Cochrane risk of bias tool, with outcomes including dyspnea, anxiety, depression, sleep quality, quality of life, and physiological measures.
Main Results:
- The meta-analysis of 12 studies (812 participants) revealed significant reductions in dyspnea (MD: -0.69, P < .001) and anxiety (SMD: -1.87, P < .001) with music therapy.
- Music therapy did not show statistically significant effects on depression or St. George Respiratory Questionnaire scores.
- Improvements were observed in sleep quality (reduced Pittsburgh Sleep Quality Index score, P < .001) and blood pressure (systolic MD: -7.45, P < .001; diastolic MD: -4.07, P = .007).
Conclusions:
- Music therapy demonstrates effectiveness in alleviating dyspnea and anxiety among individuals with COPD.
- The findings suggest that music therapy may also enhance sleep quality and improve certain physiological parameters in COPD patients.
- Further robust evidence from larger, longer-term, well-designed clinical trials is recommended to substantiate these conclusions.
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