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Assessing the Effects of Music Listening on Psychobiological Stress in Daily Life

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Musician's Experience After Breast Cancer Treatment: Defining Musical Toxicity and its Frequency.

Jessica F Burlile¹, Joshua D Cameron², Heather J Gunn²

¹Mayo Clinic, Department of Radiation Oncology, Rochester, MN.

JCO Oncology Practice

|January 22, 2025

Summary

Many breast cancer survivors who are musicians experience acute musical toxicity (AMT) due to treatment, often linked to chemotherapy. This study highlights the need for oncology teams to address these unique impacts on musicianship.

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Area of Science:

Oncology
Music Therapy
Patient-Reported Outcomes

Background:

Musicians represent a significant portion of households, with many also being breast cancer survivors.
The impact of breast cancer treatments on musicians' fine sensory-motor skills is not well-documented.

Purpose of the Study:

To investigate the unique manifestations of breast cancer treatment toxicities in musicians.
To identify the prevalence and characteristics of acute musical toxicity (AMT) in this population.

Main Methods:

A nine-item Musical Toxicity Questionnaire (MTQ) was administered to breast cancer patients in the Mayo Clinic Breast Cancer Registry.
The MTQ assessed self-reported difficulties with musical endeavors during or after treatment, identifying acute musical toxicity (AMT).
Multivariable and classification tree analyses were used to examine relationships between AMT and treatment characteristics.

Main Results:

29% of survey respondents were musicians, and 27% of these musicians reported AMT.
Chemotherapy was the treatment most frequently associated with negative impacts on musical ability (71%).
Decreased endurance was the most common symptom of AMT, followed by decreased accuracy and issues with speed and technique.

Conclusions:

Findings provide crucial information for oncology care teams to counsel musicians on potential impacts on their musicality.
The study offers insights into the timeline for resolution of musical symptoms experienced by breast cancer survivors.
This research underscores the importance of considering the specific needs and challenges faced by musician patients undergoing cancer treatment.