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[Music during gastroscopy]

J Escher1, U Höhmann, L Anthenien

  • 1Internmedizinische Abteilung, Oberwalliser Kreisspital Brig.

Schweizerische Medizinische Wochenschrift
|July 3, 1993
PubMed
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Music therapy significantly reduced stress hormones ACTH and cortisol during gastroscopy. Patients also reported less fear, demonstrating music

Area of Science:

  • Internal Medicine
  • Psychoneuroendocrinology
  • Music Therapy Research

Background:

  • Diagnostic procedures like gastroscopy can induce significant patient stress.
  • Objective and subjective measures are crucial for assessing procedural stress.
  • The role of music in mitigating procedural stress requires further investigation.

Purpose of the Study:

  • To evaluate the impact of music therapy on physiological and psychological stress markers during gastroscopy.
  • To assess the influence of music on stress hormones and patient-reported fear levels.

Main Methods:

  • A randomized controlled trial involving 32 patients undergoing gastroscopy.
  • Patients were assigned to either a music intervention group or a control group.
  • Measurement of adrenocorticotropic hormone (ACTH), cortisol, adrenaline, noradrenaline, blood pressure, and pulse rate before, during, and after the procedure.

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Main Results:

  • Music intervention significantly lowered plasma levels of ACTH and cortisol.
  • Subjective reports of fear related to the procedure were reduced in the music group.
  • Plasma catecholamine levels, blood pressure, and pulse rate showed no significant changes between groups.

Conclusions:

  • Music therapy can effectively attenuate the endocrine stress response during gastroscopy.
  • Music intervention positively influences patient-reported fear during invasive diagnostic procedures.
  • Music demonstrates potential as a non-pharmacological intervention to manage procedural anxiety.