Boyde Constance, Linden Ulrike, Boehm Katja, Ostermann Thomas
Constance Boyde is music therapists in the Department of Music Therapy, Community Hospital Herdecke, Germany.
Ulrike Linden is music therapists in the Department of Music Therapy, Community Hospital Herdecke, Germany.
Glob Adv Health Med. 2012 Nov;1(5):24-9. doi: 10.7453/gahmj.2012.1.5.009. Epub 2012 Nov 1.
Music therapy is one of the oldest forms of creative art therapy and has been shown to have effects in different clinical and therapeutic settings, such as schizophrenia, pain, cardiovascular parameters, and dementia. This article provides an overview of some of the recent findings in this field and also reports two single case vignettes that offer insight into day-to-day applications of clinical music therapy.
For the collection of clinical studies of music therapy in oncology, the databases AMED, CAIRSS, EMBASE, MEDLINE, PsychINFO, and PSYNDEX were searched with the terms "Study OR Trial" AND "Music Therapy" AND "Cancer OR Oncolog$." Studies were analyzed with respect to their design, setting and interventions, indications, patients, and outcomes. In addition, two case vignettes present the application of music therapy for a child with leukemia and an adult patient with breast cancer.
We found a total of 12 clinical studies conducted between 2001 and 2011 comprised of a total of 922 patients. Eight studies had a randomized controlled design, and four studies were conducted in the field of pediatric oncology. Studies reported heterogeneous results on short-term improvements in patients' mood and relaxation and reduced exhaustion and anxiety as well as in coping with the disease and cancer-related pain. Case descriptions showed similar effects in expressing emotions, opening up new goals, and turning the mind toward a healthy process and away form a disease-centered focus.
The use of music therapy in the integrative treatment of cancer patients is a therapeutic option whose salutogenetic potential is shown in many case studies such as those presented here. Study results, however, did not draw a conclusive picture of the overall effect of music therapy. In addition to further clinical trials, the evidence mosaic should be complemented with qualitative studies, single case descriptions, and basic research.
音乐疗法是最古老的创造性艺术疗法之一，已被证明在不同的临床和治疗环境中具有效果，如精神分裂症、疼痛、心血管参数和痴呆症。本文概述了该领域的一些最新研究结果，并报告了两个单病例案例，这些案例有助于深入了解临床音乐疗法的日常应用。
为收集肿瘤学中音乐疗法的临床研究，使用检索词“研究或试验”“音乐疗法”“癌症或肿瘤学”在数据库AMED、CAIRSS、EMBASE、MEDLINE、PsychINFO和PSYNDEX中进行检索。对研究的设计、环境和干预措施、适应症、患者和结果进行分析。此外，两个病例案例展示了音乐疗法在一名白血病儿童和一名成年乳腺癌患者中的应用。
我们共发现2001年至2011年间进行的12项临床研究，共有922名患者。八项研究采用随机对照设计，四项研究在儿科肿瘤学领域进行。研究报告了关于患者情绪和放松的短期改善、疲惫和焦虑减轻以及应对疾病和癌症相关疼痛方面的异质性结果。病例描述显示在表达情感、开启新目标以及将思维转向健康过程而非以疾病为中心的关注方面有类似效果。
在癌症患者的综合治疗中使用音乐疗法是一种治疗选择，其健康促进潜力在许多如本文所示的案例研究中得到体现。然而，研究结果并未对音乐疗法的总体效果给出确凿结论。除了进一步的临床试验外，证据拼图还应辅以定性研究、单病例描述和基础研究。
