School of Nursing and Health Studies, University of Miami, 5030 Brunson Dr, Coral Gables, FL, 33146, United States.
School of Nursing and Health Studies, University of Miami, 5030 Brunson Dr, Coral Gables, FL, 33146, United States.
Eur J Oncol Nurs. 2021 Jun;52:101968. doi: 10.1016/j.ejon.2021.101968. Epub 2021 Apr 24.
Music-based interventions can provide non-pharmacological, low-cost treatment for symptoms. This meta-analysis's purpose is to examine music-based interventions' effectiveness on psychological distress symptoms (anxiety, stress, and depressive symptoms), aspects of positive psychology (benefit-finding and resilience), and quality of life (QoL).
This meta-analysis was conducted according to PRISMA guidelines and meta-analytic methods suggested by Hedges and Olkin (1985). A systematic literature search between 2000 and 2020 was conducted using CINAHL, MEDLINE, PsycINFO, PubMed, and Web of Science databases. Studies and intervention characteristics were independently coded. The Quality Assessment Tool for Quantitative Studies, Cochrane Collaboration's Tool for Assessing Risk of Bias, Begg and Mazumdar's rank correlation, and Egger's regression test evaluated publication bias.
Twenty-nine of thirty-five eligible studies were included in the statistical analysis. The overall (g = 0.34, SE = 2.27, p < 0.05) and psychological distress symptoms sub-outcome type (g = 0.47, SE = 0.18, p < 0.05) models with moderator analyses were statistically significant.
Culturally appropriate music-based interventions conducted in the clinical setting that used passive listening with headphones, occurring ≥ 3-times a week over ≥ 2 months, positively impacted gynecology survivors undergoing chemotherapy and surgical treatments. Specifically, interventions that were ≥ 35-minutes, listening to folk or mixed-music positively impacted psychological distress symptoms, whereas new-age music negatively impacted psychological distress symptoms, positive psychology, and QoL outcomes. Future research should examine positive psychology characteristics (perceived levels of positive adjustment, change, and coping) and include larger cohorts with various cancer populations across all cancer survivorship continuum. Culturally appropriate interventions could lead to greater adherence, compliance, and clinical effectiveness and increase the findings' significance and generalizability.
音乐干预可以提供非药物、低成本的治疗方法，以缓解症状。本 meta 分析旨在研究音乐干预对心理困扰症状（焦虑、压力和抑郁症状）、积极心理学方面（发现益处和韧性）和生活质量（QoL）的有效性。
本 meta 分析按照 PRISMA 指南和 Hedges 和 Olkin（1985）提出的 meta 分析方法进行。对 2000 年至 2020 年期间的 CINAHL、MEDLINE、PsycINFO、PubMed 和 Web of Science 数据库进行了系统的文献检索。研究和干预特征由独立的编码员进行编码。使用质量评估工具（Quality Assessment Tool for Quantitative Studies）、Cochrane 协作风险偏倚评估工具（Cochrane Collaboration's Tool for Assessing Risk of Bias）、Begg 和 Mazumdar 的秩相关（Begg and Mazumdar's rank correlation）和 Egger 的回归检验（Egger's regression test）评估发表偏倚。
纳入统计分析的 35 项合格研究中有 29 项。总体模型（g=0.34，SE=2.27，p<0.05）和心理困扰症状亚组结局类型（g=0.47，SE=0.18，p<0.05）的模型具有统计学意义。
在临床环境中进行的、使用耳机进行被动聆听、每周≥3 次、持续≥2 个月、具有文化适应性的音乐干预措施对接受化疗和手术治疗的妇科肿瘤幸存者产生了积极影响。具体而言，时长≥35 分钟、聆听民间或混合音乐的干预措施对心理困扰症状产生了积极影响，而新时代音乐对心理困扰症状、积极心理学和 QoL 结局产生了消极影响。未来的研究应检查积极心理学特征（感知的积极调整、变化和应对水平），并纳入包括所有癌症生存连续体中不同癌症人群的更大队列。具有文化适应性的干预措施可能会提高依从性、遵医嘱性和临床效果，并增加研究结果的意义和普遍性。
