Home | Current Issue | Past Issues | Search | CollectionsRSS | PDA Services | FAQ | SHCIM Online | Chinese Updated Friday, December 15, 2017
 Services
Submit a manuscript
Subscribe
Individuals
Institutions
Response
Send response
Read responses
Reprint
Advance online publication
Sign up for e-alert
JCIM job opportunities
Contact JCIM
 Information For
Readers
Authors
Reviewers
Advertisers
 About JCIM
Journal description
Editorial policy
Privacy policy
Copy right
Editorial staff
 Language Polishing
Journal of Chinese Integrative Medicine: 2017; 15(6): 450–455
DOI: 10.1016/S2095-4964(17)60341-8
Using music to reduce anxiety among older adults in the emergency department: a randomized pilot study
1. Laura Belland (Center for Family Medicine, NewYork-Presbyterian/Columbia University Medical Center, New York, NY 10032, USA )
2. Laura Rivera-Reyes (Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA )
3. Ula Hwang (Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA )
ABSTRACT BACKGROUND: An emergency department (ED) visit may be distressing and anxiety-provoking for older adults (age > 65 years). No studies have specifically evaluated the effect of music listening on anxiety in older adults in the ED. OBJECTIVE: The objective of this pilot study was to evaluate the effect of music listening on anxiety levels in older ED patients. DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: This was a randomized pilot study in the geriatric ED of an urban academic tertiary medical center. This was a sample of English-speaking adults (age > 65 years) who were not deaf (n = 35). Subjects consented to participate and were randomized to receive up to 60 min of music listening with routine care, while the control group received routine care with no music. Subjects in the music treatment group received headphones and an electronic tablet with pre-downloaded music, and were allowed to choose from 5 selections. MAIN OUTCOME MEASURES: The primary outcome was change in anxiety levels, measured by the state-trait anxiety inventory (STAI), at enrollment and 1 h later. RESULTS: A total of 35 participants were enrolled: 74% were female, 40% were white, and 40% were black; of these, 32 subjects completed the study protocol. When comparing control (n = 18) against intervention subjects (n = 17), there were no significant differences in enrollment STAI scores (43.00 ± 15.00 vs. 40.30 ± 12.80, P = 0.57). STAI scores 1 hour after enrollment (after the music intervention) were significantly reduced in the intervention subjects compared to the control subjects (with reduction of 10.00 ± 12.29 vs. 1.88 ± 7.97, P = 0.03). CONCLUSION: These pilot results suggest that music listening may be an effective tool for reducing anxiety among older adults in the ED.
Welcome to JCIM! You are the number 312 reader of this article!
Download Article:
[Full Text]      [PDF]      [Chinese]      [Next]      [This Issue]
Please cite this article as:
Belland L, Rivera-Reyes L, Hwang U. Using music to reduce anxiety among older adults in the emergency department: a randomized pilot study. J Integr Med. 2017; 15(6): 450–455.
References:
1Ekwall A, Gerdtz M, Manias E. Anxiety as a factor influencing satisfaction with emergency department care: perspectives of accompanying persons[J].J Clin Nurs, 2009, 18(24): 3489–3497.  .
2Tijunelis MA, Fitzsullivan E, Henderson SO. Noise in the ED[J].Am J Emerg Med, 2005, 23(3): 332–335.  .
3Byrne G, Heyman R. Patient anxiety in the accident and emergency department[J].J Clin Nurs, 1997, 6(4): 289–295.  .
4Body R, Kaide E, Kendal S, Foex B. Not all suffering is pain: sources of patients’ suffering in the emergency department call for improvements in communication from practitioners[J].Emerg Med J, 2015, 32(1): 15–20.  .
5Craven P, Cinar O, Madsen T. Patient anxiety may influence the efficacy of ED pain management[J].Am J Emerg Med, 2013, 31(2): 313–318.  .
6Baum SA, Rubenstein LZ. Old people in the emergency room: age-related differences in emergency department use and care[J].J Am Geriatr Soc, 1987, 35(5): 398–404.  .
7Hwang U, Richardson LD, Harris B, Morrison RS. The quality of emergency department pain care for older adult patients[J].J Am Geriatr Soc, 2010, 58(11): 2122–2128.  .
8Platts-Mills TF, Esserman DA, Brown DL, Bortsov AV, Sloane PD, McLean SA. Older US emergency department patients are less likely to receive pain medication than younger patients: results from a national survey[J].Ann Emerg Med, 2012, 60(2): 199–206.  .
9Hwang U, Belland LK, Handel DA, Yadav K, Heard K, Rivera-Reyes L, Eisenberg A, Noble MJ, Mekala S, Valley M, Winkel G, Todd KH, Morrison RS. Is all pain is treated equally? A multicenter evaluation of acute pain care by age[J].Pain, 2014, 155(12): 2568–2574.  .
10Stern TA, Fricchione GL, Rosenbaum JF. Massachusetts general hospital handbook of general hospital psychiatry. Amsterdam: Elsevier Health Sciences. 2010.
11Wong PS. Anxiety, signal anxiety, and unconscious anticipation: neuroscientific evidence for an unconscious signal function in humans[J].J Am Psychoanal Assoc, 1999, 47(3): 817–841.  .
12Schupp CJ, Berbaum K, Berbaum M, Lang EV. Pain and anxiety during interventional radiologic procedures: effect of patients’ state anxiety at baseline and modulation by nonpharmacologic analgesia adjuncts[J].J Vasc Interv Radiol, 2005, 16(12): 1585–1592.  .
13Jamison RN, Parris WC, Maxson WS. Psychological factors influencing recovery from outpatient surgery[J].Behav Res Ther, 1987, 25(1): 31–37.  .
14Musso MW, Perret JN, Sanders T, Daray R, Anderon K, Lancaster M, Lim D, Jones GN. Patients’ comprehension of their emergency department encounter: a pilot study using physician observers[J].Ann Emerg Med, 2015, 65(2): 151–155.  .
15Bradt J, Dileo C. Music interventions for mechanically ventilated patients[J].Cochrane Database Syst Rev, 2014, (12): CD006902.  .
16Bradt J, Dileo C, Shim M. Music interventions for preoperative anxiety[J].Cochrane Database Syst Rev, 2013, (6): CD006908.  .
17Bradt J, Dileo C, Potvin N. Music for stress and anxiety reduction in coronary heart disease patients (review)[J].Cochrane Database Syst Rev, 2013, (12): CD006577.  .
18Bradt J, Dileo C, Magill L, Teague A. Music interventions for improving psychological and physical outcomes in cancer patients[J].Cochrane Database Syst Rev, 2016, (8): CD006911.  .
19Raheem OA, Mirheydar HS, Lee HJ, Patel ND, Godebu E, Sakamoto K. Does listening to music during office-based flexible cystoscopy decrease anxiety in patients: a prospective randomized trial[J].J Endourol, 2015, 29(7): 791–796.  .
20Reychler G, Mottart F, Boland M, Wasterlain E, Pieters T, Caty G, Liistro G. Influence of ambient music on perceived exertion during a pulmonary rehabilitation session: a randomized crossover study[J].Respir Care, 2015, 60(5): 711–717.  .
21Sinha M, Christopher NC, Fenn R, Reeves L. Evaluation of nonpharmacologic methods of pain and anxiety management for laceration repair in the pediatric emergency department[J].Pediatr, 2006, 117(4): 1162–1168.  .
22Parlar Kilic S, Karadag G, Oyucu S, Kale O, Zengin S, Ozdemir E, Korhan EA. Effect of music on pain, anxiety, and patient satisfaction in patients who present to the emergency department in Turkey[J].Jpn J Nurs Sci, 2015, 12(1): 44–53.  .
23Short A, Ahern N. Evaluation of a systematic development process: relaxing music for the emergency department[J].Aust NZ J Med, 2009, 20: 1–27.  .
24Weiland TJ, Jellnek GA, Macarow KE, Samartzis P, Brown DM, Grierson EM, Winter C. Original sound compositions reduce anxiety in emergency department patients: a randomised controlled trial[J].Med J Aust, 2011, 195(11–12): 694–698.  .
25Menegazzi JJ, Paris PM, Kersteen CH, Flynn B, Trautman DE. A randomized, controlled trial of the use of music during laceration repair[J].Ann Emerg Med, 1991, 20(4): 348–350.  .
26Spielberger CD, Gorsuch RL. Manual for the state-trait anxiety inventory (form Y): “self-evaluation questionnaire”. Washington, DC: Consulting Psychologists Press. 1983.
27Krout RE. Music listening to facilitate relaxation and promote wellness: integrated aspects of our neurophysiological responses to music[J].Art Psychother, 2007, 34(2): 134–141.  .
28Nilsson U. The anxiety- and pain-reducing effects of music interventions: a systematic review[J].AORN J, 2008, 87(4): 780–807.  .
29Mok E, Wong KY. Effects of music on patient anxiety[J].AORN J, 2004, 77(2): 396–397, 401–406, 409–410.  .
30Clair AA, Memmott J. Therapeutic uses of music with older adults. Silver Spring: American Music Therapy Association. 2008.

 Home | Current Issue | Past Issues | Search | CollectionsRSS | PDA Services | FAQ | SHCIM Online | Chinese
Copyright © 2003-2012 by JCIM Press. All rights reserved. ISSN 1672-1977