Music Therapy and Music Medicine Studies in Oncology: Part I: A Comparison
Music medicine studies and music therapy studies in oncology are compared in this research article. The intent is to see whether music therapy research differs from music medicine research and, if so, articulate the differences. The studies referred to in this paper might be most useful in highlighting the strong points of each type of practice. Nine music therapy and eight music medicine quantitative or mixed methods studies were selected as exemplary studies in both areas, using a Delphi process. Studies were then examined and compared regarding number of participants; independent and dependent variables; measures used; findings; number, duration, and frequency of sessions; number of participants; presentation of music; number and length of sessions; whether intervention content and an intervention theory were provided; whether music therapists were included as authors; the types of journals in which articles were published; areas of intervention; and whether CONSORT guidelines were followed. Similarities and differences are discussed, as are implications for research and practice.
Dileo C. A proposed model for identifying practices: A content analysis of the first 4 years of Music and Medicine. Music Med. 2013:5;110-8.
Bruscia KB. Defining Music Therapy. 2nd ed. Gilsum Park, NH: Barcelona Publishers; 1998.
Potvin N, Bradt J, Kesslick A. Expanding perspective on music therapy for symptom management in cancer care. J Music Ther. 2015;52(1):135–67. ttps://doi.org/10.1093/jmt/thu056.
Bradt J, Goodill S. Creative arts therapies defined. JAMA Intern Med/173(11), June 10, 2013.
Bradt J, Potvin N, Kesslick A, et al. The impact of music therapy versus music medicine on psychological outcomes and pain in cancer patients: A mixed methods study. Support Care Cancer. 2015;23:1261–71. doi.:10.1007/s00520-014-2478-7.
Gold C. All those things with music. Editorial. Nordic J Music Ther. 2009;18(1):1-2.
Wheeler BL. A comparison of oncology studies in music therapy and music medicine. Paper presented at European Music Therapy Conference; 2013; Oslo, Norway.
Dileo C. Introduction to music therapy and medicine: Definitions, theoretical orientations and levels of practice. In: Dileo C, ed. Music Therapy and Medicine: Theoretical Applications Clinical Applications. 2nd ed. Silver Spring, MD: American Music Therapy Association; 1999: 1-10.
Bradt J, Dileo C, Grocke D, Magill L. Music interventions for improving psychological and physical outcomes in cancer patients (Review). Cochrane Database Syst Rev. 2011.
Cassity MD. The Delphi Technique. In: Wheeler BL, Murphy KM, eds. Music Therapy Research. 3rd ed. Dallas, TX: Barcelona Publishers; 2016:350-7.
[removed for blind review]
Schulz KF, Altman DG, Moher D, et al. CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomised trials. BMC Medicine. 2010;8:18. https://doi.org/10.1186/1741-7015-8-18.
Burns DS, Azzouz F, Sledge R, et al. Music imagery for adults with acute leukemia in protective environments: A feasibility study. Support Care Cancer, 2008;16:507-13.
Burns DS, Robb SL, Haase JE. Exploring the feasibility of a therapeutic music video intervention in adolescents and young adults during stem-cell transplantation. Cancer Nurs. 2009;32(5):E8–16.
Burns DS, Perkins SM, Tong Y, Hilliard RE, Cripe LD. Music therapy is associated with family perception of more spiritual support and decreased breathing problems in cancer patients receiving hospice care. J Pain Symptom Manage. 2015;50(2):225-31.
Clark M, Isaacks-Downton G, Wells N, et al. Use of preferred music to reduce emotional distress and symptom activity during radiation therapy. J Music Ther. 2006;43(3):247-65.
Gutgsell KJ, Schluchter M, Margevicius S et al. Music therapy reduces pain in palliative care patients: A randomized controlled trial. J Pain Symptom Manage. 2013;45:822-31.
Hilliard RE. The effects of music therapy on the quality and length of life of people diagnosed with terminal cancer. J Music Ther. 2003; 40:113-37.
Palmer JB, Lane D, Mayo D, Schluchter M, Leeming R. Effects of music therapy on anesthesia requirements and anxiety in women undergoing ambulatory breast surgery for cancer diagnosis and treatment: A randomized controlled trial. J Clin Oncol. 2015;33(28):3162-8. doi:10.1200/JCO.2014.59.6049.
Robb SL, Clair AA, Watanabe M, et al. A non-randomized controlled trial of the active music engagement (AME) intervention on children with cancer. Psychooncology. 2008;17(7):699–708.
Robb SL, Burns, DS, Stegenga KA, et al. Randomized clinical trial of therapeutic music video intervention for resilience outcomes in adolescents/young adults undergoing hematopoietic stem cell transplant: A report from the Children's Oncology Group. Cancer. 2014;120(6):909-17.
Cassileth BR, Vickers AJ, Magill LA. Music therapy for mood disturbance during hospitalization for autologous stem cell transplantation: A randomized controlled trial. Cancer. 2003; 98(12):2723-9.
Chaput-McGovern J, Silverman MJ. Effects of music therapy with patients on a post-surgical oncology unit: A pilot study determining maintenance of immediate gains. Arts Psychother. 2012;39(5):417-22.
Chuang CY, Han WR, Li PC, Song MY, Young ST. Effect of long-term music therapy intervention on autonomic function in anthracycline-treated breast cancer patients. Integr Cancer Ther. 2011;10(4):312-6. doi:10.1177/1534735411400311.
Chuang C-Y, Han W-R, Li PC, Young S-T. Effects of music therapy on subjective sensations and heart rate variability in treated cancer survivors: a pilot study. Complement Ther Med. 2010;18(5):224-6. doi:10.1016/j.ctim.2010.08.003.
Cook EL, Silverman MJ. Effects of music therapy on spirituality with patients on a medical oncology/hematology unit: A mixed-methods approach. Arts Psychother. 2013;40(2), 239-44.
Domingo JP, Matamoros NE, Garcia SM, et al. Effectiveness of music therapy in advanced cancer patients admitted to a palliative care unit: A non-randomized controlled, clinical trial. Music Med. 2015;7(1):23-31.
Dvorak A. Music therapy support groups for cancer patients and caregivers: A mixed-methods approach. Can J Music Ther. 2015;21(1):69-105.
Ferrer AJ. The effect of live music on decreasing anxiety in patients undergoing chemotherapy treatment. J Music Ther. 2007;44(3):242-55.
Gallagher LM, Lagman R, Walsh D, Davis MP, Legrand SB. The clinical effects of music therapy in palliative medicine. Support Care Cancer. 2006;14(8):859-66.
Gimeno MM. The effect of music and imagery to induce relaxation and reduce nausea and emesis in patients with cancer undergoing chemotherapy treatment. Music Med. 2010;2(3), 174-81.
Hanser SB, Bauer-Wu S, Kubicek L, et al. Effects of a music therapy intervention on quality of life and distress in women with metastatic breast cancer. J Soc Integr Oncol. 2006;4(3):62-6. doi:10.2310/7200.2006.014
Horne-Thompson A, Grocke D. The effect of music therapy on anxiety in patients who are terminally ill. J Palliat Med. 2008;11(4):582-90. doi:10.1089/jpm.2007.0193.
Lin, MF, Hsieh YJ, Hsu YY, Fetzer S, Hsu MC. A randomised controlled trial of the effect of music therapy and verbal relaxation on chemotherapy-induced anxiety. J Clin Nurs. 2011;20(7-8):988-99. doi:10.1111/j.1365-2702.2010.03525.x.
Romito F, Lagattolla,F, Costanzo C., Giotta F, MattioliV. (2013). Music therapy and emotional expression during chemotherapy: How do breast cancer patients feel? Eur J Integr Med. 2013;5(5):438-42.
Chi G, Young A, Richardson M, et al. Effects of music relaxation video on pain and anxiety for women with gynaecological cancer receiving intracavitary brachytherapy: A randomised controlled trial. J Res Nurs [serial online]. March 2015;20(2):129-44.
Danhauer SC, Vishnevsky T, Campbell CR, et al. Music for patients with hematological malignancies undergoing bone marrow biopsy: A randomized controlled study of anxiety, perceived pain, and patient satisfaction. J Soc Integr Oncol. 2010:8;140-7.
Eckhouse D, Hurd M, Cotter-Schaufele S, Sulo S, Sokolowski M, Barbour L. A randomized controlled trial to determine the effects of music and relaxation interventions on perceived anxiety in hospitalized patients receiving orthopaedic or cancer treatment. Orthop Nurs. 2014;33(6):342-51.
Huang ST, Good M, Zauszniewski JA. The effectiveness of music in relieving pain in cancer patients: a randomized controlled trial. Int J Nurs Stud. 2010;47(11):1354-62. doi:10.1016/j.ijnurstu.2010.03.008.
Jeppesen E, Pedersen CM, et al. Music does not alter anxiety in patients with suspected lung cancer undergoing bronchoscopy: A randomised controlled trial. Eur Clin Respir J. 2016;3(1):33472. doi:10.3402/ecrj.v3.33472.
Kwekkeboom KL. Music versus distraction for procedural pain and anxiety in patients with cancer. Oncol Nurs Forum. 2003;30(3):433-40. doi:10.1188/03.ONF.433-40.
Li XM, Yan H, Zhou KN, Dang SN, Wang DL, Zhang YP. Effects of music therapy on pain among female breast cancer patients after radical mastectomy: Results from a randomized controlled trial. Breast Cancer Res Treat. 2011;128(2):411-9. doi:10.1007/s10549-011-1533-z.
Li XM, Zhou KN, Yan H, Wang DL, Zhang YP. Effects of music therapy on anxiety of patients with breast cancer after radical mastectomy: A randomized clinical trial. J Adv Nurs. 2011;68(5):1145-55. doi:10.1111/j.1365-2648.2011.05824.x.
Zhou KN, Li XM, Yan H, Dang SN, Wang DL. Effects of music therapy on depression and duration of hospital stay of breast cancer patients after radical mastectomy. Chin Med J (Engl). 2011;124(15):2321-7.
O'Callaghan C, Sproston M, Wilkinson K, et al. Effect of self-selected music on adults' anxiety and subjective experiences during initial radiotherapy treatment: A randomised controlled trial and qualitative research. J Med Imaging Radiat Oncol. 2012 Aug;56(4):473-7. doi:10.1111/j.1754-9485.2012.02395.x.
Bulfone T, Quattrin R, Zanotti R, Regattin L, Brusaferro S. Effectiveness of music therapy for anxiety reduction in women with breast cancer in chemotherapy treatment. Holist Nurs Pract. 2009;23(4):238-42. doi:10.1097/HNP.0b013e3181aeceee.
Burrai F, Micheluzzi V, Bugani V. Effects of live sax music on various physiological parameters, pain level, and mood level in cancer patients: A randomized controlled trial. Holist nurs prac. 2014;28(5):301-11.
Huang S, Good M, Albert J. Music reduced cancer pain via relaxation and distraction. J Pain. 2007;8(4):S58. doi:10.1016/j.jpain.2007.02.237.
Jasemi M, Aazami S, Zabihi RE. The effects of music therapy on anxiety and depression of cancer patients. Indian J Palliat Care. 2016;22(4):455-8. doi:10.4103/0973-1075.191823.
Lai W-S, Chao C-S C, Yang W-P, Chen C-H. Efficacy of guided imagery with theta music for advanced cancer patients with dyspnea: A pilot study. Biol Res Nurs. 2010; 12(2):188-97. doi:10.1177/1099800409347556.
Liao J, Yang Y, Cohen L, Zhao Y. Effect of Chinese medicine five-element music on the quality of life for cancer patients: A randomized controlled trial. Chinese J Integrated Med. 2013;19(10):736-40.
Nguyen TN, Nilsson S, Hellstrom A, Bengtson A. Music therapy to reduce pain and anxiety in children with cancer undergoing lumbar puncture: A randomized clinical trial. J Pediatr Oncol Nurs. 2010;27(3):146–55.
Smith M, Casey L, Johnson D, Gwede C, Riggin OZ. Music as a therapeutic intervention for anxiety in patients receiving radiation therapy. Oncol Nurs Forum. 2001;28(5):855-62.
Vachiramon V, Sobanko JF, Rattanaumpawan P, Miller CJ. Music reduces patient anxiety during Mohs surgery: An open-label randomized controlled trial. Dermatol Surg. 2013;39(2):298-305. doi:10.1111/dsu.12047.
Haase JE, Kintner EK, Monahan PO, Robb SL The Resilience in Illness (RIM) model part 1: Exploratory evaluation in adolescents and young adults with cancer. Cancer Nurs. 2014;37(3):E1-12. doi:10.1097/NCC.0b013e31828941bb
Haase JE, Kintner EK, Robb SL, et al. The Resilience in Illness model part 2: Confirmatory evaluation in adolescents and young adults with cancer. Cancer Nurs. 2017;40(6):454-63. doi:10.1097/NCC.0000000000000450
Robb SL, Carpenter JS, Burns DS. Reporting guidelines for music-based interventions. J Health Psychol. 2011;16:342. doi:10.1177/1359105310374781.
Aigen K. The roots of music therapy: Towards an indigenous research paradigm. 1991. (Doctoral Dissertation, New York University, 1990). Dissertation Abstracts International, 52(6), 1933A. (UMI No. DEY91-34717).
Abrams B. Evidence-based music therapy practice: An integral understanding. J Music Ther. 2010; 47:351–79. doi:10.1093/jmt/47.4.351.
Aigen K. A critique of evidence-based practice in music therapy. Music Ther Perspect. 2015;33:12–24. doi:10.1093/mtp/miv013.
McFerran, K. WFMT spotlight sessions presents research of music therapy–Evidence and story. Paper presented at World Congress of Music Therapy, 2017, Tsukuba, Japan.
Donald IN, Carey TA. Improving knowledge about the effectiveness of psychotherapy. Psychother Politics Int. 2017;15:e1424. doi:https://doi.org/10.1002/ppi.1424.
Vink A, Hanser S. Music-based therapeutic interventions with people with dementia: A mini-review. Medicines. 2018;5(4):109. doi:10.3390/medicines5040109.
Harrison S, Cooke M, Moyle W, Shum D, Murfield J. Delivering a music intervention in a randomized controlled trial involving older people with dementia: Musician experiences and reflections. Music Med. 2010;2(4), 214-8.
Rossetti A, Chadha M, Torres BN, et al. The impact of music therapy on anxiety in cancer patients undergoing simulation for radiation therapy. Int J Radiation Oncol Biol Phys. 2017;99(1);103e110. doi:10.1016/j.ijrobp.2017.05.003.
Burns DS, Meadows AN, Althouse S, Perkins SM, Cripe LD. Differences between supportive music and imagery and music listening during outpatient chemotherapy and potential moderators of treatment effects. J Music Ther. 2018;55(1):1–26. doi:10.1093/jmt/thy001.