Association of Music Listening with Post-Procedural Anxiety and Pain Reduction
Introduction
●Procedural anxiety is a significant concern for patients
●Pharmacologic treatments often have poor side effect profiles
●Study Question: Do music interventions reduce post-procedural anxiety and pain for patients undergoing awake chronic pain interventions?
Methods
●Open-label, prospective, randomized controlled trial that included 80 patients, 40 randomly assigned to either intervention or control groups
●Anxiety and pain quantified pre-procedure and 15 minutes post-procedure via validated scales:
●Visual Analog Scale for Anxiety
●Visual Analog Scale for Pain
●Intervention group listened to patient-selected music during the procedure
Results
Pre-procedure pain and anxiety levels were similar between the intervention and control groups.
Listening to music reduces post-procedural pain and anxiety for chronic pain intervention procedures
Reductions in pain and anxiety are significantly correlated
Discussion
●The number of patients afflicted by chronic pain conditions in the United States has continued to grow
●Previous studies in different fields have shown an association between music and anxiety reduction in other procedural settings and that anxiety and pain levels are significantly correlated
●Music effectively reduces post-procedural pain and anxiety levels in patients undergoing awake chronic pain interventions and can serve as a non-pharmacological treatment alternative
Limitations:
●Limited sample size precluded investigations of how procedure type impacted music interventions
●May not be effective in patients with impaired hearing
●Can impair patient-physician communication