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A randomised controlled trial of the effect of music therapy and verbal relaxation...
Full title: A randomised controlled trial of the effect of music therapy and verbal relaxation on chemotherapy-induced anxiety.
AIMS: To determine the effect of music therapy and verbal relaxation on state anxiety and anxiety-induced physiological manifestations among patients with cancer before and after chemotherapy. BACKGROUND: Cancer and its treatment provoke a series of changes in the emotional sphere of the patient's anxiety. Music therapy and verbal relaxation had reported the anxiety reduction effect on patients with cancer receiving chemotherapy. Few studies have been undertaken comparing music therapy and verbal relaxation in differentiating high-normal state anxiety subsample. DESIGN: A randomised controlled trial and permuted block design were used. Outpatient chemotherapy clinic operated by a University medical centre in southern Taiwan. METHODS: Ninety-eight patients were randomised into three groups: the music therapy group received one-hour single music session; the verbal relaxation group received 30 minutes of guided relaxation; the control group received usual care. Spielberger State-Trait Anxiety Instrument, Emotional Visual Analog Scale, three biobehavioural indicators: skin temperature, heart rate and consciousness level were measured during and after chemotherapy. RESULT: Music therapy had a greater positive effect on postchemotherapy anxiety than verbal relaxation and control groups and a significantly increase in skin temperature. Patients with high state anxiety receiving music therapy had a greater drop in postchemotherapy anxiety than did the normal state anxiety subsample. CONCLUSIONS: Both music and verbal relaxation therapy are effective in reducing chemotherapy-induced anxiety. Thirty minutes of intervention initiates anxiety reduction. Patients with high state anxiety receiving chemotherapy obtain the most benefit from music or verbal relaxation. RELEVANCE TO CLINICAL PRACTICE: Prior to chemotherapy, patients with high state anxiety must be sorted from all patients as they are more responsive to interventions. Oncology nurses can offer music and verbal relaxation as adjuvant interventions to reduce chemotherapy-induced anxiety and enhance the quality of care.
J Clin Nurs. 2011 Apr;20(7-8):988-99. doi: 10.1111/j.1365-2702.2010.03525.x. Lin MF, Hsieh YJ, Hsu YY, Fetzer S, Hsu MC. Department of Nursing, National Cheng Kung University, Tainan City, Taiwan.
For each and every one of us there are times when we feel, sad, lonely, and wish that our situation was better. This is a natural, normal feeling that we all go through. In fact, it may be just a matter of our biorhythms fluctuating every 90 minutes or so or just helping us balance our life after a period of exhilaration. On the other hand, if these feelings are persistent and so severe as to prevent you from participating in normal relationships and regular activities, just possibly you may have chronic depression and need assistance.
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The concept of hypnosis is one that involves many misconceptions and incorrect definitions. Some tried to define hypnosis based upon a variety of results that may be observed. For instance, a hypnotic subject may experience mental and physical manifestations that are somewhat different than normal. Heightened awareness, which is also called a trance state, frequently happens when a person undergoes what would be considered some form of hypnotic ritual. The existence of a trance state is central to the definition used by many hypnotherapeutic associations and the American Psychological...
Can the use of suggestion and imagination improve physiological healing? Controversial studies at the Harvard Medical School have left the allopathic medical community scratching their collective heads. Two separate research projects conducted by a team led by psychologist Carol Ginandes, PhD, indicated that a significant number of patients who combined guided imagery hypnosis and traditional allopathic care tended to heal significantly faster than those who followed only an allopathic regimen. Their findings mirrored similar research involving improving the immune system of sufferers of...
