Skip to main content

Advertisement

SpringerLink
Log in

Study of the effectiveness of musical stimulation during intracardiac catheterization

  • ORIGINAL PAPER
  • Published:
Clinical Research in Cardiology Aims and scope Submit manuscript

Summary

Background

Intracardiac catheterization is a routine physical examination. Due to psychological strains, several psychosocial interventions, including music therapy, have been proposed. The aim of the present study was to examine whether the preventive or adjuvant use of music therapy results in a reduction in both subjective and objective anxiety and thus leads to a reduction in sedative medication.

Methods of assessment

N=83 patients (48 male, 35 female, 66±11 yrs) waiting for scheduled cardiac catheterization were randomly allocated to one of three groups: control group (standard care), exposure group (music stimulation during the procedure), or coaching group (additional music therapeutic coaching). Target variables were subjective anxiety and physiological parameters.

Results

Music intervention did effectively reduce subjective anxiety (STAI-S reduction pre-post: exposure 11 pt, coaching: 4 pt, control: 6 pt; p=0.033). Physiological values and medication did not differ between groups.

Conclusion

The use of music stimulation during the catheterization has a relaxing and calming effect on patients. It seems to be especially beneficial in a subgroup of patients with higher-than-average psychological strains.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bally K, Campbell D, Chesnick K, Tranmer JE (2003) Effects of patientcontrolled music therapy during coronary angiography on procedural pain and anxiety distress syndrome. Crit Care Nurse 23(2):50–58

    PubMed  Google Scholar 

  2. Bolay HV, Selle EW (1982) Entspannung nach musiktherapeutischen Gesichtspunkten – Trainerhandbuch. Verlag Neues Forum GmbH, Schweinfurt

  3. Claire JB (1986) Reducing distress in pediatric patients undergoing cardiac catheterization. Child Health Care 14(3):146–152

    Article  Google Scholar 

  4. Davis TM, Maguire TO, Haraphongse M, Schmaumberger MR (1994) Preparing adult patients for cardiac catheterization: Informational treatment and coping style interactions. Heart Lung 23(2):130–139

    PubMed  CAS  Google Scholar 

  5. Deutsche Gesellschaft für Kardiologie – Herz- und Kreislaufforschung (DGK) (2003) Leitlinie „Diagnose und Behandlung der chronischen koronaren Herzerkrankung“. AWMFLeitlinien- Register 019/001 (AWMF online: http://www.uni-duesseldorf.de/ WWW/AWMF/ll/019-001.htm

  6. Elliot D (1994) The effects of music and relaxation on patient anxiety in a coronary care unit. Heart Lung 23(1):27–35

    Google Scholar 

  7. Franke GH (2002) SCL-90-R – Die Symptom-Check-List von LR Derogatis, dt. Version. Beltz Test, Göttingen

  8. Grawe H, Katoh M, Kuhl HP (2006) Stress cardiomyopathy mimicking acute coronary syndrome: case presentation and review of the literature. Clin Res Cardiol 95(3):179–185

    Article  PubMed  CAS  Google Scholar 

  9. Hamel WJ (2001) The effects of music intervention on anxiety in the patient waiting for cardiac catheterization. Intensive Crit Care Nurs 17:279–285

    Article  PubMed  CAS  Google Scholar 

  10. Herrmann C, Buss U, Snaith RP (1995) Hospital Anxiety and Depression Scale – Deutsche Version (HADS-D). Hogrefe, Göttingen

  11. Herrmann-Lingen C (2001) Angst und Depressivität bei internistischen Patienten. VAS, Frankfurt/Main

  12. Jacobson NS, Truax P (1991) Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. J Consult Clin Psychol 59(1):12–19

    Article  PubMed  CAS  Google Scholar 

  13. Joksimovic L, Siegrist J, Meyer-Hammer M (1999) Overcommitment predicts restenosis after coronary angioplasty in cardiac patients. Int J Behav Med, 6(4):356–369

    Article  PubMed  CAS  Google Scholar 

  14. Jordan J (1991) Zum Erleben und zur psychischen Bewältigung medizinischer Technologie am Beispiel der percutanen transluminalen Coronarangioplastie. VAS, Frankfurt/Main

  15. Kordy H, Hannöver W (2000) Die Evaluation von Psychotherapie und das Konzept der klinisch bedeutsamen Veränderung. In: Laireiter AR (ed) Diagnostik in der Psychotherapie. Springer, Wien, pp 477–495

  16. Larivee L, Davis T, Maquire T (1992) The relationship between spontaneous coping strategies and perceived anxiety of patients undergoing cardiac catheterization. Can J Cardiovasc Nurs 3(2–3):13–17

    Google Scholar 

  17. Laux L, Glanzmann P, Schaffner P, Spielberger CD (1981) Das State- Trait-Angstinventar (STAI). Beltz Test, Weinheim

  18. Lazanowski C, Jordan J (2003) Psychosoziale Aspekte der Herzkatheteruntersuchung, Koronarangiographie und -angioplastie (PTCA). VAS, Frankfurt/ Main

  19. Ludwick-Rosenthal R, Neufeld RWJ (1993) Preparation for undergoing an invasive medical procedure: Interacting effects of information and coping style. J Consult Clin Psychol 61(1):156–164

    Article  PubMed  CAS  Google Scholar 

  20. Micci N (1984) The use of music therapy with pediatric patients undergoing cardiac catheterization. Arts psychother 11:261–266

    Article  Google Scholar 

  21. Peterson M (1991) Patient anxiety before cardiac catheterization: An intervention study. Heart Lung 20(6):643– 647

    PubMed  CAS  Google Scholar 

  22. Schiele TM (2005) Current understanding of coronary in-stent restenosis. Pathophysiology, clinical presentation, diagnostic work-up, and management. Z Kardiol 94(11):772–790

    Article  PubMed  CAS  Google Scholar 

  23. Thorgaard B, Henriksen BB, Pedersbaek G, Thomsen I (2004) Specially selected music in the cardiac laboratory- an important tool for improvement of the well-being of patients. Eur J Cardiovasc Nurs 3(1):21–26

    Article  PubMed  Google Scholar 

  24. Titscher G, Huber C, Ambros O, Gruska M, Gaul G (1996) Psychosomatische Einflussgrößen auf die Restenosierung nach (PTCA). Z Psychosom Med Psychoanal 42(2):154–168

    PubMed  CAS  Google Scholar 

  25. van Buuren F, Mannebach H, Horstkotte D (2005) 20. Bericht über die Leistungszahlen der Herzkatheterlabore in der BRD. Z Kardiol, 94(3):212–215

    Article  PubMed  CAS  Google Scholar 

  26. van Domburg R, Pedersen S, van den Brand M, Erdman R (2001) Feelings of being disabled as a predictor of mortality in men 10 years after percutaneous coronary transluminal angioplasty. J Psychosom Res 51(3):469–477

    Article  PubMed  CAS  Google Scholar 

  27. Wang SM, Kulkarni L, Dolev J, Kain ZN (2002) Music and perioperative anxiety: a randomised, controlled study. Anesth Analg 94:1489–1494

    Article  PubMed  Google Scholar 

  28. Wiesmann F, Heinrich D, Greger H, Ertl G, Voelker W (2003) Documentation in the cardiac catheterization laboratory using electronic databases– experiences in 176 German cath labs. Z Kardiol 92(7):571–580

    Article  PubMed  CAS  Google Scholar 

  29. Wormit AF, Hillecke TK, Geberth S, Bischoff K, Müller A, Schneider P, Bolay HV (2002) Charakterisierung der psychosozialen Belastung und der Krankheitsbewältigung von Hämodialysepatienten als Vorbereitung für ein Coachingkonzept zur Verbesserung der Behandlungsqualität. Nieren- und Hochdruckkrankheiten 31(5):86–92

    Google Scholar 

  30. Zeymer U, Zahn R, Hochadel M, Bonzel T, Weber M, Gottwik M, Tebbe U, Senges J (2005) Incications and complications of invasive diagnostic procedures and percutaneous coronary interventions in the year 2003. Results of the quality control registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK). Z Kardiol 94(6):392–398

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Deutsches Zentrum für Musiktherapieforschung, (Viktor Dulger Institut) DZM e.V., Maaßstr. 26, 69123, Heidelberg, Germany

    Heike Argstatter MA

  2. Klinik für Innere Medizin I, Zentralklinikum GmbH Südthüringen, Albert-Schweitzer-Str. 2, 98527, Suhl, Germany

    Werner Haberbosch

  3. Fakultät für Musiktherapie, Fachhochschule Heidelberg, Maaßstr. 26, 69123, Heidelberg, Germany

    Hans Volker Bolay

Authors
  1. Heike Argstatter MA
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Werner Haberbosch
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hans Volker Bolay
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Heike Argstatter MA.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Argstatter, H., Haberbosch, W. & Bolay, H.V. Study of the effectiveness of musical stimulation during intracardiac catheterization. Clin Res Cardiol 95, 514–522 (2006). https://doi.org/10.1007/s00392-006-0425-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00392-006-0425-4

Key words

Search

Navigation