Fibromyalgia syndrome (FMS) is a chronic syndrome characterized by diffuse musculoskeletal system pain and painful tender points in certain areas of the body. The aim of the investigation was to determine the effects of music on pain in fibromyalgia patients. This randomized clinical trial was carried out with 37 fibromyalgia outpatients as an experimental group (n = 21) and control group (n = 16) at a University Hospital Internal Medicine and Rheumatology Clinic between 1 June and 1 December 2014. The research instruments used were descriptive characteristics questionnaire, Visual Analogue Scale (VAS), music CD which includes water and wave sounds recommended by the Turkish Psychological Association for psychological relaxation, and pain evaluation form. According to the findings, the average age of patients was 43.59 years ± 10.30, 94.6 % were women and 81.1 % were married. The fibromyalgia patients had the disease ranged from 1 month to 20 years, the average of disease duration was 23.6 ± 45.5 months, and the average of pain intensity was 6.89 ± 1.64 on the VAS. Average pain was reported in the experimental group in VAS on day 1 (5.45 ± 2.73), day 7 (4.57 ± 2.71), and day 14 (4.14 ± 2.45), and significant reduction in pain in the listening music group was seen (p = 0.026). A repeated measure analysis of variance controlling for differences between days demonstrated a significant decrease in pain between day 1 and day 14 (p = 0.022). There was no significant decrease in pain among control group participants. The effect of music has been found to control pain in fibromyalgia patients. Music therapy should be suggested in pain management for fibromyalgia patients as an non-pharmacologic nursing intervention.
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Forseth KO, Gran JT, Husby G (1997) A population study of the incidence of fibromyalgia among women aged 26–55 yr. Rheumatology 36:1318–1323
Altındağ Ö (2009) Neuroendocrine dysfunction in fibromyalgia. Turk J Rheumatol 24:98–102
Bombardier CH, Burchwald D (1996) Chronic fatigue, chronic fatigue syndrome, and fibromyalgia. Disability and health-care use. Med Care 34(9):924–930
Onieva-Zafra MD, Castro-Sánchez AM, Matarán-Peñarrocha GA, Moreno-Lorenzo C (2013) Effect of music as nursing intervention for people diagnosed with fibromyalgia. Pain Manag Nurs 14(2):e39–e46
Demirbağ BC, Erci B (2014) The effects of sleep and touch therapy accompanied by music and aromatherapy on the impact level of fibromyalgia, fatigue and sleep quality in fibromyalgia patients. TAF Prev Med Bull 13(1):57–64
Garza-Villarreal EA, Wilson AD, Vase L, Brattico E, Barrios FA, Jensen TS, Romero-Romo JI, Vuust P (2014) Music reduces pain and increases functional mobility in fibromyalgia. Front Psychol 5(90):1–20
Uyar M, Korhan E (2011) The effect of music therapy on pain and anxiety in intensive care patients. Pain 23(4):139–146
Vaajoki A, Pietilä AM, Kankkunen P, Vehviläinen‐Julkunen K (2011) Effects of listening to music on pain intensity and pain distress after surgery: an intervention. J Clin Nur 21(5–6):708–717
Huang ST, Good M, Zauszniewski JA (2010) The effectiveness of music in relieving pain in cancer patients: a randomized controlled trial. Int J Nurs Stud 47(11):1354–1362
Cole LC, LoBiondo-Wood G (2014) Music as an adjuvant therapy in control of pain and symptoms in hospitalized adults: a systematic review. Pain Manag Nurs 15(1):406–425
Guétin S, Giniès P, Siou DKA, Picot MC, Pommié C, Guldner E, Gosp AM, Ostyn K, Coudeyre E, Touchon J (2012) The effects of music intervention in the management of chronic pain: a single-blind, randomized, controlled trial. Clin J Pain 28(4):329–337
Roy M, Lebuis A, Hugueville L, Peretz I, Rainville P (2012) Spinal modulation of nociception by music. Eur J Pain 16(6):870–877
Korhan EA, Uyar M, Eyigör C, Yönt GH, Çelik S, Khorshıd L (2013) The effects of music therapy on pain in patients with neuropathic pain. Pain Manag Nurs 15(1):306–314
Bernatzky G, Presch M, Anderson M, Panksepp J (2011) Emotional foundations of music as a non-pharmacological pain management tool in modern medicine. Neurosci Biobehav Rev 35(9):1989–1999
Salimpoor VN, van den Bosch I, Kovacevic N, McIntosh AR, Dagher A, Zatorre RJ (2013) Interactions between the nucleus accumbens and auditory cortices predict music reward value. Science 340(6129):216–219
Akbay A. Visual Analog Scale (VAS) Evaluation. 2014. Turkish Society of Neurosurgery-Spine and Peripheral Nerve Surgery Group.
Chlan L, Tracy MF, Nelson B, Walker J (2001) Feasibility of a music intervention protocol for patients receiving mechanical ventilatory support. Altern Ther Health Med 7(6):80–83
Chlan L (2002) Integrating nonpharmacological, adjunctive interventions into critical care practice: a means to humanize care? Am J Crit Care 11(1):14–16
Esch T, Guarna M, Bianchi E, Zhu W, Stefano GB (2004) Commonalities in the central nervous system’s involvement with complementary medical therapies: limbic morphinergic processes. Med Sci Monit 10(6):6–17
Almerud S, Petersson K (2003) Music therapy—a complementary treatment for mechanically ventilated intensive care patients. Intensive Crit Care Nurs 19(1):21–30
McCaffrey RG, Good M (2000) The lived experience of listening to music while recovering from surgery. J Holist Nurs 18(4):378–390
Wong HLC, Lopez-Nahas V, Molassiotis A (2001) Effects of music therapy on anxiety in ventilator-dependent patients. Heart Lung 30(5):376–387
McCaffrey R, Freeman E (2003) Effect of music on chronic osteoarthritis pain in older people. J Adv Nurs 44(5):517–524
Siedliecki SL, Good M (2006) Effect of music on power, pain, depression and disability. J Adv Nurs 54(5):553–562
Krout RE (2007) Music listening to facilitate relaxation and promote wellness: Integrated aspects of our neurophysiological responses to music. Arts Psychother 34(2):134–141
Eti Aslan F, Badır A (2005) Reality about pain control: the knowledge and beliefs of nurses on the nature, assessment and management of pain. Pain 17(2):44–51
The authors would like to thank the staffs at Internal Medicine and Rheumatology clinics and patients agreeing to participate in the study.
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Alparslan, G.B., Babadağ, B., Özkaraman, A. et al. Effects of music on pain in patients with fibromyalgia. Clin Rheumatol 35, 1317–1321 (2016). https://doi.org/10.1007/s10067-015-3046-3