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Comparison of group vs self-directed music interventions to reduce chemotherapy-related distress and cognitive appraisal: an exploratory study

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Abstract

Purpose

The purpose of this study was to determine effects of group music intervention and self-directed music intervention on anxiety, depression, and cognitive appraisal among women with breast cancer.

Methods

A quasi-experimental design randomly assigned 60 women undergoing chemotherapy to 3 groups: group music intervention, self-directed music intervention, or a control group. The Hospital Anxiety and Depression Scale and the Mini-Mental Adjustment to Cancer Scale were administered before, after the 8-week interventions, and at 3-month follow-up.

Results

Of the 52 women completing the study, results indicated that group music intervention had a significant (p < .01) immediate effect to decrease helplessness/hopelessness and anxious preoccupation and significant effects for reducing anxiety, depression, helplessness/hopelessness, and cognitive avoidance compared to the other two groups at 3-month follow-up.

Conclusions

Group music intervention can be considered an effective supportive care in alleviating the chemotherapy-related distress and enhancing cognition modification of women with breast cancer. Further research is needed to determine the role of cognitive appraisal in the illness trajectory.

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Author information

Authors and Affiliations

  1. School of Nursing and Midwifery, Griffith University, 170 Kessels Road, Nathan, QLD, 4111, Australia

    Shu-Chuan Chen

  2. Department of Nursing, College of Nursing, Taipei Medical University, No. 250, Wu-Hsing Street, Taipei, 110, Taiwan, Republic of China

    Cheng-Chen Chou & Hsiu-Ju Chang

  3. Department of Nursing, College of Medicine, National Cheng Kung University, No. 1, Tai-Hsueh Road, Tainan City, 701, Taiwan, Republic of China

    Mei-Feng Lin

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  1. Shu-Chuan Chen
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  4. Mei-Feng Lin
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Corresponding author

Correspondence to Mei-Feng Lin.

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Conflicts of interest

The authors declare that they have no conflict of interest. We have full control of all primary data and agree to allow the journal to review our data.

Funding

Funding support from the Minister of Science Technology, Taiwan, R.O.C. (NSC 102-2410-H-006-013).

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Statement of Authorship

All persons who meet authorship criteria are listed as authors. Authorship contributions: conception and design of study (Chen and Lin), acquisition of data (Chen and Lin), analysis and interpretation of data (Chen and Lin), drafting the manuscript (Chen and Lin), revising the manuscript critically for important intellectual content (all authors), approval of the version of the manuscript to be published (all authors).

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Cite this article

Chen, SC., Chou, CC., Chang, HJ. et al. Comparison of group vs self-directed music interventions to reduce chemotherapy-related distress and cognitive appraisal: an exploratory study. Support Care Cancer 26, 461–469 (2018). https://doi.org/10.1007/s00520-017-3850-1

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  • DOI: https://doi.org/10.1007/s00520-017-3850-1

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