The clinical effects of music therapy in palliative medicine.
OBJECTIVE
This study was to objectively assess the effect of music therapy on patients with advanced disease.


METHODS
Two hundred patients with chronic and/or advanced illnesses were prospectively evaluated. The effects of music therapy on these patients are reported. Visual analog scales, the Happy/Sad Faces Assessment Tool, and a behavior scale recorded pre- and post-music therapy scores on standardized data collection forms. A computerized database was used to collect and analyze the data.


RESULTS
Utilizing the Wilcoxon signed rank test and a paired t test, music therapy improved anxiety, body movement, facial expression, mood, pain, shortness of breath, and verbalizations. Sessions with family members were also evaluated, and music therapy improved families' facial expressions, mood, and verbalizations. All improvements were statistically significant (P<0.001). Most patients and families had a positive subjective and objective response to music therapy. Objective data were obtained for a large number of patients with advanced disease.


CONCLUSIONS
This is a significant addition to the quantitative literature on music therapy in this unique patient population. Our results suggest that music therapy is invaluable in palliative medicine.
The Harry R. Horvitz Center for Palliative Medicine (A World Health Organization Demonstration Project), Cleveland Clinic Taussig Cancer Center, Cleveland Clinic Foundation, 9500 Euclid Avenue, M76, Cleveland, OH 44195, USA.
Lisa M
LM
Gallagher
Ruth
R
Lagman
Declan
D
Walsh
Mellar P
MP
Davis
Susan B
SB
Legrand
D000328:Adult; D000339:Affect; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety; D002908:Chronic Disease / Q000523:psychology / Q000628:therapy*; D003625:Data Collection; D005149:Facial Expression; D005190:Family / Q000523:psychology*; D005260:Female; D006040:Goals; D006240:Happiness; D006801:Humans; D008297:Male; D008875:Middle Aged; D009147:Music Therapy / Q000379:methods*; D010166:Palliative Care / Q000379:methods*; D011446:Prospective Studies; D018709:Statistics, Nonparametric