title: [Music as an adjuvant treatment for anxiety in pediatric oncologic patients].
abstract: BACKGROUND
  Music has been used as adjuvant therapy for anxiety and it is based on scientific principles. Tone, rhythm, harmony and time are crucial for its efficacy. Chemotherapy treatment frequently produces important stress in pediatric patients. This may delay treatment occasionally. Our objective was to determine if adjuvant therapy with music reduces anxiety in pediatric oncologic patients under ambulatory chemotherapy.
  
  
  METHODS
  Time series design. We included patients from 8 to 16 years of age who received ambulatory intravenous chemotherapy at the Hospital de Pediatría, Centro Médico Nacional Siglo XXI. They received treatment as usual on the first day, and music therapy during the second day of chemotherapy. A visual scale was used to categorize the level of anxiety prior and after treatment on both days.
  
  
  RESULTS
  We included 22 patients. All patients experienced both moderate and high levels of anxiety prior to chemotherapy treatment on both days. There was a statistically significant reduction of anxiety on both groups after chemotherapy, but with lower levels of anxiety in the intervention group.
  
  
  CONCLUSIONS
  There is an additional benefit with the use of music therapy in the reduction of anxiety in pediatric patients who receive ambulatory chemotherapy.
authors.affiliation: Dirección de Educación e Investigación en Salud, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México. ana.sepulvedav@imss.gob.mx.
authors.forename: Ana Carolina
authors.initials: AC
authors.lastname: Sepúlveda-Vildósola
authors.forename: Octavio René
authors.initials: OR
authors.lastname: Herrera-Zaragoza
authors.forename: Leonel
authors.initials: L
authors.lastname: Jaramillo-Villanueva
authors.forename: Armando
authors.initials: A
authors.lastname: Anaya-Segura
mesh_terms: D000293:Adolescent; D001007:Anxiety / Q000209:etiology / Q000628:therapy*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D009147:Music Therapy; D009369:Neoplasms / Q000150:complications / Q000188:drug therapy
keywords: Adolescent; Anxiety; Child; Drug therapy; Music therapy; Neoplasms