title: AIR: Advances in Respiration - Music therapy in the treatment of chronic pulmonary disease.
abstract: The aim of this randomized control study is to examine the effect of a multimodal psycho-music therapy intervention on respiratory symptoms, psychological well-being and quality of life of patients with Chronic Obstructive Pulmonary Disease and other lung diseases as adjunct to Pulmonary Rehabilitation with a design of music therapy plus PR compared to Pulmonary Rehabilitation alone. Music therapy group treatment including music visualization, wind playing and singing was provided weekly. This was compared with standard care treatment. Adults ages 48 to 88 (mean 70.1) with moderate to severe GOLD stage II-IV lung disease as well as other diseases processes that lead to chronic airflow limitations were included (n = 98). Participants in both conditions were followed from baseline enrollment to six weeks post control/treatment. Outcome measures included the Beck Depression Inventory Scale 2nd edition-Fast Screen (BDI-FS), Chronic Respiratory Questionnaire Self-Reported (CRQ-SR), and Dyspnea Visual Analog Scale (VAS). Results showed improvement in symptoms of depression (LS mean -0.2) in the music therapy group with statistical divergence between groups (p = 0.007). The CRQ-SR demonstrated improvement in dyspnea (p = 0.01 LS mean 0.5) and mastery (p = 0.06 LS mean 0.5) in the music therapy group and fatigue (p = 0.01 LS mean 0.3). VAS demonstrated highly significant effect in the music therapy group between weeks 5 and 6 (p < 0.001). The findings of this study suggest that music therapy combined with standard PR may prove to be an effective modality in the management of pulmonary disease.
authors.affiliation: The Louis Armstrong Center for Music and Medicine, Mount Sinai Beth Israel, New York, NY, USA. Electronic address: bernardocanga@gmail.com.
authors.forename: Bernardo
authors.initials: B
authors.lastname: Canga
authors.affiliation: The Louis Armstrong Center for Music and Medicine, Mount Sinai Beth Israel, New York, NY, USA.
authors.forename: Ronit
authors.initials: R
authors.lastname: Azoulay
authors.affiliation: Pulmonary Rehabilitation, Department of Medicine, Mount Sinai Beth Israel, New York, NY, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Raskin
authors.affiliation: The Louis Armstrong Center for Music and Medicine, Mount Sinai Beth Israel, New York, NY, USA.
authors.forename: Joanne
authors.initials: J
authors.lastname: Loewy
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003866:Depressive Disorder / Q000628:therapy; D004417:Dyspnea / Q000628:therapy; D005221:Fatigue / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009147:Music Therapy / Q000379:methods*; D029424:Pulmonary Disease, Chronic Obstructive / Q000523:psychology / Q000628:therapy*; D011788:Quality of Life; D016896:Treatment Outcome
keywords: COPD; Depression; Dyspnea; Music therapy; Pulmonary disease; Quality of life