Abstract
Aim: To evaluate the effectiveness of a music therapy treatment on mood and quality of life of colorectal cancer patients. Method: Eighteen subjects (14 women and 4 men) who were diagnosed with colorectal cancer participated in a music therapy program consisting of eight weekly group music therapy sessions, 90 minute-session. Participants completed the following instruments before and after the intervention (pre/post): the Hospital Anxiety and Depression Scale (HADS) , the Profile of Mood States-Short Form A (POMS-A) , the Global Quality of Life Scale and the Functioning Scales of the European Organization for Research and Treatment of Cancer-Quality of Life Core Questionnaire-C30 ( EORTC-QLQ-C30 ) . A 3 item Numerical Rating Scale (NRS) for Anxiety, Sadness and Physical Distress was administered at the beginning and end of each session (pre/post session). An Observation Behavior Form (designed ad hoc ) was used to evaluate mood after each session. A Music Therapy Program Satisfaction Questionnaire (designed ad hoc ) was administered at the end of the program. Results: Although all the obtained scores pointed to a desirable change direction, non significant changes were found in the POMS-A, HADS nor EORTC QLQ-C30. A significant improvement was found in the Anxiety, Sadness and Physical Distress NRS items. The Music Therapy Program Satisfaction Questionnaire showed that participants perceived this type of intervention as very useful and very satisfactory.
Highlights
Resultados: No se han obtenido cambios estadísticamente significativos en el POMS-A, HAD ni EORTC QLQ-C30, si bien todas las puntuaciones obtenidas van en la dirección
Eighteen subjects (14 women and 4 men) who were diagnosed with colorectal cancer participated in a music therapy program consisting of eight weekly group music therapy sessions, 90 minute-session
Results: all the obtained scores pointed to a desirable change direction, non significant changes were found in the POMS-A, Hospital Anxiety and Depression Scale (HADS) nor EORTC QLQ-C30
Summary
All the obtained scores pointed to a desirable change direction, non significant changes were found in the POMS-A, HADS nor EORTC QLQ-C30. Es por esta razón que se recomienda detectar estos problemas así como derivar a estos pacientes a profesionales de la psicooncología así como de otros ámbitos y especialidades a fin de paliar el malestar emocional y promover una mejor adaptación a la enfermedad, a sus tratamientos y a los posibles efectos secundarios y/o secuelas[4,5]. Los problemas psicológicos que presenta el paciente con CCR pueden venir derivados de la propia enfermedad así como del impacto que los tratamientos tienen en la persona. Si bien existen algunos estudios en nuestro país que han empezado a examinar aspectos como la adaptación psicosocial y la calidad de vida de pacientes diagnosticados de CCR, éstos son todavía escasos[7,8,9,10,11,12]. Cardoso, Blasco y Fernández-Castro[13] revelan que existen poquísimos estudios descriptivos que analicen el afecto positivo o emociones positivas de pacientes con CCR y evidencian la falta de estudios sobre intervenciones psicológicas destinadas a promover emociones y afecto positivo en pacientes diagnosticados de CCR, además de la necesidad de desarrollar estudios de este tipo
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