Effect of TOMATIS auditory training on cognition and post-traumatic stress disorder in breast cancer chemotherapy patients

Abstract

Objective To observe the effect of TOMATIS auditory training on improving cognitive and post-traumatic stress disorder in patients after breast cancer chemotherapy. Methods Eighty invasive ductal carcinoma of breast cancer patients with cognition and psychological disorders were selected in the breast department of Tangshan People's Hospital from October 2016 to September 2017.All patients were randomly divided into control group (n=40) and experimental group (n=40). The experimental group was given the TOMATIS high and low audio frequency auditory training, and the control group was given ordinary music training.Before and after the intervention, the Chinese version of the Montreal cognitive assessment scale (MoCA) and the post-traumatic stress disorder scale (PTSD-SS) were evaluated for both groups of patients. Results After the intervention, the experimental group had significantly higher scores in visual structure skills((3.83±0.71)vs(2.68±0.57)), executive function ((2.23±0.53)vs(1.55±0.50)), attention and concentration((1.55±0.78)vs(1.23±0.53)), language((1.50±0.75)vs(1.08±0.47)), calculation((2.00±0.60)vs(1.45±0.75)), abstract thinking((1.63±0.54)vs(1.00±0.51)), memory((4.68±0.47)vs(2.70±0.72)), directive force((5.25±0.54)vs(3.90±0.81)) and total score((22.65±2.89)vs(15.58±2.10))than the control group(all P<0.05). After intervention, the scores of subjective assessment of traumatic events((2.60±0.63)vs(3.98±0.62)), repeated recurring experiences((24.05±2.72)vs(26.70±2.28)), avoidance symptoms((24.35±1.64)vs(26.40±1.19)), increased alertness((24.23±1.80)vs(25.45±1.20)), impaired social function((7.28±1.01)vs(8.68±0.66)), and total scores((85.85±5.13)vs(94.63±2.92)) in the experimental group were significantly lower than those in the control group, and the differences were statistically significant (all P<0.01). Conclusion TOMATIS auditory training can effectively improve the cognitive function and psychological state in breast cancer chemotherapy patients, which is worthy of popularization and application. Key words: TOMATIS auditory training; Breast cancer; Chemotherapy; Cognitive dysfunction; Post-traumatic stress disorder