The Effects of Music on Pain: A Meta-Analysis.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2016-12-01 DOI:10.1093/jmt/thw012

Jin Hyung Lee

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引用次数: 184

Abstract

BACKGROUND Numerous meta-analyses have been conducted on the topic of music and pain, with the latest comprehensive study published in 2006. Since that time, more than 70 randomized controlled trials (RCTs) have been published, necessitating a new and comprehensive review. OBJECTIVE The aim of this meta-analysis was to examine published RCT studies investigating the effect of music on pain. METHODS The present study included RCTs published between 1995 and 2014. Studies were obtained by searching 12 databases and hand-searching related journals and reference lists. Main outcomes were pain intensity, emotional distress from pain, vital signs, and amount of analgesic intake. Study quality was evaluated according to the Cochrane Collaboration guidelines. RESULTS Analysis of the 97 included studies revealed that music interventions had statistically significant effects in decreasing pain on 0-10 pain scales (MD = -1.13), other pain scales (SMD = -0.39), emotional distress from pain (MD = -10.83), anesthetic use (SMD = -0.56), opioid intake (SMD = -0.24), non-opioid intake (SMD = -0.54), heart rate (MD = -4.25), systolic blood pressure (MD = -3.34), diastolic blood pressure (MD = -1.18), and respiration rate (MD = -1.46). Subgroup and moderator analyses yielded additional clinically informative outcomes. CONCLUSIONS Considering all the possible benefits, music interventions may provide an effective complementary approach for the relief of acute, procedural, and cancer/chronic pain in the medical setting.

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音乐对疼痛的影响:一项元分析。

关于音乐和疼痛的话题已经进行了大量的荟萃分析，最新的综合研究发表于2006年。从那时起，已经发表了70多个随机对照试验(rct)，需要进行新的全面审查。目的:本荟萃分析的目的是检查已发表的关于音乐对疼痛影响的随机对照试验研究。方法本研究纳入1995 - 2014年发表的随机对照试验。通过检索12个数据库和手工检索相关期刊和参考文献获得研究结果。主要结局为疼痛强度、疼痛引起的情绪困扰、生命体征和镇痛药的摄入量。根据Cochrane协作指南评估研究质量。结果对纳入的97项研究的分析显示，音乐干预在减轻疼痛(0-10疼痛量表(MD = -1.13)、其他疼痛量表(SMD = -0.39)、疼痛引起的情绪痛苦(MD = -10.83)、麻醉药使用(SMD = -0.56)、阿片类药物摄入(SMD = -0.24)、非阿片类药物摄入(SMD = -0.54)、心率(MD = -4.25)、收缩压(MD = -3.34)、舒张压(MD = -1.18)和呼吸速率(MD = -1.46)方面具有统计学意义。亚组和调节因子分析产生了额外的临床信息结果。结论:考虑到所有可能的益处，音乐干预可能为医疗环境中缓解急性、程序性和癌症/慢性疼痛提供有效的补充方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.