4.2 Article

Guided Imagery and Music in the Treatment for Breast and Gynecologic Cancer: An RCT Pilot

Journal

JOURNAL OF MUSIC THERAPY
Volume -, Issue -, Pages -

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1093/jmt/thad011

Keywords

breast neoplasms; genital neoplasms; chemotherapy; quality of life; guided imagery and music

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This pilot study aimed to explore the potential effectiveness of Guided Imagery and Music (GIM), a music psychotherapy method, in assisting female patients undergoing chemotherapy for breast or gynecologic cancer. The study also aimed to suggest improvements for future larger-scale studies. Participants were randomized into an Intervention group receiving GIM sessions and a Control group receiving verbal counseling. Results showed positive changes in fatigue, hope, and mood for the Intervention group, indicating the potential benefits of GIM for female cancer patients.
The primary aim of this randomized controlled trial pilot was to investigate the potential effectiveness of the music psychotherapy method, Guided Imagery and Music (GIM), to assist female patients who are undergoing chemotherapy treatment for breast or gynecologic cancer. A secondary aim was to suggest performance improvements regarding the protocol and the resources required to undertake a future larger scale study. The researchers randomized participants (n = 20) into two groups: Intervention group (n = 10) and Control group (n = 10). The Intervention group received a series of six individual, short GIM sessions whereas the Control group received two verbal counseling sessions that took place at Week 1 and at Week 6 of treatment. All participants in the study completed the Profile of Mood States (POMS-Brief); Cancer Fatigue Scale (CFS); and Herth Hope Index (HHI) before the beginning of Week 1 and again after Week 6 or, in the case of the Intervention group, after the last GIM session. All participants also completed two Visual Analogue Scales (VAS-Hope; VAS-Fatigue) weekly or after each session throughout the duration of the trial. The results of the Intervention group receiving GIM showed medium pre-post effect sizes for the CFS, HHI, and POMS questionnaires, and significant positive changes for the VAS-H and VAS-F questionnaires. As seen from this initial data outcome, a brief series of GIM sessions shows promise to be beneficial for increasing hope, decreasing fatigue, and mitigating distressed mood for female patients undergoing treatment for breast or gynecologic cancer.

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