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The Effects of Music on Pain and Anxiety During Screening Mammography

Kathleen Evanovich Zavotsky
Adrienne Banavage
Patricia James
Kathy Easter
Vicky Pontieri-Lewis
Lynn Lutwin
CJON 2014, 18(3), E45-E49 DOI: 10.1188/14.CJON.E45-E49

One in four women who are diagnosed with breast cancer die annually, and the single most important way to prevent this is early detection; therefore, women older than 40 years should have an annual screening mammography. Many barriers have been reported that prevent compliance with this recommendation, including lack of insurance, fear, anxiety, pain, worry, and mistrust of the medical community. Nurses are in a position to use creative interventions, such as music therapy, to help minimize barriers. Although this study did not show that music therapy during screening mammograms decreased the amount of pain that the participants experienced, it did suggest that music therapy has the potential to decrease the amount of anxiety. Assisting patients in decreasing anxiety reduces barriers for screening mammography. The literature does suggest that music is a distraction for many populations of patients; however, when patients are faced with the possible diagnosis of breast cancer, it may be difficult to find an intervention to distract a woman's mind, which was supported by the findings of this study.

References 

Allred, K.D., Byers, J.F. & Sole, ML. (2010) The effect of music on postoperative pain and anxiety. <i>Pain Management Nursing, 11</i>, 15-25. doi:10.1016/j.pmn.2008.12.002

Binns-Turner, P.G., Wilson, L.L., Pryor, E.R., Boyd, G.L., & Prickett, C.A. (2011). Perioperative music and its effects on anxiety, hemodynamics, and pain in women undergoing mastectomy. <i>AANA Journal, 79</i>(4, Suppl.), S21-S27.

Domar, A., Eyvazzadeh, A., Allen, S., Roman, K., Wolf, R., Orav, J., … Baum, J.(2005). Relaxation techniques for reducing pain and anxiety during screening mammography. <i>American Journal of Radiology, 184</i>, 445-447.

Gallagher, L.M. (2011) The role of music therapy in palliative medicine and supportive care. <i>Seminars in Oncology, 38</i>, 403-406. doi:10.1053/j.seminoncol.2011.03.010

Hafslund, B. (2000). Mammography and the experience of pain and anxiety. <i>Radiography, 6</i>, 269-272. doi:10.1053/radi.2000.0281

Haun, M., Mainous, R.O., & Looney, S.W. (2001). Effects of music on anxiety of women awaiting breast biopsy. <i>Behavioral Medicine, 27</i>, 127-132. doi:10.1080/08964280109595779

Lambertz, C.K., Johnson, C.J., Montgomery, P.G., & Maxwell, J.R. (2008). Premedication to reduce discomfort during screening mammography. <i>Radiology, 248</i>, 765-772. doi:10.1148/radiol.2482071490

Markle, L., Roux, S., & Sayre, J. (2004). Reduction of discomfort during mammography utilizing radiolucent cushioning pad. <i>Breast Journal, 10</i>, 345-359. doi:10.1111/j.1075-122X.2004.21352.x

Poulos, A., & Llewellyn, G. (2005). Mammography discomfort: A holistic perspective derived from women's experiences. <i>Radiography, 11</i>, 17-25. doi:10.1016/j.radi.2004.07.002

Sanikop, S., Agrawal, P., & Patil, S. (2011). Relationship between dental anxiety and pain perception during scaling. <i>Journal of Oral Science, 53</i>, 341-348. doi:10.2334/josnusd.53.341

Schueler, K.M., Chu, P.W., & Smith-Bindman, R. (2008). Factors associated with mammography utilization: A systematic quantitative review of the literature. <i>Journal of Women's Health, 17</i>, 1477-1493. doi:10.1089/jwh.2007.0603

Shabanloei, R., Golchin, M., Esfahani, A., Dolatkhah, R., & Rasoulian, M. (2010). Effects of music therapy on pain and anxiety in patients undergoing bone marrow biopsy and aspiration. <i>AORN Journal, 91</i>, 746-750. doi:10.1016/j.aorn.2010.04.001

Siedliecki, S.L. & Good, M. (2006). Effect of music on power, pain, depression and disability. <i>Journal of Advanced Nursing, 54</i>, 553-562. doi:10.1111/j.1365-2648.2006.03860.x

Strahl, C., Kleinknecht, R.A., & Dinnel, D.L. (2000). The role of pain anxiety, coping, and pain self-efficacy in rheumatoid arthritis patient functioning. <i>Behaviour Research and Therapy, 38</i>, 863-873. doi:10.1016/S0005-7967(99)00102-3

Tang, J., & Gibson, S.J. (2005). A psychophysical evaluation of the relationship between trait anxiety, pain perception, and induced state anxiety. <i>Journal of Pain, 6</i>, 612-619. doi:10.1016/j.jpain.2005.03.009

Wakim, J.H., Smith, S. & Guinn, C. (2010) The efficacy of music therapy. <i>Journal of Perianesthesia Nursing, 25</i>, 226-232. doi:10.1016/j.jopan.2010.05.009

Zhang, J.M., Wang, P., Yao, J.X., Davis, M.P., Walsh, D. & Yue, G.H. (2012). Music interventions for psychological and physical outcomes in cancer: A systematic review and meta-analysis. <i>Supportive Care Cancer, 20</i>, 3043-3053.