The effect of music therapy on treating patients pain and anxiety in emergency department: a randomized controlled trial
Abstract Background Music therapy (MT) is a recognized modality for pain and anxiety reduction. Although its efficacy has been demonstrated in various clinical settings, its application in emergency departments (ED) remains controversial. This study aims to study the effects of MT in reducing pain a...
Saved in:
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-04-01
|
| Series: | International Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12245-025-00878-4 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850184754015502336 |
|---|---|
| author | Chuenruthai Angkoontassaneeyarat Panatsaya Detsurang Piraya Vichiensanth Phanorn Chalermdamrichai Arrug Wibulpolprasert Natsinee Athinartrattanapong Phatthranit Phattharapornjaroen Natee Chiengchana Wiputh Kehasuwan Gritsada Huncharoen Kanokkan Pothilert Preedaporn Thipnangrong Sirinat Loungnarin Chaiyaporn Yuksen |
| author_facet | Chuenruthai Angkoontassaneeyarat Panatsaya Detsurang Piraya Vichiensanth Phanorn Chalermdamrichai Arrug Wibulpolprasert Natsinee Athinartrattanapong Phatthranit Phattharapornjaroen Natee Chiengchana Wiputh Kehasuwan Gritsada Huncharoen Kanokkan Pothilert Preedaporn Thipnangrong Sirinat Loungnarin Chaiyaporn Yuksen |
| author_sort | Chuenruthai Angkoontassaneeyarat |
| collection | DOAJ |
| description | Abstract Background Music therapy (MT) is a recognized modality for pain and anxiety reduction. Although its efficacy has been demonstrated in various clinical settings, its application in emergency departments (ED) remains controversial. This study aims to study the effects of MT in reducing pain and anxiety among patients visiting the ED with pain complaints. Methods A single-center, randomized controlled trial was conducted at Ramathibodi Hospital, Bangkok, from July 2023 to September 2024. During each month of the study period, three days were randomly selected for the MT group, and another three days were designated for the non-MT group. All participants received standard analgesia and completed pre- and post-session questionnaires to assess pain, anxiety, satisfaction, and ED service quality before and one hour after analgesia. The MT group received MT sessions, each lasting 30–40 min. Results Sixty-three patients participated (31 MT group, 32 control group). The MT group showed a significant reduction in pain scores of 1.52 points compared to 0.09 in the non-MT group (p 0.002). Anxiety score was also significantly reduced in the MT group by 1.87 points compared to 0.44 points in the non-MT group (p 0.026). The most significant improvements were observed in non-trauma-related pain and anxiety. Satisfaction scores increased in both groups (0.48 vs. 0.47 points; p 0.946), with no significant difference. However, MT significantly improved perceived ED service quality (0.98 vs. 0.10 points; p 0.001). Conclusion In this study, we found that music therapy, when combined with standard analgesia, effectively reduced pain and anxiety in patients presenting to the ED, particularly those with non-trauma-related pain. Clinical trial number TCTR20231109003. Registration site Thai Clinical Trials Registry. URL: https://www.thaiclinicaltrials.org/show/TCTR20231109003 . Date of approval: 20 June 2023. |
| format | Article |
| id | doaj-art-8aa4f8ea550848c18e9742d2dd61009d |
| institution | OA Journals |
| issn | 1865-1380 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Emergency Medicine |
| spelling | doaj-art-8aa4f8ea550848c18e9742d2dd61009d2025-08-20T02:16:56ZengBMCInternational Journal of Emergency Medicine1865-13802025-04-011811910.1186/s12245-025-00878-4The effect of music therapy on treating patients pain and anxiety in emergency department: a randomized controlled trialChuenruthai Angkoontassaneeyarat0Panatsaya Detsurang1Piraya Vichiensanth2Phanorn Chalermdamrichai3Arrug Wibulpolprasert4Natsinee Athinartrattanapong5Phatthranit Phattharapornjaroen6Natee Chiengchana7Wiputh Kehasuwan8Gritsada Huncharoen9Kanokkan Pothilert10Preedaporn Thipnangrong11Sirinat Loungnarin12Chaiyaporn Yuksen13Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDepartment of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDepartment of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDepartment of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDepartment of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDepartment of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDepartment of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityCollege of Music, Mahidol UniversityCollege of Music, Mahidol UniversityCollege of Music, Mahidol UniversityNursing Department, Faculty of Medicine, Ramathibodi Hospital, Ramathibodi Hospital, Mahidol UniversityNursing Department, Faculty of Medicine, Ramathibodi Hospital, Ramathibodi Hospital, Mahidol UniversityNursing Department, Faculty of Medicine, Ramathibodi Hospital, Ramathibodi Hospital, Mahidol UniversityDepartment of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityAbstract Background Music therapy (MT) is a recognized modality for pain and anxiety reduction. Although its efficacy has been demonstrated in various clinical settings, its application in emergency departments (ED) remains controversial. This study aims to study the effects of MT in reducing pain and anxiety among patients visiting the ED with pain complaints. Methods A single-center, randomized controlled trial was conducted at Ramathibodi Hospital, Bangkok, from July 2023 to September 2024. During each month of the study period, three days were randomly selected for the MT group, and another three days were designated for the non-MT group. All participants received standard analgesia and completed pre- and post-session questionnaires to assess pain, anxiety, satisfaction, and ED service quality before and one hour after analgesia. The MT group received MT sessions, each lasting 30–40 min. Results Sixty-three patients participated (31 MT group, 32 control group). The MT group showed a significant reduction in pain scores of 1.52 points compared to 0.09 in the non-MT group (p 0.002). Anxiety score was also significantly reduced in the MT group by 1.87 points compared to 0.44 points in the non-MT group (p 0.026). The most significant improvements were observed in non-trauma-related pain and anxiety. Satisfaction scores increased in both groups (0.48 vs. 0.47 points; p 0.946), with no significant difference. However, MT significantly improved perceived ED service quality (0.98 vs. 0.10 points; p 0.001). Conclusion In this study, we found that music therapy, when combined with standard analgesia, effectively reduced pain and anxiety in patients presenting to the ED, particularly those with non-trauma-related pain. Clinical trial number TCTR20231109003. Registration site Thai Clinical Trials Registry. URL: https://www.thaiclinicaltrials.org/show/TCTR20231109003 . Date of approval: 20 June 2023.https://doi.org/10.1186/s12245-025-00878-4Music therapyPain managementAnxiety reductionEmergency department |
| spellingShingle | Chuenruthai Angkoontassaneeyarat Panatsaya Detsurang Piraya Vichiensanth Phanorn Chalermdamrichai Arrug Wibulpolprasert Natsinee Athinartrattanapong Phatthranit Phattharapornjaroen Natee Chiengchana Wiputh Kehasuwan Gritsada Huncharoen Kanokkan Pothilert Preedaporn Thipnangrong Sirinat Loungnarin Chaiyaporn Yuksen The effect of music therapy on treating patients pain and anxiety in emergency department: a randomized controlled trial International Journal of Emergency Medicine Music therapy Pain management Anxiety reduction Emergency department |
| title | The effect of music therapy on treating patients pain and anxiety in emergency department: a randomized controlled trial |
| title_full | The effect of music therapy on treating patients pain and anxiety in emergency department: a randomized controlled trial |
| title_fullStr | The effect of music therapy on treating patients pain and anxiety in emergency department: a randomized controlled trial |
| title_full_unstemmed | The effect of music therapy on treating patients pain and anxiety in emergency department: a randomized controlled trial |
| title_short | The effect of music therapy on treating patients pain and anxiety in emergency department: a randomized controlled trial |
| title_sort | effect of music therapy on treating patients pain and anxiety in emergency department a randomized controlled trial |
| topic | Music therapy Pain management Anxiety reduction Emergency department |
| url | https://doi.org/10.1186/s12245-025-00878-4 |
| work_keys_str_mv | AT chuenruthaiangkoontassaneeyarat theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT panatsayadetsurang theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT pirayavichiensanth theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT phanornchalermdamrichai theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT arrugwibulpolprasert theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT natsineeathinartrattanapong theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT phatthranitphattharapornjaroen theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT nateechiengchana theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT wiputhkehasuwan theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT gritsadahuncharoen theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT kanokkanpothilert theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT preedapornthipnangrong theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT sirinatloungnarin theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT chaiyapornyuksen theeffectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT chuenruthaiangkoontassaneeyarat effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT panatsayadetsurang effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT pirayavichiensanth effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT phanornchalermdamrichai effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT arrugwibulpolprasert effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT natsineeathinartrattanapong effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT phatthranitphattharapornjaroen effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT nateechiengchana effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT wiputhkehasuwan effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT gritsadahuncharoen effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT kanokkanpothilert effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT preedapornthipnangrong effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT sirinatloungnarin effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial AT chaiyapornyuksen effectofmusictherapyontreatingpatientspainandanxietyinemergencydepartmentarandomizedcontrolledtrial |