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Psychosocial singing interventions for the mental health and well-being of family carers of patients with cancer: results from a longitudinal controlled study.

Identifieur interne : 000047 ( Main/Exploration ); précédent : 000046; suivant : 000048

Psychosocial singing interventions for the mental health and well-being of family carers of patients with cancer: results from a longitudinal controlled study.

Auteurs : Daisy Fancourt [Royaume-Uni] ; Katey Warran [Royaume-Uni] ; Saoirse Finn [Royaume-Uni] ; Theresa Wiseman [Royaume-Uni]

Source :

RBID : pubmed:31401592

Descripteurs français

English descriptors

Abstract

OBJECTIVE

The mental health challenges facing people who care for somebody with cancer are well documented. While many support interventions focus on provision of information or cognitive behavioural therapy, the literature suggests that psychosocial interventions could also be of value, especially given the low social support frequently reported by carers. Singing is a psychosocial activity shown to improve social support, increase positive emotions, and reduce fatigue and stress. This study explored whether weekly group singing can reduce anxiety, depression and well-being in cancer carers over a 6-month period.

DESIGN

A multisite non-randomised longitudinal controlled study.

SETTING

The Royal Marsden National Health Service Trust in Greater London.

PARTICIPANTS

62 adults who currently care for a spouse, relative or close friend with cancer who had not recently started any psychological therapy or medication.

INTERVENTIONS

On enrolment, participants selected to join a weekly community choir for 12 weeks (n=33) or continue with life as usual (n=29).

OUTCOME MEASURES

The primary outcome was mental health using the Hospital Anxiety and Depression Scale. The secondary outcome was well-being using the Warwick Edinburgh Mental Wellbeing Scale. Using linear mixed effects models, we compared the change in mental health and well-being over time between the two groups while adjusting for confounding variables including demographics, health-related variables, musical engagement and length of time caring.

RESULTS

Participants in the choir group showed a significantly greater decrease in anxiety over time than participants in the control group (B=-0.94, SE=0.38, p=0.013) and a significantly greater increase in well-being (B=1.25, SE=0.49, p=0.011). No changes were found for depression. Sub-group analyses showed carers with anxiety or below-average well-being were most likely to benefit.

CONCLUSIONS

This study builds on previous research showing the mental health benefits of singing for people with cancer by showing that weekly singing can also support anxiety and well-being in cancer carers.


DOI: 10.1136/bmjopen-2018-026995
PubMed: 31401592
PubMed Central: PMC6701813


Affiliations:

Links toward previous steps (curation, corpus...)

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<b>OBJECTIVE</b>
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<p>The mental health challenges facing people who care for somebody with cancer are well documented. While many support interventions focus on provision of information or cognitive behavioural therapy, the literature suggests that psychosocial interventions could also be of value, especially given the low social support frequently reported by carers. Singing is a psychosocial activity shown to improve social support, increase positive emotions, and reduce fatigue and stress. This study explored whether weekly group singing can reduce anxiety, depression and well-being in cancer carers over a 6-month period.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>A multisite non-randomised longitudinal controlled study.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>The Royal Marsden National Health Service Trust in Greater London.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>PARTICIPANTS</b>
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<p>62 adults who currently care for a spouse, relative or close friend with cancer who had not recently started any psychological therapy or medication.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>INTERVENTIONS</b>
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<p>On enrolment, participants selected to join a weekly community choir for 12 weeks (n=33) or continue with life as usual (n=29).</p>
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<div type="abstract" xml:lang="en">
<p>
<b>OUTCOME MEASURES</b>
</p>
<p>The primary outcome was mental health using the Hospital Anxiety and Depression Scale. The secondary outcome was well-being using the Warwick Edinburgh Mental Wellbeing Scale. Using linear mixed effects models, we compared the change in mental health and well-being over time between the two groups while adjusting for confounding variables including demographics, health-related variables, musical engagement and length of time caring.</p>
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<p>
<b>RESULTS</b>
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<p>Participants in the choir group showed a significantly greater decrease in anxiety over time than participants in the control group (B=-0.94, SE=0.38, p=0.013) and a significantly greater increase in well-being (B=1.25, SE=0.49, p=0.011). No changes were found for depression. Sub-group analyses showed carers with anxiety or below-average well-being were most likely to benefit.</p>
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<b>CONCLUSIONS</b>
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<p>This study builds on previous research showing the mental health benefits of singing for people with cancer by showing that weekly singing can also support anxiety and well-being in cancer carers.</p>
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<CoiStatement>Competing interests: The funding for this study was provided by Tenovus Cancer Care who run the choirs used as the intervention in this study. However, no member of staff from Tenovus Cancer Care was involved in the specifics of the study design or in the data collection, analysis or interpretation of the data, the writing of the report, or the decision to submit the paper for publication.</CoiStatement>
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