Singing modulates mood, stress, cortisol, cytokine and neuropeptide activity in cancer patients and carers.
Identifieur interne : 000113 ( Main/Exploration ); précédent : 000112; suivant : 000114Singing modulates mood, stress, cortisol, cytokine and neuropeptide activity in cancer patients and carers.
Auteurs : Daisy Fancourt [Royaume-Uni] ; Aaron Williamon [Royaume-Uni] ; Livia A. Carvalho [Royaume-Uni] ; Andrew Steptoe [Royaume-Uni] ; Rosie Dow [Royaume-Uni] ; Ian Lewis [Royaume-Uni]Source :
- Ecancermedicalscience [ 1754-6605 ] ; 2016.
Abstract
There is growing evidence that psychosocial interventions can have psychological benefits for people affected by cancer, including improved symptoms of mental health and wellbeing and optimised immune responses. However, despite growing numbers of music interventions, particularly singing, in cancer care, there is less research into their impact. We carried out a multicentre single-arm preliminary study to assess the impact of singing on mood, stress and immune response in three populations affected by cancer: carers (n = 72), bereaved carers (n = 66) and patients (n = 55). Participants were excluded if pregnant or if they were currently being treated with chemotherapy, radiotherapy or oral immunosuppressive drugs. Participants were regular participants in five choirs across South Wales and took part in one hour of group singing. Before and after singing, visual analogue mood scales, stress scales and saliva samples testing for cortisol, beta-endorphin, oxytocin and ten cytokines were taken. Across all five centres and in all four participant groups, singing was associated with significant reductions in negative affect and increases in positive affect (p < .01) alongside significant increases in cytokines including GM-CSF, IL17, IL2, IL4 and sIL-2rα (all p < .01). In addition, singing was associated with reductions in cortisol, beta-endorphin and oxytocin levels. This study provides preliminary evidence that singing improves mood state and modulates components of the immune system. Further work is needed to ascertain how this differs for more specific patient groups and whether repeat exposure could lead to meaningful, longitudinal effects.
DOI: 10.3332/ecancer.2016.631
PubMed: 27170831
PubMed Central: PMC4854222
Affiliations:
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Carvalho</name><affiliation wicri:level="1"><nlm:affiliation>Psychobiology Group, Department of Epidemiology and Public Health, UCL, London WC1E 6BT, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Psychobiology Group, Department of Epidemiology and Public Health, UCL, London WC1E 6BT</wicri:regionArea><wicri:noRegion>London WC1E 6BT</wicri:noRegion></affiliation></author><author><name sortKey="Steptoe, Andrew" sort="Steptoe, Andrew" uniqKey="Steptoe A" first="Andrew" last="Steptoe">Andrew Steptoe</name><affiliation wicri:level="1"><nlm:affiliation>Psychobiology Group, Department of Epidemiology and Public Health, UCL, London WC1E 6BT, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Psychobiology Group, Department of Epidemiology and Public Health, UCL, London WC1E 6BT</wicri:regionArea><wicri:noRegion>London WC1E 6BT</wicri:noRegion></affiliation></author><author><name sortKey="Dow, Rosie" sort="Dow, Rosie" uniqKey="Dow R" first="Rosie" last="Dow">Rosie Dow</name><affiliation wicri:level="1"><nlm:affiliation>Tenovus Cancer Care, Gleider House, Ty-Glas Rd, Cardiff CF14 5BD, Wales, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Tenovus Cancer Care, Gleider House, Ty-Glas Rd, Cardiff CF14 5BD, Wales</wicri:regionArea><wicri:noRegion>Wales</wicri:noRegion></affiliation></author><author><name sortKey="Lewis, Ian" sort="Lewis, Ian" uniqKey="Lewis I" first="Ian" last="Lewis">Ian Lewis</name><affiliation wicri:level="1"><nlm:affiliation>Tenovus Cancer Care, Gleider House, Ty-Glas Rd, Cardiff CF14 5BD, Wales, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Tenovus Cancer Care, Gleider House, Ty-Glas Rd, Cardiff CF14 5BD, Wales</wicri:regionArea><wicri:noRegion>Wales</wicri:noRegion></affiliation></author></analytic><series><title level="j">Ecancermedicalscience</title><idno type="ISSN">1754-6605</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There is growing evidence that psychosocial interventions can have psychological benefits for people affected by cancer, including improved symptoms of mental health and wellbeing and optimised immune responses. However, despite growing numbers of music interventions, particularly singing, in cancer care, there is less research into their impact. We carried out a multicentre single-arm preliminary study to assess the impact of singing on mood, stress and immune response in three populations affected by cancer: carers (n = 72), bereaved carers (n = 66) and patients (n = 55). Participants were excluded if pregnant or if they were currently being treated with chemotherapy, radiotherapy or oral immunosuppressive drugs. Participants were regular participants in five choirs across South Wales and took part in one hour of group singing. Before and after singing, visual analogue mood scales, stress scales and saliva samples testing for cortisol, beta-endorphin, oxytocin and ten cytokines were taken. Across all five centres and in all four participant groups, singing was associated with significant reductions in negative affect and increases in positive affect (p < .01) alongside significant increases in cytokines including GM-CSF, IL17, IL2, IL4 and sIL-2rα (all p < .01). In addition, singing was associated with reductions in cortisol, beta-endorphin and oxytocin levels. This study provides preliminary evidence that singing improves mood state and modulates components of the immune system. Further work is needed to ascertain how this differs for more specific patient groups and whether repeat exposure could lead to meaningful, longitudinal effects. </div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">27170831</PMID><DateCompleted><Year>2016</Year><Month>05</Month><Day>12</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>30</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1754-6605</ISSN><JournalIssue CitedMedium="Print"><Volume>10</Volume><PubDate><Year>2016</Year></PubDate></JournalIssue><Title>Ecancermedicalscience</Title></Journal><ArticleTitle>Singing modulates mood, stress, cortisol, cytokine and neuropeptide activity in cancer patients and carers.</ArticleTitle><Pagination><MedlinePgn>631</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3332/ecancer.2016.631</ELocationID><Abstract><AbstractText>There is growing evidence that psychosocial interventions can have psychological benefits for people affected by cancer, including improved symptoms of mental health and wellbeing and optimised immune responses. However, despite growing numbers of music interventions, particularly singing, in cancer care, there is less research into their impact. We carried out a multicentre single-arm preliminary study to assess the impact of singing on mood, stress and immune response in three populations affected by cancer: carers (n = 72), bereaved carers (n = 66) and patients (n = 55). Participants were excluded if pregnant or if they were currently being treated with chemotherapy, radiotherapy or oral immunosuppressive drugs. Participants were regular participants in five choirs across South Wales and took part in one hour of group singing. Before and after singing, visual analogue mood scales, stress scales and saliva samples testing for cortisol, beta-endorphin, oxytocin and ten cytokines were taken. Across all five centres and in all four participant groups, singing was associated with significant reductions in negative affect and increases in positive affect (p < .01) alongside significant increases in cytokines including GM-CSF, IL17, IL2, IL4 and sIL-2rα (all p < .01). In addition, singing was associated with reductions in cortisol, beta-endorphin and oxytocin levels. This study provides preliminary evidence that singing improves mood state and modulates components of the immune system. Further work is needed to ascertain how this differs for more specific patient groups and whether repeat exposure could lead to meaningful, longitudinal effects. </AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fancourt</LastName><ForeName>Daisy</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Centre for Performance Science, Royal College of Music, London SW7 2BS, UK; Faculty of Medicine, Imperial College, London SW7 2AZ, UK; Psychobiology Group, Department of Epidemiology and Public Health, UCL, London WC1E 6BT, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Williamon</LastName><ForeName>Aaron</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Centre for Performance Science, Royal College of Music, London SW7 2BS, UK; Faculty of Medicine, Imperial College, London SW7 2AZ, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carvalho</LastName><ForeName>Livia A</ForeName><Initials>LA</Initials><AffiliationInfo><Affiliation>Psychobiology Group, Department of Epidemiology and Public Health, UCL, London WC1E 6BT, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Steptoe</LastName><ForeName>Andrew</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Psychobiology Group, Department of Epidemiology and Public Health, UCL, London WC1E 6BT, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dow</LastName><ForeName>Rosie</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Tenovus Cancer Care, Gleider House, Ty-Glas Rd, Cardiff CF14 5BD, Wales, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lewis</LastName><ForeName>Ian</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Tenovus Cancer Care, Gleider House, Ty-Glas Rd, Cardiff CF14 5BD, Wales, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>04</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Ecancermedicalscience</MedlineTA><NlmUniqueID>101392236</NlmUniqueID><ISSNLinking>1754-6605</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">beta-endorphin</Keyword><Keyword MajorTopicYN="N">cancer</Keyword><Keyword MajorTopicYN="N">cortisol</Keyword><Keyword MajorTopicYN="N">cytokine</Keyword><Keyword MajorTopicYN="N">inflammation</Keyword><Keyword MajorTopicYN="N">mood</Keyword><Keyword MajorTopicYN="N">music</Keyword><Keyword MajorTopicYN="N">oxytocin</Keyword><Keyword MajorTopicYN="N">singing</Keyword><Keyword 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Carvalho</name><name sortKey="Dow, Rosie" sort="Dow, Rosie" uniqKey="Dow R" first="Rosie" last="Dow">Rosie Dow</name><name sortKey="Lewis, Ian" sort="Lewis, Ian" uniqKey="Lewis I" first="Ian" last="Lewis">Ian Lewis</name><name sortKey="Steptoe, Andrew" sort="Steptoe, Andrew" uniqKey="Steptoe A" first="Andrew" last="Steptoe">Andrew Steptoe</name><name sortKey="Williamon, Aaron" sort="Williamon, Aaron" uniqKey="Williamon A" first="Aaron" last="Williamon">Aaron Williamon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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