Effectiveness of a music intervention on pruritus: an open randomized prospective study.
Identifieur interne : 000312 ( Main/Exploration ); précédent : 000311; suivant : 000313Effectiveness of a music intervention on pruritus: an open randomized prospective study.
Auteurs : S. Demirtas [France] ; C. Houssais [France] ; J. Tanniou [France] ; L. Misery [France] ; E. Brenaut [France]Source :
- Journal of the European Academy of Dermatology and Venereology : JEADV [ 1468-3083 ] ; 2020.
Abstract
BACKGROUND
Pruritus is a common symptom in many skin diseases. Music interventions have demonstrated their efficacy in different symptoms or diseases such as pain, depression and anxiety.
OBJECTIVE
To evaluate the effects of a music intervention on pruritus.
PATIENTS AND METHODS
A randomized controlled trial was conducted from November 2018 to April 2019. Fifty inpatients with pruritus intensity ≥3/10 in various chronic skin diseases were randomized in a music group or an emollient group. The primary endpoint was the evolution of pruritus as measured by the Numerical Rating Scale before and one hour after the procedure. The secondary judgement criteria were the effects on patient anxiety, the impact of pruritus on the quality of life and patient satisfaction (NCT03701971).
RESULTS
Fifty patients with chronic pruritus were included, 62% were male, and the average age was 60.7 years. The most common diseases were psoriasis (N = 10), atopic dermatitis (N = 8) and contact eczema (N = 6). The average ItchyQol score was 64.8/110, showing a significant impact on quality of life. The intensity of pruritus decreased more significantly in the music intervention group than in the emollient group: 2.3 (SD 2.1) and 1.2 (SD 1.7), respectively (P < 0.05). There was a decrease in anxiety in both groups, with no statistical significant difference between groups. Among patients who received the music intervention, 64% reported feeling an improvement, 91% would recommend the music intervention, and 64% would like to continue this practice.
DISCUSSION
Pruritus management is complex and requires first-line aetiological treatment. Aetiological or symptomatic treatments do not always provide enough relief; it is useful to find other therapeutic options. The music intervention has shown interest in our study. Its repeated use over the long term will be interesting to evaluate. As in pain, music may work by activating inhibitory neural circuits. The use of music is a simple method to manage chronic pruritus.
DOI: 10.1111/jdv.16149
PubMed: 31838780
Affiliations:
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Demirtas</name><affiliation wicri:level="3"><nlm:affiliation>Dermatology department, University Hospital of Brest, Brest, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Dermatology department, University Hospital of Brest, Brest</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Houssais, C" sort="Houssais, C" uniqKey="Houssais C" first="C" last="Houssais">C. Houssais</name><affiliation wicri:level="3"><nlm:affiliation>Dermatology department, University Hospital of Brest, Brest, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Dermatology department, University Hospital of Brest, Brest</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Tanniou, J" sort="Tanniou, J" uniqKey="Tanniou J" first="J" last="Tanniou">J. Tanniou</name><affiliation wicri:level="3"><nlm:affiliation>Delegation of Clinical Research and Innovation, University Hospital of Brest, Brest, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Delegation of Clinical Research and Innovation, University Hospital of Brest, Brest</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Misery, L" sort="Misery, L" uniqKey="Misery L" first="L" last="Misery">L. Misery</name><affiliation wicri:level="3"><nlm:affiliation>Dermatology department, University Hospital of Brest, Brest, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Dermatology department, University Hospital of Brest, Brest</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>University Brest, LIEN, Brest, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Brest, LIEN, Brest</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Brenaut, E" sort="Brenaut, E" uniqKey="Brenaut E" first="E" last="Brenaut">E. Brenaut</name><affiliation wicri:level="3"><nlm:affiliation>Dermatology department, University Hospital of Brest, Brest, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Dermatology department, University Hospital of Brest, Brest</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>University Brest, LIEN, Brest, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Brest, LIEN, Brest</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of the European Academy of Dermatology and Venereology : JEADV</title><idno type="eISSN">1468-3083</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Pruritus is a common symptom in many skin diseases. Music interventions have demonstrated their efficacy in different symptoms or diseases such as pain, depression and anxiety.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To evaluate the effects of a music intervention on pruritus.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS AND METHODS</b></p><p>A randomized controlled trial was conducted from November 2018 to April 2019. Fifty inpatients with pruritus intensity ≥3/10 in various chronic skin diseases were randomized in a music group or an emollient group. The primary endpoint was the evolution of pruritus as measured by the Numerical Rating Scale before and one hour after the procedure. The secondary judgement criteria were the effects on patient anxiety, the impact of pruritus on the quality of life and patient satisfaction (NCT03701971).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Fifty patients with chronic pruritus were included, 62% were male, and the average age was 60.7 years. The most common diseases were psoriasis (N = 10), atopic dermatitis (N = 8) and contact eczema (N = 6). The average ItchyQol score was 64.8/110, showing a significant impact on quality of life. The intensity of pruritus decreased more significantly in the music intervention group than in the emollient group: 2.3 (SD 2.1) and 1.2 (SD 1.7), respectively (P < 0.05). There was a decrease in anxiety in both groups, with no statistical significant difference between groups. Among patients who received the music intervention, 64% reported feeling an improvement, 91% would recommend the music intervention, and 64% would like to continue this practice.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>Pruritus management is complex and requires first-line aetiological treatment. Aetiological or symptomatic treatments do not always provide enough relief; it is useful to find other therapeutic options. The music intervention has shown interest in our study. Its repeated use over the long term will be interesting to evaluate. As in pain, music may work by activating inhibitory neural circuits. The use of music is a simple method to manage chronic pruritus.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">31838780</PMID><DateRevised><Year>2020</Year><Month>06</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1468-3083</ISSN><JournalIssue CitedMedium="Internet"><Volume>34</Volume><Issue>6</Issue><PubDate><Year>2020</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Journal of the European Academy of Dermatology and Venereology : JEADV</Title><ISOAbbreviation>J Eur Acad Dermatol Venereol</ISOAbbreviation></Journal><ArticleTitle>Effectiveness of a music intervention on pruritus: an open randomized prospective study.</ArticleTitle><Pagination><MedlinePgn>1280-1285</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/jdv.16149</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Pruritus is a common symptom in many skin diseases. Music interventions have demonstrated their efficacy in different symptoms or diseases such as pain, depression and anxiety.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate the effects of a music intervention on pruritus.</AbstractText><AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">A randomized controlled trial was conducted from November 2018 to April 2019. Fifty inpatients with pruritus intensity ≥3/10 in various chronic skin diseases were randomized in a music group or an emollient group. The primary endpoint was the evolution of pruritus as measured by the Numerical Rating Scale before and one hour after the procedure. The secondary judgement criteria were the effects on patient anxiety, the impact of pruritus on the quality of life and patient satisfaction (NCT03701971).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Fifty patients with chronic pruritus were included, 62% were male, and the average age was 60.7 years. The most common diseases were psoriasis (N = 10), atopic dermatitis (N = 8) and contact eczema (N = 6). The average ItchyQol score was 64.8/110, showing a significant impact on quality of life. The intensity of pruritus decreased more significantly in the music intervention group than in the emollient group: 2.3 (SD 2.1) and 1.2 (SD 1.7), respectively (P < 0.05). There was a decrease in anxiety in both groups, with no statistical significant difference between groups. Among patients who received the music intervention, 64% reported feeling an improvement, 91% would recommend the music intervention, and 64% would like to continue this practice.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Pruritus management is complex and requires first-line aetiological treatment. Aetiological or symptomatic treatments do not always provide enough relief; it is useful to find other therapeutic options. The music intervention has shown interest in our study. Its repeated use over the long term will be interesting to evaluate. As in pain, music may work by activating inhibitory neural circuits. The use of music is a simple method to manage chronic pruritus.</AbstractText><CopyrightInformation>© 2019 European Academy of Dermatology and Venereology.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Demirtas</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Dermatology department, University Hospital of Brest, Brest, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Houssais</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Dermatology department, University Hospital of Brest, Brest, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tanniou</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Delegation of Clinical Research and Innovation, University Hospital of Brest, Brest, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Misery</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Dermatology department, University Hospital of Brest, Brest, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University Brest, LIEN, Brest, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brenaut</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Dermatology department, University Hospital of Brest, Brest, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University Brest, LIEN, Brest, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName><AccessionNumberList><AccessionNumber>NCT03701971</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>01</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Eur Acad Dermatol Venereol</MedlineTA><NlmUniqueID>9216037</NlmUniqueID><ISSNLinking>0926-9959</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>08</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>10</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31838780</ArticleId><ArticleId IdType="doi">10.1111/jdv.16149</ArticleId></ArticleIdList><ReferenceList><Title>References</Title><Reference><Citation>Kini SP, DeLong LK, Veledar E, McKenzie-Brown AM, Schaufele M, Chen SC. 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Misery</name><name sortKey="Misery, L" sort="Misery, L" uniqKey="Misery L" first="L" last="Misery">L. Misery</name><name sortKey="Tanniou, J" sort="Tanniou, J" uniqKey="Tanniou J" first="J" last="Tanniou">J. Tanniou</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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