Effects of cognitive-behavioral music therapy on fatigue in patients in a blood and marrow transplantation unit: A mixed-method pilot study

Hilary A. Fredenburg, Michael J. Silverman

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Cancer-related fatigue (CRF) is an under-treated condition frequently experienced by cancer patients, which can negatively affect wellbeing during and after hospitalization. The purpose of this mixed-method pilot study was to determine if and how cognitive-behavioral music therapy (CBMT) might reduce fatigue in hospitalized patients in an adult blood and marrow transplant (BMT) unit. The researchers measured the effects of CBMT on five aspects of participant fatigue using a convergent parallel mixed-method design. The participants (N= 11) were randomly assigned to experimental or wait-list control conditions and completed the Multidimensional Fatigue Inventory (Smets, Garssen, Bonke, & De Haes, 1995) at pre- and posttest. The experimental participants completed a semi-structured interview prior to hospital discharge. The quantitative results indicated no significant between-group differences regarding fatigue. However, the experimental participants tended to have decreases in the mean fatigue scores from pre- to posttest, whereas the control participants had increases in the mean fatigue scores from pre- to posttest. The qualitative data tended to support the quantitative data and indicated that CBMT: (a) cognitively influenced fatigue by increasing motivation and self-efficacy, (b) affectively influenced fatigue by promoting relaxation and restful states, and (c) represented a meaningful, unique, and holistic service for hospitalized BMT patients. CBMT may be an effective intervention regarding various aspects of fatigue in hospitalized BMT patients. Because of the small sample size, the results should be interpreted with caution. The limitations of the study, implications for clinical practice, and suggestions for future research are provided.

Original languageEnglish (US)
Pages (from-to)433-444
Number of pages12
JournalArts in Psychotherapy
Volume41
Issue number5
DOIs
StatePublished - Nov 1 2014

Bibliographical note

Publisher Copyright:
© 2014 Elsevier Ltd.

Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.

Keywords

  • Cancer
  • Fatigue
  • Mixed methods
  • Music therapy
  • Oncology
  • Randomized

Fingerprint Dive into the research topics of 'Effects of cognitive-behavioral music therapy on fatigue in patients in a blood and marrow transplantation unit: A mixed-method pilot study'. Together they form a unique fingerprint.

Cite this