ABSTRACT
CONTEXT: Recent studies and anecdotal reports suggest that binaural auditory beats can affect mood, performance on vigilance tasks, and anxiety. OBJECTIVE: To determine whether mildly anxious people would report decreased anxiety after listening daily for 1 month to tapes imbedded with tones that create binaural beats, and whether they would show a definite tape preference among 3 tapes. DESIGN: A 1-group pre-posttest pilot study. SETTING: Patients' homes. PARTICIPANTS: A volunteer sample of 15 mildly anxious patients seen in the Clinique Psyché, Montreal, Quebec. INTERVENTION: Participants were asked to listen at least 5 times weekly for 4 weeks to 1 or more of 3 music tapes containing tones that produce binaural beats in the electroencephalogram delta/theta frequency range. Participants also were asked to record tape usage, tape preference, and anxiety ratings in a journal before and after listening to the tape or tapes. MAIN OUTCOME MEASURES: Anxiety ratings before and after tape listening, pre- and post-study State-Trait Anxiety Inventory scores, and tape preferences documented in daily journals. RESULTS: Listening to the binaural beat tapes resulted in a significant reduction in the anxiety score reported daily in patients' diaries. The number of times participants listened to the tapes in 4 weeks ranged from 10 to 17 (an average of 1.4 to 2.4 times per week) for approximately 30 minutes per session. End-of-study tape preferences indicated that slightly more participants preferred tape B, with its pronounced and extended patterns of binaural beats, over tapes A and C. Changes in pre- and posttest listening State-Trait Anxiety Inventory scores trended toward a reduction of anxiety, but these differences were not statistically significant. CONCLUSIONS: Listening to binaural beat tapes in the delta/theta electroencephalogram range may be beneficial in reducing mild anxiety. Future studies should account for music preference among participants and include age as a factor in outcomes, incentives to foster tape listening, and a physiologic measure of anxiety reduction. A controlled trial that includes binaural beat tapes as an adjunctive treatment to conventional therapy for mild anxiety may be warranted.
Subject(s)
Anxiety/therapy , Music Therapy , Adult , Female , Humans , Male , Middle Aged , Pilot Projects , Treatment OutcomeABSTRACT
The purpose of the present study was to investigate the hypothesis that family factors, in conjunction with clinical factors, are associated with physical outcomes in pediatric BMT. A prospective study of 68 pediatric patients (mean age = 7.5 years; ranging from 4 months to 18 years) undergoing BMT was carried out over a 6.5 year period. Physicians rated initial prognosis on a (0-5) scale which incorporated the child's diagnosis, known risk factors, and type of donor. Both parents individually completed two psychometrically sound questionnaires assessing family well-being and marital satisfaction. Cox proportional hazards survival analyses were performed to determine predictors of death (44% of the patients died). Potential predictor variables included were: initial prognosis, type of transplant, patient's age, socioeconomic status, marital satisfaction and family status, and family stress. Initial prognosis, as estimated by the physician, (RR = 0.62, 95% CI = 0.40, 0.97) was the best predictor of survival. Initial clinical factors are clearly critical in outcomes for pediatric BMT patients.
Subject(s)
Bone Marrow Transplantation/mortality , Actuarial Analysis , Adolescent , Adult , Bone Marrow Transplantation/psychology , Child , Child, Preschool , Family Health , Female , Graft vs Host Disease/mortality , Humans , Infant , Male , Middle Aged , Parents/psychology , Prognosis , Proportional Hazards Models , Prospective Studies , Quality of Life/psychology , Risk Factors , Surveys and Questionnaires , Survival Rate , Transplantation, Homologous/mortality , Transplantation, Homologous/psychology , Treatment OutcomeABSTRACT
Bone marrow transplantation (BMT) is the last resort for children with leukemia for whom conventional treatments have failed. The case presented herein is one of an adolescent girl whose parents were unable to cope with the extreme challenge of BMT. Couple- and family-related data collected prior to the BMT showed this family was at risk. Indeed, throughout the ordeal the patient seriously regressed and her parents' reactions appeared to exacerbate her condition. At discharge, when left alone, the patient manifested somatic symptoms which required her parents to attend to her needs. How family factors may influence BMT outcome is discussed.