Music and Health

The use of music listening as a self-care modality can offer a wide variety of benefits for health. It is our belief that the use of music as an inexpensive non-pharmacological form of therapy for healing and pain relief has been underutilized by practitioners and patients. While there are many anecdotal accounts on the benefits of music, this page is dedicated to providing citations for recently published literature that reports or reviews evidence or techniques for the effectiveness of music listening in health and wellness.

For the benefit of the average person, the casual listener, our primary focus will be on listening and not on specialized programs of music therapy. Certainly, music therapists can add an important dimension to complementary therapy, but music can also provide benefits for a very broad audience of individuals who use music listening as a personal therapeutic tool. Studies support the benefits of music listening to relieve pain, reduce anxiety and tension, enhance relaxation, improve metabolism, reduce respiratory rates, and improve blood pressure and heart rates.

In the future, we will provide a tip sheet for listening to help readers get the most out of the experience. Initially, it is important to know that music listening is a unique experience for each individual. The benefits of music are experienced best by the selection of music that is enjoyed by each listener and is appropriate for the type of outcome desired. Music that may provide stress relief for one person will differ for another, and melodies that can help provide pain relief may be different from those that aid in tension reduction. There is no single type of music that provides benefits for each person in every situation.

Read a brief summary of recent studies or reviews below; new literature will be posted as it is published.


Selection of music for inducing relaxation and alleviating pain
Chi G, Young A.
Holistic Nursing Practice. May-June 2011;25(3):127-135.

The authors, from two Texas universities, reviewed 31 articles on the selection of music to improve outcomes of pain, anxiety, relaxation, and stress. They focused on the choice of music as a means to an end: namely, relaxation or analgesia. Studies that evaluated different types of music in varied settings are reviewed and editorials by music therapists are discussed. This review reports that some studies show benefits when the patient selects the music and others indicate that expert-selected music was equally effective. The key factor appears to be the intended goal of the music . . . the awareness of whether the patient will benefit from sedating or stimulating music. The authors suggest using existing research to design music experiences that will satisfy patient needs.

Music therapy may increase breastfeeding rates among mothers of premature newborns: a randomized controlled trial
Vianna MNS, Barbosa AP, Carvalhaes AS, et al.
Jornal de Pediatria. May-June 2011;87(3):206-212.
The full-text PDF can be downloaded at (open-access may require registration; select flag for English language version):
http://www.jped.com.br/ArtigoDetalhe.aspx?varArtigo=2169

Researchers in Brazil evaluated the effects of music therapy on the breastfeeding rates of mothers with clinically stable premature infants in a Rio de Janeiro Maternity Hospital. A randomized, controlled trial of 94 mothers included an intervention group of 48 who were offered 60 minutes of music therapy 3 times per week, as well as 46 mothers in a comparison group who received usual care. Breastfeeding rates were evaluated at 7-15 days, 30 days, and 60 days following discharge. The median number of music sessions - each session had 4 parts and included opportunities for verbal expression by the mother - was 7 per subject (range: 3-25). The music therapy group reported significantly more breastfeeding infants at the first follow-up point and, while the rates were not considered significant at 30 and 60 days following discharge, the rates continued to be higher when compared to the control group. The researchers encouraged further studies with larger sample sizes in varied settings, but stated that their trial results suggest that this simple, low-cost approach "could be useful to increase breastfeeding rates among mothers of premature newborns."

Therapeutic effects of music and singing for older people
Skingley A, Vella-Burrows T.
Nursing Standard. January 13-19 2010;24(19):35-41.
The abstract and options for full-text access can be found at:
http://nursingstandard.rcnpublishing.co.uk/resources/archive/GetArticleById.asp?ArticleId=7446

To address the question of whether music and singing can contribute to the health and well-being of older adults, researchers in England systematically reviewed existing literature. Sixteen studies of varying types met inclusion criteria and were categorized into 3 areas: 1) people with dementia; 2) specific disorders (osteoarthritis, joint surgery, COPD); and 3) everyday quality of life. While all studies reported benefits from music-listening or singing in the elderly populations, the authors report some limitations in the size and strength of the studies. Further, they noted that, while additional research is needed, there is an increasing base of evidence to support the benefits of music-listening and singing.

Music for stress and anxiety reduction in coronary heart disease patients
Bradt J, Dileo C.

Cochrane Database of Systematic Reviews. 2009 Apr 15;Issue 2.

The abstract and options for full-text access can be found at:
http://www.mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD006577/frame.html

Researchers from Temple University examined the potential of music listening to reduce the distress of coronary heart disease (CHD) by performing a systematic review of the psychological and physiological effects of music intervention in this population. In a thorough review of published and unpublished literature, randomized trials that compared music interventions plus standard care with standard care alone for patients with CHD were included. An analysis of 23 studies with a total of 1461 participants showed that the majority of studies examined the effects of listening to pre-recorded music and most studies (n=21) were done without the services of a professional music therapist. While the overall results were inconsistent, music listening did have a moderate effect on anxiety levels but did not show strong evidence for reduced psychological distress.

Results further showed that music listening aided in reductions in heart rate, respiratory rate, and blood pressure in patients with CHD. Results in studies that included 2 or more music sessions showed a small and consistent benefit of pain relief. The authors report that the clinical significance of these results is unclear because the quality of study evidence was not strong, but they conclude that music listening may have a beneficial effect on blood pressure, heart rate, respiratory rate, anxiety, and pain in persons with CHD.