Music interventions to reduce stress and anxiety in pregnancy: a systematic review and meta-analysisReport as inadecuate




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BMC Psychiatry

, 17:271

Stress and anxiety

Abstract

BackgroundStress and anxiety are common in pregnancy and shown to have adverse effects on maternal and infant health outcomes. The aim of this review and meta-analysis was to assess the effectiveness of music-based interventions in reducing levels of stress or anxiety among pregnant women.

MethodsSix databases were searched using key terms relating to pregnancy, psychological stress, anxiety and music. Inclusion criteria were randomised controlled or quasi-experimental trials that assessed the effect of music during pregnancy and measured levels of psychological stress or anxiety as a primary or secondary outcome. Two authors independently assessed and extracted data. Quality assessment was performed using The Cochrane Collaboration risk of bias criteria. Meta-analyses were conducted to assess stress and anxiety reduction following a music-based intervention compared to a control group that received routine antenatal care.

ResultsFive studies with 1261 women were included. Music interventions significantly reduced levels of maternal anxiety Standardised Mean Difference SMD: -0.21; 95% Confidence Interval CI -0.39, −0.03; p = 0.02. There was no significant effect on general stress SMD: -0.08; 95% CI -0.25, 0.09; p = 0.35 or pregnancy-specific stress SMD: -0.02; 95% CI -0.19, 0.15; p = 0.80. The methodological quality of included studies was moderate to weak, all studies having a high or unclear risk of bias in allocation concealment, blinding and selective outcome reporting.

ConclusionsThere is evidence that music-based interventions may reduce anxiety in pregnancy; however, the methodological quality of the studies was moderate to weak. Additional research is warranted focusing on rigour of assessment, intensity of interventions delivered and methodological limitations.

KeywordsPregnancy Psychological stress Anxiety Music Systematic review Meta-analysis Electronic supplementary materialThe online version of this article doi:10.1186-s12888-017-1432-x contains supplementary material, which is available to authorized users.

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Author: Kyrsten Corbijn van Willenswaard - Fiona Lynn - Jenny McNeill - Karen McQueen - Cindy-Lee Dennis - Marci Lobel - Fiona Alde

Source: https://link.springer.com/



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