Advertisement

Group Singing Has Multiple Benefits in the Context of Chronic Pain: An Exploratory Pilot Study

Published:September 05, 2019DOI:https://doi.org/10.1016/j.pmn.2019.07.008

      Abstract

      Aims

      This paper reports findings of a pilot singing intervention to assist people living with chronic pain.

      Methods

      Pain Management Clinic outpatients participated in 10 weekly group singing sessions. Benefits of the intervention and its impact on participants’ (N = 4) experiences of pain were explored qualitatively.

      Results

      Three main themes comprising over 20 separate codes indicated physical, psychological, and social dimensions associated with the intervention. People with chronic pain identify multiple benefits from participating in a group singing program.

      Conclusions

      Results indicate that group singing in chronic pain settings has multiple benefits and may positively complement clinical outcomes, serving as an effective adjunct to conventional pain management care and nursing.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Pain Management Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Abell R.V.
        • Baird A.D.
        • Chalmers K.A.
        Group singing and health-related quality of life in Parkinson’s disease.
        Health Psychology. 2017; 36: 55-64
        • Bernatzky G.
        • Strickner S.
        • Presch M.
        • Wendtner K.W.
        Music as non-pharmacological pain management in clinics.
        in: Macdonald R.A. Kreutz G. Mitchell L. Music, Health, and Well-Being. Oxford University Press, Oxford2012
        • Blyth F.
        • March L.
        • Brnabic A.
        • Jorm L.
        • Williamson M.
        • Cousins M.
        Chronic pain in Australia: A prevalence study.
        Pain. 2001; 89: 127-134
        • Bonilha A.G.
        • Onofre F.
        • Vieira M.L.
        • Almeida Prado M.Y.
        • Martinez J.A.
        Effects of singing classes on pulmonary function and quality of life of COPD patients.
        International Journal of COPD. 2009; 4: 1-8
        • Bradt J.
        • Norris M.
        • Shim M.
        • Gracely E.J.
        • Gerrity P.
        Vocal music therapy for chronic pain management in inner-city African Americans: A mixed methods feasibility study.
        Journal of Music Therapy. 2016; 53: 178-206
        • Braun V.
        • Clarke V.
        Using thematic analysis in psychology.
        Qualitative Research In Psychology. 2006; 3: 77-101
        • Butler D.S.
        • Moseley G.L.
        Explain pain.
        2nd ed. Noigroup Publications, Adelaide City West, South Austratlia2013
        • Camic P.M.
        • Williams C.M.
        • Meeten F.
        Does a ‘singing together group’ improve the quality of life of people with a dementia and their carers? A pilot evaluation study.
        Dementia (London). 2013; 12: 157-176
        • Clift S.
        • Camic P.M.
        • Chapman B.
        • Clayton G.
        • Daykin N.
        • Eades G.
        • White M.
        The state of arts and health in England.
        Arts & Health. 2009; 1: 6-35
        • Clift S.
        • Hancox G.
        The perceived benefits of singing: Findings from preliminary surveys of a university college choral society.
        Journal of the Royal Society for the Promotion of Health. 2001; 121: 248-256
        • Clift S.
        • Hancox G.
        The significance of choral singing for sustaining psychological wellbeing: Findings from a survey of choristers in England, Australia and Germany.
        Music Performance Research. 2010; 3: 79-96
        • Clift S.
        • Hancox G.
        • Morrison I.
        • Hess B.
        • Kreutz G.
        • Stewart D.
        Choral singing and psychological wellbeing: Quantitative and qualitative findings from English choirs in a cross-national survey.
        Journal of Applied Arts & Health. 2010; 1: 19-34
        • Clift S.
        • Manship S.
        • Stephens L.
        Further evidence that singing fosters mental health and wellbeing: The West Kent and Medway project.
        Mental Health and Social Inclusion. 2017; 21: 53-62
        • Daykin N.
        • Mansfield L.
        • Meads C.
        • Julier G.
        • Tomlinson A.
        • Payne A.
        • Victor C.
        What works for wellbeing? A systematic review of wellbeing outcomes for music and singing in adults.
        Perspect Public Health. 2018; 138: 39-46
        • Dunbar R.I.M.
        • Kaskatis K.
        • MacDonald I.
        • Barra V.
        Performance of music elevates pain threshold and positive affect: Implications for the evolutionary function of music.
        Evolutionary Psychology. 2012; 10: 688-702
        • Fancourt D.
        • Poon M.
        Validation of the Arts Observational Scale (ArtsObS) for the evaluation of performing arts activities in health care settings.
        Arts & Health. 2016; 8: 140-153
        • Flor H.
        • Turk D.C.
        Chronic Pain: An Integrated Biobehavioral Approach.
        IASP Press, Seattle2011
        • Gatchel R.J.
        • Peng Y.B.
        • Peters M.L.
        • Fuchs P.N.
        • Turk D.C.
        The biopsychosocial approach to chronic pain: Scientific advances and future directions.
        Psychology Bulletin. 2007; 133: 581-624
        • Goldberg D.S.
        • McGee S.J.
        Pain as a global public health priority.
        BMC Public Health. 2011; 11: 770
        • Hammarberg K.
        • Kirkman M.
        • de Lacey S.
        Qualitative research methods: When to use them and how to judge them.
        Human Reproduction. 2016; 31: 498-501
        • Hopper M.J.
        • Curtis S.
        • Hodge S.
        • Simm R.
        A qualitative study exploring the effects of attending a community pain service choir on wellbeing in people who experience chronic pain.
        British Journal of Pain. 2016; 10: 124
        • Irons J.Y.
        • Kenny D.T.
        • McElrea M.
        • Chang A.B.
        Singing therapy for young people with cystic fibrosis: A randomized controlled pilot study.
        Music and Medicine. 2012; 4: 136-145
        • Irons J.Y.
        • Kuipers K.
        • Petocz P.
        Exploring the health benefits of singing for young people with cystic fibrosis.
        International Journal of Therapy and Rehabilitation. 2013; 20: 144-153
        • Irons J.Y.
        • Petocz P.
        • Kenny D.T.
        • Chang A.B.
        Singing as an adjunct therapy for children and adults with cystic fibrosis.
        Cochrane Database of Systematic Reviews. 2016; 9: CD008036
        • Jensen A.
        • Stickley T.
        • Edgley A.
        The perspectives of people who use mental health services engaging with arts and cultural activities.
        Mental Health and Social Inclusion. 2016; 20: 180-186
        • Juuso P.
        • Skär L.
        • Olsson M.
        • Söderberg S.
        Living with a double burden: Meanings of pain for women with fibromyalgia.
        International Journal of Qualitative Studies on Health and Well-Being. 2011; 6: 7184
        • Kenny D.T.
        • Faunce G.
        The impact of group singing on mood, coping, and perceived pain in chronic pain patients attending a multidisciplinary pain clinic.
        Journal of Music Therapy. 2004; 41: 241-258
        • Kissin I.
        Long-term opioid treatment of chronic nonmalignant pain: Unproven efficacy and neglected safety?.
        Journal of Pain Research. 2013; 6: 513-529
        • Kreutz G.
        Does singing facilitate social bonding?.
        Music and Medicine. 2014; 6: 30
        • Lord V.M.
        • Cave P.
        • Hume V.J.
        • Flude E.J.
        • Evans A.
        • Kelly J.L.
        • Hopkinson N.S.
        Singing teaching as a therapy for chronic respiratory disease—a randomised controlled trial and qualitative evaluation.
        BMC Pulmonary Medicine. 2010; 10: 11
        • Lord V.M.
        • Hume V.J.
        • Kelly J.L.
        • Cave P.
        • Silver J.
        • Waldman M.
        • Hopkinson N.S.
        Singing classes for chronic obstructive pulmonary disease: A randomized controlled trial.
        BMC Pulmonary Medicine. 2012; 12: 69
        • Mitchell L.A.
        • MacDonald R.A.
        • Brodie E.E.
        A comparison of the effects of preferred music, arithmetic and humour on cold pressor pain.
        European Journal of Pain. 2006; 10: 343-351
        • Monbiot G.
        The town that’s found a potent cure for illness—community.
        [Press release], 2018
        • Morasco B.J.
        • Lovejoy T.I.
        • Turk D.C.
        • Crain A.
        • Hauser P.
        • Dobscha S.K.
        Biopsychosocial factors associated with pain in veterans with the hepatitis C virus.
        Journal of Behavioral Medicine. 2014; 37: 902-911
        • National Institute of Neurological Disorders and Stroke
        Chronic Pain Information.
        (Retrieved from)
        • Nilsen G.
        • Elstad I.
        Temporal experiences of persistent pain. Patients’ narratives from meetings with health care providers.
        International Journal of Qualitative Studies on Well-Being. 2009; 4: 51-61
        • Nilsson U.
        The anxiety- and pain-reducing effects of music interventions: A systematic review.
        AORN Journal. 2008; 87: 780-807
        • Ong B.N.
        • Jinks C.
        • Morden A.
        The hard work of self-management: Living with chronic knee pain.
        International Journal of Qualitative Studies on Well-Being. 2011; 6: 7035
        • Pearce E.
        • Launay J.
        • Dunbar R.I.
        The ice-breaker effect: Singing mediates fast social bonding.
        Royal Society Open Science. 2015; 2: 150221
        • Pearce E.
        • Launay J.
        • MacCarron P.
        • Dunbar R.I.
        Tuning in to others: Exploring relational and collective bonding in singing and non-singing groups over time.
        Psychology of Music. 2017; 45: 496-512
        • Pfingsten M.
        • Leibing E.
        • Harter W.
        • Kroner-Herwig B.
        • Hempel D.
        • Kronshage U.
        • Hildebrandt J.
        Fear-avoidance behavior and anticipation of pain in patients with chronic low back pain: a randomized controlled study.
        Pain Medicine. 2001; 2: 259-266
        • Plumb L.
        • Stickley T.
        Singing to promote mental health and well-being.
        Mental Health Practice. 2016; 20: 31-36
        • Richards T.
        • Coulter A.
        • Wicks P.
        Time to deliver patient centred care.
        BMJ: British Medical Journal. 2015; 350https://doi.org/10.1136/bmj.h530
        • Skingley A.
        • Vella-Burrows T.
        Therapeutic effects of music and singing for older people.
        Nursing Standard. 2010; 24: 35-41
        • Sleeman K.
        • Strang J.
        Opioids: Why “dangerous” drugs are still being used to treat pain. Health.
        (Retrieved from)
        https://www.bbc.co.uk/news/health-44797545
        Date: 2018
        Date accessed: July 25, 2018
        • Stegemöller E.L.
        • Hurt T.R.
        • O’Connor M.C.
        • Camp R.D.
        • Green C.W.
        • Pattee J.C.
        • Williams E.K.
        Experiences of persons with Parkinson’s disease engaged in group therapeutic singing.
        Journal of Music Therapy. 2017; 54: 405-431
        • Stewart D.E.
        • Irons J.Y.
        Music, public health, and health promotion: Can music be a social determinant of health?.
        in: Sunderland N. Lewandowski N. Bendrups D. Bartleet B.L. Music, Health and Wellbeing. Palgrave Macmillan, London, UK2018: 17-31
        • The International Association for the Study of Pain
        Classification of chronic pain: Descriptions of chronic pain syndromes and definitions of pain terms.
        Pain. 1986; 3: S1-S226
        • The U.S. Food and Drug Administration
        The voice of the patient: A series of reports by the U.S. Food and Drug Administration’s (FDA’s) patient-focused Drug development initiative.
        (Retrieved from)
        https://www.fda.gov/media/124390/download
        Date: 2019
        Date accessed: June 25, 2019
        • Tong A.
        • Sainsbury P.
        • Craig J.
        Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups.
        International Journal for Quality in Health Care. 2007; 19: 349-357
        • Turk D.C.
        • Okifuji A.
        Psychological factors in chronic pain: Evolution and revolution.
        Journal of Consulting and Clinical Psychology. 2002; 70: 678-690
        • Twiddy H.
        • Hanna J.
        • Haynes L.
        Growing pains: Understanding the needs of emerging adults with chronic pain.
        British Journal of Pain. 2017; 11: 108-118
        • Walker J.
        • Sofaer B.
        Predictors of psychological distress in chronic pain patients.
        Journal of Advanced Nursing. 1998; 27: 320-326
        • World Health Organization Quality of Life (WHOQOL)
        Development of the world health organization WHOQOL-BREF quality of life assessment.
        Psychological Medicine. 1998; 28: 551-558
        • Williams E.
        • Dingle G.A.
        • Clift S.
        A systematic review of mental health and wellbeing outcomes of group singing for adults with a mental health condition.
        European Journal of Public Health. 2018; 28: 1035-1042