Utility of recorded guided imagery and relaxing music in reducing patient pain and anxiety, and surgeon anxiety, during cutaneous surgical procedures

A single-blinded randomized controlled trial

Murad Alam*, Wanjarus Roongpisuthipong, Natalie A. Kim, Amita Goyal, Jillian H. Swary, Renata T. Brindise, Sanjana Iyengar, Natalie Pace, Dennis P West, Mahesh Polavarapu, Simon S Yoo

*Corresponding author for this work

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background Guided imagery and music can reportedly reduce pain and anxiety during surgery, but no comparative study has been performed for cutaneous surgery to our knowledge. Objectives We sought to determine whether short-contact recorded guided imagery or relaxing music could reduce patient pain and anxiety, and surgeon anxiety, during cutaneous surgical procedures. Methods Subjects were adults undergoing excisional surgery for basal and squamous cell carcinoma. Randomization was to guided imagery (n = 50), relaxing music (n = 54), or control group (n = 51). Primary outcomes were pain and anxiety measured using visual analog scale and 6-item short-form of the State-Trait Anxiety Inventory, respectively. Secondary outcomes were anxiety of surgeons measured by the 6-item short-form of the State-Trait Anxiety Inventory and physical stress of patients conveyed by vital signs, respectively. Results There were no significant differences in subjects’ pain, anxiety, blood pressure, and pulse rate across groups. In the recorded guided imagery and the relaxing music group, surgeon anxiety was significantly lower than in the control group. Limitations Patients could not be blinded. Conclusion Short-contact recorded guided imagery and relaxing music appear not to reduce patient pain and anxiety during excisional procedures under local anesthetic. However, surgeon anxiety may be reduced when patients are listening to such recordings.

Original languageEnglish (US)
Pages (from-to)585-589
Number of pages5
JournalJournal of the American Academy of Dermatology
Volume75
Issue number3
DOIs
StatePublished - Sep 1 2016

Fingerprint

Dermatologic Surgical Procedures
Imagery (Psychotherapy)
Music
Anxiety
Randomized Controlled Trials
Pain
Surgeons
Equipment and Supplies
Control Groups
Vital Signs
Basal Cell Carcinoma
Random Allocation
Local Anesthetics
Visual Analog Scale
Squamous Cell Carcinoma

Keywords

  • anxiety
  • cosmetic procedure
  • guided imagery
  • relaxing music
  • skin cancer surgery

ASJC Scopus subject areas

  • Dermatology

Cite this

Alam, Murad ; Roongpisuthipong, Wanjarus ; Kim, Natalie A. ; Goyal, Amita ; Swary, Jillian H. ; Brindise, Renata T. ; Iyengar, Sanjana ; Pace, Natalie ; West, Dennis P ; Polavarapu, Mahesh ; Yoo, Simon S. / Utility of recorded guided imagery and relaxing music in reducing patient pain and anxiety, and surgeon anxiety, during cutaneous surgical procedures : A single-blinded randomized controlled trial. In: Journal of the American Academy of Dermatology. 2016 ; Vol. 75, No. 3. pp. 585-589.
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abstract = "Background Guided imagery and music can reportedly reduce pain and anxiety during surgery, but no comparative study has been performed for cutaneous surgery to our knowledge. Objectives We sought to determine whether short-contact recorded guided imagery or relaxing music could reduce patient pain and anxiety, and surgeon anxiety, during cutaneous surgical procedures. Methods Subjects were adults undergoing excisional surgery for basal and squamous cell carcinoma. Randomization was to guided imagery (n = 50), relaxing music (n = 54), or control group (n = 51). Primary outcomes were pain and anxiety measured using visual analog scale and 6-item short-form of the State-Trait Anxiety Inventory, respectively. Secondary outcomes were anxiety of surgeons measured by the 6-item short-form of the State-Trait Anxiety Inventory and physical stress of patients conveyed by vital signs, respectively. Results There were no significant differences in subjects’ pain, anxiety, blood pressure, and pulse rate across groups. In the recorded guided imagery and the relaxing music group, surgeon anxiety was significantly lower than in the control group. Limitations Patients could not be blinded. Conclusion Short-contact recorded guided imagery and relaxing music appear not to reduce patient pain and anxiety during excisional procedures under local anesthetic. However, surgeon anxiety may be reduced when patients are listening to such recordings.",
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Utility of recorded guided imagery and relaxing music in reducing patient pain and anxiety, and surgeon anxiety, during cutaneous surgical procedures : A single-blinded randomized controlled trial. / Alam, Murad; Roongpisuthipong, Wanjarus; Kim, Natalie A.; Goyal, Amita; Swary, Jillian H.; Brindise, Renata T.; Iyengar, Sanjana; Pace, Natalie; West, Dennis P; Polavarapu, Mahesh; Yoo, Simon S.

In: Journal of the American Academy of Dermatology, Vol. 75, No. 3, 01.09.2016, p. 585-589.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Utility of recorded guided imagery and relaxing music in reducing patient pain and anxiety, and surgeon anxiety, during cutaneous surgical procedures

T2 - A single-blinded randomized controlled trial

AU - Alam, Murad

AU - Roongpisuthipong, Wanjarus

AU - Kim, Natalie A.

AU - Goyal, Amita

AU - Swary, Jillian H.

AU - Brindise, Renata T.

AU - Iyengar, Sanjana

AU - Pace, Natalie

AU - West, Dennis P

AU - Polavarapu, Mahesh

AU - Yoo, Simon S

PY - 2016/9/1

Y1 - 2016/9/1

N2 - Background Guided imagery and music can reportedly reduce pain and anxiety during surgery, but no comparative study has been performed for cutaneous surgery to our knowledge. Objectives We sought to determine whether short-contact recorded guided imagery or relaxing music could reduce patient pain and anxiety, and surgeon anxiety, during cutaneous surgical procedures. Methods Subjects were adults undergoing excisional surgery for basal and squamous cell carcinoma. Randomization was to guided imagery (n = 50), relaxing music (n = 54), or control group (n = 51). Primary outcomes were pain and anxiety measured using visual analog scale and 6-item short-form of the State-Trait Anxiety Inventory, respectively. Secondary outcomes were anxiety of surgeons measured by the 6-item short-form of the State-Trait Anxiety Inventory and physical stress of patients conveyed by vital signs, respectively. Results There were no significant differences in subjects’ pain, anxiety, blood pressure, and pulse rate across groups. In the recorded guided imagery and the relaxing music group, surgeon anxiety was significantly lower than in the control group. Limitations Patients could not be blinded. Conclusion Short-contact recorded guided imagery and relaxing music appear not to reduce patient pain and anxiety during excisional procedures under local anesthetic. However, surgeon anxiety may be reduced when patients are listening to such recordings.

AB - Background Guided imagery and music can reportedly reduce pain and anxiety during surgery, but no comparative study has been performed for cutaneous surgery to our knowledge. Objectives We sought to determine whether short-contact recorded guided imagery or relaxing music could reduce patient pain and anxiety, and surgeon anxiety, during cutaneous surgical procedures. Methods Subjects were adults undergoing excisional surgery for basal and squamous cell carcinoma. Randomization was to guided imagery (n = 50), relaxing music (n = 54), or control group (n = 51). Primary outcomes were pain and anxiety measured using visual analog scale and 6-item short-form of the State-Trait Anxiety Inventory, respectively. Secondary outcomes were anxiety of surgeons measured by the 6-item short-form of the State-Trait Anxiety Inventory and physical stress of patients conveyed by vital signs, respectively. Results There were no significant differences in subjects’ pain, anxiety, blood pressure, and pulse rate across groups. In the recorded guided imagery and the relaxing music group, surgeon anxiety was significantly lower than in the control group. Limitations Patients could not be blinded. Conclusion Short-contact recorded guided imagery and relaxing music appear not to reduce patient pain and anxiety during excisional procedures under local anesthetic. However, surgeon anxiety may be reduced when patients are listening to such recordings.

KW - anxiety

KW - cosmetic procedure

KW - guided imagery

KW - relaxing music

KW - skin cancer surgery

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