Display candidate transaction variables for article
| Id | 777 | |
| Author | Fancourt D., Williamon A., Carvalho L.A., Steptoe A., Dow R., Lewis I. | |
| Title | Singing modulates mood, stress, cortisol, cytokine and neuropeptide activity in cancer patients and carers | |
| Reference | Fancourt D., Williamon A., Carvalho L.A., Steptoe A., Dow R., Lewis I.; Singing modulates mood, stress, cortisol, cytokine and neuropeptide activity in cancer patients and carers ;ecancermedicalscience vol:10.0 issue: page: |
Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84978999439&doi=10.3332%2fecancer.2016.631&partnerID=40&md5=4633e1495a3b0982747421f00a9c7bc7 |
| Abstract | There is growing evidence that psychosocial interventions can have psychological benefits for people affected by cancer, including improved symptoms of mental health and wellbeing and optimised immune responses. However, despite growing numbers of music interventions, particularly singing, in cancer care, there is less research into their impact. We carried out a multicentre single-arm preliminary study to assess the impact of singing on mood, stress and immune response in three populations affected by cancer: carers (n = 72), bereaved carers (n = 66) and patients (n = 55). Participants were excluded if pregnant or if they were currently being treated with chemotherapy, radiotherapy or oral immunosuppressive drugs. Participants were regular participants in five choirs across South Wales and took part in one hour of group singing. Before and after singing, visual analogue mood scales, stress scales and saliva samples testing for cortisol, beta-endorphin, oxytocin and ten cytokines were taken. Across all five centres and in all four participant groups, singing was associated with significant reductions in negative affect and increases in positive affect (p <.01) alongside significant increases in cytokines including GM-CSF, IL17, IL2, IL4 and sIL-2rα (all p <.01). In addition, singing was associated with reductions in cortisol, beta-endorphin and oxytocin levels. This study provides preliminary evidence that singing improves mood state and modulates components of the immune system. Further work is needed to ascertain how this differs for more specific patient groups and whether repeat exposure could lead to meaningful, longitudinal effects. © the authors; licensee ecancermedicalscience. |
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| Studies have shown reductions in anxiety, improvements in mood and reductions in cardiovascular measures such as blood pressure. . | This study provides preliminary evidence that singing improves mood state and modulates components of the immune system. . | Furthermore, there was evidence that greater improvements in mood as a result of singing were associated with lower pro-inflammatory response. . | Aggregate mood was found to improve across the choir session (p < .001) and aggregate stress was found to decrease (p < .001). . | It is instructive to note that, among both patients and carers, those with the lowest levels of mental wellbeing and highest levels of depression experienced the greatest short-term improvement in mood across the singing session, and that these larger mood changes were associated with lower levels of inflammation. . | There is growing evidence that psychosocial interventions can have psychological benefits for people affected by cancer, including improved symptoms of mental health and wellbeing and optimised immune responses. . | Psychosocial interventions for all three populations have been found to reduce symptoms of depression and anxiety, increase social support networks, improve quality of life and raise perceptions of care 2 . . |
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