The impact of music therapy on anxiety and pregnancy rate among infertile women undergoing assisted reproductive technologies: a systematic review and meta-analysis

Objective: We aimed to perform a systematic review and meta-analysis to evaluate the effect of music therapy on anxiety and pregnancy rates among infertile women undergoing to perform assisted reproductive technologies (ART). Methods: Cochrane Library, PubMed, ISI web of science, and Scopus were sea...

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Main Authors: Marwa Yahia Mahmoud, Kareem Labib, Sileem Ahmed Sileem, Faisal Ali Mustafa, Wael M. Hamed, Ahmed Abd Elhamid, Doaa M. Saleh, Ahmed Alanwar, Amr Ahmed Mahmoud Riad, Ahmed Mohamed Abdelhakim, Ahmed M. Abbas, Heba M. Mohammed
Format: Article
Language:English
Published: Taylor & Francis Group 2022-04-01
Series:Journal of Psychosomatic Obstetrics and Gynecology
Subjects:
Online Access:http://dx.doi.org/10.1080/0167482X.2021.1977277
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author Marwa Yahia Mahmoud
Kareem Labib
Sileem Ahmed Sileem
Faisal Ali Mustafa
Wael M. Hamed
Ahmed Abd Elhamid
Doaa M. Saleh
Ahmed Alanwar
Amr Ahmed Mahmoud Riad
Ahmed Mohamed Abdelhakim
Ahmed M. Abbas
Heba M. Mohammed
author_facet Marwa Yahia Mahmoud
Kareem Labib
Sileem Ahmed Sileem
Faisal Ali Mustafa
Wael M. Hamed
Ahmed Abd Elhamid
Doaa M. Saleh
Ahmed Alanwar
Amr Ahmed Mahmoud Riad
Ahmed Mohamed Abdelhakim
Ahmed M. Abbas
Heba M. Mohammed
author_sort Marwa Yahia Mahmoud
collection DOAJ
description Objective: We aimed to perform a systematic review and meta-analysis to evaluate the effect of music therapy on anxiety and pregnancy rates among infertile women undergoing to perform assisted reproductive technologies (ART). Methods: Cochrane Library, PubMed, ISI web of science, and Scopus were searched from inception to May 2021. We included randomized controlled trials (RCTs) that compared music therapy (intervention group) to no music intervention (control group). Our primary outcomes were anxiety score using the State-Trait Anxiety Inventory (STAI) tool and pain score utilizing the Visual Analog Scale (VAS). Our secondary outcomes were the overall satisfaction score and clinical pregnancy rate. We extracted the available data from included studies and pooled them in a meta-analysis model using RevMan software. The overall quality of evidence was assessed through GRADEpro GDT software. Results: Seven RCTs with a total number of 793 patients were included in our study. Music therapy significantly reduced the anxiety score compared to control group (MD= −3.09, 95% CI [−5.57, −0.61], p = 0.01). Moreover, pain score was significantly improved after music treatment (MD= −2.93, 95% CI [−3.86, −2.00], p > 0.001). A significant improvement in the overall satisfaction score was found among music therapy group (MD= 1.51, 95% CI [0.40, 2.61], p = 0.008). Although more women in music therapy group experienced an increase in the clinical pregnancy rate in comparison with control group, the result was not statistically significant (RR= 1.08, 95% CI [0.94, 1.26], p = 0.28). The GRADEpro GDT tool showed a moderate quality of evidence for the evaluated outcomes. Conclusions: There is evidence of moderate quality that music therapy improves anxiety, pain, and satisfaction scores among infertile women undergoing ART. Moreover, it increases the clinical pregnancy rate but without statistical significance. More trials with a larger sample size are needed to investigate the influence of music therapy on the clinical outcomes of ART.
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spelling doaj.art-8b8181cb43794fafbc83c5927a517b3c2023-09-14T12:44:02ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422022-04-0143220521310.1080/0167482X.2021.19772771977277The impact of music therapy on anxiety and pregnancy rate among infertile women undergoing assisted reproductive technologies: a systematic review and meta-analysisMarwa Yahia Mahmoud0Kareem Labib1Sileem Ahmed Sileem2Faisal Ali Mustafa3Wael M. Hamed4Ahmed Abd Elhamid5Doaa M. Saleh6Ahmed Alanwar7Amr Ahmed Mahmoud Riad8Ahmed Mohamed Abdelhakim9Ahmed M. Abbas10Heba M. Mohammed11Department of Obstetrics and Gynecology, Faculty of Medicine, Beni Suef UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University for GirlsDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams UniversityKasralainy, Faculty of Medicine, Cairo UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Assiut UniversityDepartment of Obstetrics and Gynecology, Faculty of Medicine, Fayoum UniversityObjective: We aimed to perform a systematic review and meta-analysis to evaluate the effect of music therapy on anxiety and pregnancy rates among infertile women undergoing to perform assisted reproductive technologies (ART). Methods: Cochrane Library, PubMed, ISI web of science, and Scopus were searched from inception to May 2021. We included randomized controlled trials (RCTs) that compared music therapy (intervention group) to no music intervention (control group). Our primary outcomes were anxiety score using the State-Trait Anxiety Inventory (STAI) tool and pain score utilizing the Visual Analog Scale (VAS). Our secondary outcomes were the overall satisfaction score and clinical pregnancy rate. We extracted the available data from included studies and pooled them in a meta-analysis model using RevMan software. The overall quality of evidence was assessed through GRADEpro GDT software. Results: Seven RCTs with a total number of 793 patients were included in our study. Music therapy significantly reduced the anxiety score compared to control group (MD= −3.09, 95% CI [−5.57, −0.61], p = 0.01). Moreover, pain score was significantly improved after music treatment (MD= −2.93, 95% CI [−3.86, −2.00], p > 0.001). A significant improvement in the overall satisfaction score was found among music therapy group (MD= 1.51, 95% CI [0.40, 2.61], p = 0.008). Although more women in music therapy group experienced an increase in the clinical pregnancy rate in comparison with control group, the result was not statistically significant (RR= 1.08, 95% CI [0.94, 1.26], p = 0.28). The GRADEpro GDT tool showed a moderate quality of evidence for the evaluated outcomes. Conclusions: There is evidence of moderate quality that music therapy improves anxiety, pain, and satisfaction scores among infertile women undergoing ART. Moreover, it increases the clinical pregnancy rate but without statistical significance. More trials with a larger sample size are needed to investigate the influence of music therapy on the clinical outcomes of ART.http://dx.doi.org/10.1080/0167482X.2021.1977277musicinfertilityartanxietyivf
spellingShingle Marwa Yahia Mahmoud
Kareem Labib
Sileem Ahmed Sileem
Faisal Ali Mustafa
Wael M. Hamed
Ahmed Abd Elhamid
Doaa M. Saleh
Ahmed Alanwar
Amr Ahmed Mahmoud Riad
Ahmed Mohamed Abdelhakim
Ahmed M. Abbas
Heba M. Mohammed
The impact of music therapy on anxiety and pregnancy rate among infertile women undergoing assisted reproductive technologies: a systematic review and meta-analysis
Journal of Psychosomatic Obstetrics and Gynecology
music
infertility
art
anxiety
ivf
title The impact of music therapy on anxiety and pregnancy rate among infertile women undergoing assisted reproductive technologies: a systematic review and meta-analysis
title_full The impact of music therapy on anxiety and pregnancy rate among infertile women undergoing assisted reproductive technologies: a systematic review and meta-analysis
title_fullStr The impact of music therapy on anxiety and pregnancy rate among infertile women undergoing assisted reproductive technologies: a systematic review and meta-analysis
title_full_unstemmed The impact of music therapy on anxiety and pregnancy rate among infertile women undergoing assisted reproductive technologies: a systematic review and meta-analysis
title_short The impact of music therapy on anxiety and pregnancy rate among infertile women undergoing assisted reproductive technologies: a systematic review and meta-analysis
title_sort impact of music therapy on anxiety and pregnancy rate among infertile women undergoing assisted reproductive technologies a systematic review and meta analysis
topic music
infertility
art
anxiety
ivf
url http://dx.doi.org/10.1080/0167482X.2021.1977277
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