Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

ACC 2024 Congress

Catch up on all the top stories and latest evidence in cardiology research with our ACC 2024 Congress hub page.
ADVANCED SEARCH
Log in
Top
Quality of Life Research
Published in: Quality of Life Research 3/2019

Open Access 01-03-2019 | Affective Disorder

Group singing improves depression and life quality in patients with stable COPD: a randomized community-based trial in China

Published in: Quality of Life Research | Issue 3/2019

Login to get access

Abstract

Purpose

To explore the effects of group singing therapy on depression symptoms and quality of life of patients with stable chronic obstructive pulmonary disease (COPD).

Methods

Patients with COPD were randomly allocated to intervention (n = 30) and control groups (n = 30). The intervention group received group singing therapy once a week for 24 sessions along with routine health education, whereas the control group only received the routine health education. All patients were administered the Hospital Anxiety and Depression Scale depression subscale (HADS-D) and the Clinical COPD Questionnaire (CCQ). Data were collected at baseline and at 1, 3, and 6 months.

Results

Fifty-six participants completed this trial. Significant between-group differences were observed with respect to the main effect of group and time as well as the effect of group × time interaction on HADS-D score. The HADS-D score was significantly improved 1, 3, 6 months after group singing therapy. The CCQ total scores were significantly different between the two groups with respect to the main effect of group and time and the group × time interaction effect. Significantly better CCQ was detected in the intervention group at 3 months and 6 months after intervention.

Conclusions

Group singing therapy reduces depressive symptoms and improves the quality of life of patients with stable COPD.
Literature
1.
Vestbo, J., Hurd, S. S., Agusti, A. G., Jones, P. W., Vogelmeier, C., Anzueto, A., et al (2013). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. American Journal of Respiratory and Critical Care Medicine, 187(4), 347–365.CrossRefPubMed
2.
Maurer, J., Rebbapragada, V., Borson, S., Goldstein, R., Kunik, M. E., Yohannes, A. M., et al. (2008). Anxiety and depression in COPD. Chest, 134(4_suppl), 43SCrossRefPubMedPubMedCentral
3.
Zhong, N., Wang, C., Yao, W., Chen, P., Kang, J., Huang, S., et al. (2007). Prevalence of chronic obstructive pulmonary disease in China: A large, population-based survey. American Journal of Respiratory and Critical Care Medicine, 176(8), 753–760.CrossRefPubMed
4.
Yin, P., Wang, H., Vos, T., Li, Y., Liu, S., Liu, Y., et al. (2016). A subnational analysis of mortality and prevalence of COPD in China from 1990 to 2013. Chest, 150(6), 1269–1280.CrossRefPubMed
5.
Zhang, M. W., Ho, R. C., Cheung, M. W., Fu, E., & Mak, A. (2011). Prevalence of depressive symptoms in patients with chronic obstructive pulmonary disease: A systematic review, meta-analysis and meta-regression. General Hospital Psychiatry, 33(3), 217–223.CrossRefPubMed
6.
Stage, K. B., Middelboe, T., Stage, T. B., & &Sørensen, C. H. (2006). Depression in COPD–management and quality of life considerations. International Journal of Chronic Obstructive Pulmonary Disease, 1(3), 315–320.PubMedPubMedCentral
7.
DiMatteo, M. R., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment: Meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine, 160(14), 2101–2107.CrossRefPubMed
8.
Rivera, C.M., Galicia, J.C, Navarrete, B.A., Garcia-Polo, C., Iturriaga, L. A. R., et al. (2016). Factors associated with depression in COPD: A multicenter study. Lung, 194(3), 335–343.CrossRef
9.
Miravitlles, M., Molina, J., Quintano, J. A., Campuzano, A., Pérez, J., et al. (2014). Factors associated with depression and severe depression in patients with COPD. Respiratory Medicine, 108(11), 1615–1625.CrossRefPubMed
10.
Atlantis, E., Fahey, P., Cochrane, B., & Smith, S. (2013). Bidirectional associations between clinically relevant depression or anxiety and COPD. A systematic review and meta-analysis. Chest, 144, 766e77.
11.
Hynninen, M. J., Bjerke, N., Pallesen, S., Bakke, P. S., & Nordhus, I. H. (2010). A randomized controlled trial of cognitive behavioral therapy for anxiety and depression in COPD. Respiratory Medicine, 104(7), 986–994.CrossRefPubMed
12.
Lamers, F., Jonkers, C. C., Bosma, H., Chavannes, N. H., Knottnerus, J. A., & van Eijk, J. T. (2010). Improving quality of life in depressed COPD patients: Effectiveness of a minimal psychological intervention. COPD, 7(5), 315–322.CrossRefPubMed
13.
Tselebis, A., Bratis, D., Pachi, A., Moussas, G., Ilias, I., Harikiopoulou, M., et al. (2013). A pulmonary rehabilitation program reduces levels of anxiety and depression in COPD patients. Multidisciplinary Respiratory Medicine, 8(1), 41.CrossRefPubMedPubMedCentral
14.
Spruit, M. A., Singh, S. J., Garvey, C., Zu Wallack, R., Nici, L., Rochester, C., et al. (2013). An official American Thoracic Society/European Respiratory Society statement: Key concepts and advances in pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine, 188(8), e13–e64.CrossRefPubMed
15.
Tselebis, A., Pachi, A., Ilias, I., Kosmas, E., Bratis, D., et al. (2016). Strategies to improve anxiety and depression in patients with COPD: A mental health perspective. Neuropsychiatric Disease and Treatment, 12, 297–328.CrossRefPubMedPubMedCentral
16.
Pilling, S., Anderson, I., Goldberg, D., Meader, N., Taylor, C., et al. (2009). Depression in adults, including those with a chronic physical health problem: Summary of NICE guidance. BMJ, 339, b4108.CrossRefPubMedPubMedCentral
17.
Yohannes, A. M., & Alexopoulos, G. S. (2014). Pharmacological treatment of depression in older patients with chronic obstructive pulmonary disease: Impact on the course of the disease and health outcomes. Drugs and Aging, 31(7), 483–492.CrossRefPubMed
18.
Tascilar, M., Jong, F. A., Verweij, J., & Mathijssen, R. H. (2006). Complementary and alternative medicine during cancer treatment: Beyond innocence. Oncologist, 11(7), 732–741.CrossRefPubMed
19.
Schmid, W., & Ostermann, T. (2010). Home-based music therapy–a systematic overview of settings and conditions for an innovative service in healthcare. BMC Health Services Research, 10, 291.CrossRefPubMedPubMedCentral
20.
Satoh, M., Yuba, T., Tabei, K., Okubo, Y., Kida, H., et al. (2015). Music therapy using singing training improves psychomotor speed in patients with alzheimer’s disease: A Neuropsychological and fMRI Study. Dementia and Geriatric Cognitive Disorders Extra, 5(3), 296–308.CrossRefPubMedPubMedCentral
21.
Panigrahi, A., Sohani, S., Amadi, C., & Joshi, A. (2014). Role of music in the management of chronic obstructive pulmonary disease (COPD): A literature review. Technology and Health Care, 22(1), 53–61.PubMed
22.
Groener, J., Neus, I., Kopf, S., Hartmann, M., Schanz, J., Kliemank, E., et al. (2015). Group singing as a therapy during diabetes training—a randomized controlled pilot study. Experimental and Clinical Endocrinology & Diabetes, 123(10), 617–621.CrossRef
23.
Osman, S. E., Tischler, V., & Schneider, J. (2014). ‘Singing for the Brain: A qualitative study exploring the health and well-being benefits of singing for people with dementia and their carers. Dementia, 15(6), 1326–1339.CrossRefPubMed
24.
Lord, V. M., Cave, P., Hume, V. J., Flude, E. J., Evans, A., Kelly, J. L., et al. (2010). Singing teaching as a therapy for chronic respiratory disease–a randomised controlled trial and qualitative evaluation. BMC Pulmonary Medicine, 10, 41.CrossRefPubMedPubMedCentral
25.
Lord, V. M., Hume, V. J., Kelly, J. L., Cave, P., Silver, J., Waldman, M.,et al.(2012). Singing classes for chronic obstructive pulmonary disease: A randomized controlled trial.BMC Pulmonary Medicine, 12, 69.CrossRefPubMedPubMedCentral
26.
Bolton, C. E., Bevan-Smith, E. F., Blakey, J. D., Crowe, P., Elkin, S. L., Garrod, R.,et al (2013). British Thoracic Society guideline on pulmonary rehabilitation in adults: Accredited by NICE. Thorax, 68(Suppl 2), ii1–ii30.CrossRefPubMed
27.
Lewis, A., Cave, P., Stern, M., Welch, L., Taylor, K., Russell, J., et al. (2016). Singing for Lung Health-a systematic review of the literature and consensus statement. NPJ Primary Care Respiratory Medicine, 26, 16080.CrossRefPubMedPubMedCentral
28.
Pacheco, C., Costa, A., Amado, J., & Almeida, P. (2014). Singing in chronic obstructive pulmonary disease patients: A pilot study in Portugal. Revista Portuguesa de Pneumologia (English Edition), 20(4), 225–228.CrossRef
29.
McNaughton, A., Weatherall, M., Williams, M., McNaughton, H., Aldington, S., Williams, G., & Beasley, R. (2017). Sing Your Lungs Out-a community singing group for chronic obstructive pulmonary disease: A 1-year pilot study. British Medical Journal Open, 7(1), e014151.
30.
Juslin, P. N., Sloboda, J. A., (Eds.). (2001) Music and emotion: Theory and research (p. 487). Oxford, U. K.: Oxford University Press.
31.
Bonilha, A. G., Onofre, F., Vieira, M. L., Prado, M. Y., & Martinez, J. A. (2009). Effects of singing classes on pulmonary function and quality of life of COPD patients. International Journal of Chronic Obstructive Pulmonary Disease, 4, 1–8.PubMedPubMedCentral
32.
Zhang, M., Xu, G., Luo, C., Meng, D., & Ji, Y. (2016). Qigong Yi Jinjing promotes pulmonary function, physical activity, quality of life and emotion regulation self-efficacy in patients with chronic obstructive pulmonary disease: A pilot study. Journal of Alternative and Complementary Medicine, 22(10), 810–817.CrossRefPubMed
33.
Duggleby, W., Ploeg, J., McAiney, C., Peacock, S., Fisher, K., et al. (2018). Web-based intervention for family carers of persons with dementia and multiple chronic conditions (My Tools 4 Care): Pragmatic randomized controlled trial. Journal of Medical Internet Research, 20(6), e10484.CrossRefPubMedPubMedCentral
34.
Vogelmeier, C. F., Criner, G. J., Martínez, F. J., Anzueto, A., Barnes, P. J., Bourbeau, J., et al. (2017). Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report: GOLD executive summary. Archivos de Bronconeumología, 53, 128–149.PubMed
35.
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.CrossRef
36.
Zheng, L., Wang, Y., & Li, H. (2003). Application of Hospital Anxiety and Depression Scale in general hospital: An analysis in reliability and validity. Shanghai Archives of Psychiatry, 15, 264–266.
37.
Molen, T., Willemse, B. W., Schokker, S., Hacken, N. H., Postma, D. S., & Juniper, E. F. (2003). Development, validity and responsiveness of the Clinical COPD Questionnaire. Health and Quality of Life Outcomes, 1, 13.CrossRefPubMedPubMedCentral
38.
Kang, J., Scholp, A., & Jiang, J. J. (2017). A review of the physiological effects and mechanisms of singing. Journal of Voice, S0892-1997(17), 30220–30223.
39.
Kenny, D. T., & Faunce, G. (2004). The impact of group singing on mood, coping, and perceived pain in chronic pain patients attending a multidisciplinary pain clinic. Journal of Music Therapy, 41(3), 241–258.CrossRefPubMed
40.
Ioanna, T., Kocks, J., Tzanakis, N., Siafakas, N., & Molen, T. (2011). Factors that influence disease-specific quality of life or health status in patients with COPD: A systematic review and meta-analysis of Pearson correlations. Primary Care Respiratory Journal, 20(3), 257–268.CrossRef
41.
Goldenberg, R. B. (2017). Singing lessons for respiratory health: A literature review. Journal of Voice, S0892-1997(16), 30442–30448.
42.
Kunik, M. E., Veazey, C., Cully, J. A., Souchek, J., Graham, D. P., Hopko, D., et al. (2008). COPD education and cognitive behavioral therapy group treatment for clinically significant symptoms of depression and anxiety in COPD patients: A randomized controlled trial. Psychological Medicine, 38(3), 385–396.CrossRefPubMed
Metadata
Title
Group singing improves depression and life quality in patients with stable COPD: a randomized community-based trial in China
Publication date
01-03-2019
Published in
Quality of Life Research / Issue 3/2019
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-018-2063-5

Other articles of this Issue 3/2019

Quality of Life Research 3/2019 Go to the issue

OriginalPaper

Assessing the measurement invariance of the RCADS-25 questionnaire across gender and child–parent dyads in the presence of multilevel data

OriginalPaper

To bin or not to bin? A comparison of symptom frequency response formats in the assessment of health-related quality of life

OriginalPaper

Does the ICECAP-O cover the physical, mental and social functioning of older people in the UK?

Commentary

Interpretation and use of patient-reported outcome measures through a philosophical lens

OriginalPaper

A pilot evaluation of the expanded prostate cancer index composite for clinical practice (EPIC-CP) tool in Ontario

OriginalPaper

Determining clinically important differences in health-related quality of life in older patients with cancer undergoing chemotherapy or surgery