MUSIC AND CHRONIC PAIN: A CLINICAL TRIAL

慢性非恶性疼痛（CNMP）影响数百万人，并导致无力，抑郁和残疾。 药物干预具有令人不快的副作用，并且仅提供部分缓解。 本实验研究的目的是检查和比较两种音乐干预对CNMP患者的力量、疼痛、功能障碍和抑郁的影响。 90名经历背部、颈部和/或关节疼痛超过6个月的成年人将被随机分配到三组中的一组。 模式治疗音乐（PMH）组将使用自我选择的音乐和基于舒适和情绪的自我评估的音乐聆听技巧。标准音乐（SM）组将使用由研究者提供的轻松的器乐，而控制组将不接受音乐。 据推测，感知疼痛，抑郁和功能障碍将减少在两个音乐组，它将减少更多的PHM组，这种效果将介导的权力。 麦吉尔疼痛问卷简表，疼痛残疾指数，流行病学研究中心抑郁量表，和权力知道参与改变工具将被用来检查音乐干预的效果。一小时的音乐干预将每天自我管理一次，连续七天，并在基线、第7天和第21天记录数据。 将使用协方差分析来检验假设。 如果提供音乐干预可以减少疼痛、抑郁和与CNMP相关的功能障碍，这将改善目前治疗选择有限的大量人群的生活质量。

Chronic non-malignant pain (CNMP) affects millions of individuals and results in powerlesssness, depression, and disability. Pharmacological interventions have unpleasant side effects and provide only partial relief. The purpose of this experimental study is to examine and compare the effects of two music interventions on power, pain, functional disability, and depression in individuals with CNMP. Ninety adults who have experienced back, neck, and/or joint pain for more than six months will be randomly assigned to one of three groups. The pattern-healing music (PMH) group will use self-selected music and music-listening techniques based on self-evaluation of comfort and mood. The standard music (SM) group will use relaxing instrumental music provided by the researcher, and the control group will receive no music. It is posited that perceived pain, depression, and functional disability will decrease in both music groups, that it will decrease more in the PHM group, and that this effect will be mediated by power. The McGill Pain Questionnaire Short-form, the Pain Disability Index, the Center for Epidemiological Studies Depression Scale, and the Power as Knowing Participation in Change Tool will used to examine the effect of the music interventions. One-hour music interventions will be self-administered once a day, for seven consecutive days and data will be recorded at baseline, day 7, and day 21. Analysis of covariance will be used to test the hypotheses. If providing a music intervention decreases pain, depression, and the functional disability associated with CNMP this will result in improved quality of life for a large population who currently have limited treatment choices.