Study Evaluating the Benefit of Music Therapy on Pruritus in Patients With Pruritic Dermatitis
- Conditions
- Pruritus
- Interventions
- Other: evaluation of the intensity of pruritus
- Registration Number
- NCT03701971
- Lead Sponsor
- University Hospital, Brest
- Brief Summary
Many clinical studies have shown the benefit of music therapy in various pathologies, including pain, and it is now established that the latter has a complementary therapeutic interest. Its most frequently identified indications are the fight against acute or chronic pains, the reduction of anxiety, depression and stress, as well as memory disorders such as Alzheimer's disease.
The main modes of action of music therapy involve sensory, cognitive, psychological and behavioral processes that are also found in pruritus.
Pruritus is defined as "an uncomfortable sensation causing the need to scratch. It has similarities with pain but also differences: relief by heat / cold, scratching / withdrawal behavior, localization on the skin, semi-mucous / ubiquitous ... etc.
The pathophysiology also has similarities, pruritus is born at the dermal-epidermal junction at the level of specific cutaneous receptors then follows the classical pathways through a 1st neuron, then the dorsal horn of the spinal cord and a second neuron. At the cerebral level, there is no single center of pruritus but several motor and sensory areas involved.
The similarities suggest that music therapy may have an interest in the management of chronic pruritus, especially since classical treatments (antihistamines, topical corticosteroids) have only partial efficacy in some dermatoses
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 50
- At least 18 years of age
- Patient with pruritic dermatosis whatever the etiology (psoriasis, atopic dermatitis, toxiderma, cutaneous lymphoma, chronic urticaria ...)
- Hospitalized in continuous hospitalization in the Dermatology Department
- Age of dermatosis ≥ 1 month
- Pruritus score ≥ 3/10 by numerical evaluation
- Patient having signed a consent form
- Patient under the age of 18
- Major impairment of hearing function
- Presence of major cognitive disorders
- Refusal to participate
- Pregnant or lactating women
- Institutionalized or emergency patients
- Patient under legal protection regime
- Patient not affiliated to the social security system
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Emollient cream evaluation of the intensity of pruritus * a medical examination * Before and after music therapy, patients will have to answer questionnaires : Before : * Questionnaire 5D itch scale * Itchy Quality of Life * Pruritus assessment on the digital scale * Questionnaire State-Trait Anxiety Inventory (STAI Y-A) After : * Pruritus assessment on the digital scale * Questionnaire State-Trait Anxiety Inventory (STAI Y-A) * PGIC * Patients will then benefit from a balneotherapy session the next morning. Patients will have to answer questionnaires before and after balneotherapy : Before : * Pruritus assessment on the digital scale * Questionnaire State-Trait Anxiety Inventory (STAI Y-A) After : * Pruritus assessment on the digital scale * Questionnaire State-Trait Anxiety Inventory (STAI Y-A) * PGIC Music Therapy evaluation of the intensity of pruritus * a medical examination * Before and after music therapy, patients will have to answer questionnaires : Before : Questionnaire 5D itch scale Itchy Quality of Life Pruritus assessment on the digital scale Questionnaire State-Trait Anxiety Inventory (STAI Y-A) After : Pruritus assessment on the digital scale Questionnaire State-Trait Anxiety Inventory (STAI Y-A) PGIC • Patients will then benefit from a balneotherapy session the next morning. Patients will have to answer questionnaires before and after balneotherapy : Before : Pruritus assessment on the digital scale Questionnaire State-Trait Anxiety Inventory (STAI Y-A) After : Pruritus assessment on the digital scale Questionnaire State-Trait Anxiety Inventory (STAI Y-A) PGIC
- Primary Outcome Measures
Name Time Method Variation in the intensity of pruritus Hour 0 / Hour 1 Variation in the intensity of pruritus on the digital scale of pruritus
- Secondary Outcome Measures
Name Time Method To study the effect of music therapy on the patient's anxiety Hour 0 / Hour 1 Completion of questionnaire State-Trait Anxiety Inventory (STAI Y-A)
To study the effect of music therapy according to the etiology of pruritus Hour 0 Completion of Questionnaire 5D itch scale
To study the impact of pruritic dermatitis on the quality of life of the patient Hour 0 Completion of Questionnaire Itchy Quality of Life
To study the satisfaction of the patients concerning the music session Hour 1 Completion of questionnaire PGIC (Patient's Global Impression of Change)
Trial Locations
- Locations (1)
Brest University Hospital
🇫🇷Brest, France