Pruritus
Conditions
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
Interventions
OTHERevaluation of the intensity of pruritus
evaluation of the intensity of pruritus with various questionnaires
Sponsors
University Hospital, Brest
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
evaluation of the benefit of music therapy on pruritus in patients with pruritic dermatitis compared to the application of an emollient
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 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
Exclusion criteria
* 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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Variation in the intensity of pruritus | Hour 0 / Hour 1 | Variation in the intensity of pruritus on the digital scale of pruritus |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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) |
Countries
France
Outcome results
None listed