{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:21:47Z","timestamp":1787757707759,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>High-risk pregnancies are commonly associated with elevated maternal stress and anxiety, which can negatively impact both maternal health and fetal outcomes. Music therapy is a noninvasive, cost-effective intervention that may support maternal psychological well-being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To assess the effect of music therapy on stress and anxiety among high-risk antenatal mothers and its association with selected demographic variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      A quasi-experimental pretest\u2013posttest control group design was adopted, using purposive sampling. The study included 120 high-risk antenatal mothers, with 60 in the experimental group receiving music therapy and 60 in the control group receiving standard antenatal care. Music therapy was administered using instrumental music over multiple sessions. Stress and anxiety levels were assessed using the Modified Perceived Stress Scale and the Modified Beck Anxiety Inventory. Data were analyzed using paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests and\n                      <jats:italic toggle=\"yes\">z<\/jats:italic>\n                      -tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In the experimental group, the average stress score decreased from 25.7 to 18.7 (\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      = 10.2,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05) and the anxiety score reduced from 30.6 to 23.5 (\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      = 15.5,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). In contrast, the control group showed minimal reductions. The mean stress reduction was 7.0 in the experimental group versus 1.1 in the control group (\n                      <jats:italic toggle=\"yes\">Z<\/jats:italic>\n                      = 8.6,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05), and the mean anxiety reduction was 7.2 versus 2.1 (\n                      <jats:italic toggle=\"yes\">Z<\/jats:italic>\n                      = 10.6,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05), indicating a significant effect of music therapy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Music therapy significantly reduces stress and anxiety levels among high-risk antenatal mothers and can be considered a beneficial supportive strategy in antenatal care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_881_25","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T16:01:27Z","timestamp":1753372887000},"page":"S2554-S2556","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Effect of Music Therapy on Stress, Anxiety, and Pregnancy Outcome Among High-Risk Antenatal Mothers in Selected Hospitals"],"prefix":"10.4103","volume":"17","author":[{"given":"Martha Sunil","family":"Raut","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Nursing, Dr. D. Y. Patil College of Nursing Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nisha Sandeep","family":"Naik","sequence":"additional","affiliation":[{"name":"Department of Psychiatric Nursing, Dr. D. Y. Patil College of Nursing, Dr. D.Y. Patil Vidyapeeth, Pune Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadhana U.","family":"Adhyapak","sequence":"additional","affiliation":[{"name":"Department of Medical Surgical Nursing, Dr. D. Y. Patil College of Nursing, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamadar","family":"Khurshid","sequence":"additional","affiliation":[{"name":"Department of Medical Surgical Nursing, Dr. D. Y. Patil College of Nursing, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meena","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Department of Music Therapy, Sur Saptak School of Music Sangvi, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,24]]},"reference":[{"key":"R1-20250930","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1080\/03630242.2015.1088116","article-title":"Effects of music listening on stress, anxiety, and sleep quality for sleep-disturbed pregnant women","volume":"56","author":"Liu","year":"2016","journal-title":"Women Health"},{"key":"R2-20250930","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/j.ctim.2015.05.002","article-title":"The effects of music listening on psychosocial stress and maternal-fetal attachment during pregnancy","volume":"23","author":"Chang","year":"2015","journal-title":"Complement Ther Med"},{"key":"R3-20250930","doi-asserted-by":"crossref","first-page":"461","DOI":"10.3109\/14767058.2010.501122","article-title":"Effect of maternal anxiety and music on fetal movements and fetal heart rate patterns","volume":"24","author":"Kafali","year":"2011","journal-title":"J Matern Fetal Neonatal Med"},{"key":"R4-20250930","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1016\/j.ctcp.2014.07.011","article-title":"A narrative literature review of the therapeutic effects of music upon childbearing women and neonates","volume":"20","author":"Hollins","year":"2014","journal-title":"Complement Ther Clin Pract"},{"key":"R5-20250930","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1177\/2156587213514054","article-title":"Randomized trial of harp therapy during in vitro fertilization-embryo transfer","volume":"19","author":"Murphy","year":"2014","journal-title":"J Evid Based Complementary Altern Med"},{"key":"R6-20250930","doi-asserted-by":"crossref","first-page":"247","DOI":"10.29271\/jcpsp.2018.03.247","article-title":"Effects of music during multiple cesarean section delivery","volume":"28","author":"Handan","year":"2018","journal-title":"J Coll Physicians Surg Pak"},{"key":"R7-20250930","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.1080\/14767058.2017.1306511","article-title":"Effects of prenatal music stimulation on state\/trait anxiety in full-term pregnancy and its influence on childbirth:A randomized controlled trial","volume":"31","author":"Garc\u00eda","year":"2018","journal-title":"J Matern Fetal Neonatal Med"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_881_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:48:25Z","timestamp":1787755705000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_881_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,24]]},"references-count":7,"journal-issue":{"issue":"Suppl 3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_881_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,24]]},"assertion":[{"value":"2025-05-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}