RESUMEN
BACKGROUND: In rehabilitating eating disorders (ED), mealtimes are critical but often induce stress, both for restrictive and binge-purge disorders. Although preliminary data indicate a positive effect of music during mealtime, few studies employ an experimental approach. This study examines the influence of background music during mealtime in an inpatient ward setting, offering a real-world perspective. METHODS: Fifty-one women diagnosed with ED participated in this within-subjects study. Over two weeks, during lunch and dinner, they were exposed to three randomized music conditions: no music, focus piano music, and pop music. The self-report questionnaires captured affective states, noise levels, and hunger, while trained dietitians recorded food consumption and eating rituals. RESULTS: The absence of music led to an increase in uneaten food (p = 0.001) and the presence of eating rituals (p = 0.012) during mealtimes. Significantly, only silence during mealtime reduced positive emotional states, while background music maintained positive emotions (p < 0.001). No specific differences emerged between the two types of music (focus piano and pop). CONCLUSIONS: These findings affirm the positive impact of background music during mealtime in real-world settings, enhancing the potential of inpatient eating rehabilitation programs for individuals with ED. More studies are needed to validate and extend these results, particularly in outpatient settings.
Mealtimes can be stressful for people with eating disorders (ED). This study looked at how background music during meals could help. We had 51 women with ED in an inpatient ward. They ate lunch and dinner without music, calming piano music, or pop music for ten days. We asked them about their feelings, noise, and hunger. Dietitians noted what they ate and any rituals. We found that not having music led to more uneaten food and eating rituals. Surprisingly, complete silence reduced positive emotions. All types of music kept positive feelings, with no difference between them. Music helped to make mealtimes better for these patients. But more research is needed, especially for patients outside the hospital.