# Background Music: The Missing Stress Antidote in Cadaver Dissection Laboratories

## Authors

- Izuchukwu Azuka Okafor ([ORCID](https://orcid.org/0000-0003-1017-9297)) — Department of Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, PMB 5001,Nnewi, Nigeria
- Jude Amechi Nnaka ([ORCID](https://orcid.org/0000-0003-4991-1801)) — Department of Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, PMB 5001,Nnewi, Nigeria

## Article information

- **Journal:** The Ulutas Medical Journal (Ulutas Med J), ISSN 2149-388X
- **Issue:** Volume 6, Issue 4 (2020), pages 193–198
- **Article type:** Review Article
- **Published online:** 2020-12-16
- **DOI:** [10.5455/umj.20201004115944](https://doi.org/10.5455/umj.20201004115944)
- **Licence:** [CC BY-NC 4.0](https://creativecommons.org/licenses/by-nc/4.0/)
- **Article page:** https://www.ulutasmedicaljournal.com/?mno=6172
- **PDF:** https://www.ulutasmedicaljournal.com/pdf/6172.pdf

## Abstract

Cadaver Dissection (CD) is a longstanding but indispensable method of teaching human gross anatomy. However, there are several kinds of stress associated with CD which could cause learning difficulties amongst students especially in poor-resource countries where standard CD laboratories are in great shortage. This review highlighted some causes of stress during CD, with a focus on Nigeria as a resource-poor setting. Also, it has proposed background music (BM) as a simple, cheap, and effective alternative that can be used to curb CD-related stress in such settings where cost-effectiveness is prioritized. The possible challenges that may be faced during the incorporation of BM into CD laboratories have also been pointed out, with important recommendations made on how to deal with these challenges.

## Keywords

Background music; cadaver dissection; stress; medical education; Nigeria

## How to cite

Okafor IA, Nnaka JA. Background Music: The Missing Stress Antidote in Cadaver Dissection Laboratories. Ulutas Med J. 2020;6(4):193-198. doi:10.5455/umj.20201004115944

## References

1. Pather N. Prosection and Dissection Laboratory Sessions: Design and Implement to Enhance Learning. Teaching Anatomy: Springer International Publishing; 2020. p. 259-69 https://doi.org/10.1007/978-3-030-43283-6_27
2. Estai M, Bunt S. Best teaching practices in anatomy education: A critical review. Annals of Anatomy - Anatomischer Anzeiger. 2016;208:151-7 https://doi.org/10.1016/j.aanat.2016.02.010
3. Sugand K, Abrahams P, Khurana A. The anatomy of anatomy: A review for its modernization. Anatomical Sciences Education. 2010 https://doi.org/10.1002/ase.139
4. Wisenden PA, Budke KJ, Klemetson CJ, Kurtti TR, Patel CM, Schwantz TL, et al. Emotional response of undergraduates to cadaver dissection. Clinical Anatomy. 2017;31(2):224 -3 https://doi.org/10.1002/ca.22992
5. Lee YH, Lee Y-M, Kwon S, Park S-H. Reactions of First-Year Medical Students to Cadaver Dissection and Their Perception on Learning Methods in Anatomy. Korean Journal of Medical Education. 2011;23(4):275-83 https://doi.org/10.3946/kjme.2011.23.4.275
6. Boeckers A, Brinkmann A, Jerg-Bretzke L, Lamp C, Traue HC, Boeckers TM. How can we deal with mental distress in the dissection room?—An evaluation of the need for psychological support. Annals of Anatomy - Anatomischer Anzeiger. 2010;192(6):366-72 https://doi.org/10.1016/j.aanat.2010.08.002
7. Anyanwu EG. Background music in the dissection laboratory: impact on stress associated with the dissection experience. Advances in Physiology Education. 2015;39(2):96-101 https://doi.org/10.1152/advan.00057.2014
8. Gbolahan Balogun W. Using Electronic Tools and Resources to Meet the Challenges of Anatomy Education in Sub-Saharan Africa. Anatomical Sciences Education. 2018;12(1):97- https://doi.org/10.1002/ase.1831
9. Chia T, Oyeniran O. Anatomy Education in Nigeria: Challenges and Prospects. Journal of Contemporary Medical Education. 2019;9(3):61 https://doi.org/10.5455/jcme.20190531113058
10. Anyanwu GE, Nto JN, Agu AU, Ekezie J, Esom EA. Musical preferences and learning outcome of medical students in cadaver dissection laboratory: A Nigerian survey. Annals of Anatomy - Anatomischer Anzeiger. 2016;208:228-33 https://doi.org/10.1016/j.aanat.2016.07.010
11. Korf H-W, Wicht H, Snipes RL, Timmermans J-P, Paulsen F, et al. The dissection course – necessary and indispensable for teaching anatomy to medical students. Annals of Anatomy - Anatomischer Anzeiger. 2008;190(1):16-22 https://doi.org/10.1016/j.aanat.2007.10.001
12. Darras KE, Spouge R, Hatala R, Nicolaou S, Hu J, Worthington A, et al. Integrated virtual and cadaveric dissection laboratories enhance first year medical students’ anatomy experience: a pilot study. BMC Medical Education. 2019;19(1) Stress Antidote in Cadaver Dissection Okafor et al. https://doi.org/10.1186/s12909-019-1806-5
13. Dissabandara LO, Nirthanan SN, Khoo TK, Tedman R. Role of cadaveric dissections in modern medical curricula: a study on student perceptions. Anatomy & Cell Biology. 2015;48(3):205 https://doi.org/10.5115/acb.2015.48.3.205
14. Pearson WG, Hoagland TM. Measuring change in professionalism attitudes during the gross anatomy course. Anatomical Sciences Education. 2009 https://doi.org/10.1002/ase.113
15. Simpson JS. An Economical Approach to Teaching Cadaver Anatomy. The American Biology Teacher. 2014;76(1):42-6 https://doi.org/10.1525/abt.2014.76.1.9
16. Jacob TG. History of teaching anatomy in India: From ancient to modern times. Anatomical Sciences Education. 2013;6(5):351-8 https://doi.org/10.1002/ase.1359
17. Saltarelli AJ, Roseth CJ, Saltarelli WA. Human cadavers Vs. multimedia simulation: A study of student learning in anatomy. Anatomical Sciences Education. 2014;7(5):331-9 https://doi.org/10.1002/ase.1429
18. Chia TI, Oyeniran OI, Ajagbe AO, Onigbinde OA, Oraebosi MI. The symptoms and stress experienced by medical students in anatomy dissection halls. Journal of Taibah University Medical Sciences. 2020;15(1):8-13 https://doi.org/10.1016/j.jtumed.2020.01.001
19. Arráez- Aybar L-A, Casado- Morales MI, Castaño-Collado G. Anxiety and dissection of the human cadaver: An unsolvable relationship? The Anatomical Record Part B: The New Anatomist. 2004;279B(1):16-23 https://doi.org/10.1002/ar.b.20022
20. Dempster M, Black A, McCorry N, Wilson D. Appraisal and Consequences of Cadaver Dissection. Medical Education Online. 2006;11(1):4592 https://doi.org/10.3402/meo.v11i.4592
21. Albabish W, Newton G, Jadeski L. Using a Dissection-based Introductory Laboratory Video to Reduce the Anxiety State of Dissection- and Prosection-based Anatomy Students Prior to their First Cadaver-based Laboratory Experience. 2017;31(S1): 582.25-25 https://doi.org/10.1096/fasebj.31.1_supplement.582.25
22. Modell HI, DeMiero FG, Rose L. In pursuit of a holistic learning environment: the impact of music in the medical physiology classroom. Advances in Physiology Education. 2009;33(1):37- https://doi.org/10.1152/advan.90149.2008
23. Gosselin KP, Holland B, Mulcahy A, Williamson S, Widacki A. Music for Anxiety Reduction and Performance Enhancement in Nursing Simulation. Clinical Simulation in Nursing. 2016;12 (1):16-23 https://doi.org/10.1016/j.ecns.2015.12.002
24. Gutiérrez EOF, Camarena VAT. Music therapy in generalized anxiety disorder. The Arts in Psychotherapy. 2015;44:19-24 https://doi.org/10.1016/j.aip.2015.02.003
25. Lai H-L, Li Y-M. The effect of music on biochemical markers and self-perceived stress among first-line nurses: a randomized controlled crossover trial. Journal of Advanced Nursing. 2011;67(11):2414-24 https://doi.org/10.1111/j.1365-2648.2011.05670.x
26. Angel LA, Polzella DJ, Elvers GC. Perceptual and Motor Skills. 2010;110(3C):1059-64
27. Han L, Li JP, Sit JWH, Chung L, Jiao ZY, Ma WG. Effects of music intervention on physiological stress response and anxiety level of mechanically ventilated patients in China: a randomised controlled trial. Journal of Clinical Nursing. 2010;19(7-8):978-87 https://doi.org/10.1111/j.1365-2702.2009.02845.x
28. Bellier A, Secheresse T, Stoeckle A, Dols AM, Chaffanjon PC. Impact of Background Music on Medical Student Anxiety and Performance During Anatomical Dissections: A Cluster Randomized Interventional Trial. Anatomical Sciences Education. 2019;13(4):427-35 https://doi.org/10.1002/ase.1918
29. Kemper KJ, Danhauer SC. Music as Therapy. Southern Medical Journal. 2005;98(3):282-8 https://doi.org/10.1097/01.smj.0000154773.11986.39
30. Beck BD, Lund ST, Søgaard U, Simonsen E, Tellier TC, Cordtz TO, et al. Music therapy versus treatment as usual for refugees diagnosed with posttraumatic stress disorder (PTSD): study protocol for a randomized controlled trial. Trials. 2018;19(1) https://doi.org/10.1186/s13063-018-2662-z
31. Mohan A, Thomas E. Effect of background music and the cultural preference to music on adolescents’ task performance. International Journal of Adolescence and Youth. 2019;25(1):562-73 https://doi.org/10.1080/02673843.2019.1689368
32. Labbé E, Schmidt N, Babin J, Pharr M. Coping with Stress: The Effectiveness of Different Types of Music. Applied Psychophysiology and Biofeedback. 2007;32(3-4):163-8 https://doi.org/10.1007/s10484-007-9043-9
