A systematic review of music therapy practice and outcomes with acute adult psychiatric in-patients
Carr C, Odell-Miller H, Priebe S
PloS one · 44 citas
Cómo se estudió
- Diseño
- Revisión sistemática (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- National Institute for Health and Care Research
- Gobierno
- National Institute for Health Research (NIHR)
- Subvenciones
- National Institute for Health and Care Research (CAT CDRF 10-006)
Según 2 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2013-08-02 · PLoS One · vol. 8 · número 8 · pág. e70252
- Editorial
- Public Library of Science
- Citado
- 137 citas · más que el 80% de estudios similares · 1.4× el promedio de su campo
- Referencias
- 89 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Art Therapy and Mental Health · Psychotherapy Techniques and Applications
- Palabras clave
- Music therapy, Medicine, Psychiatry, MEDLINE, Biology
- MeSH
- humans, music therapy, learning, mental disorders, adult
3 autores
- Catherine Elizabeth Carr🇬🇧 · autor de correspondenciaQueen Mary University of London
- Helen Odell‐Miller🇬🇧Anglia Ruskin University
- Stefan Priebe🇬🇧Queen Mary University of London
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background and objectives
There is an emerging evidence base for the use of music therapy in the treatment of severe mental illness. Whilst different models of music therapy have been developed in mental health care, none have specifically accounted for the features and context of acute in-patient settings. This review aimed to identify how music therapy is provided for acute adult psychiatric in-patients and what outcomes have been reported.
Review methods
A systematic review using medical, psychological and music therapy databases. Papers describing music therapy with acute adult psychiatric in-patients were included. Analysis utilised narrative synthesis.
Results
98 papers were identified, of which 35 reported research findings. Open group work and active music making for nonverbal expression alongside verbal reflection was emphasised. Aims were engagement, communication and interpersonal relationships focusing upon immediate areas of need rather than longer term insight. The short stay, patient diversity and institutional structure influenced delivery and resulted in a focus on single sessions, high session frequency, more therapist direction, flexible use of musical activities, predictable musical structures, and clear realistic goals. Outcome studies suggested effectiveness in addressing a range of symptoms, but were limited by methodological shortcomings and small sample sizes. Studies with significant positive effects all used active musical participation with a degree of structure and were delivered in four or more sessions.
Conclusions
No single clearly defined model exists for music therapy with adults in acute psychiatric in-patient settings, and described models are not conclusive. Greater frequency of therapy, active structured music making with verbal discussion, consistency of contact and boundaries, an emphasis on building a therapeutic relationship and building patient resources may be of particular importance. Further research is required to develop specific music therapy models for this patient group that can be tested in experimental studies.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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