Individual music therapy for mental health care clients with low therapy motivation: multicentre randomised controlled trial
Gold C, Mössler K, Grocke D, Heldal TO, Tjemsland L, Aarre T, Aarø LE, Rittmannsberger H, Stige B, Assmus J, Rolvsjord R
Psychotherapy and psychosomatics · 35 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Norges Forskningsråd
Según 1 financiador declarado.
Publicación
- Publicado
- 2013-01-01 · Psychother Psychosom · vol. 82 · número 5 · págs. 319–331
- Editorial
- Karger Publishers
- Citado
- 108 citas · más que el 99% de estudios similares · 11.1× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 76 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Art Therapy and Mental Health · Neuroscience and Music Perception
- Palabras clave
- Music therapy, Mental health, Psychotherapist, Psychology, Randomized controlled trial, Psychological therapy, Mental health care, Clinical psychology, Psychiatry, Medicine, Anxiety, Internal medicine
- MeSH
- humans, treatment outcome, music therapy, linear models, single-blind method, patient compliance, motivation, interpersonal relations, mental disorders, psychiatric status rating scales, adult, patient acceptance of health care, female, male, intention to treat analysis, self report
11 autores
- Christian Gold🇳🇴Uni Research (Norway)
- Karin Antonia Mössler🇳🇴Uni Research (Norway)
- Denise Elizabeth Grocke🇦🇺The University of Melbourne
- Tor Olav Heldal🇳🇴Uni Research (Norway)
- Lars Tjemsland🇳🇴Stavanger University Hospital
- Trond F. Aarre🇳🇴ReNorway (Norway)
- Leif Edvard Aarø🇳🇴Norwegian Institute of Public Health
- Hans Rittmannsberger🇦🇹Otto Wagner Hospital
- Brynjulf Stige🇳🇴University of Bergen
- Jörg Aßmus🇳🇴Uni Research (Norway)
- Randi Rolvsjord🇳🇴University of Bergen
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Music therapy (MT) has been shown to be efficacious for mental health care clients with various disorders such as schizophrenia, depression and substance abuse. Referral to MT in clinical practice is often based on other factors than diagnosis. We aimed to examine the effectiveness of resource-oriented MT for mental health care clients with low motivation for other therapies.
Method
This was a pragmatic parallel trial. In specialised centres in Norway, Austria and Australia, 144 adults with non-organic mental disorders and low therapy motivation were randomised to 3 months of biweekly individual, resource-oriented MT plus treatment as usual (TAU) or TAU alone. TAU was typically intensive (71% were inpatients) and included the best combination of therapies available for each participant, excluding MT. Blinded assessments of the Scale for the Assessment of Negative Symptoms (SANS) and 15 secondary outcomes were collected before randomisation and after 1, 3 and 9 months. Changes were analysed on an intention-to-treat basis using generalised estimating equations in longitudinal linear models, controlling for diagnosis, site and time point.
Results
MT was superior to TAU for total negative symptoms (SANS, d = 0.54, p < 0.001) as well as functioning, clinical global impressions, social avoidance through music, and vitality (all p < 0.01).
Conclusion
Individual MT as conducted in routine practice is an effective addition to usual care for mental health care clients with low motivation.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
Confianza de la comunidad
Cargando…
¿Cuánto confías en los hallazgos de este estudio?
Comentarios
¿Algo está mal aquí?
Señala este estudio si su información, etiquetas o financiación parecen incorrectas. Un editor revisa cada señalamiento.
Información educativa sobre investigación publicada. No es consejo médico ni una recomendación para empezar o dejar nada.