Group music therapy for severe mental illness: a randomized embedded-experimental mixed methods study
Grocke D, Bloch S, Castle D, Thompson G, Newton R, Stewart S, Gold C
Acta psychiatrica Scandinavica · 25 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
- Universidad u hospital
- University of Melbourne
- Gobierno
- Australian Research Council
- Subvenciones
- Australian Research Council (DP0878494)
Según 2 financiadores declarados.
Publicación
- Publicado
- 2013-11-21 · Acta Psychiatr Scand · vol. 130 · número 2 · págs. 144–153
- Editorial
- Wiley
- Citado
- 95 citas · más que el 92% de estudios similares · 3.7× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 40 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Mindfulness and Compassion Interventions · Art Therapy and Mental Health
- Palabras clave
- Randomized controlled trial, Quality of life (healthcare), Cohort, Psychology, Focus group, Clinical psychology, Spirituality, Music therapy, Singing, Medicine, Psychiatry, Psychotherapist, Internal medicine, Alternative medicine
- MeSH
- humans, treatment outcome, music therapy, severity of illness index, cross-over studies, self concept, spirituality, mental disorders, psychotherapy, group, quality of life, social support, adult, female, male
7 autores
- Darren Richard Gröcke🇦🇺 · autor de correspondenciaThe University of Melbourne
- Sidney Bloch🇦🇺The University of Melbourne
- David Jonathan Castle🇦🇺The University of Melbourne; St Vincent's Hospital Melbourne
- Grace Anne Thompson🇦🇺The University of Melbourne
- Richard Newton🇦🇺The University of Melbourne; Austin Health
- Sandra E. Stewart🇦🇺Monash University
- Christian Gold🇳🇴Uni Research (Norway); University of Bergen
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
Music therapy is an innovative approach to support people with severe mental illness (SMI). The aim of the study was to determine whether group music therapy (GMT) positively impacted on quality of life (QoL), social enrichment, self-esteem, spirituality and psychiatric symptoms of participants with SMI and how they experienced the intervention.
Method
The primary outcome was QoL; secondary measures assessed social enrichment, self-esteem, spirituality and psychiatric symptoms. The 13-week intervention comprised singing familiar songs and composing original songs recorded in a professional studio. Qualitative data were generated from focus group interviews and song lyric analysis.
Results
Ninety-nine adults (57 female) were recruited, with an initial cohort (n = 75) randomized to either: weekly GMT followed by standard care (SC) or SC followed by GMT. Crossover occurred after 13 weeks. Measures were conducted at baseline, 13, 26 and 39 weeks. A second cohort (n = 24) could not be randomized and were assigned to GMT followed by SC. Intention-to-treat analysis showed a significant difference between GMT and SC on QoL and spirituality. This was robust to different assumptions about missing data (listwise deletion, last observation carried forward or multiple imputation). Per-protocol analysis suggested greater benefit for those receiving more sessions. Focus group interview and song lyric analyses suggested that GMT was enjoyable; self-esteem was enhanced; participants appreciated therapists and peers; and although challenges were experienced, the programme was recommended to others.
Conclusion
Group music therapy may enhance QoL and spirituality of persons with SMI.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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