Music therapy for people with schizophrenia and schizophrenia-like disorders
Geretsegger M, Mössler KA, Bieleninik Ł, Chen XJ, Heldal TO, Gold C
The Cochrane database of systematic reviews · 78 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2017-05-29 · Cochrane Database Syst Rev · vol. 2017 · número 5 · pág. CD004025
- Editorial
- Elsevier BV
- Citado
- 348 citas · más que el 100% de estudios similares · 29.1× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 191 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Music Therapy and Health · Neuroscience and Music Perception · Pain Management and Placebo Effect
- Palabras clave
- Music therapy, Schizophrenia (object-oriented programming), Placebo, Randomized controlled trial, Medicine, Psychology, Clinical psychology, Physical therapy, Psychiatry, Internal medicine, Alternative medicine
- MeSH
- humans, music therapy, interpersonal relations, schizophrenia, schizophrenic psychology, quality of life, randomized controlled trials as topic
6 autores
- Monika Geretsegger🇳🇴Uni Research (Norway)
- Karin Antonia Mössler🇳🇴Uni Research (Norway)
- Łucja Bieleninik🇳🇴Uni Research (Norway)
- Xijing Chen🇨🇳Institute of Psychology, Chinese Academy of Sciences
- Tor Olav Heldal
- Christian Gold🇳🇴Uni Research (Norway)
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Music therapy is a therapeutic approach that uses musical interaction as a means of communication and expression. Within the area of serious mental disorders, the aim of the therapy is to help people improve their emotional and relational competencies, and address issues they may not be able to using words alone.
Objectives
To review the effects of music therapy, or music therapy added to standard care, compared with placebo therapy, standard care or no treatment for people with serious mental disorders such as schizophrenia.
Search methods
We searched the Cochrane Schizophrenia Group's Trials Study-Based Register (December 2010 and 15 January, 2015) and supplemented this by contacting relevant study authors, handsearching of music therapy journals and manual searches of reference lists.
Selection criteria
All randomised controlled trials (RCTs) that compared music therapy with standard care, placebo therapy, or no treatment.
Data collection and analysis
Review authors independently selected, quality assessed and data extracted studies. We excluded data where more than 30% of participants in any group were lost to follow-up. We synthesised non-skewed continuous endpoint data from valid scales using a standardised mean difference (SMD). We employed a fixed-effect model for all analyses. If statistical heterogeneity was found, we examined treatment dosage (i.e. number of therapy sessions) and treatment approach as possible sources of heterogeneity.
Main results
Ten new studies have been added to this update; 18 studies with a total 1215 participants are now included. These examined effects of music therapy over the short, medium, and long-term, with treatment dosage varying from seven to 240 sessions. Overall, most information is from studies at low or unclear risk of biasA positive effect on global state was found for music therapy compared to standard care (medium term, 2 RCTs, n = 133, RR 0.38 95% confidence interval (CI) 0.24 to 0.59, low-quality evidence, number needed to treat for an additional beneficial outcome NNTB 2, 95% CI 2 to 4). No binary data were available for other outcomes. Medium-term continuous data identified good effects for music therapy on negative symptoms using the Scale for the Assessment of Negative Symptoms (3 RCTs, n = 177, SMD - 0.55 95% CI -0.87 to -0.24, low-quality evidence). General mental state endpoint scores on the Positive and Negative Symptoms Scale were better for music therapy (2 RCTs, n = 159, SMD -0.97 95% CI -1.31 to -0.63, low-quality evidence), as were average endpoint scores on the Brief Psychiatric Rating Scale (1 RCT, n = 70, SMD -1.25 95% CI -1.77 to -0.73, moderate-quality evidence). Medium-term average endpoint scores using the Global Assessment of Functioning showed no effect for music therapy on general functioning (2 RCTs, n = 118, SMD -0.19 CI -0.56 to 0.18, moderate-quality evidence). However, positive effects for music therapy were found for both social functioning (Social Disability Screening Schedule scores; 2 RCTs, n = 160, SMD -0.72 95% CI -1.04 to -0.40), and quality of life (General Well-Being Schedule scores: 1 RCT, n = 72, SMD 1.82 95% CI 1.27 to 2.38, moderate-quality evidence). There were no data available for adverse effects, service use, engagement with services, or cost.
Authors' conclusions
Moderate- to low-quality evidence suggests that music therapy as an addition to standard care improves the global state, mental state (including negative and general symptoms), social functioning, and quality of life of people with schizophrenia or schizophrenia-like disorders. However, effects were inconsistent across studies and depended on the number of music therapy sessions as well as the quality of the music therapy provided. Further research should especially address the long-term effects of music therapy, dose-response relationships, as well as the relevance of outcome measures in relation to music therapy.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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