Music therapy was noninferior to verbal standard treatment of traumatized refugees in mental health care: Results from a randomized clinical trial
Beck BD, Meyer SL, Simonsen E, Søgaard U, Petersen I, Arnfred SMH, Tellier T, Moe T
European journal of psychotraumatology · 23 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
- Organización sin fines de lucro
- Det Obelske Familiefond
- Gobierno
- Region Sjælland
- Organización sin fines de lucro
- Obel Family Foundation
- Gobierno
- Psychiatric Research fund of Region Zealand
Según 4 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2021-01-01 · Eur J Psychotraumatol · vol. 12 · número 1 · pág. 1930960
- Editorial
- Taylor & Francis
- Citado
- 52 citas · más que el 97% de estudios similares · 6.1× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 70 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY-NC
- Áreas de investigación
- Music Therapy and Health · Migration, Health and Trauma · Posttraumatic Stress Disorder Research
- Palabras clave
- music therapy, post-traumatic stress disorder, refugees, non-inferiority, dissociation, attachment, well-being, treatment discontinuation, culturally tailored interventions, trauma symptoms
- MeSH
- humans, music therapy, stress disorders, post-traumatic, mental health services, psychotherapy, adult, refugees, denmark, female, male, culturally competent care, surveys and questionnaires
8 autores
- Bolette Daniels Beck🇩🇰 · autor de correspondenciaMental Health Services; Copenhagen University Hospital; Psychiatry Region Zealand; Aalborg University
- Steen Meyer🇩🇰University of Copenhagen; Mental Health Services; Copenhagen University Hospital; Psychiatry Region Zealand
- Erik Hertel Simonsen🇩🇰University of Copenhagen; Region Zealand; Psychiatry Region Zealand
- Ulf Søgaard🇩🇰University of Copenhagen; Region Zealand; Psychiatry Region Zealand
- I. Petersen🇩🇰University of Southern Denmark; Odense University Hospital
- Sidse Arnfred🇩🇰University of Copenhagen; Mental Health Services; Copenhagen University Hospital; Psychiatry Region Zealand
- Thomas Christian Tellier🇩🇰Mental Health Services; Capital Region of Denmark
- Torben Moe🇩🇰Mental Health Services; Copenhagen University Hospital; Psychiatry Region Zealand
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background: Many people with refugee backgrounds suffer from trauma-related complex social and psychological problems, and compliance with standard psychological treatment tends to be low. More culturally adaptable treatment options seem to be needed. Objective: We aimed to investigate whether the music therapy method: 'trauma-focused music and imagery' (tr-MI), characterized by a particular focus on arousal and affect regulation, would be equally effective as the standard psychological talk therapies for ameliorating trauma symptoms in Danish refugees. Methods: A pragmatic, noninferiority, parallel, randomized controlled trial with six-month follow-up was carried out at three clinics for refugees in the public mental health services of the Psychiatry (DK). Seventy-four adults diagnosed with posttraumatic stress disorder (PTSD) were allocated to either music therapy sessions (tr-MI, N = 39) or psychological treatment as usual (TAU, N = 35). Western classical music, new age music, and music from the participants' own national culture were used to generate inner imagery, following a phased treatment protocol. Homework entailed listening to music. The primary outcome was the measurement of trauma symptoms by the Harvard Trauma Questionnaire, section IV (HTQ-IV); secondary measures were somatoform and psychoform dissociation (DSS-20), SDQ-20), attachment (RAAS), and well-being (WHO-5). Treatment effects reflected by primary and secondary measures were estimated using linear mixed models. Results: Tr-MI was noninferior to TAU (mean difference at follow-up HTQ-IV: 0.14, CI (-0.10; 0.38), with a - 0.3 noninferiority margin). A high dropout rate of 40% occurred in the TAU group, compared to 5% in the music therapy group. Secondary measures generated small to medium effect sizes in both groups, with significant medium effect sizes for well-being and psychoform dissociation at follow-up in tr-MI. Conclusions: Tr-MI is an innovative form of psychological treatment in refugee mental health services. Trials comparing music therapy to standardized therapy are needed to substantiate the evidence base for tr-MI therapy.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC).
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