Symphony of healing: Investigating the effects of integrating music therapy with cognitive behavioral therapy (CBT) and dynamic interpersonal therapy (DIT) on depression
Yari-Renani H, Zare T
Psychiatry research · 0 citas
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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 no declarada
Publicación
- Publicado
- 2025-11-11 · Psychiatry Res · vol. 355 · pág. 116829
- Editorial
- Elsevier BV
- Citado
- 1 cita · más que el 83% de estudios similares · 1.1× el promedio de su campo
- Referencias
- 23 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Psychotherapy Techniques and Applications · Treatment of Major Depression
- Palabras clave
- music therapy, cognitive behavioral therapy, dynamic interpersonal therapy, depression, combined psychotherapy, sleep quality, cognitive performance, cognitive flexibility, selective attention, cognitive inhibition, processing speed, non-pharmacological treatment, psychodynamic psychotherapy
- MeSH
- humans, treatment outcome, combined modality therapy, music therapy, adult, middle aged, female, male, young adult, cognitive behavioral therapy, interpersonal psychotherapy, outcome assessment, health care, sleep quality, major depressive disorder
2 autores
- Hamid Yari-Renani🇬🇧 · autor de correspondenciaGoldsmiths University of London
- Tahereh Zare🇮🇷Islamic Azad University, Tehran; Islamic Azad University of Ayatollah Amoli
Resumen
El texto original del estudio, en el idioma en que se publicó.
Although Dynamic Interpersonal Therapy (DIT) and Cognitive Behavioral Therapy (CBT) are established treatments for depression, the effects of combining them with music therapy, a non-invasive, cost-effective adjunct, remain underexplored. In this multicenter randomized controlled trial (MC-RCT) with a four-arm parallel-group design, participants (n = 230) with DSM-5 MDD criteria from five major Iranian cities were randomized into four groups: Music Therapy + DIT, Music Therapy + CBT, Music Therapy alone, and Low-Intensity Therapy (LIT). Key outcome measures included the Hamilton Depression Rating Scale (HAM-d-17) for depressive symptoms, the Pittsburgh Sleep Quality Index (PSQI) for sleep quality, and the Stroop Test for cognitive performance. Assessments were performed at baseline, mid-treatment (8 weeks), post-treatment (16 weeks), and at 6- and 12-month follow-ups. Data analysis involved mixed ANOVA and Bonferroni post hoc tests. All active interventions reduced depressive symptoms, improved sleep, and enhanced cognition by week 16. MT+DIT showed the greatest and most sustained gains: 40.85 % symptom reduction, 44.26 % sleep improvement, and marked cognitive enhancements (45.85 % in cognitive flexibility, 40 % in processing speed, 75.05 % in selective attention, and 53.17 % in cognitive inhibition) at the 12-month follow-up. MT+CBT had substantial but less enduring effects. MT alone showed moderate initial improvement that declined at follow-up. These findings support the inclusion of music therapy combined with psychodynamic approaches in mental health treatment protocols, offering a viable, non-pharmacological option for comprehensive depression care.
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