High-frequency vs. low-frequency MIDI-assisted group music therapy in psychiatric inpatients: A randomized controlled trial
Esteban-Cárdenas M, Gómez-Puentes A, Torres-Delgado C, Hidalgo-Valbuena A, Ferro E
PloS one · 0 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
Según la declaración de financiación del texto completo.
Publicación
- Publicado
- 2026-04-17 · PLoS One · vol. 21 · número 4 · pág. e0317950
- Editorial
- Public Library of Science
- Citado
- 0 citas · más que el 26% de estudios similares · 0.0× el promedio de su campo
- Referencias
- 31 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Art Therapy and Mental Health · Music Education and Analysis
- Palabras clave
- psychiatric inpatients, intervention frequency, stress reduction, depression, anxiety, life satisfaction, emotional response to music, adjunctive therapy
- MeSH
- humans, treatment outcome, music therapy, depression, anxiety, mental disorders, psychotherapy, group, adult, middle aged, inpatients, female, male
5 autores
- Manuel Esteban-Cárdenas🇨🇴Universidad El Bosque
- Amelia Gómez🇨🇴Universidad El Bosque; Instituto Colombiano del Sistema Nervioso - Clínica Montserrat
- Carlos Torres-Delgado🇨🇴Instituto Colombiano del Sistema Nervioso - Clínica Montserrat
- Adrián Hidalgo-Valbuena🇨🇴Instituto Colombiano del Sistema Nervioso - Clínica Montserrat
- Eugenio Ferro🇨🇴 · autor de correspondenciaUniversidad El Bosque; Instituto Colombiano del Sistema Nervioso - Clínica Montserrat
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Music therapy has been increasingly incorporated into psychiatric inpatient care as an adjunctive intervention; however, evidence regarding its comparative effectiveness, particularly with respect to intervention intensity during brief psychiatric hospitalizations, remains limited. Most randomized trials have evaluated interventions delivered over several weeks, leaving uncertainty about the potential differential effects of higher versus lower intervention intensity within short inpatient stays.
Methods
This randomized controlled trial with a parallel-group design was conducted in an adult psychiatric inpatient unit in Bogotá, Colombia. Participants were randomly assigned (1:1) to either a high-frequency music therapy group, which received five sessions delivered on consecutive days within a single inpatient week, or a low-frequency group, which received one session during the same period. Allocation concealment was ensured through computer-generated randomization performed by an independent researcher not involved in participant recruitment or outcome assessment. Primary outcomes were symptoms of depression, anxiety, and stress, assessed using the Depression Anxiety Stress Scale-21 (DASS-21) at baseline and at the end of the intervention week. Secondary outcomes included emotional responses to music therapy, assessed using selected items from the Questionnaire of the Impact of Music Therapy Sessions in Adults (CISMA instrument), and global life satisfaction, measured with the Satisfaction With Life Scale (SWLS). Between-group changes over time were analyzed using repeated-measures mixed-effects linear models.
Results
A total of 91 participants were randomized, of whom 74 (37 per group) completed post-intervention assessments and were included in the per-protocol analysis. Between-group analyses revealed a statistically significant group × time interaction for the DASS-21 stress subscale only. Participants in the high-frequency music therapy group showed a greater reduction in stress scores compared with the low-frequency group, with a statistical between-group difference (6.49 ± 5.55 vs. 7.03 ± 5.81; p = 0.023). No statistically significant between-group differences were observed for the DASS-21 anxiety subscale (p = 0.339) or the depression subscale (p = 0.270). Global life satisfaction, as measured by the SWLS, did not differ significantly between groups (p > 0.05). For secondary outcomes assessed using selected CISMA items related to emotional change, between-group differences were small and not statistically significant across all items. Overall, except for stress symptoms, outcomes did not differ significantly between the high-frequency and low-frequency intervention groups.
Conclusions
In this randomized controlled trial, a higher frequency of music therapy sessions was associated with a greater reduction in stress symptoms compared with a lower-frequency intervention during a brief psychiatric hospitalization. However, no between-group differences were observed for anxiety, depression, life satisfaction, or emotional response measures. Overall, these findings indicate limited evidence of differential effectiveness by intervention intensity and should be interpreted cautiously in light of the study's methodological limitations.
Trial registration
ISRCTN registry: ISRCTN87861817 (https://www.isrctn.com/ISRCTN87861817).
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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.