La dépression en refrain… Entre évaluations de dispositifs musicothérapiques et vécus émotionnels : une proposition intégrative

Abstract

ObjectivesFew integrative and controlled researches have studied the impact of music-therapy (receptive, active, creative) in response to depressive symptomatology. The aims of this exploratory study are to assess quantitatively and qualitatively the mindfulness, the defensive functioning, the severity of depression, the alexithymic degree, the body distortion, the temporality, the creativity before, after and long after the participation in music-therapy workshops. The patient's experience is also noticed during these workshops, after and one month after all sessions. Patients and methodsEighty-four (male and female) have been integrated in the research. Hospitalized in a psychiatric hospital and clinic in Occitanie, 29 subjects participated in the active and creative workshop ((Mage=52.70 ; ET=18.60), 28 in the receptive and creative workshop (Mage=52.00; ET=12.70), and 27 in the usual care (Mage=48.10; ET=13.00). Each completed the Five Facets Mindfulness Questionnaire, the Defense Style Questionnaire, the Beck Depression Inventory, the Bermond-Vorst Alexithymia Questionnaire, and the Body Distortion Questionnaire. The two music-therapy groups also answered to the Clinical Scales of Mediatized Therapies. ResultsThe statistical analysis suggests significant differences between pre and post-test in connection with qualitative data. Improvements have been found at the different levels (mindfulness, defenses, severity of depression, emotions, affects, body distortion, temporality, creativity). ConclusionsA composite music-therapy device, addressed to caregivers, is developed at the end of this work. However, the positive impact of the workshops should be confirmed by research studying a larger sample.