Effects Of Group Music Therapy Research Articles

Effects of group music therapy on symptoms and functional recovery in outpatients with chronic psychoses: A randomized controlled trial

ABSTRACT Introduction In cases of schizophrenia and other psychoses, a comprehensive strategy that combines psychopharmacology with psychosocial interventions is often used to address symptoms, cognitive deficits, social functioning, and quality of life. The aim of this research was to carry out a randomized controlled trial to determine the effects of a music therapy (MT) treatment protocol on quality of life (primary outcome), symptoms, self-esteem, internalized stigma, social cognition, and social functioning (secondary outcomes), when implemented in combination with standard pharmacological and psychosocial rehabilitation (treatment as usual, TAU). Method Sixty clinically stable outpatients diagnosed with schizophrenia and other psychoses were randomly allocated to one of two groups: One group was administered TAU (n = 30) and the other TAU + MT (n = 30). The MT component consisted of 22 sessions of evidence-based MT. Outcome measures were obtained before and after treatment using a masked assessment process. Results A total of 57 participants completed the study. All participants were included in the intention-to-treat analysis. Differences between the groups were observed for internalized stigma (η2=.46), social functioning (η2=.18) and quality of life (η2=.25), with the TAU + MT group showing significantly greater improvements than the control group. Discussion The results obtained support the benefits of incorporating a MT treatment protocol as a complementary therapy to standard treatment.

The effects of group music imagery for women with methamphetamine use disorder in compulsory rehabilitation: A randomized controlled trial

ABSTRACT Introduction Women with substance use disorders (SUDs) are more inclined to use drugs and relapse for regulating emotions compared to men. This study aimed to explore the effects of group music and imagery in alleviating anxiety, depression, emotion regulation difficulties, and craving for women with methamphetamine use disorder (MUD) in a compulsory rehabilitation context. Method A total of 90 women with MUD were randomly assigned to the music therapy treatment arm (n = 45) or control treatment arm (n = 45). Participants in the music therapy treatment arm received 12 biweekly sessions of group music and imagery (GrpMI) and those in the control treatment arm received 6 weeks of usual care. Anxiety, depression, emotion regulation difficulties, and craving were assessed at pre-test and post-test. Results After the intervention, participants in the GrpMI group reported significantly greater improvements than those in the control group for state anxiety (F = 6.27; p = .02; Partial η2 = .13), trait anxiety (F = 4.49; p = .04; Partial η2 = .09), depression (F = 5.48; p = .02; Partial η2 = .11), and craving (F = 4.53; p = .04; Partial η2 = .09). There was no significant difference between groups in emotion regulation difficulties (F = .95, p = .34, Partial η2 = .09). Discussion GrpMI significantly decreased depression, anxiety, and craving for women with MUD. Emotion regulation ability may need a longer period of treatment for significant improvement. Future studies could add long-term follow-up and compare the effects of group music therapy in women versus men with SUDs.

Music Therapy and Paediatric Chronic Pain: A Scoping Review

Chronic pain in the paediatric population is a complex and multi-faceted condition. Prevalent types of chronic pain reported in childhood include headaches, visceral pain and musculoskeletal pain. The purpose of this scoping review was to discover what is known from current literature about the effectiveness of music therapy used as a therapeutic intervention for children with chronic pain. The Arksey & O’Malley scoping review methodological framework and the guidance for conducting systematic scoping reviews provided by the Joanna Briggs Institute were followed to conduct this review. A total of five publications were included in this review. Texts discuss music therapy interventions and the current geographical locations where music therapy is incorporated into integrative medicine and rehabilitation programmes for paediatric chronic pain. All studies encourage further research within the area. Several gaps have been outlined that allude to further research of music therapy and/or music medicine for paediatric chronic pain internationally and the effectiveness of group music therapy as an intervention for the treatment paediatric chronic pain.

The Effectiveness of Group Music Therapy as a Treatment for Youths with Depression

Adolescents are uniquely susceptible to depression, which is a mood disorder that causes severe symptoms which affect how one thinks, feels, and handles daily activities (Geipel et al.1: National Institute of Health). Pharmacotherapy and psychotherapy are the two leading modes of treatment for youths, but pharmacotherapy has been found to increase risks of relapse and suicide (Erkkila et al. 2). Within psychotherapy, group music therapy has emerged as a strong treatment option to meet the unique needs of adolescents. Music therapy is the clinical and evidence-based use of music intervention to accomplish individualized goals within a therapy program (American Music Therapy Association). Group music therapy allows for connections and interpersonal relationships to be built, provides an alternate form of expression, and has a collaborative aspect; this differentiates group music therapy from other types of therapy. This paper will examine what current treatment options for depression in youths are lacking, different opinions about group music therapy, and challenges against implementation of group music therapy as a widespread treatment method for depression in youths.

Desenvolvimento da Escala de Avaliação dos Efeitos da Musicoterapia em Grupo na Dependência Química: análise teórica e semântica

This text discusses methodological and developmental research on the Assessment Scale of the Effects of Group Music Therapy on Chemical Dependence (MTDQ). To do so, we used the theoretical procedures for constructing Psychological Assessment Instruments outlined by Luiz Pasquali, namely Semantic Analysis and Judges Analysis. We found that the MTDQ was evaluated as relevant and appropriate to the population for which it is intended, that the items are theoretically connected to their respective domains, and that all domains are perti-nent for the evaluation of MT in CD. Finally, we indicate that further studies will be con-ducted to verify the structural validity as well as the reliability of the constructed test.

Therapeutic music interventions with people with dementia living in residential aged care: Perspectives of residents, family members and care home staff from a cluster randomised controlled trial.

Despite growing support for the benefits of music interventions in dementia care, the perspectives of people with dementia, their families and carers are often missing from the research. This study explored multiple perspectives and first-person experiences of group music interventions delivered within a large cluster randomised controlled trial examining the effectiveness of group music therapy (GMT) and recreational choir singing (RCS) with people with dementia living in residential-aged care (RAC) settings. Focus group and individual interviews with residents with dementia (n=4), family members (n=5) and care home staff (n=15) were conducted following completion of the 6-month GMT and/or RCS intervention and analysed using inductive thematic analysis. Three main themes were identified as follows: (1) direct and indirect intrapersonal benefits, (2) direct and indirect interpersonal benefits and (3) therapeutic music interventions versus entertainment. GMT and RCS supported residents' mood, enjoyment, engagement and connectedness to self and others within and post-sessions, with flow-on effects to family members, care staff and the care home environment. Participants differentiated GMT and RCS from other forms of music engagement in the RAC facilities and described feelings of post-programme loss, highlighting ongoing meaning in active therapeutic music interventions. This research highlights the need for increased access to sustainable and meaningful activities, such as purposefully designed therapeutic music interventions in RAC. Improving knowledge about the distinct benefits of therapeutic music interventions compared with other forms of music engagement in RAC may assist nursing staff to make appropriate treatment planning decisions regarding therapeutic music programmes to meet the complex needs of residents with dementia.

The Effect of Music Therapy on Sense of Loneliness and Life Expectancy in Methamphetamine-Addicted Individuals Attempting to Quit

Background: Since there has been no research on music therapy in a systematic way so far to develop motivation and hope in the course of treating individuals who are addicted to drugs, especially stimulant drugs whose use has increased in Iran, the present research was conducted to examine the effect of music therapy on the sense of loneliness and life expectancy in methamphetamine-addicted individuals who were attempting to quit. Methods: The research is pretest, posttest, and test and control groups. The research sample includes 30 methamphetamine-addicted individuals who were quitting in a midterm residential center in Sowme'eh Sara who were selected by convenience sampling and allocated to two control (N = 15) and experiment (N = 15) groups randomly. UCLA sense of loneliness scale and Schneider statistical questionnaire (1991) were used for data collection. Results: Studies showed that music therapy could reduce the symptoms related to the sense of loneliness and increased life expectancy (P < 0.001). Conclusions: It is concluded that mental health professionals can use group music therapy to improve sense of loneliness and life expectancy in methamphetamine-addicted individuals attempting to quit. Also, it is suggested that future research should investigate the effectiveness of group music therapy in improving other psychological constructs in addicted females and males who are attempting to quit.

The Effect of Group Music Therapy with Physical Activities to Prevent Frailty in Older People Living in the Community.

Background: The frail elderly are prone to falls and fractures, which can result in dependency, disability, admission to institutions, and even death. They are at increased risk of frailty due to decreased physical activity, cognitive decline, and depression. Some evidence suggests that music therapy with physical activities may be particularly beneficial. Objective: This study aimed to investigate the intervention effect of music therapy with physical activities (MTPA) on frail elderly in the community. Methods: A quasi-experimental design was adopted. We selected 10 community care centers in southern Taiwan, in which elderly people over the age of 65 were assigned to a MTPA group and a comparison group after obtaining their informed consent. The MTPA group performed group music activities once a week for 120 min for 12 weeks, while the comparison group only continued with their daily activities. Instruments in this study included the Kihon Checklist, Senior Fitness Test (with Body Mass Index (BMI) and seven physical fitness items), Mini-Mental Status Examination (MMSE), and Geriatric Depression Scale Short Form (GDS-SF). Results: A total of 132 community elders agreed to participate in this study, and 122 completed both the pretest and posttest, with 62 in the music therapy group and 60 in the comparison group. The results of ANCOVA showed that after intervention, except for BMI, the Kihon frailty assessment, seven fitness scores individually and in total, MMSE, and depression showed significant improvements in the music therapy group relative to the comparison group (all p < 0.05). Conclusion: MTPA can improve the frailty index, cognitive function, depression, and physical fitness index in the community elderly. The results of this study can be used as a reference for the design of activities for the community elderly, to provide them with appropriate activities, improve their physical functions, and improve or delay their disability.

Study protocol of the MUSED study: A randomized controlled trial to evaluate the psychobiological effects of group music therapy in women with depression

ABSTRACT Introduction: People suffering from depression commonly show impaired emotion regulation, accompanied by deficits in the regulation of psychobiological stress systems. Initial studies indicate that music therapy can impact depressive symptoms and psychobiological mechanisms, and may therefore contribute to effective treatment for depression. We will investigate the effects of music therapy on depressive symptoms. Moreover, we will examine the impact of this therapy on circadian biological rhythms in daily life. In particular, we will monitor the circadian rhythm of vagal tone, indexed by heart rate variability (HRV), and of the hypothalamic-pituitary-adrenal (HPA) axis, indexed by the diurnal cortisol profile, within the framework of ecological momentary assessment (EMA). Method: Seventy-four women aged 18–65 years with a diagnosis of depression or dysthymia will be eligible for participation. Participants will be randomly assigned to the intervention group (10 weeks music therapy + treatment as usual, TAU) or the control group (TAU only). Self-report data will be collected before and after the intervention period, and 10 weeks after the post-assessment. Psychobiological data (48 hours HRV, salivary cortisol from six samples each of two consecutive days) and observer ratings will be gathered before and after the intervention period. Discussion: The study aims to validate previous findings that music therapy is effective in the treatment of depression. The results will foster the understanding of how music therapy affects HPA axis and autonomic regulation processes. The EMA approach offers the potential to test for covariance between different psychobiological markers in daily life.

The Effects of Group Music Therapy on Levels of Anxiety, Depression, Well-Being, Functional Disability, and Distress in Adult Congolese Refugees

Refugees have a variety of mental health needs due to their experiences, including trauma, anxiety, and depression. Psychotherapy, one of the main modalities for treatment, presents limitations including language barriers and negative stigmas. Music therapy might help to overcome these limitations due to its reliance upon music, rather than verbal language, as the therapeutic medium, and due to music’s ubiquitous cultural prevalence. Music therapy has been shown to have positive effects on sleep quality, well- being, trauma symptoms, social function, and mood. Music therapy training and research results have demonstrated ways to connect with clients through music and overcome cross-cultural barriers. The objective of this case study was to determine the effects of group music therapy on levels of anxiety, depression, well-being, functional disability, and distress in two adult Congolese refugees. Further, the study explored the themes which the participants reported they preferred and were most likely to use on their own regarding the music interventions. A mixed-methods approach was used to gather both quantitative and qualitative data. The study involved eight weekly, one hour-long music therapy sessions following a protocol that included four themes: socialization, emotional expression, English-learning, and personalized use of music. Levels of anxiety, depression, well-being, and functional disability were assessed using psychometric tests before the first session, after the fourth session, and after the eighth session. The data found overall decreased levels of anxiety, depression, and distress, increased levels of well-being, and little change in level of functional disability. Prevalent themes from the self-report questionnaire were instrument playing, singing, listening, and the hello song. Conclusions and recommendations for future research are included.

The Effect of Group Music Therapy in Improving the Attention and Reducing School Stress of Children Using Community Child Center

The Effect of Group Music Therapy in Improving the Attention and Reducing School Stress of Children Using Community Child Center

The Effect of Group Music Therapy on the Empathic Ability of Job Applicants with Developmental Disabilities

The Effect of Group Music Therapy on the Empathic Ability of Job Applicants with Developmental Disabilities

오르프 기법을 이용한 그룹음악치료가 워킹맘의 양육스트레스와 양육효능감에 미치는 영향

본 연구는 오르프 기법을 이용한 그룹음악치료가 워킹맘의 양육스트레스와 양육효능감에 어떠한 영향을 미치는지 알아보고자 하였다. 연구 대상자들은 경기도 소재에서 일하고 있는 워킹맘 16명으로 실험집단 8명과 통제집단 8명으로 나누어 진행하였다. 실험집단에게는 50분씩 주 2회, 총 10회기에 걸쳐 오스티나토(Ostinato), 보르둔(Bordun), 솔로앤 뚜띠(Solo and Tutti) 등의 다양한 오르프 기법을 사용한 음악치료 활동이 제공되었고 통제집단은 실험 기간 동안 아무런 처치를 받지 않았다. 연구 자료에 대한 분석으로 SPSS 22.0 통계 Mann-Whitney U 검정과 Wilcoxon Matched Pair 검정을 실시하였으며 연구결과는 다음과 같다. 첫째, 실험집단은 양육스트레스 정도가 감소하였으나 통제집단은 유의미한 차이를 보이지 않았다. 둘째, 프로그램에 참여한 실험집단의 워킹맘들은 양육효능감에 유의미한 차이를 보였으나 통제집단의 경우 유의미한 차이를 보이지 않았다. 이 연구는 오르프 기법을 이용한 음악치료 프로그램이 워킹맘의 양육스트레스와 양육효능감에 효과적인 심리적 중재방안이 될 수 있음을 시사한다. 또한 오르프 음악치료가 아동뿐만 아니라 성인에게도 효과적인 중재임을 나타낸다.

집단음악치료가 저소득층 고학년 초등학생의 심리 및 사회적 변인에 미치는 영향

집단음악치료가 저소득층 고학년 초등학생의 심리 및 사회적 변인에 미치는 영향

The Effect of Music Therapy in Patients with Huntington's Disease: A Randomized Controlled Trial.

Music therapy may have beneficial effects on improving communication and expressive skills in patients with Huntington's disease (HD). Most studies are, however, small observational studies and methodologically limited. Therefore we conducted a multi-center randomized controlled trial. To determine the efficacy of music therapy in comparison with recreational therapy in improving quality of life of patients with advanced Huntington's disease by means of improving communication. Sixty-three HD-patients with a Total Functional Capacity (TFC) score of ≤7, admitted to four long-term care facilities in The Netherlands, were randomized to receive either group music therapy or group recreational therapy in 16 weekly sessions. They were assessed at baseline, after 8, 16 and 28 weeks using the Behaviour Observation Scale for Huntington (BOSH) and the Problem Behaviour Assessment-short version (PBA-s). A linear mixed model with repeated measures was used to compare the scores between the two groups. Group music therapy offered once weekly for 16 weeks to patients with Huntington's disease had no additional beneficial effect on communication or behavior compared to group recreational therapy. This was the first study to assess the effect of group music therapy on HD patients in the advanced stages of the disease. The beneficial effects of music therapy, recorded in many, mainly qualitative case reports and studies, could not be confirmed with the design (i.e. group therapy vs individual therapy) and outcome measures that have been used in the present study. A comprehensive process-evaluation alongside the present effect evaluation is therefore performed.

Group Music Therapy as a Preventive Intervention for Young People at Risk: Cluster-Randomized Trial.

Music forms an important part of the lives and identities of adolescents and may have positive or negative mental health implications. Music therapy can be effective for mental disorders such as depression, but its preventive potential is unknown. The aim of this study was to examine whether group music therapy (GMT) is an effective intervention for young people who may be at risk of developing mental health problems, as indicated via unhealthy music use. The main question was whether GMT can reduce unhealthy uses of music and increase potentials for healthy uses of music, compared to self-directed music listening (SDML). We were also interested in effects of GMT on depressive symptoms, psychosocial well-being, rumination, and reflection. In an exploratory cluster-randomized trial in Australian schools, 100 students with self-reported unhealthy music use were invited to GMT (weekly sessions over 8 weeks) or SDML. Changes in the Healthy-Unhealthy Music Scale (HUMS) and mental health outcomes were measured over 3 months. Both interventions were well accepted. No effects were found between GMT and SDML (all p > 0.05); both groups tended to show small improvements over time. Younger participants benefited more from GMT, and older ones more from SDML (p = 0.018). GMT was associated with similar changes as SDML. Further research is needed to improve the processes of selecting participants for targeted interventions; to determine optimal dosage; and to provide more reliable evidence of effects of music-based interventions for adolescents.

Music therapy as group singing improves Geriatric Depression Scale score and loneliness in institutionalized geriatric adults with mild depression: A randomized controlled study

Aims: This study was conducted with an aim to evaluate the effect of group music therapy in the form of group singing, led by a music therapist, on depressive symptoms and loneliness in institutionalized geriatric individuals having mild depression. Settings and Design: The study was conducted as a randomized control trial at St. Mary's Home for the aged, Cuddalore, Tamil Nadu. The study was conducted as a randomized control trial. Subjects and Methods: The experiment group (n = 40) received daily music therapy in the form of group singing lead by a music therapist for 3 weeks. The control group (n = 40) did not receive any specific intervention. Baseline and weekly Geriatric Depression Scale-Short Form (GDS-SF) and UCLA Loneliness Scale scores were recorded in both groups. Statistical Analysis Used : Measures of Central Tendency, Mann-Whitney U-test, and Wilcoxon W value. Results: Statistically significant improvement (P < 0.05) was seen in both the scores at the end of 3 weeks in the experiment group as compared to the control group. On intragroup comparison, both scores showed statistically significant improvement (P < 0.001) in the experiment group at the end of 3 weeks as compared to baseline but not in the control group. No adverse event was reported. Conclusions: Group singing significantly improves GDS-SF scores and loneliness in institutionalized geriatric adults having mild depression at the end of 3 weeks. Further research in this area is desirable which could contribute to the well-being of the aged population.

Effect of Group Music Therapy Using Ukulele on Improving in Attention of Low-income Children

본 연구는 우쿨렐레를 활용한 집단음악치료가 저소득층 아동의 주의집중력 향상에 미치는 효과에 대해 살펴보는 것이다. 본 연구의 대상은 충주시 S 지역아동센터를 이용하는 저소득층 아동 14명이다. 본 연구는 2016년 9월 1일부터 11월 30일까지 주 1회, 60분씩 총12회기동안 우쿨렐레를 활용한 집단음악치료를 실시하였다. 프로그램 시행 전과 후, 매 3회기마다 Harris & Harris의 주의집중력 도구로 측정하였다. 연구의 결과는 SPSS WIN 20.0을 사용하여 자료처리하였다. 본 연구의 결과 우쿨렐레를 활용한 집단음악치료가 저소득층 아동의 주의집중력 향상에 유의(p< .001)하였다. 또한 행동분석에서도 저소득층 아동 의 주의집중이 향상됨이 나타났다. 따라서 본 연구를 통해 우쿨렐레를 활용한 집단음악치료가 저소득층 아동의 주의집중력 향상에 효과적임을 알 수 있다.This study is to examine the effects of group music therapy using Ukulele improving in attention of low-income children. The subjects of this study were 14 low-income children at S social children center in Chungju-city. They underwent group music therapy using Ukulele. This program was carried out during 12 sessions for 60 minutes per session once a week from September 1, 2016 to November 30, 2016. Before and after this program, Harris & Harris s attention test was carried out for group. Also after 3, 6, 9 sessions, that test was carried out. And then the test results were analyzed by SPSS WIN 20.0. It was found out that there was a significant improvement(p< .001) in the attention of low-income children. Also as the session progressed, the attention of low-income children increased. Therefore, it is possible to say that group music therapy using Ukulele is effective in the improving on attention of low-income children.

Effects of Music Therapy on Drug Therapy of Adult Psychiatric Outpatients: A Pilot Randomized Controlled Study.

Objective: Framed in the patients’ engagement perspective, the current study aims to determine the effects of group music therapy in addition to drug care in comparison with drug care in addition to other non-expressive group activities in the treatment of psychiatric outpatients.Method: Participants (n = 27) with ICD-10 diagnoses of F20 (schizophrenia), F25 (schizoaffective disorders), F31 (bipolar affective disorder), F32 (depressive episode), and F60 (specific personality disorders) were randomized to receive group music therapy plus standard care (48 weekly sessions of 2 h) or standard care only. The clinical measures included dosages of neuroleptics, benzodiazepines, mood stabilizers, and antidepressants.Results: The participants who received group music therapy demonstrated greater improvement in drug dosage with respect to neuroleptics than those who did not receive group music therapy. Antidepressants had an increment for both groups that was significant only for the control group. Benzodiazepines and mood stabilizers did not show any significant change in either group.Conclusion: Group music therapy combined with standard drug care was effective for controlling neuroleptic drug dosages in adult psychiatric outpatients who received group music therapy. We discussed the likely applications of group music therapy in psychiatry and the possible contribution of music therapy in improving the psychopathological condition of adult outpatients. In addition, the implications for the patient-centered perspective were also discussed.

Effectiveness of group music therapy on agitatedbehaviors in elderlies with Alzheimer's disease

Effectiveness of group music therapy on agitatedbehaviors in elderlies with Alzheimer's disease