Group music therapy for patients with persistent post-traumatic stress disorder--an exploratory randomized controlled trial with mixed methods evaluation
Carr C, d'Ardenne P, Sloboda A, Scott C, Wang D, Priebe S
Psychology and psychotherapy · 53 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Randomized controlled trial (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Funding not disclosed
Publication
- Published
- 2011-06-20 · Psychol Psychother · vol. 85 · issue 2 · pp. 179–202
- Publisher
- Wiley
- Cited
- 184 citations · more than 97% of similar papers · 7.7× the field average
- Impact
- Top 10% most cited in its field
- References
- 67 works
- Access
- Paywalled
- Research areas
- Music Therapy and Health · Art Therapy and Mental Health · Posttraumatic Stress Disorder Research
- Keywords
- Randomized controlled trial, Blinding, Music therapy, Depression (economics), Medicine, Group psychotherapy, Beck Depression Inventory, Physical therapy, Cognitive therapy, Traumatic stress, Clinical psychology, Psychology, Psychiatry, Anxiety, Internal medicine
- MeSH
- humans, music therapy, epidemiologic methods, emotions, avoidance learning, arousal, stress disorders, post-traumatic, psychotherapy, group, qualitative research, adolescent, adult, aged, middle aged, patient satisfaction, london, female, male, young adult, outcome assessment, health care
6 authors
From GB
- Catherine Elizabeth Carr · correspondingEast London NHS Foundation Trust; London School of Hygiene & Tropical Medicine
- Patricia d'ArdenneEast London NHS Foundation Trust
- Ann SlobodaQueen Mary University of London
- Carleen ScottEast London NHS Foundation Trust
- Duolao WangGuildhall School of Music and Drama
- Stefan PriebeEast London NHS Foundation Trust; London School of Hygiene & Tropical Medicine
Abstract
Objectives
Not all patients with post-traumatic stress disorder (PTSD) respond to cognitive behavioural therapy (CBT). Literature suggests group music therapy might be beneficial in treating PTSD. However, feasibility and effectiveness have not been assessed. The study objectives were to assess whether group music therapy was feasible for patients who did not respond to CBT, and whether it has an effect on PTSD symptoms and depression.
Design
The study employed mixed methods comprising of an exploratory randomized controlled trial, qualitative content analysis of therapy, and patient interviews.
Method
Patients with significant PTSD symptoms (n = 17) following completion of CBT were randomly assigned to treatment (n = 9) or control groups (n = 8). The treatment group received 10 weeks of group music therapy after which exit interviews were conducted. Control group patients were offered the intervention at the end of the study. Symptoms were assessed on the Impact of Events Scale-Revised and Beck Depression Inventory II at the beginning and end of treatment.
Results
Treatment-group patients experienced a significant reduction in severity of PTSD symptoms (-20.18; 95% confidence interval [CI]: [-31.23, -9.12]) and a marginally significant reduction in depression (-11.92; 95%CI: [-24.05, 0.21]) at 10 weeks from baseline compared to the control. Patients viewed music therapy as helpful and reported experiences concur with current literature.
Conclusions
Group music therapy appears feasible and effective for PTSD patients who have not sufficiently responded to CBT. Limitations include the small sample size and lack of blinding. Further research should address these limitations, test sustainability, and identify specific factors that address symptoms in treatment.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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