Individual music therapy for mental health care clients with low therapy motivation: multicentre randomised controlled trial
Gold C, Mössler K, Grocke D, Heldal TO, Tjemsland L, Aarre T, Aarø LE, Rittmannsberger H, Stige B, Assmus J, Rolvsjord R
Psychotherapy and psychosomatics · 35 citations
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
- Independent funding
- Government
- Norges Forskningsråd
Based on 1 listed funder(s).
Publication
- Published
- 2013-01-01 · Psychother Psychosom · vol. 82 · issue 5 · pp. 319–331
- Publisher
- Karger Publishers
- Cited
- 108 citations · more than 99% of similar papers · 11.1× the field average
- Impact
- Top 10% most cited in its field
- References
- 76 works
- Access
- Paywalled
- Research areas
- Music Therapy and Health · Art Therapy and Mental Health · Neuroscience and Music Perception
- Keywords
- Music therapy, Mental health, Psychotherapist, Psychology, Randomized controlled trial, Psychological therapy, Mental health care, Clinical psychology, Psychiatry, Medicine, Anxiety, Internal medicine
- MeSH
- humans, treatment outcome, music therapy, linear models, single-blind method, patient compliance, motivation, interpersonal relations, mental disorders, psychiatric status rating scales, adult, patient acceptance of health care, female, male, intention to treat analysis, self report
11 authors
From NO, AU, AT
- Christian GoldUni Research (Norway)
- Karin Antonia MösslerUni Research (Norway)
- Denise Elizabeth GrockeThe University of Melbourne
- Tor Olav HeldalUni Research (Norway)
- Lars TjemslandStavanger University Hospital
- Trond F. AarreReNorway (Norway)
Abstract
Background
Music therapy (MT) has been shown to be efficacious for mental health care clients with various disorders such as schizophrenia, depression and substance abuse. Referral to MT in clinical practice is often based on other factors than diagnosis. We aimed to examine the effectiveness of resource-oriented MT for mental health care clients with low motivation for other therapies.
Method
This was a pragmatic parallel trial. In specialised centres in Norway, Austria and Australia, 144 adults with non-organic mental disorders and low therapy motivation were randomised to 3 months of biweekly individual, resource-oriented MT plus treatment as usual (TAU) or TAU alone. TAU was typically intensive (71% were inpatients) and included the best combination of therapies available for each participant, excluding MT. Blinded assessments of the Scale for the Assessment of Negative Symptoms (SANS) and 15 secondary outcomes were collected before randomisation and after 1, 3 and 9 months. Changes were analysed on an intention-to-treat basis using generalised estimating equations in longitudinal linear models, controlling for diagnosis, site and time point.
Results
MT was superior to TAU for total negative symptoms (SANS, d = 0.54, p < 0.001) as well as functioning, clinical global impressions, social avoidance through music, and vitality (all p < 0.01).
Conclusion
Individual MT as conducted in routine practice is an effective addition to usual care for mental health care clients with low motivation.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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