Group music therapy for severe mental illness: a randomized embedded-experimental mixed methods study
Grocke D, Bloch S, Castle D, Thompson G, Newton R, Stewart S, Gold C
Acta psychiatrica Scandinavica · 25 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
- University or hospital
- University of Melbourne
- Government
- Australian Research Council
- Grants
- Australian Research Council (DP0878494)
Based on 2 listed funder(s).
Publication
- Published
- 2013-11-21 · Acta Psychiatr Scand · vol. 130 · issue 2 · pp. 144–153
- Publisher
- Wiley
- Cited
- 95 citations · more than 92% of similar papers · 3.7× the field average
- Impact
- Top 10% most cited in its field
- References
- 40 works
- Access
- Paywalled
- Research areas
- Music Therapy and Health · Mindfulness and Compassion Interventions · Art Therapy and Mental Health
- Keywords
- Randomized controlled trial, Quality of life (healthcare), Cohort, Psychology, Focus group, Clinical psychology, Spirituality, Music therapy, Singing, Medicine, Psychiatry, Psychotherapist, Internal medicine, Alternative medicine
- MeSH
- humans, treatment outcome, music therapy, severity of illness index, cross-over studies, self concept, spirituality, mental disorders, psychotherapy, group, quality of life, social support, adult, female, male
7 authors
From AU, NO
- Darren Richard Gröcke · correspondingThe University of Melbourne
- Sidney BlochThe University of Melbourne
- David Jonathan CastleThe University of Melbourne; St Vincent's Hospital Melbourne
- Grace Anne ThompsonThe University of Melbourne
- Richard NewtonThe University of Melbourne; Austin Health
- Sandra E. StewartMonash University
Abstract
Objective
Music therapy is an innovative approach to support people with severe mental illness (SMI). The aim of the study was to determine whether group music therapy (GMT) positively impacted on quality of life (QoL), social enrichment, self-esteem, spirituality and psychiatric symptoms of participants with SMI and how they experienced the intervention.
Method
The primary outcome was QoL; secondary measures assessed social enrichment, self-esteem, spirituality and psychiatric symptoms. The 13-week intervention comprised singing familiar songs and composing original songs recorded in a professional studio. Qualitative data were generated from focus group interviews and song lyric analysis.
Results
Ninety-nine adults (57 female) were recruited, with an initial cohort (n = 75) randomized to either: weekly GMT followed by standard care (SC) or SC followed by GMT. Crossover occurred after 13 weeks. Measures were conducted at baseline, 13, 26 and 39 weeks. A second cohort (n = 24) could not be randomized and were assigned to GMT followed by SC. Intention-to-treat analysis showed a significant difference between GMT and SC on QoL and spirituality. This was robust to different assumptions about missing data (listwise deletion, last observation carried forward or multiple imputation). Per-protocol analysis suggested greater benefit for those receiving more sessions. Focus group interview and song lyric analyses suggested that GMT was enjoyable; self-esteem was enhanced; participants appreciated therapists and peers; and although challenges were experienced, the programme was recommended to others.
Conclusion
Group music therapy may enhance QoL and spirituality of persons with SMI.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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