Within the area of serious mental disorders, the aim of the therapy is to help people improve their emotional and relational competencies, and to address issues they may not be able to using words alone. Music therapy is generally defined as "a systematic process of intervention wherein the therapist helps the client to promote health, using music experiences and the relationships that develop through them as dynamic forces of change ( Bruscia 1998)." It often addresses intra‐ and interpsychic, as well as social processes by using musical interaction as a means of communication, expression, and transformation. This research should especially address the long‐term effects of music therapy, the quality of music therapy provided and measure outcomes relevant to music therapy. Music therapy seems to help people with schizophrenia but further research is needed to confirm the positive effects found in this review. The results of these studies suggest that music therapy improves global state and may also improve mental state, functioning, and quality of life if a sufficient number of music therapy sessions are provided. The evidence currently available is of low to moderate quality. We found and checked 176 potential studies.Įighteen trials with a total of 1215 participants met the review requirements and provided useful data. We ran electronic searches up to January 2015 for trials randomising people with schizophrenia or schizophrenia‐like disorders to receive music therapy or standard care.
Music therapy is a therapeutic approach that uses music experiences to help people with serious mental disorders improve their emotional and relational competencies and addresses issues that they may not be able to using words alone. People with schizophrenia often have two main types of symptoms: the acute symptoms of hearing voices or seeing things (hallucinations) and strange beliefs (delusions), and chronic symptoms such as low mood/depression, social withdrawal, and memory problems. What are the effects of providing music therapy or adding music therapy to treatment for people with schizophrenia or schizophrenia‐like disorders?Ĭharacteristics of schizophrenia and schizophrenia‐like disorders are disordered thoughts, feelings, beliefs and perceptions. Music therapy for schizophrenia or schizophrenia‐like disorders There were no data available for adverse effects, service use, engagement with services, or cost. However, positive effects for music therapy were found for both social functioning (Social Disability Screening Schedule scores 2 RCTs, n = 160, SMD ‐0.72 95% CI ‐1.04 to ‐0.40), and quality of life (General Well‐Being Schedule scores: 1 RCT, n = 72, SMD 1.82 95% CI 1.27 to 2.38, moderate‐quality evidence). Medium‐term average endpoint scores using the Global Assessment of Functioning showed no effect for music therapy on general functioning (2 RCTs, n = 118, SMD ‐0.19 CI ‐0.56 to 0.18, moderate‐quality evidence). General mental state endpoint scores on the Positive and Negative Symptoms Scale were better for music therapy (2 RCTs, n = 159, SMD ‐0.97 95% CI ‐1.31 to ‐0.63, low‐quality evidence), as were average endpoint scores on the Brief Psychiatric Rating Scale (1 RCT, n = 70, SMD ‐1.25 95% CI ‐1.77 to ‐0.73, moderate‐quality evidence). Medium‐term continuous data identified good effects for music therapy on negative symptoms using the Scale for the Assessment of Negative Symptoms (3 RCTs, n = 177, SMD ‐ 0.55 95% CI ‐0.87 to ‐0.24, low‐quality evidence). No binary data were available for other outcomes. Overall, most information is from studies at low or unclear risk of biasĪ positive effect on global state was found for music therapy compared to standard care (medium term, 2 RCTs, n = 133, RR 0.38 95% confidence interval (CI) 0.24 to 0.59, low‐quality evidence, number needed to treat for an additional beneficial outcome NNTB 2, 95% CI 2 to 4). These examined effects of music therapy over the short, medium, and long‐term, with treatment dosage varying from seven to 240 sessions.
TAI KARAFUN STUDIO 1.20 UPDATE
Ten new studies have been added to this update 18 studies with a total 1215 participants are now included.
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