The aim of this study is to examine whether resource-oriented music therapy helps psychiatric patients with low therapy motivation to improve negative symptoms and other health-related outcomes.
Background: Previous research has shown positive effects of music therapy for people with schizophrenia and other mental disorders. In clinical practice, music therapy is often offered to psychiatric patients with low therapy motivation, but little research exists about this population. The aim of this study is to examine whether resource-oriented music therapy helps psychiatric patients with low therapy motivation to improve negative symptoms and other health-related outcomes. An additional aim of the study is to examine the mechanisms of change through music therapy. Method: 144 adults with a non-organic mental disorder (ICD-10: F1 to F6) who have low therapy motivation and a willingness to work with music will be randomly assigned to an experimental or a control condition. All participants will receive standard care, and the experimental group will in addition be offered biweekly sessions of music therapy over a period of three months. Outcomes will be measured by a blind assessor before and 1, 3, and 9 months after randomisation. Discussion: The findings to be expected from this study will fill an important gap in the knowledge of treatment effects for a patient group that does not easily benefit from treatment. The study's close link to clinical practice, as well as its size and comprehensiveness, will make its results well generalisable to clinical practice.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
144
Sunshine Hospital/University of Melbourne, Faculty of Music
Melbourne, Australia
Wagner Jauregg Hospital
Linz, Austria
Jæren District Psychiatric Centre
Bryne, Rogaland, Norway
Stavanger University Hospital
Stavanger, Rogaland, Norway
negative symptoms (Scale for the Assessment of Negative Symptoms [SANS])
Time frame: 1
negative symptoms (Scale for the Assessment of Negative Symptoms [SANS])
Time frame: 3 months
negative symptoms (Scale for the Assessment of Negative Symptoms [SANS])
Time frame: 9 months
general symptoms
Time frame: 1
general symptoms
Time frame: 3 months
general symptoms
Time frame: 9 months
general functioning
Time frame: 1 months
general functioning
Time frame: 3 months
general functioning
Time frame: 9 months
clinical global impressions
Time frame: 1 months
clinical global impressions
Time frame: 3 months
clinical global impressions
Time frame: 9 months
interest in music
Time frame: 1 months
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Nordfjord Psychiatry Centre
Nordfjordeid, Sogn Og Fjordane, Norway
interest in music
Time frame: 3 months
interest in music
Time frame: 9 months
motivation for change
Time frame: 1 months
motivation for change
Time frame: 3 months
motivation for change
Time frame: 9 months
self-efficacy
Time frame: 1 months
self-efficacy
Time frame: 3 months
self-efficacy
Time frame: 9 months
self-esteem
Time frame: 1 months
self-esteem
Time frame: 3 months
self-esteem
Time frame: 9 months
vitality
Time frame: 1 months
vitality
Time frame: 3 months
vitality
Time frame: 9 months
affect regulation
Time frame: 1 months
affect regulation
Time frame: 3 months
affect regulation
Time frame: 9 months
relational competence
Time frame: 1 months
relational competence
Time frame: 3 months
relational competence
Time frame: 9 months
actual social relationships
Time frame: 1 months
actual social relationships
Time frame: 3 months
actual social relationships
Time frame: 9 months