Music therapy and depression : the alternative approach

Introduction Depression is a highly prevalent disorder associated with reduced social functioning, impaired quality of life, and increased mortality. This disease is one of the most common reasons for the use of complementary and alternative therapies. Music therapy is a therapeutic approach that u...

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Main Authors: M. Zbidi, W. Bouali, M. Hnia, M. Kacem, R. Bensoussia, L. Zarrouk
Format: Article
Language:English
Published: Cambridge University Press 2023-03-01
Series:European Psychiatry
Online Access:https://www.cambridge.org/core/product/identifier/S0924933823009008/type/journal_article
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author M. Zbidi
W. Bouali
M. Hnia
M. Kacem
R. Bensoussia
L. Zarrouk
author_facet M. Zbidi
W. Bouali
M. Hnia
M. Kacem
R. Bensoussia
L. Zarrouk
author_sort M. Zbidi
collection DOAJ
description Introduction Depression is a highly prevalent disorder associated with reduced social functioning, impaired quality of life, and increased mortality. This disease is one of the most common reasons for the use of complementary and alternative therapies. Music therapy is a therapeutic approach that uses musical interaction as a means of communication and expression. Objectives To assess, through a systematic review, the effectiveness of music therapy in patients with depression disorder, and to design a research protocol for a randomised controlled trial of group music therapy for depressed patients in a Psychiatry Department. Methods We conducted a systematic review based on the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA).We systematically searched 3 databases (Pubmed, Google Scholar and SciElo) and reviewed randomized controlled trials. The evaluation of the trials was made using the CONsolidated Standards of Reporting Trials (CONSORT) guidelines.The review included studies of 16-to-80-year-old impatients and outpatients of both genders with clinical depression using any diagnostic criteria such as ICD 10 (WHO 1992) or DSM 5 Research Diagnostic Criteria. Change in depressive symptoms was measured with various scales. An experimental protocol was then designed to conduct a randomized controlled trial for depressed patients in the Psychiatry Department at the University Hospital of Mahdia, seeking to supplement scientific knowledge in the field of music therapy that has not yet been explored. Results A total of 13 articles were included in the study: The analysis of these articles highlighted a predominance of Anglo-Saxon papers and an increasing rate of publication over time.The duration of treatment varied between 2 weeks and 10 weeks and the number of music therapy sessions varied between 4 sessions and 20 sessions.Two major music therapy approach were identified, active method where patients are the ones making music and receptive or passive methods where patients will receive the music.12 researches included in our review reached the conclusion that music therapy had a significant positive effect on patients as the score scales were significantly lower after the end of the therapy. Only one included research found no significant difference between music therapy group and treatment as usual.In addition the results of all studies came on the conclusion that music therapy improved symptoms of anxiety and scores were significantly lower. Conclusions This systematic review and meta-analysis suggests that music therapy has an effect on reducing depressive symptoms to some extent. However, high-quality trials evaluating the effects of music therapy on depression are required. Thus,the aim of our study protocol is to contribute to the development of this therapy Disclosure of Interest None Declared
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spelling doaj.art-5b6b5b652c484b88b044f02873f079342023-11-17T05:09:13ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S418S41810.1192/j.eurpsy.2023.900Music therapy and depression : the alternative approachM. Zbidi0W. Bouali1M. Hnia2M. Kacem3R. Bensoussia4L. Zarrouk5Département de psychiatrie, hôpital universitaire taher sfar de mahdia tunisieDépartement de psychiatrie, hôpital universitaire taher sfar de mahdia tunisiePsychiatry department, Taher sfar University hospital of mahdia tunisia, Mahdia, TunisiaPsychiatry department, Taher sfar University hospital of mahdia tunisia, Mahdia, TunisiaPsychiatry department, Taher sfar University hospital of mahdia tunisia, Mahdia, TunisiaPsychiatry department, Taher sfar University hospital of mahdia tunisia, Mahdia, Tunisia Introduction Depression is a highly prevalent disorder associated with reduced social functioning, impaired quality of life, and increased mortality. This disease is one of the most common reasons for the use of complementary and alternative therapies. Music therapy is a therapeutic approach that uses musical interaction as a means of communication and expression. Objectives To assess, through a systematic review, the effectiveness of music therapy in patients with depression disorder, and to design a research protocol for a randomised controlled trial of group music therapy for depressed patients in a Psychiatry Department. Methods We conducted a systematic review based on the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA).We systematically searched 3 databases (Pubmed, Google Scholar and SciElo) and reviewed randomized controlled trials. The evaluation of the trials was made using the CONsolidated Standards of Reporting Trials (CONSORT) guidelines.The review included studies of 16-to-80-year-old impatients and outpatients of both genders with clinical depression using any diagnostic criteria such as ICD 10 (WHO 1992) or DSM 5 Research Diagnostic Criteria. Change in depressive symptoms was measured with various scales. An experimental protocol was then designed to conduct a randomized controlled trial for depressed patients in the Psychiatry Department at the University Hospital of Mahdia, seeking to supplement scientific knowledge in the field of music therapy that has not yet been explored. Results A total of 13 articles were included in the study: The analysis of these articles highlighted a predominance of Anglo-Saxon papers and an increasing rate of publication over time.The duration of treatment varied between 2 weeks and 10 weeks and the number of music therapy sessions varied between 4 sessions and 20 sessions.Two major music therapy approach were identified, active method where patients are the ones making music and receptive or passive methods where patients will receive the music.12 researches included in our review reached the conclusion that music therapy had a significant positive effect on patients as the score scales were significantly lower after the end of the therapy. Only one included research found no significant difference between music therapy group and treatment as usual.In addition the results of all studies came on the conclusion that music therapy improved symptoms of anxiety and scores were significantly lower. Conclusions This systematic review and meta-analysis suggests that music therapy has an effect on reducing depressive symptoms to some extent. However, high-quality trials evaluating the effects of music therapy on depression are required. Thus,the aim of our study protocol is to contribute to the development of this therapy Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823009008/type/journal_article
spellingShingle M. Zbidi
W. Bouali
M. Hnia
M. Kacem
R. Bensoussia
L. Zarrouk
Music therapy and depression : the alternative approach
European Psychiatry
title Music therapy and depression : the alternative approach
title_full Music therapy and depression : the alternative approach
title_fullStr Music therapy and depression : the alternative approach
title_full_unstemmed Music therapy and depression : the alternative approach
title_short Music therapy and depression : the alternative approach
title_sort music therapy and depression the alternative approach
url https://www.cambridge.org/core/product/identifier/S0924933823009008/type/journal_article
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