Description and Pilot Evaluation of Tuned In: A Music-Based Emotion Regulation Intervention for Young People

Miss Carly Fay (). Description and Pilot Evaluation of Tuned In: A Music-Based Emotion Regulation Intervention for Young People Professional Doctorate, School of Psychology, The University of Queensland.

       
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Author Miss Carly Fay
Thesis Title Description and Pilot Evaluation of Tuned In: A Music-Based Emotion Regulation Intervention for Young People
School, Centre or Institute School of Psychology
Institution The University of Queensland
Thesis type Professional Doctorate
Supervisor Dr. Genevieve Dingle
Total pages 212
Total black and white pages 212
Abstract/Summary Abstract Cognitive behaviour therapy (CBT) is the empirically supported treatment of choice for a wide range of adolescent psychopathology. However, CBT has been criticised for not focusing enough on difficulties in emotion regulation, which is a problem found in around half of the Axis I disorders and all personality disorders. Further, it is suggested that the verbal and meta-cognitive skills in CBT may be difficult and unengaging for adolescents and young people. Music is an engaging and accessible medium favoured by young people that offers several advantages as a vehicle for therapy, such as personal choice, portability and a strong impact on emotional state. This dissertation describes and evaluates Tuned In, a novel music-based emotion regulation intervention for adolescents and young adults. In Study 1, an 8-session version of Tuned In was trialled with a clinical sample (4 adolescents with severe and complex mental health problems; 3 females, 1 male) as part of a hospital outpatient psychiatric program. This preliminary pilot study examined the engagement of these adolescents with the Tuned In program. The results showed that overall engagement, interest, enjoyment and likelihood of continuation of skill use were all rated highly. Study 2 is a randomised controlled trial with 58 university students (67% female) assigned to Tuned In or a wait-list control condition. Treatment consisted of a 6-hour version of the Tuned In program over 4 weeks. Participants were assessed pre and posttreatment on the Difficulties in Emotion Regulation Scale (DERS) and the Depression Anxiety Stress Scales (DASS), as well as weekly ratings on 5 key emotion variables (e.g. awareness of emotional state; confidence in managing emotional states). The participants' attendance and engagement with Tuned In were also measured. Despite a lack of change in mood symptoms during treatment (which remained in the non-clinical range), results of mixed analyses of variance showed a significant difference between the Tuned In participants and the wait-listed controls on 2 of the DERS subscales (Clarity of emotions and Strategies for managing emotions). Data from the entire sample (N=51) was analysed for change on the emotion measures across the 4 weeks of the Tuned In program (as the control participants were offered the intervention following the wait-list period). Repeated measures analysis of variance revealed significant improvement across the program on four of the five emotion variables. Furthermore, mean ratings of engagement with the Tuned In program were high (5.8 out of 7) and the attendance rate was 99%. In conclusion, Tuned In shows promise as a brief emotion regulation intervention that could be adapted for use by a range of mental health professionals working with young people.
Keyword music
psychology
adolescence
adolescent
emotion regulation
music therapy
music psychology
emotion
pilot

 
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Created: Wed, 20 Apr 2011, 09:47:49 EST by Miss Carly Fay