A controlled trial investigating the effect of music therapy during an acute psychotic episode

Morgan, Kylie, Bartrop, R., Telfer, J. and Tennant, C. (2011) A controlled trial investigating the effect of music therapy during an acute psychotic episode. Acta Psychiatrica Scandinavica, 124 5: 363-371. doi:10.1111/j.1600-0447.2011.01739.x

Author Morgan, Kylie
Bartrop, R.
Telfer, J.
Tennant, C.
Title A controlled trial investigating the effect of music therapy during an acute psychotic episode
Journal name Acta Psychiatrica Scandinavica   Check publisher's open access policy
ISSN 0001-690X
Publication date 2011-11
Sub-type Article (original research)
DOI 10.1111/j.1600-0447.2011.01739.x
Volume 124
Issue 5
Start page 363
End page 371
Total pages 9
Place of publication Malden, MA, United States
Publisher Wiley-Blackwell Publishing
Collection year 2012
Language eng
Formatted abstract
Objective:  To investigate the effects of music therapy, as an adjunct to pharmacological therapy during an acute psychotic episode.

Method:  Sixty participants were quasi-randomised into either a treatment or control group. Standardised psychological assessments [Brief Psychiatric Rating Scale (BPRS), Calgary Interview Guide for Depression, Nurses’ Observation Scale for Inpatient Evaluation (NOSIE-30) and Depression Anxiety Stress Scale (DASS21)] were conducted before and after the sessions to determine whether there were any significant changes in outcomes.

Results:  Statistically significant changes in BPRS scores were seen in the treatment group (n = 25) compared with the control group (n = 24). No significant differences were seen in the results of the Calgary, NOSIE-30 or DASS21 scores. Despite the treatment group, having a 9.3% decrease in their length of stay in hospital as opposed to the control group, this did not reach statistical significance. No significant differences were found when comparing the two groups in their doses of antipsychotic, benzodiazepine, mood stabilising or antidepressant medication or at the 1-month follow-up assessment.

Conclusion:  Most of the variables tested in our study but one did not point at any advances of adding music therapy to pharmacological treatment. The finding of improvement in Brief Psychiatric Rating Scale could be an indicator of music therapy as a useful adjunct to pharmacotherapy during an in-patient hospital stay for the few patients amongst those suffering acute psychosis that accept to participate in music therapy.
Keyword Bipolar affective disorder
Clinical aspects
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Music Publications
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