Individual music therapy for depression: randomised controlled trial
Individual music therapy for depression: randomised controlled trial
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DOI：
10.1192/bjp.bp.110.085431
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发表时间：
2011-08-01
影响因子：
10.5
通讯作者：
Gold, Christian
中科院分区：
文献类型：
--
作者：
Erkkila, Jaakko;Punkanen, Marko;Gold, Christian
研究背景音乐疗法对抑郁症的治疗是有效的，但目前的研究方法还不够完善，对所采用的临床模型也缺乏明确的认识。目的确定在标准疗法的基础上加用音乐疗法与仅用标准疗法治疗劳动年龄人群中的抑郁症的疗效。方法将79名被诊断为抑郁症的ICD-10抑郁症患者随机分为两组，分别接受个人音乐疗法加标准疗法(每周20次)或仅接受标准疗法，并在基线、3个月(干预后)和6个月进行随访。临床测量包括抑郁、焦虑、一般功能、生活质量和述情障碍。结果在3个月的随访中，接受音乐治疗加标准护理的患者在抑郁症状(平均差值4.65，95%CI 0.59~8.70)、焦虑症状(1.82，95%CI 0.09~3.55)和一般功能(-4.58，95%CI-8.93~-0.24)方面比单纯接受标准护理的患者有更大的改善。音乐疗法加标准护理组有效率明显高于单纯标准护理组(优势比2.96，95%可信区间1.01~9.02)。结论个别音乐疗法结合标准护理治疗劳动年龄抑郁症有效。这项研究的结果以及之前的研究表明，音乐疗法以其特有的品质对既定的治疗实践具有重要的促进作用。
BackgroundMusic therapy has previously been found to be effective in the treatment of depression but the studies have been methodologically insufficient and lacking in clarity about the clinical model employed.AimsTo determine the efficacy of music therapy added to standard care compared with standard care only in the treatment of depression among working-age people.MethodParticipants (n=79) with an ICD-10 diagnosis of depression were randomised to receive individual music therapy plus standard care (20 bi-weekly sessions) or standard care only, and followed up at baseline, at 3 months (after intervention) and at 6 months. Clinical measures included depression, anxiety, general functioning, quality of life and alexithymia. Trial registration: ISRCTN84185937.ResultsParticipants receiving music therapy plus standard care showed greater improvement than those receiving standard care only in depression symptoms (mean difference 4.65, 95% Cl 0.59 to 8.70), anxiety symptoms (1.82, 95% CI 0.09 to 3.55) and general functioning (-4.58, 95% CI -8.93 to -0.24) at 3-month follow-up. The response rate was significantly higher for the music therapy plus standard care group than for the standard care only group (odds ratio 2.96, 95% CI 1.01 to 9.02).ConclusionsIndividual music therapy combined with standard care is effective for depression among working-age people with depression. The results of this study along with the previous research indicate that music therapy with its specific qualities is a valuable enhancement to established treatment practices.