Music Therapy for Depression Enhanced With Listening Homework and Slow Paced Breathing: A Randomised Controlled Trial.
Music Therapy for Depression Enhanced With Listening Homework and Slow Paced Breathing: A Randomised Controlled Trial.
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音乐治疗抑郁症与听力作业和慢节奏呼吸增强：一项随机对照试验。
DOI：
10.3389/fpsyg.2021.613821
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发表时间：
2021
影响因子：
3.8
通讯作者：
Gold C
中科院分区：
文献类型：
--
作者：
Erkkilä J;Brabant O;Hartmann M;Mavrolampados A;Ala-Ruona E;Snape N;Saarikallio S;Gold C
导言：有证据表明，早期的试验中，音乐疗法对工作年龄人群的抑郁症有疗效。以放松开始治疗并在治疗之外重新审视治疗主题被认为有希望提高结果。然而，以前的音乐治疗试验并没有研究这个问题。目的：探讨共振频率呼吸（RFB）和听力作业（LH）两种增强剂与已建立的音乐治疗模型（试验注册号ISRCTN11618310）联合使用的疗效。方法：在一项2 × 2因子随机对照试验中，工作年龄的抑郁症患者根据两种增强剂（RFB和LH）存在或不存在的四种情况被分为组。所有患者均接受6周以上的音乐治疗。分别在6周和6个月时观察结果。主要结果为Montgomery Åsberg抑郁评定量表（MADRS）得分。结果：呼吸组在主要结局方面的总体治疗效果显著（d = 0.50, 95% CI 0.07 ~ 0.93, p = 0.02）。校正潜在混杂因素后，效果更大（d = 0.62, 95% CI 0.16 ~ 1.08, p = 0.009）。次要结局的治疗效果，包括焦虑（医院焦虑和抑郁量表的焦虑量表）和生活质量（RAND-36），也很显著，有利于呼吸组。作业强化剂未达到显著的治疗效果。结论：我们发现在音乐治疗干预中加入RFB可以提高抑郁症患者的治疗效果。
Introduction: There is evidence from earlier trials for the efficacy of music therapy in the treatment of depression among working-age people. Starting therapy sessions with relaxation and revisiting therapeutic themes outside therapy have been deemed promising for outcome enhancement. However, previous music therapy trials have not investigated this issue. Objective: To investigate the efficacy of two enhancers, resonance frequency breathing (RFB) and listening homework (LH), when combined with an established music therapy model (trial registration number ISRCTN11618310). Methods: In a 2 × 2 factorial randomised controlled trial, working-age individuals with depression were allocated into groups based on four conditions derived from either the presence or absence of two enhancers (RFB and LH). All received music therapy over 6 weeks. Outcomes were observed at 6 weeks and 6 months. The primary outcome was the Montgomery Åsberg Depression Rating Scale (MADRS) score. Results: There was a significant overall effect of treatment for the primary outcome favouring the breathing group (d = 0.50, 95% CI 0.07 to 0.93, p = 0.02). The effect was larger after adjustment for potential confounders (d = 0.62, 95% CI 0.16 to 1.08, p = 0.009). Treatment effects for secondary outcomes, including anxiety (anxiety scale of Hospital Anxiety and Depression Scale) and quality of life (RAND-36), were also significant, favouring the breathing group. The homework enhancer did not reach significant treatment effects. Conclusion: We found that the addition of RFB to a music therapy intervention resulted in enhanced therapeutic outcome for clients with depression.
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影响因子：
1.9
作者：
Hammer, SE
通讯作者：
Hammer, SE
影响因子：
2.9
作者：
Gerritsen RJS;Band GPH
通讯作者：
Band GPH
影响因子：
10.5
作者：
Erkkila, Jaakko;Punkanen, Marko;Gold, Christian
通讯作者：
Gold, Christian
影响因子：
2.5
作者：
Erkkila, Jaakko;Brabant, Olivier;Gold, Christian
通讯作者：
Gold, Christian
影响因子：
10.5
作者：
HOFFMANN, GMA;GONZE, JC;MENDLEWICZ, J
通讯作者：
MENDLEWICZ, J