Group music therapy for patients with persistent post-traumatic stress disorder - an exploratory randomized controlled trial with mixed methods evaluation
Group music therapy for patients with persistent post-traumatic stress disorder - an exploratory randomized controlled trial with mixed methods evaluation
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DOI：
10.1111/j.2044-8341.2011.02026.x
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发表时间：
2012-06-01
影响因子：
3.4
通讯作者：
Priebe, Stefan
中科院分区：
文献类型：
--
作者：
Carr, Catherine;d'Ardenne, Patricia;Priebe, Stefan
目标.并非所有创伤后应激障碍（PTSD）患者都对认知行为疗法（CBT）有反应。文献表明，集体音乐疗法可能对治疗PTSD有益。然而，尚未对可行性和有效性进行评估。该研究的目的是评估团体音乐疗法是否适用于对CBT没有反应的患者，以及它是否对PTSD症状和抑郁症有影响。设计该研究采用了混合方法，包括探索性随机对照试验，治疗的定性内容分析和患者访谈。法完成CBT后有显著PTSD症状的患者（n = 17）被随机分配到治疗组（n = 9）或对照组（n = 8）。治疗组接受为期10周的团体音乐治疗，之后进行离职面谈。对照组患者在研究结束时接受干预。在治疗开始和结束时，使用事件影响量表修订版和贝克抑郁量表II评估症状。结果与对照组相比，治疗组患者在10周时PTSD症状的严重程度显著降低（-20.18; 95%置信区间[CI]：[-31.23，-9.12]），抑郁症轻微显著降低（-11.92; 95%CI：[-24.05，0.21]）。患者认为音乐治疗是有帮助的，报告的经验与当前的文献一致。结论.团体音乐治疗似乎是可行的，有效的PTSD患者谁没有充分响应CBT。局限性包括样本量小和缺乏盲法。进一步的研究应该解决这些局限性，测试可持续性，并确定治疗中解决症状的具体因素。
Objectives. Not all patients with post-traumatic stress disorder (PTSD) respond to cognitive behavioural therapy (CBT). Literature suggests group music therapy might be beneficial in treating PTSD. However, feasibility and effectiveness have not been assessed. The study objectives were to assess whether group music therapy was feasible for patients who did not respond to CBT, and whether it has an effect on PTSD symptoms and depression. Design. The study employed mixed methods comprising of an exploratory randomized controlled trial, qualitative content analysis of therapy, and patient interviews. Method. Patients with significant PTSD symptoms (n= 17) following completion of CBT were randomly assigned to treatment (n= 9) or control groups (n= 8). The treatment group received 10 weeks of group music therapy after which exit interviews were conducted. Control group patients were offered the intervention at the end of the study. Symptoms were assessed on the Impact of Events Scale-Revised and Beck Depression Inventory II at the beginning and end of treatment. Results. Treatment-group patients experienced a significant reduction in severity of PTSD symptoms (-20.18; 95% confidence interval [CI]: [-31.23, -9.12]) and a marginally significant reduction in depression (-11.92; 95%CI: [-24.05, 0.21]) at 10 weeks from baseline compared to the control. Patients viewed music therapy as helpful and reported experiences concur with current literature. Conclusions. Group music therapy appears feasible and effective for PTSD patients who have not sufficiently responded to CBT. Limitations include the small sample size and lack of blinding. Further research should address these limitations, test sustainability, and identify specific factors that address symptoms in treatment.