Projekter pr. år
Abstract
Objective: To investigate the efficacy of music therapy for negative symptoms in patients with schizophrenia.
Methods: Randomized, participant- and assessor-blinded, multicenter, controlled trial including patients diagnosed with schizophrenia according to ICD-10 with predominantly negative symptoms, between 18 and 65 years. Participants were randomized to 25 successive weekly individual sessions (excluding holidays, including cancellation by the participant) of either music therapy conducted by trained music therapists, or music listening together with a social care worker. The primary outcome was reduction in negative symptoms as measured by The Positive and negative Syndrome Scale (PANSS) negative subscale total score, assessed by a blinded rater, utilizing mixed-effects model analysis.
Results: In total, 57 participants were randomized; 39 completed the study's initial 15 weeks, and 30 completed follow-up at 25 weeks. On the primary outcome of PANSS negative subscale, no significant difference was observed between groups with a coefficient of −0.24 (95% CI −1.76 to 1.27, P = 0.754) in the intention to treat analysis, and −0.98 (95% CI −5.06 to 3.09, P = 0.625) when only analyzing completers. Both interventions showed significant reduction from baseline to 25 weeks on PANSS negative subscale. On secondary outcomes, no between group differences were observed in The Brief Negative Symptom Scale, WHOQOL-Bref (Quality of Life), The Helping Alliance Questionnaire and The Global Assessment of Functioning in the intention to treat or completers populations utilizing Mixed Effects Models.
Conclusion: No difference between groups randomized to music therapy vs. musical listening was observed resulting in no clear recommendation for which intervention to use as the first choice for treatment of patients diagnosed with schizophrenia and predominantly having negative symptoms.
Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT02942459.
Methods: Randomized, participant- and assessor-blinded, multicenter, controlled trial including patients diagnosed with schizophrenia according to ICD-10 with predominantly negative symptoms, between 18 and 65 years. Participants were randomized to 25 successive weekly individual sessions (excluding holidays, including cancellation by the participant) of either music therapy conducted by trained music therapists, or music listening together with a social care worker. The primary outcome was reduction in negative symptoms as measured by The Positive and negative Syndrome Scale (PANSS) negative subscale total score, assessed by a blinded rater, utilizing mixed-effects model analysis.
Results: In total, 57 participants were randomized; 39 completed the study's initial 15 weeks, and 30 completed follow-up at 25 weeks. On the primary outcome of PANSS negative subscale, no significant difference was observed between groups with a coefficient of −0.24 (95% CI −1.76 to 1.27, P = 0.754) in the intention to treat analysis, and −0.98 (95% CI −5.06 to 3.09, P = 0.625) when only analyzing completers. Both interventions showed significant reduction from baseline to 25 weeks on PANSS negative subscale. On secondary outcomes, no between group differences were observed in The Brief Negative Symptom Scale, WHOQOL-Bref (Quality of Life), The Helping Alliance Questionnaire and The Global Assessment of Functioning in the intention to treat or completers populations utilizing Mixed Effects Models.
Conclusion: No difference between groups randomized to music therapy vs. musical listening was observed resulting in no clear recommendation for which intervention to use as the first choice for treatment of patients diagnosed with schizophrenia and predominantly having negative symptoms.
Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT02942459.
Bidragets oversatte titel | Musikterapi overfor musiklytning til reduktion af negative symptomer for mennesker med skizofreni: En randomiseret, kontrolleret, rater- og deltagerblindet effektundersøgelse. |
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Originalsprog | Engelsk |
Artikelnummer | 738810 |
Tidsskrift | Frontiers in Psychiatry |
Vol/bind | 12 |
Antal sider | 11 |
ISSN | 1664-0640 |
DOI | |
Status | Udgivet - 21 dec. 2021 |
Bibliografisk note
Copyright © 2021 Pedersen, Bonde, Hannibal, Nielsen, Aagaard, Gold, Rye Bertelsen, Jensen and Nielsen.Emneord
- Music Therapy, Music listening, schizophrenia, negative symptoms, blinded trial
Fingeraftryk
Dyk ned i forskningsemnerne om 'Musikterapi overfor musiklytning til reduktion af negative symptomer for mennesker med skizofreni: En randomiseret, kontrolleret, rater- og deltagerblindet effektundersøgelse. Randomized, Controlled, Assessor- and Patient-Blinded Trial'. Sammen danner de et unikt fingeraftryk.Projekter
- 1 Afsluttet
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Musikterapi til skizofrenipatienters negative symptomer
Pedersen, I. N., Aagaard, J., Bonde, L. O., Hannibal, N. & Lindvang, C.
01/10/2016 → 01/07/2020
Projekter: Projekt › Forskning
Aktiviteter
- 2 Konferenceoplæg
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Challenges in music therapy practice and research in schizophrenia, negative symptoms
Inge Nygaard Pedersen (Foredragsholder)
26 jul. 2023Aktivitet: Foredrag og mundtlige bidrag › Konferenceoplæg
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Challenges in music therapy practice and research in schizophrenia, negative symptoms
Inge Nygaard Pedersen (Foredragsholder)
15 jun. 2023Aktivitet: Foredrag og mundtlige bidrag › Konferenceoplæg
Presse/Medier
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Musikterapi og musiklytning kan reducere skizofrenisymptomer
29/04/2022 → 03/05/2022
2 elementer af Mediedækning
Presse/medie
Publikation
- 5 Citationer
- 1 Konferenceabstrakt til konference
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Challenges in music therapy practice and research in schizophrenia, negative symptoms: Experiences from the research project: Music Therapy vs. Music listening for Negative Symptoms in Schizophrenia; Randomized, Controlled, Assessor- and Client-Blinded trial.
Pedersen, I. N., jun. 2023. 2 s.Bidragets oversatte titel :Udfordringer i musikterapi praksis og forskning inden for skizofreni, negative symptomer: Erfaringer fra forskningsprojektet: Musikterapi vs Musiklytning mod negative symptomer i skizofreni; Et randomiseret, controlleret, screener- og deltagerblindet forsøg.. Publikation: Konferencebidrag uden forlag/tidsskrift › Konferenceabstrakt til konference › Forskning › peer review