Challenges in music therapy practice and research in schizophrenia, negative symptoms

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Abstract

Short abstract
Specific attachment styles for people suffering from schizophrenia needs to be met in clinical interventions. Two manuals including music were developed for a randomized, controlled and blinded music therapy research study in Denmark 2016-2021. Both interventions reduced significantly negative symptoms. Presentation of challenges in interventions and in the study design.

Comprehensive description
In this lecture, I will present and reflect on challenges concerning clinical interventions and research designs within music therapy as a psychosocial intervention for people suffering from schizophrenia with predominantly negative symptoms.
Two manuals, for applying music therapy activities in two conditions in our study, were developed back in 2015-16. The manual for the experimental group was based on intervention guidelines as a tool of contact building and engagement for the patient suffering from schizophrenia – simultaneously emphasizing an awareness of the position regarding closeness/distance and active listening attitudes by the music therapist. The manual for the control group were based on a passive listening attitude by the therapist - not actively building alliance.
Short descriptions of Cochrane- and meta-reviews on this population - before we started and during our study - will be presented with an emphasis on formulated needs in research design developments for future studies. The description of our Danish assessor- and patient-blinded, randomized, controlled trial regarding music therapy vs. music listening for negative symptoms in schizophrenia as a psychosocial intervention will be presented. An emphasis on challenges in clinical practice influencing the manuals and challenges in the research design influencing the results will guide the presentation. I will identify and describe different kinds of challenges emerging through our study and give some suggestions on how to cope with these. A short presentation on results will be included.
Finally, I will discuss the complexity of doing controlled trials and using blinded research designs with this vulnerable population.
Keywords: Music therapy, psychosocial intervention, schizophrenia, challenges, evidence-based research
Original languageEnglish
Publication date1 Jun 2023
Number of pages1
Publication statusPublished - 1 Jun 2023
EventPhD Seminar. Anglia-Ruskin University. 15.June 2023 - Anglia-Ruskin University, Cambridge, United Kingdom
Duration: 15 Jun 202315 Jun 2023

Seminar

SeminarPhD Seminar. Anglia-Ruskin University. 15.June 2023
LocationAnglia-Ruskin University
Country/TerritoryUnited Kingdom
CityCambridge
Period15/06/202315/06/2023

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