The Use of Music in the Treatment and Management of Serious Mental Illness: A Global Scoping Review of the Literature

Frontiers in Psychology, Journal Year: 2021, Volume and Issue: 12

Published: March 31, 2021

Mental and substance use disorders have been identified as the leading cause of global disability, burden mental illness is concentrated among those experiencing disability due to serious (SMI). Music has studied a support for SMIs decades, with promising results; however, lack synthesized evidence precluded increased uptake access music-based approaches. The purpose this scoping review was identify types quantity research at intersections music SMIs, document evidentiary gaps opportunities, generate recommendations improving practice. Studies were included if they reported on music's utilization in treating or mitigating symptoms related five SMIs: schizophrenia, bipolar disorder, generalized anxiety major depressive post-traumatic stress disorder. Eight databases searched; screening resulted 349 studies data extraction. Schizophrenia most SMI, disorder least. Demographics, settings, activity details found be inconsistently insufficiently reported; listening recorded emerged common musical activity, appeared affected by conditions under study. RCTs predominant study design, 271 unique measures utilized across 289 primary studies. Over two-thirds (68.5%) positive results, 2.8% reporting worse results than comparator, 12% producing indeterminate results. A key finding that synthesis insufficient reporting, widely varied outcomes measures, intervention complexity; result, widespread changes are necessary reduce heterogeneity (as feasible), increase replicability transferability, improve understandings mechanisms causal pathways. To end, detailed offered sharing development information disciplines.

Language: Английский

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A Neurobiological Framework for the Therapeutic Potential of Music and Sound Interventions for Post-Traumatic Stress Symptoms in Critical Illness Survivors

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(5), P. 3113 - 3113

Published: March 6, 2022

Overview: Post traumatic stress disorder (PTSD) has emerged as a severely debilitating psychiatric associated with critical illness. Little progress been made in the treatment of post-intensive care unit (ICU) PTSD. Aim: To synthesize neurobiological evidence on pathophysiology PTSD and brain areas involved, to highlight potential music treat post-ICU Methods: Critical narrative review elucidate an evidence-based framework inform study interventions for post-ICU. Literature searches were performed PubMed CINAHL. The Scale Assessment Narrative Review Articles (SANRA) guided reporting. Results: A dysfunctional HPA axis feedback loop, increased amygdalic response, hippocampal atrophy, hypoactive prefrontal cortex contribute symptoms. Playing or listening can stimulate neurogenesis neuroplasticity, enhance recovery, normalize response. Additionally, supports effectiveness improve coping emotional regulation, decrease dissociation symptoms, reduce depression anxiety levels, overall severity Conclusions: Despite lack ICU survivors, help people suffering from by decreasing amygdala activity, improving function, balancing HPA-axis.

Language: Английский

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Effectiveness and mechanisms of the arts therapies in forensic care. A systematic review, narrative synthesis, and meta analysis

Frontiers in Psychiatry, Journal Year: 2023, Volume and Issue: 14

Published: May 19, 2023

Mental health care provided to offenders with psychiatric problems in forensic settings mainly consists of verbal oriented treatments. In addition, experience-based therapies are used such as (creative) arts therapies: (visual) art therapy, music drama therapy and dance (movement) therapy. There indications for effectiveness therapies, but a systematic overview effect studies all is lacking.First, we performed review. Second, Thematic Analysis was synthesize the qualitative narrative results define hypothesized mechanisms change. Third, meta-analysis investigate effects reducing psychosocial offenders. Twenty-three were included Quality risk bias assessed using EPHPP (Effective Public Health Practice Project).The heterogeneous type outcome measures intervention characteristics. Synthesis change involved methodical use resulted description regulatory processes which stimulated perceptive awareness (interoceptive exteroceptive), regulation emotions, stress, impulses, cognitions, social regulation, self-expression. These play role developing prevention, coping self-management skills. Eighteen meta-analyses (11 RCTs/CCTs; 7 pre-post studies). The indicated significant on both factors (psychiatric symptoms addiction) protective criminal behavior (social functioning psychological functioning). Effects and/or antisocial not significant, this measure scarcely among studies.The analyses study should be considered explorative. More research needed gain more solid conclusions about institutions. However, first review, synthesis field promising show individuals institutions.https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020217884, identifier: CRD42020217884.

Language: Английский

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Musical Attention Control Training (MACT)®

Oxford University Press eBooks, Journal Year: 2025, Volume and Issue: unknown, P. 322 - 337

Published: March 21, 2025

Abstract Musical Attention Control Training (MACT) is a technique to practice different types of attention: focused, selective, sustained, and (rapidly) alternating. has foundational role in many life tasks. Research shows that MACT positive influence on attention for people with various problems, from older adults dementia acquired brain injury, schizophrenia, post-traumatic stress disorder, children neurodevelopmental disabilities. During MACT, the therapist arranges musical cues such way centre prefrontal cortex are stimulated necessary neural networks deeper areas recruited collaborate. The uses rhythmical patterns, unexpected changes, timing, grouping cues, multi-dimensional stimuli music manner it type under treatment. Different met by arrangements as proposed MACT’s clinical protocols.

Language: Английский

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Music Therapy to Regulate Arousal and Attention in Patients With Substance Use Disorder and Posttraumatic Stress Disorder: A Feasibility Study

Journal of Music Therapy, Journal Year: 2020, Volume and Issue: 57(3), P. 353 - 378

Published: Jan. 1, 2020

Patients diagnosed with both substance use disorder (SUD) and posttraumatic stress (PTSD) often experience hypervigilance, increased fear, difficulties regulating emotions. This dual diagnosis increases treatment complexity. Recently, a short-term music therapy intervention for arousal attention regulation (the SMAART intervention) was designed based on neurobiological findings. Twelve patients SUD PTSD (50% females) in outpatient participated six weekly one-hour sessions of the intervention. Six completed study. symptom severity evaluated Posttraumatic Stress Disorder Symptom Scale Interview DSM-5 (PSSI-5) pre- post-intervention, sustained Bourdon-Wiersma (BW) test. A significant difference measurements PSSI-5 overall found post-intervention. Furthermore, participants showed improvement subscales hyperarousal, mood cognition, attention. The BW test completion time decreased significantly. Two dropped out before end due to craving. Concerning future research, it is recommended define role more explicitly change design randomized controlled trial. risk larger studies high dropout rate (50%). Several limitations study are discussed.

Language: Английский

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Music interventions for posttraumatic stress disorder: A systematic review

Journal of Mood and Anxiety Disorders, Journal Year: 2024, Volume and Issue: 6, P. 100053 - 100053

Published: Feb. 14, 2024

There is growing literature supporting the efficacy of music interventions for a range conditions, including anxiety, stress, and pain. Alongside this, research on neurobiological processes involved in experience has illuminated potential mechanisms music's role mental health treatments. Music to act circuitry brain autonomic dysregulation associated with posttraumatic stress disorder (PTSD). We conducted systematic review identify studies examining effects PTSD symptoms adults. Five databases were searched which resulted 2,454 articles, 1,478 screened title abstract 288 at full text. 14 met inclusion criteria review. Study samples ranged from 6 330 participants who endorsed consequent various traumas. Most feasibility (n = 9), employed traditional therapy format therapist-led 11). While effective, these require active participation are resource-intensive. Studies that used passive listening also showed benefit intervention 5). All but one study reported decrease 13). Although findings should be interpreted considering limitations (including small sample sizes lack rigorous control groups), results demonstrate promise interventions. Thus, as interest medicine grows rapidly amidst increasing public burden PTSD, additional effect warranted. employ brief, self-directed, passive-listening delivered inexpensive, scalable, flexible formats may especially promising.

Language: Английский

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Efficacy and acceptability of music therapy for post-traumatic stress disorder: a systematic review and meta-analysis of randomized controlled trials

European journal of psychotraumatology, Journal Year: 2024, Volume and Issue: 15(1)

Published: April 22, 2024

Background: Music therapy is increasingly examined in randomized controlled trials (RCTs) and shows potential treating post-traumatic stress disorder (PTSD).

Language: Английский

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Music and well-being in carceral settings: a scoping review

Arts & Health, Journal Year: 2023, Volume and Issue: 16(3), P. 249 - 265

Published: Sept. 12, 2023

Well-being is defined as the multi-dimensional experience of positive emotions, well life satisfaction, autonomy, and purpose. This scoping review examines impact musical practices on well-being incarcerated individuals uniquely contributes to literature by focusing relationship between music power in carceral settings expounding ways which both facilitate inhibit experiences well-being. Our this body proposing three distinct may affect well-being: (1) Musical Practices Psychological Outcomes, (2) Identity Formation (3) Power.

Language: Английский

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Expanding Knowledge About Music and Well-Being in Carceral Settings: A Methodological Review

International Journal of Offender Therapy and Comparative Criminology, Journal Year: 2024, Volume and Issue: unknown

Published: Jan. 9, 2024

This methodological review includes literature (1987–2022) concerning the role and influence of musical practices—including music therapy participatory interventions—on well-being in carceral settings such as jails, prisons, immigration detention centers. We provide a thorough description key procedures used 55 studies: (1) Key Elements Research Questions; (2) Types Musical Practices; (3) Genres; (4) Methodologies Designs; (5) Locations; (6) Theoretical Frameworks; (7) Samples. Our indicates that there is difficulty conducting research prisons due to limitations imposed on researchers, paucity randomized-control trials, limited generalizability results heterogeneity approaches. suggest base would benefit from increased attention issues related sampling procedures, questions race gender identity, well delineation between types practices utilized by interventions.

Language: Английский

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Ventral tegmental area dopaminergic action in music therapy for post-traumatic stress disorder: A literature review

Frontiers in Psychology, Journal Year: 2022, Volume and Issue: 13

Published: Oct. 10, 2022

Post-traumatic stress disorder (PTSD) is a debilitating sequela of extraordinary traumatic sufferings that threaten personal health and dramatically attenuate the patient's quality life. Accumulating lines evidence suggest functional disorders in ventral tegmental area (VTA) dopaminergic system contribute substantially to PTSD symptomatology. Notably, music therapy has been shown greatly ameliorate symptoms. In this literature review, we focused on whether improved symptoms, based VTA action, including effects dopamine (DA)-related gene expression, promotion DA release metabolism, activation activities. addition, strengths limitations studies concerning results are discussed. Collectively, an effective approach for intervention, which may hold important position.

Language: Английский

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