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Table of Contents
Vol. 82, No. 5, 2013
Issue release date: August 2013
Section title: Regular Article
Psychother Psychosom 2013;82:319-331
(DOI:10.1159/000348452)

Individual Music Therapy for Mental Health Care Clients with Low Therapy Motivation: Multicentre Randomised Controlled Trial

Gold C.a · Mössler K.a · Grocke D.h · Heldal T.O.a · Tjemsland L.e · Aarre T.f · Aarø L.E.b, d · Rittmannsberger H.g · Stige B.c · Assmus J.a · Rolvsjord R.c
aGAMUT, Uni Health, Uni Research and bDepartment of Health Promotion and Development, cGAMUT, University of Bergen, Bergen, and dDivision of Mental Health, Norwegian Institute of Public Health, Oslo, eStavanger University Hospital, Stavanger, and fNordfjord Psychiatric Centre, Nordfjordeid, Norway; gState Psychiatric Clinic Wagner-Jauregg, Linz, Austria; hUniversity of Melbourne, Melbourne, Vic., Australia

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Article / Publication Details

First-Page Preview
Abstract of Regular Article

Received: August 16, 2012
Accepted: January 21, 2013
Published online: August 09, 2013
Issue release date: August 2013

Number of Print Pages: 13
Number of Figures: 2
Number of Tables: 2

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS

Abstract

Background: Music therapy (MT) has been shown to be efficacious for mental health care clients with various disorders such as schizophrenia, depression and substance abuse. Referral to MT in clinical practice is often based on other factors than diagnosis. We aimed to examine the effectiveness of resource-oriented MT for mental health care clients with low motivation for other therapies. Method: This was a pragmatic parallel trial. In specialised centres in Norway, Austria and Australia, 144 adults with non-organic mental disorders and low therapy motivation were randomised to 3 months of biweekly individual, resource-oriented MT plus treatment as usual (TAU) or TAU alone. TAU was typically intensive (71% were inpatients) and included the best combination of therapies available for each participant, excluding MT. Blinded assessments of the Scale for the Assessment of Negative Symptoms (SANS) and 15 secondary outcomes were collected before randomisation and after 1, 3 and 9 months. Changes were analysed on an intention-to-treat basis using generalised estimating equations in longitudinal linear models, controlling for diagnosis, site and time point. Results: MT was superior to TAU for total negative symptoms (SANS, d = 0.54, p < 0.001) as well as functioning, clinical global impressions, social avoidance through music, and vitality (all p < 0.01). Conclusion: Individual MT as conducted in routine practice is an effective addition to usual care for mental health care clients with low motivation.

© 2013 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Regular Article

Received: August 16, 2012
Accepted: January 21, 2013
Published online: August 09, 2013
Issue release date: August 2013

Number of Print Pages: 13
Number of Figures: 2
Number of Tables: 2

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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