Music therapy was noninferior to verbal standard treatment of traumatized refugees in mental health care: Results from a randomized clinical trial

Autor: Erik B. Simonsen, Thomas Christian Tellier, Torben Moe, Sidse M. Arnfred, Bolette Daniels Beck, Steen Meyer, Inge Petersen, Ulf Søgaard
Jazyk: angličtina
Rok vydání: 2021
Předmět:
随机对照试验
Male
图像和音乐指导
Imaginería Guiada y Música
Denmark
RC435-571
心理健康
难民
law.invention
Stress Disorders
Post-Traumatic
Randomized controlled trial
law
Surveys and Questionnaires
Medicine
refugee
非劣效
Salud Mental
Psychiatry
Refugees
Clinical Research Article
non-inferiority
Standard treatment
músicoterapia
refugees
Culturally Competent Care
Classical music
trauma
language
Female
no-inferioridad
创伤
音乐疗法
Clinical psychology
Research Article
Adult
Mental Health Services
Music therapy
Refugee
music therapy
Guided Imagery and Music
Ensayo controlado aleatorizado
dissociation
Danish
SDG 3 - Good Health and Well-being
disociación
解离
guided imagery and music
依恋
Humans
Active listening
attachment
business.industry
SDG 16 - Peace
Justice and Strong Institutions
apego
Mental health
language.human_language
Psychotherapy
business
Refugiados
Zdroj: European Journal of Psychotraumatology, Vol 12, Iss 1 (2021)
European Journal of Psychotraumatology
article-version (VoR) Version of Record
Beck, B D, Meyer, S, Simonsen, E, Søgaard, U, Petersen, I, Arnfred, S M, Tellier, T & Moe, T 2021, ' Music therapy was noninferior to verbal standard treatment of traumatized refugees in mental health care : Results from a randomized clinical trial ', European Journal of Psychotraumatology, vol. 12, no. 1, 1930960, pp. 1-15 . https://doi.org/10.1080/20008198.2021.1930960
Beck, B D, Meyer, S L, Simonsen, E, Søgaard, U, Petersen, I, Arnfred, S M H, Tellier, T & Moe, T 2021, ' Music therapy was noninferior to verbal standard treatment of traumatized refugees in mental health care: Results from a randomized clinical trial ', European Journal of Psychotraumatology, vol. 12, no. 1, 1930960 . https://doi.org/10.1080/20008198.2021.1930960
ISSN: 2000-8066
DOI: 10.1080/20008198.2021.1930960
Popis: Background: Many people with refugee backgrounds suffer from trauma-related complex social and psychological problems, and compliance with standard psychological treatment tends to be low. More culturally adaptable treatment options seem to be needed. Objective: We aimed to investigate whether the music therapy method: ‘trauma-focused music and imagery’ (tr-MI), characterized by a particular focus on arousal and affect regulation, would be equally effective as the standard psychological talk therapies for ameliorating trauma symptoms in Danish refugees. Methods: A pragmatic, noninferiority, parallel, randomized controlled trial with six-month follow-up was carried out at three clinics for refugees in the public mental health services of the Psychiatry (DK). Seventy-four adults diagnosed with posttraumatic stress disorder (PTSD) were allocated to either music therapy sessions (tr-MI, N = 39) or psychological treatment as usual (TAU, N = 35). Western classical music, new age music, and music from the participants’ own national culture were used to generate inner imagery, following a phased treatment protocol. Homework entailed listening to music. The primary outcome was the measurement of trauma symptoms by the Harvard Trauma Questionnaire, section IV (HTQ-IV); secondary measures were somatoform and psychoform dissociation (DSS-20), SDQ-20), attachment (RAAS), and well-being (WHO-5). Treatment effects reflected by primary and secondary measures were estimated using linear mixed models. Results: Tr-MI was noninferior to TAU (mean difference at follow-up HTQ-IV: 0.14, CI (−0.10; 0.38), with a − 0.3 noninferiority margin). A high dropout rate of 40% occurred in the TAU group, compared to 5% in the music therapy group. Secondary measures generated small to medium effect sizes in both groups, with significant medium effect sizes for well-being and psychoform dissociation at follow-up in tr-MI. Conclusions: Tr-MI is an innovative form of psychological treatment in refugee mental health services. Trials comparing music therapy to standardized therapy are needed to substantiate the evidence base for tr-MI therapy.
HIGHLIGHTS Music therapy was shown to be no less effective than standard psychological treatment regarding the decrease of posttraumatic stress disorder symptoms in a randomized clinical trial with 74 adult traumatized refugees. Good retainment and significant changes in well-being and dissociation during six-month follow-up were found in music therapy.
Databáze: OpenAIRE
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