Resource-oriented Music Therapy for Psychiatric Patients With Low Therapy Motivation

Study Overview
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Brief Summary
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The aim of this study is to examine whether resource-oriented music therapy helps psychiatric patients with low therapy motivation to improve negative symptoms and other health-related outcomes.

Detailed Description
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Background: Previous research has shown positive effects of music therapy for people with schizophrenia and other mental disorders. In clinical practice, music therapy is often offered to psychiatric patients with low therapy motivation, but little research exists about this population. The aim of this study is to examine whether resource-oriented music therapy helps psychiatric patients with low therapy motivation to improve negative symptoms and other health-related outcomes. An additional aim of the study is to examine the mechanisms of change through music therapy. Method: 144 adults with a non-organic mental disorder (ICD-10: F1 to F6) who have low therapy motivation and a willingness to work with music will be randomly assigned to an experimental or a control condition. All participants will receive standard care, and the experimental group will in addition be offered biweekly sessions of music therapy over a period of three months. Outcomes will be measured by a blind assessor before and 1, 3, and 9 months after randomisation. Discussion: The findings to be expected from this study will fill an important gap in the knowledge of treatment effects for a patient group that does not easily benefit from treatment. The study's close link to clinical practice, as well as its size and comprehensiveness, will make its results well generalisable to clinical practice.

Official Title
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Resource-oriented Music Therapy for Psychiatric Patients With Low Therapy Motivation: A Randomised Controlled Trial

Conditions
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Mental Disorders, Mood Disorders, Personality Disorders, Schizophrenia and Disorders With Psychotic Features

Intervention / Treatment
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* Procedure: Resource-oriented music therapy
* Procedure: Standard care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Non-organic mental disorder Low therapy motivation Willingness to work with music Exclusion Criteria: Severe mental retardation Life-threatening somatic illness

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Music therapy<br>See published study protocol | Procedure: Resource-oriented music therapy<br> <br> Procedure: Standard care<br> <br> |
| Other: Standard care<br>See published study protocol | Procedure: Standard care<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| negative symptoms (Scale for the Assessment of Negative Symptoms [SANS]) |  | 1 | 
| negative symptoms (Scale for the Assessment of Negative Symptoms [SANS]) |  | 3 months | 
| negative symptoms (Scale for the Assessment of Negative Symptoms [SANS]) |  | 9 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| general symptoms |  | 1 | 
| general symptoms |  | 3 months | 
| general symptoms |  | 9 months | 
| general functioning |  | 1 months | 
| general functioning |  | 3 months | 
| general functioning |  | 9 months | 
| clinical global impressions |  | 1 months | 
| clinical global impressions |  | 3 months | 
| clinical global impressions |  | 9 months | 
| interest in music |  | 1 months | 
| interest in music |  | 3 months | 
| interest in music |  | 9 months | 
| motivation for change |  | 1 months | 
| motivation for change |  | 3 months | 
| motivation for change |  | 9 months | 
| self-efficacy |  | 1 months | 
| self-efficacy |  | 3 months | 
| self-efficacy |  | 9 months | 
| self-esteem |  | 1 months | 
| self-esteem |  | 3 months | 
| self-esteem |  | 9 months | 
| vitality |  | 1 months | 
| vitality |  | 3 months | 
| vitality |  | 9 months | 
| affect regulation |  | 1 months | 
| affect regulation |  | 3 months | 
| affect regulation |  | 9 months | 
| relational competence |  | 1 months | 
| relational competence |  | 3 months | 
| relational competence |  | 9 months | 
| actual social relationships |  | 1 months | 
| actual social relationships |  | 3 months | 
| actual social relationships |  | 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Motivation, Music Therapy, Psychotherapy