The additional therapeutic effect of group music therapy for schizophrenic patients: a randomized study

Ulrich, Gillian R.; Houtmans, T.; Gold, Christian

doi:10.1111/j.1600-0447.2007.01073.x

Cited by 90 publications

(75 citation statements)

References 7 publications

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“…However, in the NICE guideline arts therapies review, 6 no such distinction is made between modalities. The positive results in studies in that review, which included small-scale studies both on BPT 12 and art therapy, 37,38 have not been replicated in either the present trial or in the MATISSE study, 8 which were both much larger. Therefore, although the findings of this study and the MATISSE study 8 do not necessarily preclude the possibility that different types of arts therapies (such as music therapy) may still be effective, they are not consistent with the current NICE recommendation that all types of arts therapies should be considered as a treatment for negative symptoms or schizophrenia, and, furthermore, do not support the evidence on which the NICE recommendation was initially based.…”

Section: Generalisabilitymentioning

confidence: 61%

“…Of the six studies included in the NICE review, 6 three studies [12][13][14] evaluated the effectiveness of music therapy, two studies 15,16 evaluated the effectiveness of art therapy and one study 17 evaluated the effectiveness of body-orientated psychotherapy. The BPT trial was an exploratory RCT, which tested a manualised form of the intervention in outpatients with persistent negative symptoms of schizophrenia.…”

Section: Body Psychotherapy and Schizophreniamentioning

confidence: 99%

See 1 more Smart Citation

Clinical effectiveness and cost-effectiveness of body psychotherapy in the treatment of negative symptoms of schizophrenia: a multicentre randomised controlled trial

Priebe

Savill

Wykes

et al. 2016

Health Technol Assess

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BackgroundThe negative symptoms of schizophrenia significantly impact on quality of life and social functioning, and current treatment options are limited. In this study the clinical effectiveness and cost-effectiveness of group body psychotherapy as a treatment for negative symptoms were compared with an active control.DesignA parallel-arm, multisite randomised controlled trial. Randomisation was conducted independently of the research team, using a 1 : 1 computer-generated sequence. Assessors and statisticians were blinded to treatment allocation. Analysis was conducted following the intention-to-treat principle. In the cost-effectiveness analysis, a health and social care perspective was adopted.ParticipantsEligibility criteria: age 18–65 years; diagnosis of schizophrenia with symptoms present at > 6 months; score of ≥ 18 on Positive and Negative Syndrome Scale (PANSS) negative symptoms subscale; no change in medication type in past 6 weeks; willingness to participate; ability to give informed consent; and community outpatient. Exclusion criteria: inability to participate in the groups and insufficient command of English.SettingsParticipants were recruited from NHS mental health community services in five different Trusts. All groups took place in local community spaces.InterventionsControl intervention: a 10-week, 90-minute, 20-session group beginners’ Pilates class, run by a qualified Pilates instructor. Treatment intervention: a 10-week, 90-minute, 20-session manualised group body psychotherapy group, run by a qualified dance movement psychotherapist.OutcomesThe primary outcome was the PANSS negative symptoms subscale score at end of treatment. Secondary outcomes included measures of psychopathology, functional, social, service use and treatment satisfaction outcomes, both at treatment end and at 6-month follow-up.ResultsA total of 275 participants were randomised (140 body psychotherapy group, 135 Pilates group). At the end of treatment, 264 participants were assessed (137 body psychotherapy group, 127 Pilates group). The adjusted difference in means of the PANSS negative subscale at the end of treatment was 0.03 [95% confidence interval (CI) –1.11 to 1.17], showing no advantage of the intervention. In the secondary outcomes, the mean difference in the Clinical Assessment Interview for negative symptoms expression subscale at the end of treatment was 0.62 (95% CI –1.23 to 0.00), and in extrapyramidal movement disorder symptoms –0.65 (95% CI –1.13 to –0.16) at the end of treatment and –0.58 (95% CI –1.07 to –0.09) at 6 months’ follow-up, showing a small significant advantage of body psychotherapy. No serious adverse events related to the interventions were reported. The total costs of the intervention were comparable with the control, with no clear evidence of cost-effectiveness for either condition.LimitationsOwing to the absence of a treatment-as-usual arm, it is difficult to determine whether or not both arms are an improvement over routine care.ConclusionsIn comparison with an active control, group body psychotherapy does not have a clinically relevant beneficial effect in the treatment of patients with negative symptoms of schizophrenia. These findings conflict with the review that led to the current National Institute for Health and Care Excellence guidelines suggesting that arts therapies may be an effective treatment for negative symptoms.Future workDetermining whether or not this lack of effectiveness extends to all types of art therapies would be informative.Trial registrationCurrent Controlled Trials ISRCTN842165587.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full inHealth Technology Assessment; Vol. 20, No. 11. See the NIHR Journals Library website for further project information.

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Section: Generalisabilitymentioning

confidence: 61%

Section: Body Psychotherapy and Schizophreniamentioning

confidence: 99%

Clinical effectiveness and cost-effectiveness of body psychotherapy in the treatment of negative symptoms of schizophrenia: a multicentre randomised controlled trial

Priebe

Savill

Wykes

et al. 2016

Health Technol Assess

View full text Add to dashboard Cite

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“…85,86 In a recent study, 37 patients with schizophrenia were examined and randomly assigned into two different groups -one of which, in addition to receiving all the care and treatments for the specific disease, was enrolment into music therapy programs. 87 The obtained results highlighted the importance of music therapy in reducing the negative symptoms among schizophrenic patients as well as improving their sense of self and their interpersonal contacts. These positive effects underscore the potential usefulness of music therapy as a tool to foster social development and to improve the adaptive capacity of patients after discharge from the hospital.…”

Section: Other Nonpharmacological Therapeutic Strategiesmentioning

confidence: 83%

Support management in schizophrenia: a systematic review of current literature

Pompili¹,

Montebovi²,

Forte³

et al. 2012

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Background: Schizophrenia is generally considered a chronic disorder characterized by psychotic symptoms and relatively stable neurocognitive and interpersonal deficits. Antipsychotic medication has proven beneficial in reducing psychotic symptoms, but is often not enough to treat cognitive or functional impairments. Residual cognitive impairments are barriers to a patient's full recovery from schizophrenia. Rehabilitation is an alternative and important approach which may be useful, and encompasses a variety of treatments including social skills training and psychoeducational and cognitive behavioral treatments. Objective: To investigate the efficacy of psychosocial treatments in schizophrenia, evaluating its effects in the short and long term, comparing psychosocial treatments with pharmacotherapy, and assessing the effects of treatment and the main indications for use in patients with schizophrenia. Methods: A careful MEDLINE ® , Excerpta Medica, PsycLIT ® , PsycINFO ® , and IndexMedicus search was performed to identify all papers and book chapters in English for the period 1970-2012. Results:Findings from the studies included in this qualitative analysis suggest that social skills therapy, cognitive behavioral therapy, family intervention therapy, cognitive remediation therapy, and other nonpharmacological therapeutic strategies may be beneficial for patients with significant functional and symptomatic impairments. Conclusion: Schizophrenic patients treated with nonpharmacological techniques have more rapid remission and relapse less frequently than patients treated only pharmacologically.

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“…Ulrich et al [15] randomly assigned 37 acute schizophrenic patients either an intervention group or a control group: the former consisted of 21 patients who received music therapy in groups, and the latter consisted of 16 patients. The patients played music-based games in groups, In most of the cases, medical treatment initiates at the beginning of the acute phase.…”

Section: Active Music Therapymentioning

confidence: 99%

Current status of music therapy for schizophrenic patients

Asano

2013

Acoust. Sci. & Tech.

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The additional therapeutic effect of group music therapy for schizophrenic patients: a randomized study

Abstract: Musical activity diminishes negative symptoms and improves interpersonal contact. These positive effects of music therapy could increase the patient's abilities to adapt to the social environment in the community after discharge from the hospital.

Cited by 90 publications

References 7 publications

Clinical effectiveness and cost-effectiveness of body psychotherapy in the treatment of negative symptoms of schizophrenia: a multicentre randomised controlled trial

Clinical effectiveness and cost-effectiveness of body psychotherapy in the treatment of negative symptoms of schizophrenia: a multicentre randomised controlled trial

Support management in schizophrenia: a systematic review of current literature

Current status of music therapy for schizophrenic patients

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