Music therapy for people with schizophrenia and schizophrenia‐like disorders

摘要: Background Music therapy is a therapeutic approach that uses musical interaction as means of communication and expression. Within the area serious mental disorders, aim to help people improve their emotional relational competencies, address issues they may not be able using words alone. Objectives To review effects music therapy, or added standard care, compared with placebo care no treatment for disorders such schizophrenia. Search methods We searched Cochrane Schizophrenia Group’s Trials Study-Based Register (December 2010 15 January, 2015) supplemented this by contacting relevant study authors, handsearching journals manual searches reference lists. Selection criteria All randomised controlled trials (RCTs) treatment. Data collection analysis Review authors independently selected, quality assessed data extracted studies. We excluded where more than 30% participants in any group were lost follow-up. synthesised non-skewed continuous endpoint from valid scales standardised mean difference (SMD). employed fixed-effect model all analyses. If statistical heterogeneity was found, we examined dosage (i.e. number sessions) possible sources heterogeneity. Main results Ten new studies have been update; 18 total 1215 are now included. These over short, medium, long-term, varying seven 240 sessions. Overall, most information at low unclear risk bias A positive effect on global state found (medium term, 2 RCTs, n = 133, RR 0.38 95% confidence interval (CI) 0.24 0.59, low-quality evidence, needed treat an additional beneficial outcome NNTB 2, CI 4). No binary available other outcomes. Medium-term identified good negative symptoms Scale Assessment Negative Symptoms (3 177, SMD - 0.55 -0.87 -0.24, evidence). General scores Positive better (2 159, -0.97 -1.31 -0.63, evidence), average Brief Psychiatric Rating (1 RCT, 70, -1.25 -1.77 -0.73, moderate-quality Global Functioning showed general functioning 118, -0.19 -0.56 0.18, However, both social (Social Disability Screening Schedule scores; 160, -0.72 -1.04 -0.40), life (General Well-Being scores: 1 72, 1.82 1.27 2.38, There adverse effects, service use, engagement services, cost. Authors' conclusions Moderate- evidence suggests addition improves state, (including symptoms), functioning, schizophrenia schizophrenia-like disorders. inconsistent across depended sessions well provided. Further research should especially long-term dose-response relationships, relevance measures relation therapy.