The Use of Music as an Adjuvant Therapy for Mental Illnesses: a Review
DOI:
https://doi.org/10.53843/bms.v5i8.115Keywords:
Music therapy, Mental disorders, Psychiatric rehabilitation, Mental healthAbstract
INTRODUCTION: The use of music therapy (MT) as an adjuvant treatment for different types of diseases is promising and valid, given the emotional and cognitive benefits that exposure to music (actively or passively) offers. This literature review aims to elucidate how MT can be used to complement the usual treatment of mental disorders, its best propaedeutics, and possible harms. METHOD: The guiding question for this review was “In people diagnosed with mental disorders, does MT as an adjuvant therapy offer better clinical results compared to traditional treatment?”. The descriptors used on the search were “mental disorders”, “music therapy” and “psychiatric rehabilitation”, in MEDLINE, SciELO, and LILACS. The study was conducted in April 2021. Rigid inclusion and exclusion criteria were applied. RESULTS: The 15 studies selected for this review come from 9 countries. Most are controlled clinical trials from the United States. They present several benefits of using MT in mental disorders such as depression, anxiety, panic disorder, post-traumatic stress disorder, and schizophrenia, improving emotional control, cognitive ability, interpersonal relationships, and quality of life. DISCUSSION: MT shows strong positive results in the treatment of mental disorders in people of different ages, offers emotional relief, improved cognitive functions and interpersonal relationships, also reducing stress and depressive symptoms. In addition, it is a feasible therapy, with different applications, but it does not replace pharmacological treatment and psychotherapy. Few articles showed harmful effects of MT, observed only when it was associated with psychoactive drugs, generating unwelcome responses. CONCLUSION: Evidence suggests that MT is an excellent adjuvant therapy for the treatment of mental disorders with different clinical spectrums. Experiments with a larger sample size are required to elucidate the most effective technique and treatment duration for each mental disorder, considering individuality and the undeniable importance of pharmacotherapy and psychotherapy.
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References
Definition and quotes about music therapy [Internet]. Silver Spring (MD): American Association of Music Therapy; c1998-2021 [cited 2021 Apr 19]. Available from: https://www.musictherapy.org/about/quotes/
Thaut MH, McIntosh GC. Neurologic music therapy in stroke rehabilitation. Curr Phys Med Rehabil Rep [Internet], 2014 Apr [cited 2021 Apr 19];2: 106–113. Available from: https://link.springer.com/article/10.1007/s40141-014-0049-y
McDermott O, Crellin N, Ridder HM, Orrell M. Music therapy in dementia: a narrative synthesis systematic review. Int J Geriatr Psychiatry [Internet], 2013 Aug [cited 2021 Apr 19];28(8): 781-794. Available from: https://pubmed.ncbi.nlm.nih.gov/23080214/
Nguyen SA, LAvretsky H. Emerging complementary and integrative therapies for geriatric mental health. Curr Treat Options Psychiatry [Internet]; 2020 Sep [cited 2021 Apr 19];7: 447-470. Available from: https://link.springer.com/article/10.1007/s40501-020-00229-5
Hodges DA. Implication of music and brain research: this introductoray article offers an overview of neuromusical research and articulate some basic premises derived from this research. Music Educ J [Internet], 2000 Sep [cited 2021 Apr 19];87(2): 17–22. Available from: https://journals.sagepub.com/doi/10.2307/3399643
World Health Organization. Constitution of the World Health Organization. New York (NY). 1946 Jul. Available from: http://www.direitoshumanos.usp.br/index.php/OMS-Organiza%C3%A7%C3%A3o-Mundial-da-Sa%C3%BAde/constituicao-da-organizacao-mundial-da-saude-omswho.html
Dahms R, Eicher C, Haesner M, Mueller-Werdan U. Influence of music therapy and music-based Interventions on dementia: a pilot study. J Music Ther [Internet], 2021 May [cited 2021 Jul 10];XX(XX): 1-25. Available from: https://academic.oup.com/jmt/advancearticle/doi/10.1093/jmt/thab005/6265007
Silva LK, Brito TSS, Souza LAPS, Luvizutto GJ. Music-based therapy in Parkinson’s disease: an approach based on international classification of functioning, disability and health. J Bodyw Mov Ther [Internet], 2021 April [cited 2021 Jul 10];26: 524-529. Available from: https://www.bodyworkmovementtherapies.com/article/S1360-8592(20)30168-6/fulltext#articleInformation
Geipel J, Koenig J, Hillecke TK, Resch F, Kaess M. Music-based intervention to reduce internalizing symptoms in children and adolescents: a meta-analysis. J Affect Disord [Internet], 2018 Jan [cited 2021 Jul 10];225: 647-656. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0165032716316585?via%3Dihub
Porter S, McConnell T, McLaughlin K, Lynn F, Cardwell C, Braiden HJ, Boylan J, Holmes V. Music therapy for children and adolescents with behavioural and emotional problems: a randomised controlled trial. J Child Psychol Psychiatry [Internet]. 2017 Oct [cited 2021 Apr 19]; 58(5): 586-594. Available from: https://acamh.onlinelibrary.wiley.com/doi/full/10.1111/jcpp.12656
Mays KL, Clark DL, Gordon AJ. Treating addiction with tunes: a systematic review of music therapy for the treatment of patients with addictions. Subst Abus [Internet]. 2008 Dec [cited 2021 Jul 10];29(4): 51–59. Available from: https://www.tandfonline.com/doi/abs/10.1080/08897070802418485
Sigurdardóttir GA, Nielsen PM, Rønager J, Wang AG. A pilot study on high amplitude low frequency–music impulse stimulation as an add‐on treatment for depression. Brain Behav [Internet]. 2019 Oct [cited 2021 Apr 19]; 9(10): e01399. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/brb3.1399
Feng K, Shen CY, Ma XY, Chen GF, Zhang ML, Xu B, Liu XM, Sun JJ, Zhang XQ, Liu PZ, Ju Y. Effects of music therapy on major depressive disorder: a study of prefrontal hemodynamic functions using fNIRS. Psychiatry Res [Internet]. 2019 Mar [cited 2021 Apr 19]; 275: 86-93. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0165178118322212?via%3Dihub
Feldman JM, Matte L, Interian A, Lehrer PM, Lu SE, Scheckner B, Steinberg DM, Oken T, Kotay A, Sinha S, Shim C. Psychological treatment of comorbid asthma and panic disorder in Latino adults: Results from a randomized controlled trial. Behav Res Ther [Internet]. 2016 Dec [cited 2021 Apr 19]; 87: 142-154. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0005796716301644?via%3Dihub
Pezzin LE, Larson ER, Lorber W, McGinley EL, Dillingham TR. Music-instruction intervention for treatment of post-traumatic stress disorder: a randomized pilot study. BMC Psychol [Internet]. 2018 Dec [cited 2021 Apr 19];6(1): 60. Available from: https://pubmed.ncbi.nlm.nih.gov/30567598/
Lazarov A, Pine DS, Bar-Haim Y. Gaze-contingent music reward therapy for social anxiety disorder: a randomized controlled trial. Am J Psychiatry [Internet]. 2017 Jan [cited 2021 Apr 19];174(7): 649-656. Available from: https://ajp.psychiatryonline.org/doi/pdf/10.1176/appi.ajp.2016.16080894
Sewak R, Spielholz NI. Relapse prevention: using sound to reduce the probability of recidivism and suffering following detoxification. Med Hypotheses [Internet]. 2018 Sep [cited 2021 Apr 19];118: 84-91. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0306987718303529?via%3Dihub
Mathis WS, Han X. The acute effect of pleasurable music on craving for alcohol: a pilot crossover study. J Psychiatr Res [Internet]. 2017 Jul [cited 2021 Apr 19];90: 143-147. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0022395616306264?via%3Dihub
Porter S, McConnell T, Graham-Wisener L, Regan J, McKeown M, Kirkwood J, Clarke M, Gardner E, Dorman S, McGrillen K, Reid J. A randomized controlled pilot and feasibility study of music therapy for improving the quality of life of hospice inpatients. BMC Palliat Care [Internet]. 2018 Nov [cited 2021 Apr 19]; 17:125. Available from: https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-018-0378-1
Kaelen M, Giribaldi B, Raine J, Evams L, Timmerman C, Rodriguez N, Roseman L, Feilding A, Nutt D, Carhart-Harris R. The hidden therapist: evidence for a central role of music in psychedelic therapy. Psycopharmacology [Internet]. 2018 Feb [cited 2021 Apr 19]; 235: 505-519. Available from: https://link.springer.com/article/10.1007/s00213-017-4820-5
Hirschberg R, Sylvia LG, Wright EC, Gupta CT, McCarthy MD, Harward LK, Goetter EM, Boland H, Tanev K, Spencer TJ. Collaborative songwriting intervention for veterans with post-traumatic stress disorder. J Altern Complement Med [Internet]. 2020 Jan [cited 2021 Apr 19];26(3): 198-203. Available from: https://pubmed.ncbi.nlm.nih.gov/31985263/
Jeon GS, Gang M, Oh K. The effectiveness of the Nanta-program on psychiatric symptoms, interpersonal relationships, and quality of life in forensic inpatients with schizophrenia. Arch Psychiatr Nurs [Internet]. 2017 Feb [cited 2021 Apr 19];31(1): 93-98. Available from: https://www.psychiatricnursing.org/article/S0883-9417(16)30221-7/fulltext
Taets GGC, Jomar RT, Abreu AMM, Capella MAM. Effect of music therapy on stress in chemically dependent people: a quasi-experimental study. Rev Latino-Am Enfermagem [Internet]. 2019 Jan [cited 2021 Apr 19];27: e3115. Available from: https://www.scielo.br/scielo.php?script=sci_arttext&nrm=iso&lng=pt&tlng=pt&pid=S0104-11692019000100303
Archambault K, Vaugon K, Deumié V, Brault M, Perez RM, Peyrin J, Vaillancourt G, Garel P. MAP: a personalized receptive music therapy intervention to improve the affective well-being of youths hospitalized in a mental health unit. J Music Ther [Internet]. 2019 Winter;56(4):381–402. Available from: https://academic.oup.com/jmt/article/56/4/381/5631978
Gebhardt S, Dammann I, Loescher K, Wehmeier PM, Vedder H, Georgi RV. The effects of music therapy on the self and emotions – an interim analysis. Complement Ther Med [Internet]. 2018 Dec [cited 2021 Apr 19];41: 61-66. Available from: https://www.sciencedirect.com/science/article/abs/pii/S096522991830205X?via%3Dihub
D’abreu L. The challenge of making a psychiatric diagnosis in children. Contextos Clinic [Internet], 2012 Jul [cited 2021 Apr 19];5(1): 2-9. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid= S1983-34822012000100002
Amarante P, Nunes MO. Psychiatric reform in the SUS and the struggle for a society without asylums. Ciênc. saúde coletiva [Internet]. 2018 Jun [cited 2021 Apr 19];23(6): 2067-2074. Available from: https://www.scielo.br/scielo.php?pid=S1413-81232018000602067&script=sci_abstract&tlng=pt
Esteves FC, Galvan AL. Depressão numa contextualização contemporânea. Aletheia [Internet]. 2006 Dec [cited 2021 Jul 08]; (24): 127-135. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1413-03942006000300012&lng=pt
Hirano, J, Takamiya A, Yamagata B, Hotta S, Miyasaka Y, Pu S, Iwanami A, Uchida H, Mimura M. Frontal and temporal cortical functional recovery after electroconvulsive therapy for depression: a longitudinal functional near-infrared spectroscopy study. J. Psychiatr. Res [Internet]. 2019 Feb [cited 2021 Apr 19]; 91: 26–35. Available from: https://pubmed.ncbi.nlm.nih.gov/28292650/
Bryant RA, Sackville T, Dang ST, Moulds M, Guthrie R. Treating acute stress disorder: an evaluation of cognitive behavior therapy and supportive counseling techniques. Am J Psychiatry [Internet]. 1999 Nov [cited 2021 Apr 19];156(11):1780-1786. Available from: https://ajp.psychiatryonline.org/doi/full/10.1176/ajp.156.11.1780
National Institute of Mental Health. Social Anxiety Disorder: More Than Just Shyness [Internet]. Bethesda, MD: National Institute of Mental Health; 2016 [cited 2021 Jul 08]. Available from:https://www.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness/
American Psychiatric Association. What Is Schizophrenia? [Internet]. Washington, DC: American Psychiatric Association; 2020 [cited 2021 Jul 08]. Available from: https://www.psychiatry.org/patients-families/schizophrenia/what-is-schizophrenia
Almeida-Filho N, Jesus MJD, Coutinho E, França JF, Fernandes J, Andreoli SB, et al. Brazilian multicentric study of psychiatric morbidity: methodological features and prevalence estimates. Brit J Psychiat [Internet]. 2018 Jan [cited 2021 Jul 10];171(6):524–9. Available from: https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/abs/brazilian-multicentric-study-of-psychiatric-morbidity/FF15BE894BBE8DB9437920745D36876B
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