A Systematic Review of Music Therapy Practice and Outcomes with Acute Adult Psychiatric In-Patients
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{"title"=>"A Systematic Review of Music Therapy Practice and Outcomes with Acute Adult Psychiatric In-Patients", "type"=>"generic", "authors"=>[{"first_name"=>"Catherine", "last_name"=>"Carr", "scopus_author_id"=>"57198170559"}, {"first_name"=>"Helen", "last_name"=>"Odell-Miller", "scopus_author_id"=>"11939327200"}, {"first_name"=>"Stefan", "last_name"=>"Priebe", "scopus_author_id"=>"8115293800"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"369474278", "sgr"=>"84880980810", "pmid"=>"23936399", "scopus"=>"2-s2.0-84880980810", "isbn"=>"1932-6203", "doi"=>"10.1371/journal.pone.0070252", "issn"=>"19326203"}, "id"=>"9af8b21d-90b2-34f4-b281-7c8884292a8a", "abstract"=>"BACKGROUND AND OBJECTIVES: There is an emerging evidence base for the use of music therapy in the treatment of severe mental illness. Whilst different models of music therapy have been developed in mental health care, none have specifically accounted for the features and context of acute in-patient settings. This review aimed to identify how music therapy is provided for acute adult psychiatric in-patients and what outcomes have been reported.\\n\\nREVIEW METHODS: A systematic review using medical, psychological and music therapy databases. Papers describing music therapy with acute adult psychiatric in-patients were included. Analysis utilised narrative synthesis.\\n\\nRESULTS: 98 papers were identified, of which 35 reported research findings. Open group work and active music making for nonverbal expression alongside verbal reflection was emphasised. Aims were engagement, communication and interpersonal relationships focusing upon immediate areas of need rather than longer term insight. The short stay, patient diversity and institutional structure influenced delivery and resulted in a focus on single sessions, high session frequency, more therapist direction, flexible use of musical activities, predictable musical structures, and clear realistic goals. Outcome studies suggested effectiveness in addressing a range of symptoms, but were limited by methodological shortcomings and small sample sizes. Studies with significant positive effects all used active musical participation with a degree of structure and were delivered in four or more sessions.\\n\\nCONCLUSIONS: No single clearly defined model exists for music therapy with adults in acute psychiatric in-patient settings, and described models are not conclusive. Greater frequency of therapy, active structured music making with verbal discussion, consistency of contact and boundaries, an emphasis on building a therapeutic relationship and building patient resources may be of particular importance. Further research is required to develop specific music therapy models for this patient group that can be tested in experimental studies.", "link"=>"http://www.mendeley.com/research/systematic-review-music-therapy-practice-outcomes-acute-adult-psychiatric-inpatients", "reader_count"=>96, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>2, "Librarian"=>3, "Student > Doctoral Student"=>8, "Researcher"=>14, "Student > Ph. D. Student"=>12, "Student > Postgraduate"=>2, "Other"=>26, "Student > Master"=>12, "Student > Bachelor"=>10, "Professor"=>5}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>2, "Librarian"=>3, "Student > Doctoral Student"=>8, "Researcher"=>14, "Student > Ph. D. Student"=>12, "Student > Postgraduate"=>2, "Other"=>26, "Student > Master"=>12, "Student > Bachelor"=>10, "Professor"=>5}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Nursing and Health Professions"=>9, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>37, "Agricultural and Biological Sciences"=>3, "Arts and Humanities"=>9, "Psychology"=>23, "Social Sciences"=>7, "Computer Science"=>3, "Linguistics"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>37}, "Social Sciences"=>{"Social Sciences"=>7}, "Psychology"=>{"Psychology"=>23}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Computer Science"=>{"Computer Science"=>3}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>9}, "Linguistics"=>{"Linguistics"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>3}, "Arts and Humanities"=>{"Arts and Humanities"=>9}}, "reader_count_by_country"=>{"Japan"=>1, "Switzerland"=>1, "Spain"=>4}, "group_count"=>9}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1140889"], "description"=>"<p>+Direction of experimental pre-post SMD indicates improvement/group difference SMD favours intervention/significantly favours intervention.</p><p>− Direction of experimental pre-post SMD indicates deterioration/group difference SMD favours control/significantly favours control.</p>*<p>Statistically significant (<i>p</i><.05).</p><p>N sess- Number of sessions received, SMD- Standardised mean difference, Count- Vote count, nr- not reported, na- not applicable.</p><p>BPRS- Brief Psychiatric Rating Scale, Calgary- Calgary Interview Guide for Depression, COPE- Brief COPE Inventory, CORE- Clinical Outcomes in Routine Evaluation, CSQ- Client Satisfaction Questionnaire, DASS-21- Depression, Anxiety and Stress Scale, GAF- Global Assessment of Functioning Scale, HADS- Hospital Anxiety and Depression Scale, HAQ-II- Helping Alliance Questionnaire, KIRI- Knowledge of Illness and Resources Inventory, LSP- Life Skills Profile, NOSIE- Nurses' Observation Scale for Inpatient Evaluation, PANSS- Positive and Negative Symptoms Scale, PCI- Proactive Coping Inventory, RD- Researcher designed, SANS- Scale for the Assessment of Negative Symptoms, SMD- Standardised mean difference, SPG- Scales for Mental Health, SQ- Social Questionnaire, SWLS- Satisfaction with Life Scale.</p>", "links"=>[], "tags"=>["Clinical research design", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Mood disorders", "psychoses", "schizophrenia", "therapies", "Non-clinical medicine", "Health care providers", "Allied health care professionals", "outcomes", "studies"], "article_id"=>762779, "categories"=>["Medicine"], "users"=>["Catherine Carr", "Helen Odell-Miller", "Stefan Priebe"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0070252.t005", "stats"=>{"downloads"=>2, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_of_outcomes_standardised_mean_difference_across_studies_and_vote_count_/762779", "title"=>"Comparison of outcomes (standardised mean difference) across studies and vote count.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-08-02 02:12:37"}
  • {"files"=>["https://ndownloader.figshare.com/files/1140888"], "description"=>"<p>Risk of bias of included clinical outcome studies.</p>", "links"=>[], "tags"=>["Clinical research design", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Mood disorders", "psychoses", "schizophrenia", "therapies", "Non-clinical medicine", "Health care providers", "Allied health care professionals", "included"], "article_id"=>762778, "categories"=>["Medicine"], "users"=>["Catherine Carr", "Helen Odell-Miller", "Stefan Priebe"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0070252.t004", "stats"=>{"downloads"=>5, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Risk_of_bias_of_included_clinical_outcome_studies_/762778", "title"=>"Risk of bias of included clinical outcome studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-08-02 02:12:37"}
  • {"files"=>["https://ndownloader.figshare.com/files/1140883"], "description"=>"<p>QUORUM Diagram.</p>", "links"=>[], "tags"=>["Clinical research design", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Mood disorders", "psychoses", "schizophrenia", "therapies", "Non-clinical medicine", "Health care providers", "Allied health care professionals"], "article_id"=>762773, "categories"=>["Medicine"], "users"=>["Catherine Carr", "Helen Odell-Miller", "Stefan Priebe"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0070252.g001", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_QUORUM_Diagram_/762773", "title"=>"QUORUM Diagram.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-08-02 02:12:37"}
  • {"files"=>["https://ndownloader.figshare.com/files/1140891", "https://ndownloader.figshare.com/files/1140910", "https://ndownloader.figshare.com/files/1140916", "https://ndownloader.figshare.com/files/1140919", "https://ndownloader.figshare.com/files/1140924", "https://ndownloader.figshare.com/files/1140927"], "description"=>"<div><p>Background and Objectives</p><p>There is an emerging evidence base for the use of music therapy in the treatment of severe mental illness. Whilst different models of music therapy have been developed in mental health care, none have specifically accounted for the features and context of acute in-patient settings. This review aimed to identify how music therapy is provided for acute adult psychiatric in-patients and what outcomes have been reported.</p><p>Review Methods</p><p>A systematic review using medical, psychological and music therapy databases. Papers describing music therapy with acute adult psychiatric in-patients were included. Analysis utilised narrative synthesis.</p><p>Results</p><p>98 papers were identified, of which 35 reported research findings. Open group work and active music making for nonverbal expression alongside verbal reflection was emphasised. Aims were engagement, communication and interpersonal relationships focusing upon immediate areas of need rather than longer term insight. The short stay, patient diversity and institutional structure influenced delivery and resulted in a focus on single sessions, high session frequency, more therapist direction, flexible use of musical activities, predictable musical structures, and clear realistic goals. Outcome studies suggested effectiveness in addressing a range of symptoms, but were limited by methodological shortcomings and small sample sizes. Studies with significant positive effects all used active musical participation with a degree of structure and were delivered in four or more sessions.</p><p>Conclusions</p><p>No single clearly defined model exists for music therapy with adults in acute psychiatric in-patient settings, and described models are not conclusive. Greater frequency of therapy, active structured music making with verbal discussion, consistency of contact and boundaries, an emphasis on building a therapeutic relationship and building patient resources may be of particular importance. Further research is required to develop specific music therapy models for this patient group that can be tested in experimental studies.</p></div>", "links"=>[], "tags"=>["Clinical research design", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Mood disorders", "psychoses", "schizophrenia", "therapies", "Non-clinical medicine", "Health care providers", "Allied health care professionals", "systematic", "outcomes", "acute", "psychiatric"], "article_id"=>762781, "categories"=>["Medicine"], "users"=>["Catherine Carr", "Helen Odell-Miller", "Stefan Priebe"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0070252.s001", "https://dx.doi.org/10.1371/journal.pone.0070252.s002", "https://dx.doi.org/10.1371/journal.pone.0070252.s003", "https://dx.doi.org/10.1371/journal.pone.0070252.s004", "https://dx.doi.org/10.1371/journal.pone.0070252.s005", "https://dx.doi.org/10.1371/journal.pone.0070252.s006"], "stats"=>{"downloads"=>29, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_A_Systematic_Review_of_Music_Therapy_Practice_and_Outcomes_with_Acute_Adult_Psychiatric_In_Patients_/762781", "title"=>"A Systematic Review of Music Therapy Practice and Outcomes with Acute Adult Psychiatric In-Patients", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-08-02 02:12:37"}
  • {"files"=>["https://ndownloader.figshare.com/files/1140887"], "description"=>"<p>BPRS- Brief Psychiatric Rating Scale, Calgary- Calgary Interview Guide for Depression, COPE- Brief COPE Inventory, CORE- Clinical Outcomes in Routine Evaluation, CSQ- Client Satisfaction Questionnaire, DASS-21- Depression, Anxiety and Stress Scale, GAF- Global Assessment of Functioning Scale, GT- Gießentest , HADS- Hospital Anxiety and Depression Scale, HAQ-II- Helping Alliance Questionnaire, KIRI- Knowledge of Illness and Resources Inventory, LSP- Life Skills Profile, NOSIE-30- Nurses’ Observation Scale for Inpatient Evaluation, PANSS- Positive and Negative Symptoms Scale, PCI- Proactive Coping Inventory, PQRST- Personal Questionnaire Rapid Scaling Technique, SANS- Scale for the Assessment of Negative Symptoms, SPG- Scales for Mental Health, SWLS- Satisfaction with Life Scale, SQ- Sociometric Questionnaire, VAS- Visual Analogue Scale</p><p>AT- Art Therapy, DMT- Dance Movement Therapy, MT, Music Therapy, nr- Not reported, N/A- Not applicable, pw- per week, IP relationship- Interpersonal Relationships</p>", "links"=>[], "tags"=>["Clinical research design", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Mood disorders", "psychoses", "schizophrenia", "therapies", "Non-clinical medicine", "Health care providers", "Allied health care professionals", "studies", "acute", "psychiatric"], "article_id"=>762777, "categories"=>["Medicine"], "users"=>["Catherine Carr", "Helen Odell-Miller", "Stefan Priebe"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0070252.t003", "stats"=>{"downloads"=>2, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Summary_of_clinical_outcome_studies_in_acute_adult_psychiatric_settings_/762777", "title"=>"Summary of clinical outcome studies in acute adult psychiatric settings.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-08-02 02:12:37"}
  • {"files"=>["https://ndownloader.figshare.com/files/1140885"], "description"=>"<p>Session structure and content across included papers.</p>", "links"=>[], "tags"=>["Clinical research design", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Mood disorders", "psychoses", "schizophrenia", "therapies", "Non-clinical medicine", "Health care providers", "Allied health care professionals", "included"], "article_id"=>762775, "categories"=>["Medicine"], "users"=>["Catherine Carr", "Helen Odell-Miller", "Stefan Priebe"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0070252.t002", "stats"=>{"downloads"=>4, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Session_structure_and_content_across_included_papers_/762775", "title"=>"Session structure and content across included papers.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-08-02 02:12:37"}
  • {"files"=>["https://ndownloader.figshare.com/files/1140884"], "description"=>"<p>Delivery of music therapy across included papers.</p>", "links"=>[], "tags"=>["Clinical research design", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Mood disorders", "psychoses", "schizophrenia", "therapies", "Non-clinical medicine", "Health care providers", "Allied health care professionals", "included"], "article_id"=>762774, "categories"=>["Medicine"], "users"=>["Catherine Carr", "Helen Odell-Miller", "Stefan Priebe"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0070252.t001", "stats"=>{"downloads"=>7, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Delivery_of_music_therapy_across_included_papers_/762774", "title"=>"Delivery of music therapy across included papers.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-08-02 02:12:37"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"84", "full-text"=>"80", "pdf"=>"16", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
  • {"unique-ip"=>"130", "full-text"=>"129", "pdf"=>"29", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"10"}
  • {"unique-ip"=>"95", "full-text"=>"101", "pdf"=>"18", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"150", "full-text"=>"155", "pdf"=>"26", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"12", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"108", "full-text"=>"120", "pdf"=>"21", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"20", "cited-by"=>"3", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"158", "full-text"=>"188", "pdf"=>"23", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"8", "cited-by"=>"1", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"150", "full-text"=>"175", "pdf"=>"20", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"129", "full-text"=>"138", "pdf"=>"19", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"5"}
  • {"unique-ip"=>"86", "full-text"=>"106", "pdf"=>"10", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"1", "year"=>"2019", "month"=>"8"}
  • {"unique-ip"=>"115", "full-text"=>"139", "pdf"=>"17", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"9"}
  • {"unique-ip"=>"157", "full-text"=>"170", "pdf"=>"28", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"10"}

Relative Metric

{"start_date"=>"2013-01-01T00:00:00Z", "end_date"=>"2013-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Medicine and health sciences", "average_usage"=>[264, 460, 584, 692, 794, 887, 978, 1067, 1154, 1241, 1328, 1408, 1474]}, {"subject_area"=>"/Medicine and health sciences/Diagnostic medicine", "average_usage"=>[244, 425, 535, 636, 728, 814, 900, 982, 1063, 1139, 1221, 1296, 1361]}, {"subject_area"=>"/Medicine and health sciences/Mental health and psychiatry", "average_usage"=>[282, 468, 596, 706, 804, 895, 1000, 1081, 1175, 1272, 1356, 1445, 1531]}, {"subject_area"=>"/People and places", "average_usage"=>[270, 456, 573, 676, 773, 867, 955, 1037, 1120, 1205, 1286, 1363, 1436]}, {"subject_area"=>"/People and places/Population groupings", "average_usage"=>[265, 456, 578, 682, 782, 881, 965, 1053, 1133, 1223, 1310, 1391, 1457]}, {"subject_area"=>"/Social sciences", "average_usage"=>[289, 475, 593, 703, 805, 902, 990, 1078, 1158, 1250, 1336, 1417, 1482]}]}
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