Department of Social Sciences and Social Work, Bournemouth University, Bournemouth, UK.
School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
J Child Psychol Psychiatry. 2017 May;58(5):586-594. doi: 10.1111/jcpp.12656. Epub 2016 Oct 27.
Although music therapy (MT) is considered an effective intervention for young people with mental health needs, its efficacy in clinical settings is unclear. We therefore examined the efficacy of MT in clinical practice.
Two hundred and fifty-one child (8-16 years, with social, emotional, behavioural and developmental difficulties) and parent dyads from six Child and Adolescent Mental Health Service community care facilities in Northern Ireland were randomised to 12 weekly sessions of MT plus usual care [n = 123; 76 in final analyses] or usual care alone [n = 128; 105 in final analyses]. Follow-up occurred at 13 weeks and 26 weeks postrandomisation. Primary outcome was improvement in communication (Social Skills Improvement System Rating Scales) (SSIS) at 13 weeks. Secondary outcomes included social functioning, self-esteem, depression and family functioning.
There was no significant difference for the child SSIS at week 13 (adjusted difference in mean 2.4; 95% CI -1.2 to 6.1; p = .19) or for the guardian SSIS (0.5; 95% CI -2.9 to 3.8; p = .78). However, for participants aged 13 and over in the intervention group, the child SSIS communication was significantly improved (6.1, 95% CI 1.6 to 10.5; p = .007) but not the guardian SSIS (1.1; 95% CI -2.9 to 5.2; p = .59). Overall, self-esteem was significantly improved and depression scores were significantly lower at week 13. There was no significant difference in family or social functioning at week 13.
While the findings provide some evidence for the integration of music therapy into clinical practice, differences relating to subgroups and secondary outcomes indicate the need for further study. ISRCTN Register; ISRCTN96352204.
尽管音乐治疗（MT）被认为是一种有效的针对有心理健康需求的年轻人的干预手段，但它在临床环境中的疗效尚不清楚。因此，我们研究了 MT 在临床实践中的疗效。
251 名来自北爱尔兰 6 个儿童和青少年心理健康服务社区护理机构的儿童（8-16 岁，有社交、情感、行为和发育困难）及其父母被随机分为 12 周的音乐治疗加常规护理组（n=123；最终分析 76 人）或单纯常规护理组（n=128；最终分析 105 人）。在随机分组后 13 周和 26 周进行随访。主要结局是 13 周时沟通的改善（社会技能改善系统评定量表）（SSIS）。次要结局包括社会功能、自尊、抑郁和家庭功能。
13 周时，儿童 SSIS 无显著差异（调整后的平均差异为 2.4；95%CI -1.2 至 6.1；p=0.19）或监护人 SSIS（0.5；95%CI -2.9 至 3.8；p=0.78）。然而，在干预组中年龄在 13 岁及以上的参与者中，儿童 SSIS 沟通显著改善（6.1，95%CI 1.6 至 10.5；p=0.007），但监护人 SSIS 无显著改善（1.1；95%CI -2.9 至 5.2；p=0.59）。总体而言，自尊在 13 周时显著提高，抑郁评分显著降低。13 周时，家庭或社会功能无显著差异。
尽管这些发现为将音乐治疗纳入临床实践提供了一些证据，但与亚组和次要结局相关的差异表明需要进一步研究。ISRCTN 注册；ISRCTN96352204。
