Gurbuz-Dogan R N, Ali A, Candy B, King M
Division of Psychiatry, University College London, London, UK.
Division of Psychiatry, University College London, London, UK.
Complement Ther Med. 2021 Mar;57:102664. doi: 10.1016/j.ctim.2021.102664. Epub 2021 Jan 16.
There is some evidence that Sufi music therapy might improve physical and mental well-being; however, no systematic review or meta-analysis has pooled and critiqued the evidence. The aim of this systematic review was to evaluate the effects of Sufi music therapy on mental health outcomes.
We searched Medline, PsycINFO, the Web of Science, Science Direct, PsycARTICLES, Cochrane Library, SCOPUS, CINAHL Plus, AMED, and ULAKBIM databases, and the reference lists of the studies found. Papers published in academic peer-reviewed journals were included, as well as from other sources such as chapters in edited books, the grey literature, or conference presentations. Articles published up to March 2020 in Turkish and English were included. Our primary outcome of interest was anxiety and secondary outcomes of interest were other mental health outcomes such as depression. To assess the methodological quality of the articles, the Cochrane Risk of Bias Tool was used. The quality of evidence was assessed using the GRADEpro GDT system.
This search yielded 21 clinical trials that were eligible for inclusion. A meta-analysis, using a random effects model, of 18 randomised controlled trials involving 1454 participants showed that Sufi music therapy with makams, compared with treatment as usual (TAU) or a no-music control group, reduced symptoms of anxiety in the short term in patients undergoing an operation or treatments such as chemotherapy or haemodialysis (standardised mean difference SMD= -1.15, 95 % CI, -1.64 to -0.65; very low-quality evidence). The evidence of Sufi music with makam's effect on anxiety is rated as very low. Qualitative synthesis of secondary outcomes revealed significant effects for depression, positive symptoms in schizophrenia, stress, which however were based on fewer studies. Trials were of moderate methodological quality, and there was significant heterogeneity across the studies.
Sufi music may reduce anxiety of patients undergoing medical procedures like haemodialysis, coronary artery surgery, angiography, colonoscopy, bone marrow aspiration and biopsy procedures. Evidence from single studies suggests effects on depression and stress as well. However, due to methodological limitations of the studies, further, higher quality studies are required in other cultures.
有证据表明苏菲音乐疗法可能改善身心健康；然而，尚无系统评价或荟萃分析汇总并评判相关证据。本系统评价旨在评估苏菲音乐疗法对心理健康结局的影响。
我们检索了Medline、PsycINFO、科学引文索引、科学Direct、PsycARTICLES、Cochrane图书馆、SCOPUS、CINAHL Plus、AMED和ULAKBIM数据库，以及所发现研究的参考文献列表。纳入学术同行评审期刊发表的论文，以及其他来源的论文，如编辑书籍中的章节、灰色文献或会议报告。纳入截至2020年3月发表的土耳其语和英语文章。我们感兴趣的主要结局是焦虑，感兴趣的次要结局是其他心理健康结局，如抑郁。为评估文章的方法学质量，使用了Cochrane偏倚风险工具。使用GRADEpro GDT系统评估证据质量。
本次检索产生了21项符合纳入标准的临床试验。对18项涉及1454名参与者的随机对照试验进行随机效应模型的荟萃分析表明，与常规治疗（TAU）或无音乐对照组相比，采用马卡姆调式的苏菲音乐疗法在短期内可减轻接受手术或化疗或血液透析等治疗的患者的焦虑症状（标准化均数差SMD = -1.15, 95%可信区间，-1.64至-0.65；极低质量证据）。苏菲音乐结合马卡姆调式对焦虑影响的证据被评为极低质量。对次要结局的定性综合分析显示，对抑郁、精神分裂症的阳性症状、压力有显著影响，但这些基于较少的研究。试验的方法学质量中等，各研究之间存在显著异质性。
苏菲音乐可能减轻接受血液透析、冠状动脉手术、血管造影、结肠镜检查、骨髓穿刺和活检等医疗程序患者的焦虑。单项研究的证据也表明对抑郁和压力有影响。然而，由于研究的方法学局限性，在其他文化中还需要进一步开展更高质量的研究。
