Bengbu Medical University.
Anhui Provincial Center for Women and Child Health, Hefei, Anhui, China.
Medicine (Baltimore). 2021 Jan 29;100(4):e23894. doi: 10.1097/MD.0000000000023894.
We aimed to evaluate the effect of music-based intervention on the aggressive behavior in children and adolescents, and made a comparison of music medicine and music therapy.
We searched PubMed (MEDLINE), Ovid-Embase, and the Cochrane Central Register of Controlled Trials (CENTRAL) to identify relevant studies. Standardized mean differences (SMDs) were estimated with random-effect model.
We included 10 studies and found a significant decrease of aggressive behavior (SMD = -0.99; 95% CI = -1.42 to -0.56) and a significant increase of self-control (SMD = 0.56; 95% CI: 0.19 to 0.93) in the music-based intervention group compared with the control group. The aggressive behavior was significantly decreased in the music therapy group compared with the control group (SMD = -1.79; 95% CI = -3.23 to -0.35); while, no difference was observed between music medicine group and control group. Sub-group analyses exhibited a more efficacious in reducing aggressive behavior in the children received ≥2 sessions per week, the children with a mean age > 10 years, the children whose behavior were reported by teachers, and the children with aggressive behavior before intervention. Sensitivity analyses yielded similar results.
Music-based intervention seemed to be more efficacious for reducing aggression and increasing self-control in children and adolescents, especially music therapy.
本研究旨在评估音乐干预对儿童和青少年攻击行为的影响，并对音乐医学和音乐疗法进行比较。
我们检索了 PubMed（MEDLINE）、Ovid-Embase 和 Cochrane 中心对照试验注册库（CENTRAL），以确定相关研究。采用随机效应模型估计标准化均数差（SMD）。
共纳入 10 项研究，结果显示，与对照组相比，音乐干预组的攻击行为显著降低（SMD = -0.99；95%CI = -1.42 至 -0.56），自我控制能力显著提高（SMD = 0.56；95%CI：0.19 至 0.93）。与对照组相比，音乐疗法组的攻击行为也显著降低（SMD = -1.79；95%CI = -3.23 至 -0.35）；而音乐医学组与对照组之间无差异。亚组分析显示，每周接受≥2 次治疗的儿童、年龄>10 岁的儿童、由教师报告行为的儿童以及干预前存在攻击行为的儿童，其降低攻击行为的效果更为显著。敏感性分析得出了相似的结果。
音乐干预似乎更能有效减少儿童和青少年的攻击行为，提高自我控制能力，尤其是音乐疗法。
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