Music therapy for people with substance use disorders: Findings from a Cochrane Systematic Review

  • Presentasjon av forsking
  • 13.45-14.15, Seminarrom C

Introduction: There is strong public and user interest in understanding how music therapy can contribute to improving the lives of people who have challenges related to substance use. This Cochrane Review analyzes the current evidence available from randomized controlled trials of music therapy to determine benefits and harms and assess magnitude of effects. Methods: This systematic review examined the effects of music therapy (MT) versus standard care or active controls (verbal therapy or recreational music). We included parallel and cross-over randomized controlled trials of people with diagnosis of SUD who received music therapy from a trained music therapist. There were no language or publication date restrictions. Results: From 704 relevant records, 12 studies met inclusion criteria (1111 participants), the majority of which were conducted in detoxification settings in the United States. Included studies did not assess the pre-specified outcomes of severity of substance dependence/abuse, cessation of substance use, or serious adverse events. In comparison to standard care, a significant effect favoring MT was found for clinician-rated depressive symptoms, motivation for treatment/change, and substance craving. These significant effects were reduced or eliminated when MT was compared to active controls. Discussion: Experimental evidence examining the effects of MT for SUD is emerging, and several outcomes important for users and stakeholders have not been examined. Future research should assess long-term outcomes like reduction or cessation of substance use, evaluate effects of MT on more homogenous groups of substance users, control for changes in psychological symptoms across the treatment period, and explore mechanisms of change.

Referanser

  • Aldridge, D. & Fachner, J. (Red.). (2010). Music therapy and addictions (2. utg.). London: Jessica Kingsley Publishers.
  • Ghetti, C., Chen, X.J., Fachner, J. & Gold, C. (2017). Music therapy for people with substance use disorders [protocol]. Cochrane Database of Systematic Reviews 2017, Issue 3. Art. No.: CD012576.
  • Hohmann, L., Bradt, J., Stegemann, T. & Koelsch, S. (2017). Effects of music therapy and music-based interventions in the treatment of substance use disorders: A systematic review. PLoS One 12(11): e0187363.
  • Mays, K. L., Clark, D. L. & Gordon, A. J. (2008). Treating addiction with tunes: A systematic review of music therapy for the treatment of patients with addictions. Substance Abuse, 29(4), s. 51-59. doi: 10.1080/08897070802418485.

Foredragsholdere (* = forfattere som presenterer)

  • Claire Ghetti*, førsteamanuensis ved Griegakademiet – Institutt for musikk, Universitetet i Bergen, claire.ghetti@uib.no
  • Xi-Jing Chen, musikkterapeut og forsker ved CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Science, Beijing, Kina, chenxijing@aliyun.com
  • Annette Brenner*, forsker ved GAMUT, NORCE Norwegian Research Centre, anbr@norceresearch.no
  • Laurien Hakvoort, musikkterapeut og forsker ved Music Therapy, ArtEZ University of the Arts, Enschede, Nederland, L.Hakvoort@ArtEZ.nl
  • Lars Lien, lege og PhD, leder ved Nasjonal kompetansetjeneste for samtidig rusmisbruk og psykisk lidelse, Lars.lien@sykehuset-innlandet.no
  • Christian Gold*, forsker I ved GAMUT, NORCE Norwegian Research Centre, chgl@norceresearch.no

Claire GhettiAnnette Brenner og Christian Gold holder foredraget på POLYFON-konferansen 2019.