The British Journal of Psychiatry (2006) 189: 405-409. doi: 10.1192/bjp.bp.105.015073
© 2006 The Royal College of Psychiatrists
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Music therapy for in-patients with schizophrenia

Exploratory randomised controlled trial

NAKUL TALWAR, MRCPsych

Central and North West London Mental Health NHS Trust, UK

MIKE J. CRAWFORD, MD

Department of Psychological Medicine, Imperial College London, UK

ANNA MARATOS, PGDipMT

Central and North West London Mental Health NHS Trust, UK

ULA NUR, PhD

Imperial College London, UK

ORII McDERMOTT, MMT

Central and North West London Mental Health NHS Trust, UK

SIMON PROCTER, MMT

East London and City NHS Mental Health Trust, UK

Correspondence: Dr Mike Crawford, Department of Psychological Medicine, Claybrook Centre, St Dunstan’s Road, London W6 8RP, UK. Tel: +44 (0)207 386 1233; fax: +44 (0)207 386 1216; email: m.crawford{at}imperial.ac.uk

Declaration of interest None.

Background Music therapy may provide a means of improving mental health among people with schizophrenia, but its effects in acute psychoses have not been explored.

Aims To examine the feasibility of a randomised trial of music therapy for inpatients with schizophrenia, and explore its effects on mental health.

Method Up to 12 weeks of individual music therapy plus standard care were compared with standard care alone. Masked assessments of mental health, global functioning and satisfaction with care were conducted at 3 months.

Results Of 115 eligible patients 81 (70%) were randomised. Two-thirds of those randomised to music therapy attended at least four sessions (median attendance, eight sessions). Multivariate analysis demonstrated a trend towards improved symptom scores among those randomised to music therapy, especially in general symptoms of schizophrenia.

Conclusions A randomised trial of music therapy for in-patients with schizophrenia is feasible. The effects and cost-effectiveness of music therapy for acute psychosis should be further explored in an explanatory randomised trial.


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