Comparative Effectiveness of Active Group Music Therapy
in Major Depressive Disorder Compared to Standard Group
Psychotherapy: A Randomized Controlled Trial
Pailin Gaewlai MD1, Sakda Arj-Ong Vallibhakara MD, PhD2, Kanjanaporn Meeyai Perkins3, Medhi Chantra3,
Nutchadarin Jaitieng RN1, Siriyaporn Sephu PN1, Pattara Wisajun MSc1, Sudawan Jullagate BA1,
Tantawan Awirutworakul MD1
Affiliation :
1 Department of Psychiatry, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
2 Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
3 Freelance facilitator; Music & Art Therapy and Psychodynamic Counselling & Group Therapy, Thailand
Objective : To (cid:976)ind the in(cid:976)luences of active group music therapy approach and compare them with standard treatment outcomes.
Materials and Methods : Prospective randomized control trial was conducted on two treatment groups (n = 8 for active group music,
n = 11 for control group) for seven-week. Depression-related parameters consisted of Montgomery-Åsberg Depression Rating Scale
[MADRS] Thai version, Pittsburgh Sleep Quality Index-Thai version [Thai-PSQI], Hospital Anxiety and Depression Scale-Thai version
[Thai-HADS], Thai-Perceived Stress Scale-10 [T-PSS-10], Rosenberg self-esteem Thai version, and the World Health Organization
Quality of Life [WHOQOL] Thai version were collected before and after both treatments.
Results : Active group music had statistically signi(cid:976)icant improvement of better depressive rating scale, sleep quality, perceived
stress scale, and quality of life (p = 0.001, 0.010, 0.001, and 0.008, respectively). Depression improved and there was signi(cid:976)icant
difference when both treatments were compared.
Conclusion : Active music group intervention improves depression, sleeps quality, stress, and quality of life, and could decrease
impact of daily-life stress and lower severity of depressive symptoms.
Keywords : Group music therapy, Group psychotherapy, Depression, Sleep quality, Thai-MADRS, Thai-PSQI, Thai-HADS, T-PSS-10,
Thai- WHOQOL, Thai-Rosenberg self-esteem
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