Maratos et al. (2008) Music Therapy for Depression
literature type:journal article
reference:A.S. Maratos, C. Gold, X. Wang, and M.J. Crawford. Cochrane Database of Systematic Reviews. 2008; No. 23: pp 1-19.
Depression is a highly prevalent disorder associated with reduced social functioning, impaired quality of life, and increased mortality. Music therapy has been used in the treatment of a variety of mental disorders, but its impact on those with depression is unclear.
To examine the efﬁcacy of music therapy with standard care compared to standard care alone among people with depression and to compare the effects of music therapy for people with depression against other psychological or pharmacological therapies.
CCDANCTR-Studies and CCDANCTR-References were searched on 7/11/2007, MEDLINE, PsycINFO, EMBASE, PsycLit, PSYindex, and other relevant sites were searched in November 2006. Reference lists of retrieved articles were hand searched, as well as specialist music and arts therapies journals.
All randomised controlled trials comparing music therapy with standard care or other interventions for depression.
Data Collection and Analysis:
Data on participants, interventions and outcomes were extracted and entered onto a database independently by two review authors. The methodological quality of each study was also assessed independently by two review authors. The primary outcome was reduction in symptoms of depression, based on a continuous scale.
Five studies met the inclusion criteria of the review. Marked variations in the interventions offered and the populations studied meant that meta-analysis was not appropriate. Four of the ﬁve studies individually reported greater reduction in symptoms of depression among those randomised to music therapy than to those in standard care conditions. The ﬁfth study, in which music therapy was used as an active control treatment, reported no signiﬁcant change in mental state for music therapy compared with standard care. Dropout rates from music therapy conditions appeared to be low in all studies.