Chronic Psychosis
Conditions
Keywords
music therapy, chronic psychosis, negative symptoms, occupational therapy, biosignal analysis
Brief summary
Negative symptoms are an important factor in preventing patients from returning to the community, we aim to assess the effect of music therapy on negative symptoms through this study. Participants of integrated music therapy will receive instrument playing, singing, lyrics modification/music organized play, listening to music and discussing each treatment process. Other participants will receive passive music listening or regular occupational therapy during the experimental period. Psychiatric symptoms, quality of life, social and interactive skills, and the differences in the physiological signals produced by skin, muscles, and heart will be measured before, after, and two months after the music therapy.
Detailed description
Music therapy is gradually being used in the field of psychiatry, such as depression, anxiety, and development disorders in children. However, music therapy still lacks systematic research on chronic mental illness. Since negative symptoms are an important factor in preventing patients from returning to the community, we aim to assess the effect of music therapy on negative symptoms through this study. Additionally, Taiwan as many Asian countries have not yet established a certification system for music therapy. This study cooperates with licensed therapists abroad in the hope of promoting the systematic development of local music therapy in the future. Participants of integrated music therapy (Group 1, integration of active and passive music therapy) includes instrument playing, singing, lyrics modification/music organized play, listening to music and discussing each treatment process. The four stages of activities are warm-up, main activities, secondary activities, and the ending section. The participants of the music listening group (Group 2, background music listening), music selection based on the musical preference and background of subjects, for relax or boost the spirit of the subjects. Participants in the control group (Group 3) receive their regular occupational therapy during the experimental period. We plan to recruit 100 people in the wards: 40/20/40 (Group 1/2/3) under random assignment. To evaluate the effects of three groups, we measure their psychiatric symptoms, quality of life, social and interactive skills, and the differences in the physiological signals produced by skin, muscles, and heart assisted by a medical engineering scholar before, after, and two months after the music therapy.
Interventions
OTHERMusic therapy
Treatment including instrument playing, singing, lyrics modification/music organized play, listening to music and discussing each treatment process.
DEVICEBiosignal analysis
Measurement of facial expression emotion recognition, electrodermal activity, heart rate variability, sleep pattern, blood pressure, and electromyogram.
Sponsors
National Tsing Hua University
National Taiwan University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Chronic patient in rehabilitation ward without compulsory hospitalization. * Patients with mental, behavioral and neurodevelopmental disorders, including schizophrenia, schizotypal personality disorders, delusional disorders, affective disorders, and organic mental disorders.
Exclusion criteria
* Patients with hearing impairments. * Patients with no capacity to make juridical acts.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of negative symptoms of inpatients with psychotic disorders | Before and immediately after finishing the music therapy | Using the Scale for the Assessment of Negative Symptoms (in Traditional Chinese) |
| Change of quality of life | Before and immediately after finishing the music therapy | Using the World Health Organization Quality of Life-BREF questionnaire (it is a compress name, Traditional Chinese version). The WHOQOL-BREF was derived from data collected using the WHOQOL-100. It produces scores for four domains related to quality of life: physical health, psychological, social relationships and environment. It also includes one facet on overall quality of life and general health. Potential scores for all domain scores range from 4(worse) to 20(better). |
| Change of social and interactive skills | Before and immediately after finishing the music therapy | Using the Assessment of Communication and Interaction Skills scale (in Traditional Chinese) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sleep schedule | Two months | Recorded by Fitbit health watch, meaning the hours patients are asleep |
| Change of facial expression by action landmarks | Two months | To evaluate emotion (e.g. anger, fear, disgust, contempt, sadness, and surprise) via facial motion by iMotions device |
| Motion analysis | Two months | Analysis of the electromyography (EMG) of cases recorded by DELYSYS, EMG potentials range between less than 50 μV and up to 30 mV. |
| Sleep pattern | Two months | Recorded by Fitbit health watch, meaning the distribution of sleep stages (light sleep, deep sleep and rapid eye movement sleep). |
| Heart Rate Variability in Psychiatric Disorders analysis | Two months | Measure Heartbeat variability after intervention activities by Dailycare CheckMyHeart |
| Total sleeping time | Two months | Recorded by Fitbit health watch |
Countries
Taiwan
Contacts
Primary ContactHaifan Hsu
Outcome results
None listed