Effect of music therapy on older adults with depression: A systematic review and meta-analysis

Effects of group music therapy on depressive symptoms in women - The MUSED-study: Results from a randomized-controlled trial

BACKGROUND

Music can directly influence emotions, the regulation of which are known to be impaired in major depressive disorder (MDD). While music therapy (MT) could be an effective complement to treat MDD, studies investigating such effects have not yet yielded conclusive results. We hypothesized that group music therapy (GMT) might lead to a significant reduction of depressive symptoms (DS).

METHODS

In a randomized controlled trial, 102 women with current MDD were randomly assigned to an intervention group receiving GMT or a waitlist control group. Data assessment was conducted pre- (T0), post- (T1), and at a 10-week follow-up to (T2) the intervention. DS as the primary outcome were assessed via observer-rated (Hamilton Depression Rating Scale, T0-T1), self-rated (Beck Depression Inventory, T0-T1-T2), and ecological momentary (T0-T1) assessments. Secondary effects on emotion and mood regulation strategies, and quality of life (QoL), were measured T0-T1-T2.

RESULTS

The results suggest non-significant effects of the GMT on a descriptive level on self-reported and observer rated DS and statistically significant effects on DS in everyday life, QoL, and regulation strategies, with larger effects from T0-T1 than from T0-T1-T2.

LIMITATIONS

The generalizability is limited by the high dropout rate and data loss due to the COVID-19 pandemic, the fact that long-term effects of GMT are not assured, and the homogeneous gender (female) of the sample.

CONCLUSIONS

GMT is an economical approach to treat MDD, yielding health-promoting effects regarding DS, emotion regulation, and QoL. Manualization and further evaluation of MT is strongly recommended.

Multifaceted Music Therapy for Depression in Dementia: A Network Meta-Analysis of Randomized Controlled Trials

This study aimed to assess the efficacy of various music therapy interventions in ameliorating depressive symptoms in dementia patients, utilizing a network meta-analysis approach. We rigorously selected randomized controlled trials focused on music therapy for dementia with depressive symptoms from major electronic databases. The primary outcome measured was the impact on depressive symptoms, with the secondary outcome evaluating dropout rates across different intervention groups and standard care control groups. The research protocol has been duly registered with PROSPERO (Registration ID: CRD42023393059). Our network meta-analysis incorporated 14 randomized controlled trials involving a total of 1080 participants and examined a range of interventions, including active music therapy, listening to music, rhythmic music therapy, singing, and tailored music interventions. The analysis revealed that active music therapy combined with singing emerged as the most effective intervention, demonstrating a significant improvement in depressive symptoms in dementia patients (Standardized Mean Difference [SMD] = -0.89, 95% Confidence Interval [CI]: -1.48 to -0.30). In contrast, listening to music alone showed a smaller effect (SMD = -0.26, 95% CI: -0.71 to 0.20). This study was particularly noteworthy for not showing higher dropout rates compared to standard care, indicating its feasibility and acceptability in clinical settings. The findings of our study indicate that active music therapy combined with singing is an effective approach to reducing depressive symptoms in dementia patients, potentially due to enhanced social interaction. These results offer new perspectives for dementia care, suggesting a promising direction for further research and clinical application.

Combining Complementary and Alternative Medicine (CAM) with Conventional Treatments for Major Depressive Disorder

For many of the complementary and alternative (CAM) medicine methods, it is biologically plausible to expect that they could provide additional benefits in the treatment of major depressive disorder (e.g., enhanced initial response, augmentation, and tolerability) when combined with conventional treatments. Although most likely not comprehensively, herein we critically review current explicit clinical data pertaining to the most extensively evaluated CAMs in this setting: physical activity/exercise, mind and body methods, acupuncture, light therapy, diet, probiotics, various nutrients, and herbal preparations. While the absolute amount of data is enormous, the number of reliable primary studies (randomized controlled trials) and, particularly, meaningful meta-analyses of such studies are very limited. Consequently, the certainty of evidence about benefit or no benefit is very low for each of the addressed CAMs.