Effect of Adjuvant Music Therapy on Anxiety, Depressive Symptoms, and Cognitive Functions of Patients Receiving Electroconvulsive Therapy: A Preliminary Study
Jarvis K Varghese, Sumathy Sundar, Sukanto Sarkar, Govindasamy Ezhumalai
Cognitive function, Depression, Electroconvulsive therapy, Music therapy,Anxiety
Citation Information :
Varghese JK, Sundar S, Sarkar S, Ezhumalai G. Effect of Adjuvant Music Therapy on Anxiety, Depressive Symptoms, and Cognitive Functions of Patients Receiving Electroconvulsive Therapy: A Preliminary Study. 2019; 2 (4):142-145.
Background and objectives: Electroconvulsive therapy (ECT) is one of the most commonly used treatments for severe psychiatric disorders. Prior and during the ECT treatment, patients may experience varied degrees of anxiety, depressive symptoms, and cognitive impairments. Music therapy (MT) as an adjuvant psychiatric intervention has been successfully employed in many fields of medicine and psychiatry but unexplored in ECT indicative patient group. This study evaluated the effect of MT on anxiety, depression, and cognitive functions of patients receiving ECT.
Materials and methods: A sample of 29 patients who received ECT as per diagnostic and treatment needs were randomized into cases (n = 14; receiving adjuvant MT) and controls (n = 15; no MT intervention) after subjecting to set criteria. Hospital Anxiety and Depression Scale (HADS) and Montreal Cognitive Assessment (MoCA) were recorded a day before and 15 days after scheduled four sessions of ECTs were over. Music therapy intervention in the form of Ahir Bhairav raga improvisation, imagery of journey of good health, recovery, and relaxation was administered for cases. Paired t tests and independent t tests were used for intragroup and intergroup comparisons, respectively.
Results: Music therapy intervention resulted in within-the-group significant reduction in anxiety, depression, and improvement in cognitive functioning scores (p ≤ 0.05). Music therapy group also recorded a significant reduction in total HADS composite scores during the period of intervention. A intergroup comparison between the MT and the control groups resulted in a significant improvement in anxiety and total HADS scores.
Conclusion: The study results support that MT intervention can be used in clinical settings as an adjunct with ECT, to control anxiety, depression, and cognitive functions in mentally ill patients. More studies with larger sample size are needed to confirm these findings.
WHO|Mental disorders affect one in four people [Internet]. WHO. [cited 2020Feb20]. Available from: http://www.who.int/whr/2001/media_centre/press_release/en/.
Murthy RS. National Mental Health Survey of India 2015–2016. Indian J Psychiatry 2017;59(1):21–26. DOI: 10.4103/psychiatry.IndianJPsychiatry_102_17.
Kerner N, Prudic J. Current electroconvulsive therapy practice and research in the geriatric population. Neuropsychiatry 2014;4(1):33–54. DOI: 10.2217/npy.14.3.
Gutiérrez EOF, Camarena VAT. Music therapy in generalized anxiety disorder. Arts Psychother 2015;44:19–24. DOI: 10.1016/j.aip.2015.02.003.
Forsman AK, Nordmyr J, Wahlbeck K. Psychosocial interventions for the promotion of mental health and the prevention of depression among older adults. Health Promot Int 2011;26(Suppl 1):i85–i107. DOI: 10.1093/heapro/dar074.
Erkkilä J, Gold C, Fachner J, Ala-Ruona E, Punkanen M, Vanhala M, et al. The effect of improvisational music therapy on the treatment of depression: protocol for a randomised controlled trial. BMC Psychiatry 2008;8:50. DOI: 10.1186/1471-244X-8-50.
García-Casares N, Martín-Colom JE, García-Arnés JA. Music therapy in Parkinson's disease. J Am Med Dir Assoc 2018;19(12):1054–1062. DOI: 10.1016/j.jamda.2018.09.025.
Witusik A, Pietras T. Music therapy as a complementary form of therapy for mental disorders. Pol Merkur Lekarski 2019;47(282): 240–243.
Jasemi M, Aazami S, Zabihi RE. The effects of music therapy on anxiety and depression of cancer patients. Indian J Palliat Care 2016;22(4):455–458. DOI: 10.4103/0973-1075.191823.
Simmons-Stern NR, Deason RG, Brandler BJ, Frustace BS, O'Connor MK, Ally BA, et al. Music-based memory enhancement in Alzheimer's disease: promise and limitations. Neuropsychologia 2012;50(14):3295–3303. DOI: 10.1016/j.neuropsychologia.2012. 09.019.
Brabant O, Toiviainen P. Diurnal changes in the perception of emotions in music: does the time of day matter? Music Sci 2014;18:256–274. DOI: 10.1177/1029864914532281.
Sundar S, Pavitra D, Parin PN. Indian classical music as receptive music therapy improves tridoshic balance and major depression in a pregnant woman. Int J Ayur Pharma Res 2016;4(9):8–11.
Sundar S, Parin PN. Music therapy clinical practice and research initiatives in India: Bridge between the experiences of traditional music healing practices and its scientific validations. Int J Ayur Pharma Res 2018;6(2):1–7.
Vigo D, Braidot N, Cardinali D, Delvenne A, Diez J, Domé M, et al. Effects of different “relaxing” music styles on the autonomic nervous system. Noise Health 2014;16(72):279–284. DOI: 10.4103/1463-1741. 140507.
Moe T, Roesen A, Raben H. Restitutional factors in group music therapy with psychiatric patients based on a modification of guided imagery and music (GIM). Nord Tidsskr Musikkter 2000;9(2):36–50. DOI: 10.1080/08098130009478000.
Lin S, Yang P, Lai C, Su Y, Yeh Y, Huang M, et al. Mental health implications of music: insight from neuroscientific and clinical studies. Harv Rev Psychiatry 2011;19(1):34–46. DOI: 10.3109/10673229.2011.549769.
Meadows A, Burns DS, Perkins SM. Measuring supportive music and imagery interventions: the development of the music therapy self-rating scale. J Music Ther 2015;52(3):353–375. DOI: 10.1093/jmt/thv010.
Erkkilä J, Punkanen M, Fachner J, Ala-Ruona E, Pöntiö I, Tervaniemi M, et al. Individual music therapy for depression: randomised controlled trial. Br J Psychiatry 2011;199(2):132–139. DOI: 10.1192/bjp.bp.110.085431.
Graff V, Wingfield P, Adams D, Rabinowitz T. An investigation of patient preferences for music played before electroconvulsive therapy. J ECT 2016;32(3):192–196. DOI: 10.1097/YCT.0000000000000315.