ABSTRACT
Objective: This systematic review aims to assess the impact of music therapy and musical interventions on neuropsychiatric outcomes among patients with moderate and severe mental disorders, in comparison with conventional treatment in isolation. Methods: The review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive search was conducted on November 16, 2021, using the following databases and search interfaces: Cumulative Index to Nursing and Allied Health Literature, Embase, SCOPUS, Web of Science; PubMed, PsycINFO, Literatura Latino-Americana e do Caribe em Ciências da Saúde, and Scientific Electronic Library Online. Two authors independently assessed the studies for inclusion criteria, extracted the data, and evaluated the quality of the included studies using critical appraisal tools. Results: In total, 17 studies were included, 9 of which were randomized controlled trials. The experimental studies involved 5,082 adult and elderly patients. The most prevalent symptoms assessed in the studies were anxiety, depression, and positive and negative symptoms of psychotic disorders. Music interventions were predominantly conducted by music therapists and nurses, providing passive interventions with the selection of musical repertoire by therapists and patients. The frequency with which musical interventions occurred varied greatly in terms of session duration, number of times per week, and number of times during the day. The identified study designs included clinical and quasi-experimental studies. In terms of methodological quality, clinical studies showed weaknesses regarding deviations from intended interventions. Conclusion: The effectiveness of music therapy and musical interventions for neuropsychiatric symptoms in patients with moderate and severe mental disorders was evident in quasi-experimental and clinical studies with satisfactory methodological quality. Musical interventions, in various forms of application, represent an interdisciplinary therapeutic tool that complements and enhances conventional treatment. Unlike conventional treatments, the immersive and integrative nature of music interventions allows access to both intrapersonal and interpersonal dimensions during periods of psychic suffering. These findings highlight the importance of researchers addressing methodological limitations, such as deviations from intended interventions, and advocate for the expansion the use of music in community treatment settings.
ABSTRACT
This is a qualitative study aiming at understanding how patients discharged from a Mental Health Day Hospital view the service, at learning whether such service contributed to changes in their lives and at whether those individuals continued treatment. Semi-structured interviews and documental research were used for nine patients who had completed treatment at the service in 2008. Thematic analysis was adopted for organization of the data obtained, which were analyzed according to the Psychosocial Rehabilitation framework. It emphasizes the importance of looking for the various subjective aspects of human existence, requiring from services and professionals the establishment of a caring relationship that enables the reconstruction of trajectories interrupted by the onset of the disease, through actions that consider the integrality and intersectionality.
Subject(s)
Day Care, Medical , Mental Disorders/rehabilitation , Mental Health Services , Patient Satisfaction , Adult , Continuity of Patient Care , Female , Humans , Male , Middle Aged , Patient Discharge , Young AdultABSTRACT
Estudo de abordagem qualitativa, tendo por objetivos compreender como os pacientes egressos de um Hospital Dia de Saúde Mental veem o serviço, conhecer se este contribuiu para mudanças em suas vidas e se estas pessoas têm continuidade ao tratamento. Utilizamos entrevistas semiestruturadas e busca documental, com nove pacientes, que concluíram tratamento no serviço, em 2008. Adotamos a Análise Temática na ordenação dos dados obtidos, analisados segundo referencial da Reabilitação Psicossocial. Ressalta-se a importância do olhar subjetivo para os diversos aspectos da existência humana, solicitando dos serviços e dos profissionais o estabelecimento de uma relação de cuidado que possibilite a reconstrução de trajetórias interrompidas pelo acometimento do transtorno, por meio de ações que considerem a integralidade e a intersetorialidade.
This is a qualitative study aiming at understanding how patients discharged from a Mental Health Day Hospital view the service, at learning whether such service contributed to changes in their lives and at whether those individuals continued treatment. Semi-structured interviews and documental research were used for nine patients who had completed treatment at the service in 2008. Thematic analysis was adopted for organization of the data obtained, which were analyzed according to the Psychosocial Rehabilitation framework. It emphasizes the importance of looking for the various subjective aspects of human existence, requiring from services and professionals the establishment of a caring relationship that enables the reconstruction of trajectories interrupted by the onset of the disease, through actions that consider the integrality and intersectionality.
Este es un estudio de enfoque cualitativo que tiene por objetivos comprender cómo los pacientes egresos de un hospital de día de salud mental ven al servicio, descubrir si este ha cambiado sus vidas y si estas personas dan continuidad al tratamiento. Usamos entrevistas semiestructuradas y búsqueda documental con nueve pacientes que concluyeron el tratamiento en el servicio en 2008. Adoptamos el Análisis Temático en la ordenación de los datos obtenidos, analizados según el referencial de la rehabilitación psicosocial. Se resalta la importancia de la mirada subjetiva para los diversos aspectos de la existencia humana, solicitando de los servicios y de los profesionales el establecimiento de una relación de cuidado que posibilite la reconstrucción de trayectorias interrumpidas por el acometimiento del trastorno por medio de acciones que consideren la integralidad y la intersectorialidad.
