Music Therapy for Adolescents with Emotional Difficulties

NCT06733883 | Recruiting

• 1 other identifier: 571344
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to examine the effects of a music therapy program in adolescents aged 13-18 years old with emotional difficulties, primarily depression and possibly concurrent diagnoses of anxiety. The main questions are:

• What recruitment methods, barriers, and facilitators influence study participation among adolescents with emotional difficulties receiving music therapy in the present study?
• Does music therapy contribute to a significant reduction in depression and anxiety symptoms, inclusive concomitant symptoms?
• How do adolescents with emotional disorders perceive participation in music therapy, and how do they articulate its potential impacts on their health and well-being? Participants will be invited to participate in a music therapy program, in addition to standard treatment given (TAU). They meet individually in the clinic with a professional music therapist once a week over a period of ten weeks. They will also do musical home exercises between the sessions. Psychiatric interviews and clinical assessments will be conducted before treatment. Assessments and questionnaires will be performed right after the therapy program and three months after ended therapy. There will also be conducted qualitative interviews with a subgroup of the participants.

Conditions

Depressive Disorder; Emotional Dysregulation

Keywords

Music therapy; Adolescents; Emotional dysregulation; Depression

Outcome Measures

Primary Outcomes (2)

• Beck's Depression Inventory

  The inventory is a 21-item self-report instrument used to measure the severity of depression. The minimum score is zero, indicating no symptoms or signs of depression, while the maximum score is 63, indicating severe depression.

  The inventory will be assessed at three time points: at baseline, one week post-intervention, and three months post-intervention

• The Satisfaction Scale

  Participants provide feedback on their experience with participating in the study by indicating their level of agreement with six statements, rated on a scale from 1 to 5, where 1 signifies 'strongly disagree' and 5 signifies 'strongly agree' (see attached questionnaire). The minimum score is six, indicating no satisfaction, while the maximum score is 30, indicating high degree of satisfaction.

  The scale will be used at two time points: one week post-intervention, three months, post-intervention

Secondary Outcomes (6)

• Spence Children's Anxiety Scale

  The scale will be used at three time points: at baseline, one week post-intervention, and three months post-intervention

• Inventory of Life Quality in Children and Adolescents

  The inventory will be assessed at three time points: at baseline, one week post-intervention, and three months post-intervention.

• Suicidal Ideation Questionnaire

  The questionnaire will be used at three time points: at baseline, one week post-intervention, and three months post-intervention

• Deliberate Self-Harm Inventory

  The inventory will be assessed at three time points: baseline, one week post-intervention, and three months post-intervention

• Difficulties in Emotion Regulation Scale

  The scale will be used at three time points: at baseline, one week post-intervention, and three months post-intervention

Study Arms (1)

Music therapy

EXPERIMENTAL

All participants get 10 sessions of music therapy, each lasting for 45 to 60 minutes.

Other: psychotherapy

Interventions

psychotherapy OTHER

Music therapy

Music therapy

Eligibility Criteria

• Age: 13 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• adolescents 13 to 18 years
• emotional difficulties

You may not qualify if:

• autism spectrum disorder
• mental retardation
• severe depressive episode combined with high suicidal risk

Sponsors & Collaborators

• Oslo University Hospital: lead
• Norwegian Academy of Music: collaborator

Study Sites (1)

Oslo university hospital

Oslo, Nydalen, 0424, Norway

RECRUITING

Related Publications (28)

• Aasen, H. (2001). An empirical investigation of depression symptoms: norms, psychometric characteristics, and factor structure of the Beck Depression Inventory II. Bergen: Det psykologiske fakultet, Universitetet i Bergen.

  BACKGROUND

• Aalbers S, Fusar-Poli L, Freeman RE, Spreen M, Ket JC, Vink AC, Maratos A, Crawford M, Chen XJ, Gold C. Music therapy for depression. Cochrane Database Syst Rev. 2017 Nov 16;11(11):CD004517. doi: 10.1002/14651858.CD004517.pub3.

  PMID: 29144545 BACKGROUND

• Bakken, A. & Osnes, S.M. (2021). Ung i Oslo 2021. Ungdomsskolen og videregående skole. NOVA Rapport 9121. Oslo: NOVA, OsloMet

  BACKGROUND

• Belski N, Abdul-Rahman Z, Youn E, Balasundaram V, Diep D. Review: The effectiveness of musical therapy in improving depression and anxiety symptoms among children and adolescents - a systematic review. Child Adolesc Ment Health. 2022 Nov;27(4):369-377. doi: 10.1111/camh.12526. Epub 2021 Dec 1.

  PMID: 34854208 BACKGROUND

• Erkkila J, Brabant O, Hartmann M, Mavrolampados A, Ala-Ruona E, Snape N, Saarikallio S, Gold C. Music Therapy for Depression Enhanced With Listening Homework and Slow Paced Breathing: A Randomised Controlled Trial. Front Psychol. 2021 Feb 16;12:613821. doi: 10.3389/fpsyg.2021.613821. eCollection 2021.

  PMID: 33664693 BACKGROUND

• FHI. (2015, 11.05). Fakta om sosial støtte og ensomhet. Hentet 07.04 2020 fra https://www.fhi.no/fp/psykiskhelse/psykiskelidelser/sosial-stotte-og-ensomhet--- faktaar/ FHI. (2018, 14.05).

  BACKGROUND

• Gross, J. J. (2013). Emotion Regulation: Conceptual Foundations. In J. J. Gross (Ed.), Handbook of Emotion Regulation, Second Edition (Second edition. ed., pp. 3-22): Guilford Publications.

  BACKGROUND

• Grøholt B og Sund AM. (2019). Depressive lidelser. Veileder i barne- og ungdomspsykiatri. Den norske legeforeningen

  BACKGROUND

• Geretsegger M, Mossler KA, Bieleninik L, Chen XJ, Heldal TO, Gold C. Music therapy for people with schizophrenia and schizophrenia-like disorders. Cochrane Database Syst Rev. 2017 May 29;5(5):CD004025. doi: 10.1002/14651858.CD004025.pub4.

  PMID: 28553702 BACKGROUND

• Hendricks CB, Robinson B, Bradley B, et al. (1999). Using music techniques to treat adolescent depression. J. Humanist. Couns. Educ Dev. 38: 39-46.

  BACKGROUND

• Helsedirektoratet (2013). Nasjonal faglig retningslinje for utredning, behandling og oppfølging av personer med psykoselidelser.

  BACKGROUND

• Ishak M, Herrera N, Martin C, et al.(2021). Music Therapy for Depression in Adolescents: A Systematic Review of Randomized Controlled Trials. Int J Psychiatr Res. 2021; 4(1): 1-5.

  BACKGROUND

• Johns, U. (2008). " Å bruke tiden - hva betyr egentlig det?" Tid og relasjon - et intersubjektivt perspektiv. NMH-publikasjoner; 2008:3. Skriftserie fra Senter for musikk og helse;1. Norges musikkhøgskole

  BACKGROUND

• Jozefiak T, Larsson B, Wichstrom L. Changes in quality of life among Norwegian school children: a six-month follow-up study. Health Qual Life Outcomes. 2009 Feb 4;7:7. doi: 10.1186/1477-7525-7-7.

  PMID: 19193211 BACKGROUND

• Kaufman J, Birmaher B, Axelson D, Pereplitchikova F, Brent D, Ryan N. (2016). The KSADS-PL DSM-5. Kennedy Krieger Institute. Baltimore.

  BACKGROUND

• Monsen, J. T., Solbakken, O. A. (2013). Affektintegrasjon og nivåer av mental representasjon: Fokus for terapeutisk intervensjon i Affektbevissthetsmodellen. Tidsskrift for norsk psykologforening, 50, 8, 740-752.

  BACKGROUND

• Montgomery SA, Asberg M. A new depression scale designed to be sensitive to change. Br J Psychiatry. 1979 Apr;134:382-9. doi: 10.1192/bjp.134.4.382.

  PMID: 444788 BACKGROUND

• Norsk pasientregister (NPR) 2019. Helsedirektoratet.

  BACKGROUND

• Porter ME, Larsson S, Lee TH. Standardizing Patient Outcomes Measurement. N Engl J Med. 2016 Feb 11;374(6):504-6. doi: 10.1056/NEJMp1511701. No abstract available.

  PMID: 26863351 BACKGROUND

• Reynolds R (1987). Suicidal Ideation Questionnaire: Professional manual. Psychological Assessment Resources Inc.

  BACKGROUND

• Rolvsjord, R. (2010). Resource oriented music therapy in mental health care. Barcelona Publishers.

  BACKGROUND

• Ruud, E. (2008). Et humanistisk perspektiv på musikkterapi. Norges musikkhøgskole Skriftserie fra Senter for musikk og helse;1. NMH-publikasjoner;2008:3

  BACKGROUND

• Ruud, E. (2020) Towards a Sociology of music therapy: Musicking as a cultural Immunogen. Barcelona publishers.

  BACKGROUND

• Sansone RA, Sansone LA. Measuring self-harm behavior with the self-harm inventory. Psychiatry (Edgmont). 2010 Apr;7(4):16-20.

  PMID: 20508804 BACKGROUND

• Trondalen, G. (2016). Relational Music Therapy: An Intersubjective Perspective. Dallas, TX: Barcelona Publishers.

  BACKGROUND

• WHO (2005). Promoting Mental Health, Concepts; Emerging EvidencePractice. A Report of the World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and The University of Melbourne.

  BACKGROUND

• Saarikallio S, Gold C, McFerran K. Development and validation of the Healthy-Unhealthy Music Scale. Child Adolesc Ment Health. 2015 Nov;20(4):210-217. doi: 10.1111/camh.12109. Epub 2015 May 18.

  PMID: 26726295 BACKGROUND

• Bellapu, A., Chemmanoor, S., Hu, M., Kim, N., & Clark, C. (2021). Journal of Student Research, 10(4). https://doi.org/10.47611/jsrhs.v10i4.2385)

  BACKGROUND

MeSH Terms

Conditions

Depressive Disorder; Depression

Interventions

Psychotherapy

Condition Hierarchy (Ancestors)

Mood Disorders; Mental Disorders; Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Behavioral Disciplines and Activities

Study Officials

• Anne M Myhre, MD Phd

  Oslo UH

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Anne M Myhre, MD Phd

CONTACT

+47 95105059; uxmyan@ous-hf.no

Kristin R Øvergaard, MD Phd

CONTACT

+47 61748301; UXVKRI@ous-hf.no

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Music therapy

Study Record Dates

• First Submitted: January 8, 2024
• First Posted: December 13, 2024
• Study Start: October 9, 2023
• Primary Completion (Estimated): June 1, 2028
• Study Completion (Estimated): June 1, 2028
• Last Updated: December 13, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, CSR
• Time Frame: The data will become available from start of the inclusion to the study is completed.
• Access Criteria: The PI is responsible for the data. Members of the reseachgroup have access to the data and are approved by the Regional Ethical Committee.

Locations

NO (1)