Correspondence: Chiu-Yueh Yang, Department of Nursing, National Yang-Ming University, No.155, Sec.2, Linong Street, Taipei 11221 Taiwan. Email: [email protected]Search for more papers by this author

Beh-Huan Chang MSN,

Beh-Huan Chang MSN

RN/HN Department of Nursing, Taipei City Hospital, Songde Branch, Taipei, Taiwan

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Bo-Wei Chen MS,

Bo-Wei Chen MS

Department of Psychology, Fu Jen Catholic University, New Taipei, Taiwan

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Jason W. Beckstead PhD,

Jason W. Beckstead PhD

College of Public Health, University of South Florida, Tampa, Florida, USA

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Chiu-Yueh Yang PhD,

Corresponding Author

Chiu-Yueh Yang PhD

[email protected]

Department of Nursing, National Yang Ming University, Taipei, Taiwan

First published: 08 December 2017

https://doi.org/10.1111/inm.12414

Citations: 13

Authorship statement: HC, BWC, JWB, and CYY involved in conception and design of the study; BHC and BWC contributed to group leading; BHC and BWC involved in data collection. BHC, JWB, and CYY involved in data analysis; BHC, BWC, JWB, and CYY contributed to result interpretation and discussion; BHC, BWC, JWB, and CYY drafted the article for important intellectual content; BHC, BWC, JWB, and CYY contributed to final approval of the version.

Conflicts of interest: The authors have no conflicts of interest to declare.

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Abstract

Many studies have shown that music therapy improves patients' symptoms. However, interventions using music creation as their core await further development for patients with severe mental illness (SMI). The current study investigated the effect of a music-creation programme on the anxiety, self-esteem, and quality of life of patients with SMI. A quasi-experimental design using convenience sampling was adopted to recruit patients with SMI from a psychiatric day care centre. Participants were grouped based on their willingness to undergo an intervention (26 patients in the experimental group and 23 patients in the control group). The control groups participated in conventional mental rehabilitation therapy activities. The experimental group participated in a music-creation session for 90 min every week over a 32-week period. The outcome indicators before and after the intervention were assessed using the Hamilton Anxiety Rating Scale (HAM-A), Rosenberg Self-Esteem Scale (RSES), and World Health Organization Quality of Life-BREF (WHOQOL-BREF). Finally, the intervention effect was determined using generalized estimating equations (GEEs). After 32 weeks of intervention activities, the experimental group showed significant improvements in their HAM-A total scores (P < 0.001) and RSES total scores (P = 0.005). Regarding quality of life, the improvements of the experimental group in terms of the psychological (P = 0.016) and social relationship domains (P = 0.033) were superior to those of the control group. Music-creation programmes are recommended for inclusion in the routine rehabilitation activities of patients with SMI.

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Volume27, Issue3

June 2018

Pages 1066-1076

Effects of a music-creation programme on the anxiety, self-esteem, and quality of life of people with severe mental illness: A quasi-experimental design

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Effects of a music-creation programme on the anxiety, self-esteem, and quality of life of people with severe mental illness: A quasi-experimental design

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