Group Music Therapy for Severe Mental Illness: A Randomized Embedded-experimental Mixed Methods Study


Acta Psychiatrica Scandinavica







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OBJECTIVE: Music therapy is an innovative approach to support people with severe mental illness (SMI). The aim of the study was to determine whether group music therapy (GMT) positively impacted on quality of life (QoL), social enrichment, self-esteem, spirituality and psychiatric symptoms of participants with SMI and how they experienced the intervention. METHOD: The primary outcome was QoL; secondary measures assessed social enrichment, self-esteem, spirituality and psychiatric symptoms. The 13-week intervention comprised singing familiar songs and composing original songs recorded in a professional studio. Qualitative data were generated from focus group interviews and song lyric analysis. RESULTS: Ninety-nine adults (57 female) were recruited, with an initial cohort (n = 75) randomized to either: weekly GMT followed by standard care (SC) or SC followed by GMT. Crossover occurred after 13 weeks. Measures were conducted at baseline, 13, 26 and 39 weeks. A second cohort (n = 24) could not be randomized and were assigned to GMT followed by SC. Intention-to-treat analysis showed a significant difference between GMT and SC on QoL and spirituality. This was robust to different assumptions about missing data (listwise deletion, last observation carried forward or multiple imputation). Per-protocol analysis suggested greater benefit for those receiving more sessions. Focus group interview and song lyric analyses suggested that GMT was enjoyable; self-esteem was enhanced; participants appreciated therapists and peers; and although challenges were experienced, the programme was recommended to others. CONCLUSION: Group music therapy may enhance QoL and spirituality of persons with SMI.

Music and Health Institute Terms

Composition; Engagement Level; Interviews; Mental Health; Music Therapy; Psychiatric Symptoms; Psychological Outcomes; Quality of Life; Recreative Music Methods; Self-Concept; Singing a Song; Songwriting; Symptom Management; Wellness and Well-Being

Indexed Terms

Cross-Over Studies; Mental Disorders; Psychotherapy, Group; Quality of Life; Self Concept; Severity of Illness Index; Social Support; Spirituality; group music therapy; severe mental illness; songwriting

Study Type

Case-Control Study; Qualitative Methods


Psychiatric and Mental Health

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