Evidence map›Paper›PMID 29848343›Full record

ArticleTrials2018

Music therapy versus treatment as usual for refugees diagnosed with posttraumatic stress disorder (PTSD): study protocol for a randomized controlled trial.

Bolette Daniels Beck, Steen Teis Lund, Ulf Søgaard, Erik Simonsen, Thomas Christian Tellier, Torben Oluf Cordtz, Gunnar Hellmund Laier, Torben Moe

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03574228, which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03574228 no registry record found
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Bolette Daniels BeckDepartment of Communication and Psychology, Aalborg University, Aalborg, Denmark. bolette@hum.aau.dk.
Steen Teis LundClinic for Traumatized Refugees, Køge, Region Zealand, Denmark.
Ulf SøgaardDepartment of Specialized Functions, Psychiatry, Køge, Region Zealand, Denmark.
Erik SimonsenInstitute for Clinical Medicine, SUND, Copenhagen University, København, Denmark.
Thomas Christian TellierDepartment of Specialized Functions, Psychiatry, Køge, Region Zealand, Denmark.
Torben Oluf CordtzClinic for Traumatized Refugees, Køge, Region Zealand, Denmark.
Gunnar Hellmund LaierPFI (Production, Research, Innovation), Sorø, Region Zealand, Denmark.
Torben MoeClinic for Traumatized Refugees, Køge, Region Zealand, Denmark.
Region Zealand · DKZealand University Hospital Køge · DKAalborg University · DK

Funding

Det Obelske Familiefond 27688
6 · The paper itself

Abstract

backgroundMeta-analyses of studies on psychological treatment of refugees describe highly varying outcomes, and research on multi-facetted and personalized treatment of refugees with post-traumatic stress disorder (PTSD) is needed. Music therapy has been found to affect arousal regulation and emotional processing, and a pilot study on the music therapy method Trauma-focused Music and Imagery (TMI) with traumatized refugees resulted in significant changes of trauma symptoms, well-being and sleep quality. The aim of the trial is to test the efficacy of TMI compared to verbal psychotherapy.

methodsA randomized controlled study with a non-inferiority design is carried out in three locations of a regional outpatient psychiatric clinic for refugees. Seventy Arabic-, English- or Danish-speaking adult refugees (aged 18-67 years) diagnosed with PTSD are randomized to 16 sessions of either music therapy or verbal therapy (standard treatment). All participants are offered medical treatment, psychoeducation by nurses, physiotherapy or body therapy and social counseling as needed. Outcome measures are performed at baseline, post therapy and at 6 months' follow-up. A blind assessor measures outcomes post treatment and at follow-up. Questionnaires measuring trauma symptoms (HTQ), quality of life (WHO-5), dissociative symptoms (SDQ-20, DSS-20) and adult attachment (RAAS) are applied, as well as physiological measures (salivary oxytocin, beta-endorphin and substance P) and participant evaluation of each session. DISCUSSION: The effect of music therapy can be explained by theories on affect regulation and social engagement, and the impact of music on brain regions affected by PTSD. The study will shed light on the role of therapy for the attainment of a safe attachment style, which recently has been shown to be impaired in traumatized refugees. The inclusion of music and imagery in the treatment of traumatized refugees hopefully will inform the choice of treatment method and expand the possibilities for improving refugee health and integration.

trial registrationClinicalTrials.gov ID number NCT03574228, registered retrospectively on 28 June 2016.

Indexed as

Imagery, PsychotherapyMusic TherapyAdaptation, PsychologicalAdolescentAdultAgedbeta-EndorphinDenmarkEquivalence Trials as TopicFemaleHumansMaleMiddle AgedMulticenter Studies as TopicOxytocinQuality of Lifebeta-EndorphinOxytocinSubstance PMusic and imageryMusic therapyNon-inferiorityOxytocinPTSDRandomized clinical trialRefugeesTrauma

Identifiers

PMID29848343
PMCPMC5977477
OpenAlexW2807495561

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.