A Pilot Study Investigating Research Design Feasibility Using Pre-post Measures to Test the Effect of Music Therapy in Psychiatry with People Diagnosed with Personality Disorders

Authors

  • Niels Hannibal Department of Communication and Psychology, the Music Therapy Education, Aalborg University, Aalborg, Denmark and Music Therapy Clinic, Aalborg University Hospital, Psychiatry. Aalborg, Denmark
  • Inge Nygaard Pedersen Department of Communication and Psychology, the Music Therapy Education, Aalborg University, Aalborg, Denmark and Music Therapy Clinic, Aalborg University Hospital, Psychiatry. Aalborg, Denmark
  • Lars Ole Bonde Department of Communication and Psychology, the Music Therapy Education, Aalborg University, Aalborg, Denmark and Music Therapy Clinic, Aalborg University Hospital, Psychiatry. Aalborg, Denmark
  • Lars Rye Bertelsen Department of Communication and Psychology, the Music Therapy Education, Aalborg University, Aalborg, Denmark 2 Music Therapy Clinic, Aalborg University Hospital, Psychiatry. Aalborg, Denmark

DOI:

https://doi.org/10.15845/voices.v19i1.2731

Keywords:

pilot study, personality disorder, process oriented music therapy, mentalization-based treatment

Abstract

Introduction: The objectives of the pilot study were (a) to investigate the feasibility of the research design (referral procedure, data collection procedure, measurement tools, and treatment doses/frequency); (b) to develop and evaluate the PROMT treatment manual; and (c) to test the use of flexible and or multiple interventions as part of the treatment options. Findings from this investigation aim to prepare for a future outcome study of music therapy treatments for patients with personality disorders, that are inspired by analytically oriented music psychotherapy and mentalization-based treatment.

Methods: Four participants assessed and diagnosed with personality disorder received 40 sessions of individual music therapy. Pre and post measures of outcome variables looking at attachment style, helping alliance, symptom severity, interpersonal problems, and quality of life were evaluated for inclusion in the design. Interviews with clinicians were used to further evaluate the manual.

Results: All participants completed treatment. Outcome measurement provided usable information and also showed some positive changes in the four cases. The research design was found to be usable for a larger study. The treatment manual was evaluated as usable, but specification on how to use mentalization-based treatment in music-based interventions is required in a future manual.

Discussion: In light of the current findings, we discuss several factors relevant to a possible future outcome study, including the research design, theoretical model, and specific elements of the treatment manual. We also discuss the potential of using flexible and/or multiple interventions as part of the treatment options. We conclude that integration of mentalization-based treatment into music therapy seems promising, but further development of the treatment manual is needed.

Author Biographies

Niels Hannibal, Department of Communication and Psychology, the Music Therapy Education, Aalborg University, Aalborg, Denmark and Music Therapy Clinic, Aalborg University Hospital, Psychiatry. Aalborg, Denmark

Niels Hannibal MT, PhD, Associate Professor at the Music Therapy Education at Aalborg University, clinical music therapist and researcher at the Music Therapy Clinic at Aalborg University Hospital – Psychiatry. NH has over twenty years of clinical experience as a music therapist in psychiatry. He has been researching clinical music therapy since 1995, currently focusing on music therapy and mentalization, patients with personality disorder issues, and alliance building.

Inge Nygaard Pedersen, Department of Communication and Psychology, the Music Therapy Education, Aalborg University, Aalborg, Denmark and Music Therapy Clinic, Aalborg University Hospital, Psychiatry. Aalborg, Denmark

Inge Nygaard Pedersen, Associate Professor, PhD at the Department of Communication and Psychology, Aalborg University (DK). She is the Head of The Music Therapy Research Clinic at Aalborg University Hospital, Psychiatry, a certified music therapist, and a GIM therapist and clinical supervisor. Current research projects include an RCT, blinded, multi-site study on music therapy towards negative symptoms for people diagnosed with schizophrenia. Research areas include: music therapy in psychiatry, supervision, experiential, and resonant learning processes for music and other psychotherapists.

Lars Ole Bonde, Department of Communication and Psychology, the Music Therapy Education, Aalborg University, Aalborg, Denmark and Music Therapy Clinic, Aalborg University Hospital, Psychiatry. Aalborg, Denmark

Lars Ole Bonde, PhD, FAMI, is emeritus professor in music therapy at Aalborg University and emeritus professor II at Center for Research in Music and Health (CREMAH) at the Norwegian Academy of Music. He is a certified music therapist and clinical supervisor. In the 1980s and 1990s, he worked as music and concert producer. He served as associate editor of the Nordic Journal of Music Therapy until 2017. His current research projects include music and public health, music therapy for people suffering from schizophrenia, and monographs on the Danish composers Bent Lorentzen and John Høybye. He has published numerous books, book chapters, and articles on the theory and practice of music therapy, music psychology, music education, music theatre, and music and health.

Lars Rye Bertelsen, Department of Communication and Psychology, the Music Therapy Education, Aalborg University, Aalborg, Denmark 2 Music Therapy Clinic, Aalborg University Hospital, Psychiatry. Aalborg, Denmark

Lars Rye Bertelsen MT, PhD student. trained at the Music Therapy Masters Programme at Aalborg University. Currently he is a part-time Ph.D. student researching music medicine in ECT treatment, in ambulances,  and “Culture Vitamines.” He is also co-inventor of “The Music Star” with a deep interest in developing playlists. LRB has been private music therapist clinician since 1988, currently holding a part-time MT position at the University Hospital of Aalborg, Psychiatry.

Niels hannibal, Inge Nygaard Pedersen, Lars Ole Bonde, Lars Rye Bertelsen

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Published

2019-02-11

How to Cite

Hannibal, N., Nygaard Pedersen, I., Bonde, L. O., & Bertelsen, L. R. (2019). A Pilot Study Investigating Research Design Feasibility Using Pre-post Measures to Test the Effect of Music Therapy in Psychiatry with People Diagnosed with Personality Disorders. Voices: A World Forum for Music Therapy, 19(1). https://doi.org/10.15845/voices.v19i1.2731

Issue

Vol. 19 No. 1 (2019)

Section

Research

License

Copyright (c) 2019 Niels Hannibal, Inge Nygaard Pedersen, Lars Ole Bonde, Lars Rye Bertelsen

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Articles published prior to 2019 are subject to the following license, see: https://voices.no/index.php/voices/copyright