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Efficacy of music therapy and predictors of sleep disturbance among patients with chronic schizophrenia: A prospective study

  • Mei-Jou Lu
    Affiliations
    Department of Nursing, Shu-Zen Junior College of Medicine and Management, Kaohsiung City 82144, Taiwan

    Department of Nursing, School of Nursing, Fooyin University, Kaohsiung City 83102, Taiwan
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  • Wan-Yi Chen
    Affiliations
    Department of Nursing, Shu-Zen Junior College of Medicine and Management, Kaohsiung City 82144, Taiwan
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  • Dian-Jeng Li
    Correspondence
    Corresponding author at: Department of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, No. 130, Kaisyuan 2nd Rd., Lingya Dist., Kaohsiung City 802, Taiwan.
    Affiliations
    Department of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung City 802211, Taiwan

    Department of Nursing, Meiho University, Pingtung Country 91202, Taiwan
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Published:April 11, 2022DOI:https://doi.org/10.1016/j.apnu.2022.04.001

      Highlights

      • To explore the efficacy of music therapy on sleep disturbance.
      • A comparative study of patients with chronic schizophrenia.
      • The results showed the promising efficacy of music therapy in the intervention group.
      • Irreligious patients and those with chronic diseases were associated with better efficacy.
      • The efficacy of music therapy in the older patients was not as pronounced.

      Abstract

      Study objectives

      Patients with schizophrenia often suffer from sleep disturbance. Music therapy, as a non-invasive intervention, may have benefit on sleep problem in such population. Our study aimed to investigate the efficacy of music therapy on sleep disturbance among patients with schizophrenia.

      Method

      This prospective study recruited participants with schizophrenia along with sleep disturbances in the chronic wards. Patients in the control group received standard care, and those in the intervention group received additional music therapy before sleeping at night for four weeks. The Pittsburgh Sleep Quality Index (PSQI) was used to measure the severity of sleep disturbance. The generalized estimating equation (GEE) was used to analyze measure the difference of change in PSQI scores between both groups at the baseline and four weeks later. It was also applied to find the predictors of treatment efficacy within intervention group.

      Findings

      A total of 66 (31 in control group and 35 in intervention group) participants were recruited. After adjusting with the demographic variables, the change of PSQI among intervention group was significantly more than the change among control group (Group × time; Estimate = −7.05, p < 0.001), indicating the efficacy of music therapy. In addition, irreligious patients and those with chronic medical disease predicted better efficacy. Whereas, elderly patients had compromising efficacy of music therapy.

      Conclusion

      Music therapy demonstrated its merit on sleep disturbance among patients with schizophrenia. Whereas, healthcare workers should consider the variability of severity in schizophrenia during clinical practice.

      Keywords

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