The Effect of Group Music Therapy on the Social Function and Interpersonal Relationship in Outpatients with Schizophrenia

Hye-Jin Lee; Dae-Bo Lee; Min-Cheol Park; Sang-Yeol Lee

doi:10.4306/jknpa.2014.53.1.40

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Lee, Lee, Park, and Lee: The Effect of Group Music Therapy on the Social Function and Interpersonal Relationship in Outpatients with Schizophrenia

Original Article

Journal of Korean Neuropsychiatric Association 2014; 53(1): 40-53.

Published online: 31 January 2014

DOI: https://doi.org/10.4306/jknpa.2014.53.1.40

The Effect of Group Music Therapy on the Social Function and Interpersonal Relationship in Outpatients with Schizophrenia

Hye-Jin Lee, PhD¹, Dae-Bo Lee, MD², Min-Cheol Park, MD, PhD³, Sang-Yeol Lee, MD, PhD³

¹Faculty of Public Health, Wonkwang University Graduate School, Iksan, Korea.

²Department of Psychiatry, Gunsan Medical Center, Gunsan, Korea.

³Department of Psychiatry, College of Medicine, Wonkwang University, Iksan, Korea.

Address for correspondence: Sang-Yeol Lee, MD, PhD. Department of Psychiatry, College of Medicine, Wonkwang University, 895 Muwang-ro, Iksan 570-711, Korea. Tel: +82-63-859-1044, Fax: +82-63-859-1040, psysangyeol@hanmail.net

Received 10 August 2013 Revised 20 September 2013 Accepted 14 November 2013

Abstract

Objectives

The purpose of this study was to examine the effect of group music therapy on social function and interpersonal relationships in outpatients with schizophrenia.

Methods

A total of 24 outpatients with schizophrenia were randomly assigned to either an experimental group (with music therapy : 12 patients) or a control group (without music therapy : 12 patients). Patients assigned to the experimental group received 18 sessions of group music therapy at Iksan Community Mental Health Center. Twenty individuals with schizophrenia completed a battery of measures, including the Positive and Negative Syndrome Scale (PANSS), Global Assessment of Functioning (GAF), Social Skill Scale, Korean-Social Functioning Scale (SFS-K), Interpersonal Functioning Scale, and the Relationship Change Scale at baseline and end point.

Results

After 18 sessions of group music therapy, the experimental group showed significant improvements compared with the control group in the PANSS (positive, negative, general psychopathology), GAF, social skill, interpersonal relationship, some SFS-K domains (social withdrawal, recreation, independence performance), and some Relationship Change Scale domains (communication, confidence, affection, openness, understanding).

Conclusion

These results suggest that group music therapy seems to be effective for treatment of psychopathology, social function, and interpersonal relationships of schizophrenic patients. However, the small sample size was a limitation of this study.

Keywords: Group music therapy, Social function, Interpersonal relationship, Schizophrenia

Figures and Tables

Table 1

Demographic characteristics of the subjects

GMT : Group music therapy group, SD : Standard deviation

Table 2

Comparisons of PANSS, GAF, social skills before and after group music therapy in patients with schizophrenia

^* : p<0.05, ^*** : p<0.001. PANSS : Positive and Negative Syndrome Scale, GAF : Global Assessment of Functioning, MT : Music therapy, SD : Standard deviation, GMT : Group music therapy group

Table 3

Comparisons of SFS-K before and after group music therapy in patients with schizophrenia

^** : p<0.01, ^*** : p<0.001. SFS-K : Korean-Social Functioning Scale, MT : Music therapy, SD : Standard deviation, GMT : Group music therapy group

Table 4

Comparisons of Interpersonal Relationship Scale before and after group music therapy in patients with schizophrenia

^*** : p<0.001. MT : Music therapy, SD : Standard deviation, GMT : Group music therapy group

Table 5

Comparisons of Relationship Change Scale before and after group music therapy in patients with schizophrenia

^* : p<0.05, ^** : p<0.01, ^*** : p<0.001. MT : Music therapy, SD : Standard deviation, GMT : Group music therapy group

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