系统回顾以音乐为基础的干预措施,以提高青少年和年轻成年人的治疗参与度和心理健康成果。

IF 1.4 4区 医学 Q2 SOCIAL WORK
Aaron H Rodwin, Rei Shimizu, Raphael Travis, Kirk Jae James, Moiyattu Banya, Michelle R Munson
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引用次数: 0

摘要

青少年和年轻成年人(A-YA)的心理健康失调和自杀率正在上升,而参与治疗的比例却一直很低。新近的研究支持以音乐为基础的干预措施具有改善心理健康的潜力,但其对青少年的疗效仍不明确。本系统性综述评估了以音乐为基础的社会心理干预措施在提高 A-YA 参与治疗和/或心理健康效果方面的证据。本综述在 PROSPERO 进行了前瞻性注册,并遵循了系统综述和荟萃分析首选报告项目 (PRISMA) 指南。共摘录了 26 项研究。研究设计、研究人群、研究措施和研究结果存在异质性。基于音乐的干预措施形成了一个类型,其特点是由三大类组合而成:1)躯体感觉型;2)社会情感型;3)认知反思型。大多数干预措施是社会-认知和全面综合(三者结合),其次是社会-体感。所有干预措施都涉及社会情感过程。结果表明,大多数研究报告都对青少年的社交和情绪改善以及内化症状减少方面的心理健康成果产生了重大影响。针对青壮年的研究很少,对参与度的影响也很少进行测量。我们需要更多使用严格方法的研究。本综述揭示了针对亚群体的发展和文化定制干预的必要性。最后,该领域需要更多应用实验疗法的研究,以概念化、可操作化和测试变化机制,从而更好地了解音乐干预如何发挥作用以及对谁有效。此外,还讨论了将这些创新策略纳入 A-YA 研究和实践的建议:在线版本包含补充材料,可在 10.1007/s10560-022-00893-x获取。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A Systematic Review of Music-Based Interventions to Improve Treatment Engagement and Mental Health Outcomes for Adolescents and Young Adults.

A Systematic Review of Music-Based Interventions to Improve Treatment Engagement and Mental Health Outcomes for Adolescents and Young Adults.

A Systematic Review of Music-Based Interventions to Improve Treatment Engagement and Mental Health Outcomes for Adolescents and Young Adults.

Mental health disorders and suicidality are rising among adolescents and young adults (A-YA) while rates of treatment engagement remain notoriously low. Emerging research supports the potential of music-based interventions to improve mental health, but their efficacy remains unclear for A-YA. This systematic review evaluates the evidence on music-based psychosocial interventions to improve engagement in treatment and/or mental health outcomes among A-YA. This review was prospectively registered with PROSPERO and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Twenty-six studies were extracted. There was heterogeneity of designs, populations, measures, and outcomes. A typology of music-based interventions emerged, which is characterized by combinations of three broad categories: 1) Somatosensory, 2) Social-Emotional, and 3) Cognitive-Reflective. Most interventions are Socio-Cognitive and Holistically Integrated (combines all three) followed by Socio-Somatic. All interventions involved Social-Emotional processes. Results indicate that most studies report significant effects for mental health outcomes related to social and emotional improvements and reductions of internalizing symptoms for adolescents. Few studies targeted young adults and effects on engagement were rarely measured. There is a need for more studies that use rigorous methods. This review illuminated a need for interventions that are developmentally and culturally tailored to subgroups. Finally, the field is ripe from more studies that apply experimental therapeutics to conceptualize, operationalize, and test mechanisms of change to improve the understanding of how and for whom music-based interventions work. Recommendations for embedding these innovative strategies into research and practice for A-YA are discussed.

Supplementary information: The online version contains supplementary material available at 10.1007/s10560-022-00893-x.

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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
89
期刊介绍: The Child and Adolescent Social Work Journal (CASW) features original articles that focus on social work practice with children, adolescents, and their families. Topics include issues affecting a variety of specific populations in special settings.  CASW welcomes a range of scholarly contributions focused on children and adolescents, including theoretical papers, narrative case studies, historical analyses, traditional reviews of the literature, descriptive studies, single-system research designs, correlational investigations, methodological works, pre-experimental, quasi-experimental and experimental evaluations, meta-analyses and systematic reviews. Manuscripts involving qualitative, quantitative, and mixed methods are welcome to be submitted, as are papers grounded in one or more theoretical orientations, or those that are not based on any formal theory. CASW values different disciplines and interdisciplinary work that informs social work practice and policy. Authors from public health, nursing, psychology, sociology, and other disciplines are encouraged to submit manuscripts. All manuscripts should include specific implications for social work policy and practice with children and adolescents. Appropriate fields of practice include interpersonal practice, small groups, families, organizations, communities, policy practice, nationally-oriented work, and international studies.  Authors considering publication in CASW should review the following editorial: Schelbe, L., & Thyer, B. A. (2019). Child and Adolescent Social Work Journal Editorial Policy: Guidelines for Authors. Child and Adolescent Social Work Journal, 36, 75-80.
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