Effect of Music Therapy in Depressive Symptoms of Mood Disorder（EMTDSMD）

Jiangsu Province Nanjing Brain Hospital

Status: Not yet enrolling

Conditions: Mood Disorder (Depressive Episodes)

Treatments: Device: The mini apps named "SOUL GYM" on the Wechat

Study type: Interventional

Funder types: Other

Identifiers

NCT05879809

81725005-5

Details and patient eligibility

About

Depressive symptom is a common symptom that can be present in various psychiatric conditions, including depression and bipolar disorder. If left untreated, moderate to severe depressive symptoms can lead to serious health complications and are closely linked with suicide. Music therapy (MT)interventions have emerged as an important non-pharmacological approach to treating psychiatric and behavioral disorders, and have been observed to effectively alleviate depressive symptoms. Through its impact on the cerebral cortex, hypothalamus, and limbic system, music helps to regulate an individual's psychological state and can alleviate depressive symptoms.

This study utilized a randomized clinical trial design involving two groups: the MT group and the control group, both of which exhibited depressive symptoms. The MT group received MT in addition to routine clinical treatment, while the control group received only routine clinical treatment. The objective of this study was to demonstrate that MT is an effective intervention for alleviating depressive symptoms and to elucidate the neurobiological mechanisms of MT.

Full description

This study is a double-blind randomized controlled trial aimed at evaluating the effectiveness of MT compared to a control group for major depressive disorder.

Participants will be randomly assigned in a 1:1 ratio to the MT group or control group. All participants will receive 12 sessions (3 sessions per week), each lasting 30 minutes, over a 4-week period. The MT group will receive music therapy during the first 4 weeks, while the control group will receive music therapy during the subsequent 4 weeks (weeks 5-8). Prior to the start of the study (baseline) and after the 4-week intervention, both groups will undergo symptom assessments and brain imaging (MRI) to collect data. The MT intervention consists of three stages, each with a specific focus: 1) physical and mental relaxation, which involves learning relaxation techniques from breathing to muscle relaxation; 2) nature imagination, which includes guided music imagery; and 3) internal self-exploration, which involves identifying positive experiences and potential resources for psychological intervention. The study aims to: 1) assess the clinical efficacy of MT in reducing depressive symptoms, and 2) examine possible biological mechanisms underlying the effectiveness of MT through multidimensional analysis of neuroimaging data and acoustic feature alterations.

Enrollment: 150 estimated patients

Sex: All

Ages: 13 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Between 13 and 35 years of age;
• Participants fulfill the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnostic criteria for major depressive disorder (MDD) or bipolar disorder (BD). Participants are assessed by the Structured Clinical Interview for DSM-IV for Axis I Disorders (SCID-I, patients' age ≥18 years old), or the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (KSADS-PL, patients' age< 18 years old);
• A current depressive episode defined by HAMD≥7 and Young Mania Rating Scale (YMRS) <12;
• Participants receive a stable psychotropic medication regimen prior to randomization to the trial and are willing to remain on the stable regimen during the music treatment phase;
• Participants and 1 or 2 parents (patients' age< 18 years old) provide informed consent after the detailed description of the study.

Exclusion criteria

• • Prior music treatment or standard psychological therapy within 6 months prior to screening;

  • Comorbidity of other DSM-IV axis I disorders or personality disorders;
  • Judged clinically to be at serious suicidal risk;
  • Diabetes mellitus, hypertension, vascular and infectious diseases and other major medical comorbidities;
  • Unstable medical conditions, e.g., severe asthma;
  • Neurological disorders, e.g., history of head injury with loss of consciousness for ≥ five minutes, cerebrovascular diseases, brain tumors and neurodegenerative diseases;
  • Mental retardation or autism spectrum disorder;
  • Contraindications to MRI (e.g., severe claustrophobia, pacemakers, metal implants);
  • Current drug/alcohol abuse or dependence;
  • Pregnant or lactating female

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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150 participants in 3 patient groups

The clinical response of the MT

Experimental group

Description:

To assess the efficacy of music therapy of MT group compared to control group in depressive symptoms.

Treatment:

Device: The mini apps named "SOUL GYM" on the Wechat

Device: The mini apps named "SOUL GYM" on the Wechat

Device: The mini apps named "SOUL GYM" on the Wechat

The alterations of acoustic features in the MT

Experimental group

Description:

To understand the possible biological mechanism underlying the efficacy of music therapy by analyzing alterations of acoustic features.

Treatment:

Device: The mini apps named "SOUL GYM" on the Wechat

Device: The mini apps named "SOUL GYM" on the Wechat

Device: The mini apps named "SOUL GYM" on the Wechat

The alterations of neuroimaging features in the MT

Experimental group

Description:

To investigate potential neurobiological mechanisms underlying the effectiveness of music therapy by analyzing alterations in neuroimaging features.

Treatment:

Device: The mini apps named "SOUL GYM" on the Wechat

Device: The mini apps named "SOUL GYM" on the Wechat

Device: The mini apps named "SOUL GYM" on the Wechat