Music therapy for improving mental health problems of offenders in correctional settings: systematic review and meta-analysis
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The aim of this review was to assess the effectiveness of music therapy on improving the mental health of offenders in correctional settings.
Multiple databases and journals were searched to identify randomized controlled trials and quasi-randomized controlled trials of music therapy for offenders in correctional settings.
Five studies (n = 409; predominantly male) were included in random-effects meta-analyses. Music therapy was effective for promoting offenders’ self-esteem (Hedges’ g = 0.55, p < 0.001) and social functioning (g = 0.35, p < 0.05). Effects on anxiety and depression depended on the number of sessions. For both outcomes, the studies with 20 or more sessions had larger effects than the study that had fewer than 20 sessions, and this difference was statistically significant (Q = 11.88, df = 1, p < 0.001, anxiety; Q = 9.16, df = 1, p = 0.002, depression). No significant effects were found on behavior management or between different music therapy approaches.
Music therapy may be helpful for offenders to improve mental health. Future studies should consider including offenders of both genders, using larger sample sizes, and examining long-term effects. Publication bias may be an issue for this review given the small number of studies and the small sample sizes.
KeywordsForensic psychiatry Prison Depression Anxiety Psychotherapy Randomized controlled trials
We would like to acknowledge the help of the Cochrane Developmental, Psychosocial and Learning Problems Group (CDPLPG) with the methodological questions as well as with providing search results.
- Allermann, E. (1989). Musiktherapeutische Arbeit mit verwahrlosten Jugendlichen: Ideen für ein Konzept. Music therapy with juvenile delinquents. Musiktherapeutische Umschau, 10(4), 267–274.Google Scholar
- Bonta, J., & Andrews, D. A. (2007a). Risk–need–responsivity model for offender assessment and rehabilitation. Ottawa, Canada: Carlton University/Public Safety Canada.Google Scholar
- Bonta, J., & Andrews, D. A. (2007b). Risk–need–responsivity model for offender assessment and rehabilitation. Rehabilitation, 6, 1–22.Google Scholar
- Bruscia, K. (1998). Defining music therapy (2nd ed.). Gilsum, NH: Barcelona.Google Scholar
- Chambers, C. (2008). Song and metaphoric imagery in forensic music therapy. Doctoral dissertation, University of Nottingham, Nottingham. Retrieved from: http://eprints.nottingham.ac.uk/10833/.
- Chen, X. J., Hannibal, N., & Gold, C. (2015a). Randomised trial of group music therapy with Chinese prisoners. Impact on anxiety, depression, and self-esteem. International Journal of Offender Therapy and Comparative Criminology. doi: 10.1177/0306624X15572795.
- Chen, X. J., Leith, H., Aarø, L. E., Manger, T., & Gold, C. (2015b). Music therapy for improving mental health in offenders: protocol for a systematic review and meta-analysis. Retrieved from eprint arXiv:1503.06524: http://arxiv.org/ftp/arxiv/papers/1503/1503.06524.pdf
- Codding, P. A. (2002). A comprehensive survey of music therapists practicing in correctional psychiatry: demographics, conditions of employment, service provision, assessment, therapeutic objectives, and related values of the therapist. Music Therapy Perspectives, 20(2), 56–68.CrossRefGoogle Scholar
- Cohen, M. L. (2009). Choral singing and prison inmates: influences of performing in a prison choir. Journal of Correctional Education, 60(1), 52–65.Google Scholar
- De Bedout, J. K. (1994). The effect of a music activity versus a non-music activity on verbalization and values clarification during group counseling with juvenile offenders. Unpublished master’s thesis, Florida State University. Available from: http://worldcat.org, WorldCat database.
- Gold, C., Assmus, J., Hjørnevik, K., Qvale, L. G., Brown, F. K., Hansen, A. L., Waage, L., & Stige, B. (2014). Music therapy for prisoners. Pilot randomised controlled trial and implications for evaluating psychosocial interventions. International Journal of Offender Therapy and Comparative Criminology, 58, 1520–1539. doi: 10.1177/0306624x13498693.CrossRefGoogle Scholar
- Gold, C., Mössler, K., Grocke, D., Heldal, T. O., Tjemsland, L., Aarre, T., Aarø, L. E., Rittmannsberger, H. G., Stige, B. C., Assmus, J., & Rolvsjord, R. (2013). Individual music therapy for mental health care clients with low therapy motivation: multicentre randomised controlled trial. Psychotherapy and Psychosomatics, 82(5), 319–331. doi: 10.1159/000348452.CrossRefGoogle Scholar
- Hakvoort, L., Bogaerts, S., Thaut, M. H., & Spreen, M. (2013). Influence of music therapy on coping skills and anger management in forensic psychiatric patients: an exploratory study. International Journal of Offender Therapy and Comparative Criminology, 0306624X13516787.Google Scholar
- Higgins, J. P. T., & Green, S. (Eds.). (2011). Cochrane handbook for systematic reviews of interventions. Version 5.1.0 (updated March 2011).Google Scholar
- James, D. J., & Glaze, L. E. (2006). Mental health problems of prison and jail inmates. U.S. Department of Justice.Google Scholar
- Juslin, P. N., & Sloboda, J. A. (2010). Handbook of music and emotion. Oxford: Oxford University Press.Google Scholar
- Kennedy, R. (1998). The effects of musical performance, rational emotive therapy and vicarious experience on the self-efficacy and self-esteem of juvenile delinquents and disadvantaged children. Unpublished doctoral dissertation, University of Kansas.Google Scholar
- Leith, H. (2011). Mixed methods exploration of music therapy and the resettlement of women prisoners with non-psychotic mental health problems [elaborate proposal for PhD study]. Aalborg: Aalborg University.Google Scholar
- Leuterio, R. (2008). Effectiveness of meditation and music technique as a mechanism of wellness for incarcerated drug addicts. International Journal of Psychology, 43(3–4), 284.Google Scholar
- Loth, H. (1996). Music therapy. In C. Cordess & M. Cox (Eds.), Forensic psychotherapy: crime, psychodynamic and the offender patient. London: Jessica Kingsley.Google Scholar
- Maratos, A., Gold, C., Wang, X., & Crawford, M. (2008). Music therapy for depression. The Cochrane Library. doi: 10.1002/14651858.CD004517.pub2
- Mössler, K., Chen, X. J., Heldal, T. O., & Gold, C. (2011). Music therapy for people with schizophrenia and schizophrenia-like disorders. Cochrane Database of Systematic Reviews. doi: 10.1002/14651858.CD004025.pub3.
- O’Grady, L. (2011). The therapeutic potentials of creating and performing music with women in prison: a qualitative case study. Qualitative Inquiries in Music Therapy, 6, 122–152.Google Scholar
- Prison Reform Trust. (2011). Bromley briefings prison factfile. London.Google Scholar
- Wang, B., Li, B., & Hu, J. (2007). 累犯人格障碍的相关研究. [The investigation on personality disorders of recidivists]. 精神卫生期刊, 20(2), 81–83.Google Scholar
- Ward, K. L. (1996). The effects of music therapy with chemically dependent offenders in a women’s prison. Unpublished doctoral dissertation, Florida State University. Available from: http://worldcat.org, WorldCat database.
- Ward, T., & Maruna, S. (2007). Rehabilitation: beyond the risk paradigm. London: Routledge.Google Scholar
- World Health Organization (WHO). (2007). Mental health, human rights and legislation information sheet. Retrieved from: http://www.who.int/mental_health/policy/legislation/policy/en/
- Zeuch, A., & Hillecke, T. (2004). Ergebnisse musiktherapeutischer Entspannung im sozialtherapeutischen Strafvollzug: Eine qualitativ-quantitative Orientierungsstudie [Results of music therapeutic relaxation in a social-therapeutic penal system: a qualitative-quantitative orientation study]. Musik-, Tanz- und Kunsttherapie, 15(1), 16–23.CrossRefGoogle Scholar