Music Therapy Advocacy Recording Intervention (MTAR) on Internalized Stigma

Not Applicable

Terminated

Conditions: Anxiety Disorder
Bipolar Disorder
Mental Health Issues
Depressive
Schizophrenia Spectrum and Other Psychotic Disorders

Interventions: Behavioral: Group Music Therapy Advocacy Recording Intervention (MTAR)

Brief Summary: This study will use a systematic music therapy intervention on patients with mental illness trying to help them with their internalized stigma.

Detailed Description: The primary objective of this study is to determine the effect of a systematic music therapy intervention on internalized stigma of mental illness. The secondary objective is to evaluate the potential for the treatment effect to vary across subject diagnostic categories. This study will also examine the ability of the treatment effect to persist after 3 weeks as an exploratory objective.

Data collection will be conducted in the Acute Care Unit (ACU) of Hackensack Meridian Health Carrier Clinic (HMHCC) over a period of ten months. Subjects will be drawn from the pool of patients admitted to the HMHCC ACU during that time. Adults aged 18-65 with severe mental illness with a diagnosis of bipolar or a related disorder, depressive or anxiety disorder, or schizophrenia spectrum or other psychotic disorders as defined by the Diagnostic and Statistical Manual of Mental Disorders version 5 (DSM-5 : 5th ed.; American Psychiatric Association, 2013), of prolonged duration with a significant degree of disability or social dysfunction (Ruggeri et al., 2000) are eligible to participate. Eligible participants must be able to provide informed consent as determined by the doctor.

Recruitment & Eligibility

Inclusion Criteria

Admitted to the HMHCC ACU
Able to read and comprehend the ISMI questionnaire, provide informed consent,
With a severe mental illness of prolonged duration with a significant degree of disability or social dysfunction

Exclusion Criteria

Patients on S1 status (1:1 patient observation) or isolation protocol
Evidence of organic brain disease, severe acute symptomatology, hearing deficit, and intellectual disability.

Arm && Interventions

Group	Intervention	Description
Treatment Group	Group Music Therapy Advocacy Recording Intervention (MTAR)	The intervention consists of a sequence of five music therapy song-writing and recording groups, one per day. Internalized stigma will be assessed within 3 days of admission (pretest/baseline), at ten days (posttest), and at 3 weeks from baseline (follow-up), using the Internalized Stigma of Mental Illness Inventory.

Primary Outcome Measures

Name	Time	Method
Change in the Internalized Stigma of Mental Illness Inventory (ISMI) Score Between Pre and Post MTAR	Post MTAR intervention (day 8-10)	The Internalized Stigma of Mental Illness Inventory will be administered before and after the MTAR intervention and the change in the score will be reported. Primary outcome will be reported only for the treatment arm. The internalized stigma of mental illness inventory is a 29 item questionnaire. Items are scored on a 1-4 scale, with the total scale score calculated as a sum of the items then dividing by the total number of answered items.

Secondary Outcome Measures

Name	Time	Method
Change in the ISMI Score Based on Diagnostic Category	Post MTAR intervention (day 8-10)	Change in the Internalized Stigma of Mental Illness Inventory (ISMI) score between pre and post MTAR across subject diagnostic categories. ISMI scores will be compared between subjects with no diagnosis or diagnosed with schizophrenia spectrum and other psychotic disorders, bipolar and related disorders, depressive disorders, and anxiety disorders, as classified by the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders - 5th edition (DSM-5; American Psychiatric Association, 2013). The internalized stigma of mental illness inventory is a 29 item questionnaire. Items are scored on a 1-4 scale, with the total scale score calculated as a sum of the items then dividing by the total number of answered items.