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Shahbakht Baher P, Shayegan Manesh Z, Ansari Nejad N. Comparing the Effectiveness of Music Therapy and Cognitive-Behavioral Therapy on Social Anxiety Disorder and Its Related Symptoms in Adolescents 15 to 18 Years Old. MEJDS 2022; 12 :64-64
URL: http://jdisabilstud.org/article-1-2215-en.html
1- Mallard Branch, Islamic Azad University
2- Department of Psychology, Mallard Branch, Islamic Azad University
Abstract:   (1521 Views)

Background & Objective: Social anxiety disorder, which is also very common in adolescence, refers to significant clinical anxiety experienced after confronting certain types of social or functional situations that often leads to avoidance behavior. Epidemiological reports have shown that adolescents are more likely to experience social anxiety than others. Adolescents with social anxiety are vulnerable to unhealthy relationships, emotional developmental disorders, and associated psychological problems. Anxiety disorder is reported in almost 20% of adolescents. Because limited treatments are available to treat anxiety disorders in adolescents, most of them are not adequately treated.
On the other hand, because of few studies in this area, new therapeutic interventions for this psychological condition are necessary. Social anxiety is one of the most common disorders in adolescence that can damage health, awareness, and self–esteem. Previous research has shown that music therapy improves well–being by providing pleasure, social interaction, improving memory, and social participation. Music is a powerful tool to help patients with chronic schizophrenia. Music can allow teenagers to open channels of self–expression on an entirely personal level. Music can be used as a tool for socialization and promote interaction between people. Musical intervention can be a great mediator for reforming social bonds. There are relatively few studies about music intervention for adolescents. Because music intervention cannot have potential effects alone on social anxiety disorder, the role of other therapeutic methods should also be recognized. Combining music therapy with cognitive–behavioral therapy is essential. This study aimed to determine the effectiveness of music therapy and cognitive–behavioral therapy on social anxiety disorder and its related symptoms in adolescents.
Methods: The research method was quasi–experimental with a pretest–posttest design with a control group. The study's statistical population consisted of all adolescents 15 to 18 years old with a social anxiety disorder and related symptoms who were referred to psychological counseling centers in Karaj City, Iran, in 2019. A total of 60 eligible adolescents were selected and randomly divided into two experimental groups and one control group (each group of 20 participants). Cognitive–behavioral therapy (CBT) and music therapy were applied to the experimental groups in eight 90–minute sessions at weekly intervals, while the control group did not receive any treatment. The study data were collected using social anxiety disorder questionnaire (Connor et al., 2000) and analyzed by univariate analysis of covariance in SPSS.22 software. A p value less than 0.05 was considered significant.
Results: The results showed that both music therapy and CBT were effective in avoidance, social fear, and physiological discomfort (p<0.001) of the samples. However, CBT was more effective in reducing avoidance, social fear, and physiological discomfort than music therapy (p<0.001).
Conclusion: Based on the study's findings, cognitive–behavioral therapy has a greater effect on reducing the symptoms of social anxiety disorder than music therapy, and this treatment can be used to reduce psychological problems in adolescents.

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Type of Study: Original Research Article | Subject: Psychology

References
1. Afshari A, Amiri S, Neshat Doost HT, Rezaie F. Comparing effectiveness of group emotion-focused cognitive-behavioral therapy and group cognitive-behavioral therapy on children with social anxiety disorder. Studies in Medical Sciences. 2015;26(3):194–204. [Persian] [Article]
2. Ramak N, Jangi P, Sangani A. The effect of cognitive behavioral techniques training on reducing social phobia in nursing students. Journal of Health and Care. 2019;21(3):223–32. [Persian] [DOI]
3. Stjerneklar S, Hougaard E, Thastum M. Guided internet-based cognitive behavioral therapy for adolescent anxiety: Predictors of treatment response. Internet Interv. 2019;15:116–25. [DOI]
4. Asghari E, Faramarzi M, Mohammmadi AK. The effect of cognitive behavioural therapy on anxiety, depression and stress in women with preeclampsia. J Clin Diagn Res. 2016;10(11):QC04–7. [DOI]
5. Bojorquez GR, Jackson KE, Andrews AK. Music Therapy for surgical patients: approach for managing pain and anxiety. Crit Care Nurs Q. 2020;43(1):81–5. [DOI]
6. Dafaalla M, Farah A, Bashir S, Khalil A, Abdulhamid R, Mokhtar M, et al. Depression, anxiety, and stress in sudanese medical students: a cross sectional study on role of quality of life and social support. American Journal of Educational Research. 2016;26(13):937–42.
7. Eells K. The use of music and singing to help manage anxiety in older adults: Karen Eells reviews the growing evidence base for these relaxing and sociable activities as therapeutic nursing interventions in this patient group. Mental Health Practice. 2014;17(5):10–7. [DOI]
8. Egenti NT, Ede MO, Nwokenna EN, Oforka T, Nwokeoma BN, Mezieobi DI, et al. Randomized controlled evaluation of the effect of music therapy with cognitive-behavioral therapy on social anxiety symptoms. Medicine (Baltimore). 2019;98(32):e16495. [DOI]
9. Hedman E, Andersson G, Ljótsson B, Andersson E, Rück C, Mörtberg E, et al. Internet-based cognitive behavior therapy vs. cognitive behavioral group therapy for social anxiety disorder: a randomized controlled non-inferiority trial. PLoS One. 2011;6(3):e18001. [DOI]
10. Gaesser AH, Karan OC. A randomized controlled comparison of emotional freedom technique and cognitive-behavioral therapy to reduce adolescent anxiety: a pilot study. J Altern Complement Med. 2017;23(2):102–8. [DOI]
11. Hakvoort L, Bogaerts S. Theoretical foundations and workable assumptions for cognitive behavioral music therapy in forensic psychiatry. The Arts in Psychotherapy. 2013;40(2):192–200. [DOI]
12. Herbert JD, Gaudiano BA, Rheingold AA, Moitra E, Myers VH, Dalrymple KL, et al. Cognitive behavior therapy for generalized social anxiety disorder in adolescents: a randomized controlled trial. J Anxiety Disord. 2009;23(2):167–77. [DOI]
13. Kwok SYCL. Integrating positive psychology and elements of music therapy to alleviate adolescent anxiety. Research on Social Work Practice. 2019;29(6):663–76. [DOI]
14. Lin Y, Chu H, Yang C-Y, Chen C-H, Chen S-G, Chang H-J, et al. Effectiveness of group music intervention against agitated behavior in elderly persons with dementia. Int J Geriatr Psychiatry. 2011;26(7):670–8. [DOI]
15. Melfsen S, Kühnemund M, Schwieger J, Warnke A, Stadler C, Poustka F, et al. Cognitive behavioral therapy of socially phobic children focusing on cognition: a randomised wait-list control study. Child Adolesc Psychiatry Ment Health. 2011;5(1):5. [DOI]
16. Li X-M, Zhou K-N, Yan H, Wang D-L, Zhang Y-P. Effects of music therapy on anxiety of patients with breast cancer after radical mastectomy: a randomized clinical trial. J Adv Nurs. 2012;68(5):1145–55. [DOI]
17. Zarate R. The social architecture of anxiety and potential role of music therapy. Voices: A World Forum for Music Therapy. 2016;16(1):25–38. [DOI]
18. Gardstrom SC, Jackson NA. Personal therapy for undergraduate music therapy students: a survey of AMTA program coordinators. J Music Ther. 2011;48(2):226–55. [DOI]
19. Connor KM, Davidson JR, Churchill LE, Sherwood A, Foa E, Weisler RH. Psychometric properties of the Social Phobia Inventory (SPIN). New self-rating scale. Br J Psychiatry. 2000;176:379–86. [DOI]
20. Hassanvand Amouzadeh M. The standardization of social phobia inventory (spin) in nonclinical iranian samples. The Journal of Urmia University of Medical Sciences. 2015;26(1):17–30. [Persian] [Article]
21. Gardstrom S, Sorel S. Music therapy methods. In: Wheeler BL. Music therapy handbook. Guilford Publications; 2015.
22. Stawarz K, Preist C, Tallon D, Wiles N, Coyle D. User experience of cognitive behavioral therapy apps for depression: an analysis of app functionality and user reviews. J Med Internet Res. 2018;20(6):e10120. [DOI]

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