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SUMMARY:Music therapy\, depression and frontal brain activity - Professor 
 Jorg Fachner\, Anglia Ruskin University 
DTSTART:20160426T160000Z
DTEND:20160426T173000Z
UID:TALK65057@talks.cam.ac.uk
CONTACT:Gabriela Pavarini
DESCRIPTION:A recent Cochrane review indicated that music therapy has pote
 ntial for the treatment of depression. Depression has an impact on frontal
  processing of emotion. Antidepressant medication is tested with biomarker
 s of frontal brain activity.and frontal resting state changes are crucial 
 for determining treatment effects. Fronto-temporal (FT) areas process shar
 ed elements of speech and music. Improvisational psychodynamic music thera
 py (MT) utilises verbal and musical reflection on emotions and images aris
 ing from clinical improvisation. A few studies show that music listening i
 s shifting frontal alpha asymmetries (FAA) in depression\, and increases f
 rontal midline theta (FMT) while listening to preferred music\, but we do 
 not know about the impact of active music making on brain activity in depr
 ession.  Thus we were interested to see if MT has an impact on anterior re
 sting state alpha and theta of depressed clients with comorbid anxiety. Th
 is presentation explores results of a randomised controlled trial (RCT) wi
 th 79 depressed clients comparing standard care (SC) and MT added to SC at
  intake (pre) and after 3 months (post). Correlations between selected res
 t EEG features and psychiatric measures of depression and anxiety were cal
 culated in order to examine MT’s lasting impact on frontal processing. M
 T improved depression and anxiety scores. Pre/post MT frontal alpha and th
 eta asymmetry differed from SC\, Further\, pre/post MT change scores for f
 rontal midline theta and Hospital Anxiety and Depression Scale (HADS-A) we
 re significant. Verbal reflection and improvising on emotions in MT added 
 to SC seems to induce neural reorganisation in front-temporal areas. Alpha
  and theta changes in FT and temporo-parietal areas indicate MT action and
  treatment effects on cortical activity in depression\, suggesting an impa
 ct of MT on anxiety reduction. Results indicate FT areas as regions of int
 erest for further investigation of MT treatment in depression.
LOCATION:Lecture Room 1\, Faculty of Music\, 11 West Road\, CB3 9DP
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