Effect of Music Therapy on Modulation of Attention among Schizophrenic patients

Authors

  • Mridula Dan Oriental College of Nursing-Korba C.G.
  • Jyoti Laxmi Chetty Yashoda college of nursing Gowdavally Hyderabad 

DOI:

https://doi.org/10.37506/zdwewc62

Keywords:

Attention, Schizophrenia, Music Therapy, Letter Cancellation test

Abstract

BACKGROUND:

Attention is an important aspect of personality & activity of brain, but can be highly disrupted and disorganized in schizophrenic patients. Musiccan have the power to increase the attention at task and work memory.

AIM:

To investigate the impact of receptive musical interventions on attention modulation in patients diagnosed with schizophrenia..

METHODOLOGY:

A true experimental research design with quantitative approach was used .Through simple random sampling 40 schizophrenic clients (20 each in control & experimental) admitted in selected psychiatry hospital were selected as study sample. Study was done at CIIMHANS, Chhattisgarh.

Outcome measures included Attention by Letter Cancellation Test  & Digit Span Test ,Sociodemographic tool based on age, gender, occupation, socioeconomic status, educational qualification  and type of schizophrenia .Receptive Music therapy was given  for 1 hour/2 weeks .The ragas included were ;Raag Desh, Raag Brindavana Sarang ,Raag Neelam Bari, Raag Bhopali, Raag Hamsadhwani. Post test was collected.

RESULT :

Music therapy appeared to modulate the attention span of patients, as indicated by the differences between pre- and post-test scores in the experimental group. On the Digit Symbol Test (DST), the mean score increased to 17.05 ± 3.10 (t = 1.71, df = 38, p = 0.094), suggesting a trend toward improvement. On the Letter Cancellation Test (LCT), the improvement was statistically significant, with a mean post-test score of 26.45 ± 2.47 (t = 16.7, df = 38, p = 0.00001).

Additionally, attention span was found to be associated with several demographic variables: marital status (χ² = 5.15, df = 2, p = 0.07), gender (χ² = 4.414, df = 1, p = 0.035), and religion (χ² = 5.0, df = 1, p = 0.02).

Overall, these findings suggest that music therapy may significantly modulate the attention span of clients with schizophrenia, particularly as seen in the LCT results, despite the DST not reaching conventional levels of significance (p > 0.05).

CONCLUSION: Therapeutic music intervention successfully increased attention span in the given study.Nursing professionals could offer Indian classical music therapy to regulate attention and alleviatenegative thoughts and mental illnesses.

Author Biographies

  • Mridula Dan, Oriental College of Nursing-Korba C.G.

    Clinical instructor –Oriental College of Nursing-Korba C.G.

  • Jyoti Laxmi Chetty, Yashoda college of nursing Gowdavally Hyderabad 

     Professor cum HoD Mental Health Nursing  Yashoda college of nursing Gowdavally Hyderabad 

References

Deccan Herald. Bengaluru sees rise in mental disorders [Internet]. Bengaluru: Deccan Herald; 2022 Oct 13 [cited 2025 Jul 10]. Available from: https://www.deccanherald.com/city/bengaluru-sees-rise-in-mental-disorders-1151896.html

Neuroscience Research Australia. Attention – cognition in schizophrenia [Internet]. Randwick: NeuRA; [cited 2025 Jul 10]. Available from: https://library.neura.edu.au/schizophrenia/signs-and-symptoms/cognition/attention/index.html

van Alphen R, Stams GJJM, Hakvoort L. Musical attention control training for psychotic psychiatric patients: an experimental pilot study in a forensic psychiatric hospital. Front Neurosci. 2019;13:570. https://doi.org/10.3389/fnins.2019.00570

Thaut MH, et al. The clinical neuroscience of music: evidence-based approaches and neurologic music therapy. Front Neurosci. 2021;15:740329. https://doi.org/10.3389/fnins.2021.740329

Shagan S, Shagan D, et al. How music impacts visual attention training in schizophrenia: a pilot study. J Nerv Ment Dis. 2018;206(12):968–70. https://doi.org/10.1097/NMD.0000000000000911. PMCID: PMC6279521

Yau K, Fachner J. Effects of motifs in music therapy on the attention of children with externalizing behavior problems. Psychol Music. 2021;49(3):529–46. https://doi.org/10.1177/0305735619880292

Roefs G. Neurologischemuziektherapieenschizofrenie [Internet]. 2015 [cited 2025 Jul 10]. Available from: http://kenvak.nl/wp-content/uploads/2015/04/2015-06-26-Gerben-Roefs-Eindpresentatie-Neurologische-Muziektherapie-bij-Schizofrenie.pdf

Mathew VK, Sam KG, Samuel B, Das AK. Epidemiology of schizophrenia in an Indian hospital. Res J Pharm Technol. 2020;13(1):219–23. Available from: https://rjptonline.org/AbstractView.aspx?PID=2020-13-1-45

Mathew VK, Sam KG, Milton B, Das AK. Prescription pattern of antipsychotics polypharmacy in patients with schizophrenia in an Indian hospital. Res J Pharm Technol. 2021;14(8):4265–9. Available from: https://rjptonline.org/AbstractView.aspx?PID=2021-14-8-108

Hofkirchner W, Schafranek M. General system theory. In: Gabbay DM, Thagard P, Woods J, editors. Handbook of the Philosophy of Science. Vol 10. Amsterdam: Elsevier; 2011. p. 177–94. https://doi.org/10.1016/B978-0-444-52076-0.50006-7

Onmanorama. Indian classical music ragas and their impact on mental health [Internet]. Kerala: Onmanorama; 2020 Dec 23 [cited 2025 Jul 10]. Available from: https://www.onmanorama.com/lifestyle/health/2020/12/23/indian-classical-music-ragas-impact-mental-health.html

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Published

2025-07-29

How to Cite

Effect of Music Therapy on Modulation of Attention among Schizophrenic patients. (2025). International Journal of Psychiatric Nursing , 11(2), 17-24. https://doi.org/10.37506/zdwewc62