title: Effects of Group Drumming Interventions on Anxiety, Depression, Social Resilience and Inflammatory Immune Response among Mental Health Service Users.
abstract: Growing numbers of mental health organizations are developing community music-making interventions for service users; however, to date there has been little research into their efficacy or mechanisms of effect. This study was an exploratory examination of whether 10 weeks of group drumming could improve depression, anxiety and social resilience among service users compared with a non-music control group (with participants allocated to group by geographical location.) Significant improvements were found in the drumming group but not the control group: by week 6 there were decreases in depression (-2.14 SE 0.50 CI -3.16 to -1.11) and increases in social resilience (7.69 SE 2.00 CI 3.60 to 11.78), and by week 10 these had further improved (depression: -3.41 SE 0.62 CI -4.68 to -2.15; social resilience: 10.59 SE 1.78 CI 6.94 to 14.24) alongside significant improvements in anxiety (-2.21 SE 0.50 CI -3.24 to -1.19) and mental wellbeing (6.14 SE 0.92 CI 4.25 to 8.04). All significant changes were maintained at 3 months follow-up. Furthermore, it is now recognised that many mental health conditions are characterised by underlying inflammatory immune responses. Consequently, participants in the drumming group also provided saliva samples to test for cortisol and the cytokines interleukin (IL) 4, IL6, IL17, tumour necrosis factor alpha (TNFα), and monocyte chemoattractant protein (MCP) 1. Across the 10 weeks there was a shift away from a pro-inflammatory towards an anti-inflammatory immune profile. Consequently, this study demonstrates the psychological benefits of group drumming and also suggests underlying biological effects, supporting its therapeutic potential for mental health.
  
  
  BACKGROUND
  ClinicalTrials.gov NCT01906892.
authors.affiliation: Centre for Performance Science, Royal College of Music, Prince Consort Road, London, SW7 2BS, United Kingdom.|Faculty of Medicine, Imperial College London, South Kensington Campus, London, SW7 2AZ, United Kingdom.|Psychobiology Group, Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, United Kingdom.
authors.forename: Daisy
authors.initials: D
authors.lastname: Fancourt
authors.affiliation: Centre for Performance Science, Royal College of Music, Prince Consort Road, London, SW7 2BS, United Kingdom.|Faculty of Medicine, Imperial College London, South Kensington Campus, London, SW7 2AZ, United Kingdom.
authors.forename: Rosie
authors.initials: R
authors.lastname: Perkins
authors.affiliation: Centre for Performance Science, Royal College of Music, Prince Consort Road, London, SW7 2BS, United Kingdom.
authors.forename: Sara
authors.initials: S
authors.lastname: Ascenso
authors.affiliation: Psychobiology Group, Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, United Kingdom.
authors.forename: Livia A
authors.initials: LA
authors.lastname: Carvalho
authors.affiliation: Psychobiology Group, Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, United Kingdom.
authors.forename: Andrew
authors.initials: A
authors.lastname: Steptoe
authors.affiliation: Centre for Performance Science, Royal College of Music, Prince Consort Road, London, SW7 2BS, United Kingdom.|Faculty of Medicine, Imperial College London, South Kensington Campus, London, SW7 2AZ, United Kingdom.
authors.forename: Aaron
authors.initials: A
authors.lastname: Williamon
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000097:blood* / Q000628:therapy*; D016207:Cytokines / Q000097:blood*; D003863:Depression / Q000097:blood* / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007249:Inflammation / Q000097:blood / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009147:Music Therapy; D013997:Time Factors
chemical_list: D016207:Cytokines