Background: People living with quadriplegia are at risk for social isolation and depression. Research with other marginalized groups has indicated that music therapy can have a positive effect on mood and social interaction. Objective: To gather descriptions of participants’ experience of 2 types of group music therapy – therapeutic singing or music appreciation and relaxation – and to determine commonalities and differences between participants’ experience of these 2 methods. Methods: We interviewed 20 people with quadriplegia about their experience of participating in 12 weeks of therapeutic singing (n = 10) or music appreciation and relaxation (n = 10). These methods of group music therapy were the interventions tested in a previously reported randomized controlled trial. The interview data were subjected to an inductive thematic analysis. Results: Six main themes were generated from the interview data. Four of these were shared themes and indicated that both types of group music therapy had a positive effect on mood/mental state and physical state, encouraged social engagement, and reconnected participants with their music identity or relationship with music. In addition, the participants who participated in the singing groups found singing to be challenging and confronting, but experienced a general increase in motivation. Conclusions: Group music therapy was experienced as an enjoyable and accessible activity that reconnected participants with their own music. Participants frequently described positive shifts in mood and energy levels, and social interaction was stimulated both within and beyond the music therapy groups.

Dijkers M. Quality of life after spinal cord injury: A meta analysis of the effects of disablement components. Spinal Cord. 1997;35:829–840.
,
Quality of life after spinal cord injury: A meta analysis of the effects of disablement components
,
Spinal Cord.
, vol.
35
(pg.
829
-
840
)
Dahlberg A, Alaranta H, Sintonen H. Health-related quality of life in persons with traumatic spinal cord lesion in Helsinki. J Rehabil Med. 2005;37:312–316.
,
Health-related quality of life in persons with traumatic spinal cord lesion in Helsinki.
,
J Rehabil Med.
, vol.
37
(pg.
312
-
316
)
Leduc BE, Lepage Y. Health-related quality of life after spinal cord injury. Disabil Rehabil. 2002;24:196–202.
,
Health-related quality of life after spinal cord injury
,
Disabil Rehabil.
, vol.
24
(pg.
196
-
202
)
Berlowitz DJ, Spong J, Gordon I, Howard ME, Brown DJ. Relationships between objective sleep indices and symptoms in a community sample of people with tetraplegia. Arch Phys Med Rehabil. 2012;93:1246–1252.
,
Relationships between objective sleep indices and symptoms in a community sample of people with tetraplegia
,
Arch Phys Med Rehabil.
, vol.
93
(pg.
1246
-
1252
)
Judd FK, Stone J, Webber JE, Brown DJ, Burrows GD. Depression following spinal cord injury: A prospective in-patient study. Br J Psychiatry. 1989;154:668–671.
,
Depression following spinal cord injury: A prospective in-patient study.
,
Br J Psychiatry.
, vol.
154
(pg.
668
-
671
)
Kennedy P, Rogers BA. Anxiety and depression after spinal cord injury: A longitudinal analysis. Arch Phys Med Rehabil. 2000;81:932–937.
,
Anxiety and depression after spinal cord injury: A longitudinal analysis.
,
Arch Phys Med Rehabil.
, vol.
81
(pg.
932
-
937
)
Nayak S, Wheeler BL, Shiflett SC, Agostinelli S. Effect of music therapy on mood and social interaction among individuals with acute traumatic brain injury and stroke. Rehabil Psychol. 2000;45:274–283.
,
Effect of music therapy on mood and social interaction among individuals with acute traumatic brain injury and stroke
,
Rehabil Psychol.
, vol.
45
(pg.
274
-
283
)
Purdie H. Music therapy with adults who have traumatic brain injury and stroke. Br J Music Ther. 1997;11:45–50.
,
Music therapy with adults who have traumatic brain injury and stroke
,
Br J Music Ther.
, vol.
11
(pg.
45
-
50
)
Thaut MH. The influence of music therapy interventions on self-rated changes in relaxation, affect, and thought in psychiatric prisoner-patients. J Music Ther. 1989;26:155–166.
,
The influence of music therapy interventions on self-rated changes in relaxation, affect, and thought in psychiatric prisoner-patients
,
J Music Ther.
, vol.
26
(pg.
155
-
166
)
Magee W, Davidson J. The effect of music therapy on mood states in neurological patients: A pilot study. J Music Ther. 2002;39:20–29.
,
The effect of music therapy on mood states in neurological patients: A pilot study.
,
J Music Ther.
, vol.
39
(pg.
20
-
29
)
Waldon EG. The effects of group music therapy on mood states and cohesiveness in adult oncology patients. J Music Ther. 2001;38:212–238.
,
The effects of group music therapy on mood states and cohesiveness in adult oncology patients
,
J Music Ther.
, vol.
38
(pg.
212
-
238
)
Sarkamo T, Tervaniemi M, Laitinen S, et al. Music listening enhances cognitive recovery and mood after middle cerebral artery stroke. Brain. 2008;131:866–876.
,
Music listening enhances cognitive recovery and mood after middle cerebral artery stroke.
,
Brain.
, vol.
131
(pg.
866
-
876
)
Kenny DT, Faunce G. The impact of group singing on mood, coping, and perceived pain in chronic pain patients attending a multidisciplinary pain clinic. J Music Ther. 2004;41:241–258.
,
The impact of group singing on mood, coping, and perceived pain in chronic pain patients attending a multidisciplinary pain clinic
,
J Music Ther.
, vol.
41
(pg.
241
-
258
)
Unwin MM, Kenny D, Davis P. The effects of group singing on mood. Psychol Music. 2002;30:175–185.
,
The effects of group singing on mood
,
Psychol Music.
, vol.
30
(pg.
175
-
185
)
Bailey BA, Davidson JW. Effects of group singing and performance for marginalized and middle-class singers. Psychol Music. 2005;33:269–303.
,
Effects of group singing and performance for marginalized and middle-class singers
,
Psychol Music.
, vol.
33
(pg.
269
-
303
)
Bungay H, Skingley A. The Silver Song Club Project: Summary of Formative Evaluation. Canterbury: Canterbury Christ Church University; 2008.
,
The Silver Song Club Project: Summary of Formative Evaluation.
Clift S, Hancox G, Morrison I, Hess B, Kreutz G, Stewart D. Choral singing and psychological wellbeing: Quantitative and qualitative findings from English choirs in a cross-national survey. J ApplArts Health. 2010;1:19–34.
,
Choral singing and psychological wellbeing: Quantitative and qualitative findings from English choirs in a cross-national survey
,
J ApplArts Health.
, vol.
1
(pg.
19
-
34
)
Cohen GD, Perlstein S, Chapline J, Kelly J, Firth KM, Simmens S. The impact of professionally conducted cultural programs on the physical health, mental health, and social functioning of older adults. Gerontologist. 2006;46:726–734.
,
The impact of professionally conducted cultural programs on the physical health, mental health, and social functioning of older adults
,
Gerontologist.
, vol.
46
(pg.
726
-
734
)
Eades G, O’Connor M. Sounds lively! Choirs: Introducing singing into healthcare. Perspect Public Health. 2008;128:60–61.
,
Sounds lively! Choirs: Introducing singing into healthcare
,
Perspect Public Health.
, vol.
128
(pg.
60
-
61
)
Gridley H, Astbury J, Aguirre C, Sharples J. In the middle of the sound: Group singing, community mental health and wellbeing. J Multidiscipl Res Arts. 2010;2:1–20.
,
In the middle of the sound: Group singing, community mental health and wellbeing.
,
J Multidiscipl Res Arts.
, vol.
2
(pg.
1
-
20
)
Riley K, Gridley H. Harmony in the community: Group perspectives on the health benefits of singing. J Multidiscipl Res Arts. 2010;2:1–18.
,
Harmony in the community: Group perspectives on the health benefits of singing
,
J Multidiscipl Res Arts.
, vol.
2
(pg.
1
-
18
)
Clark I, Harding K. Psychosocial outcomes of active singing interventions for therapeutic purposes: A systematic review of the literature Nordic J Music Ther. 2012;21:80–98.
,
Psychosocial outcomes of active singing interventions for therapeutic purposes: A systematic review of the literature
,
Nordic J Music Ther.
, vol.
21
(pg.
80
-
98
)
Amir D. A song is born: Discovering meaning in improvised songs through a phenomenological analysis of two music therapy sessions with a traumatic spinal-cord injured adult. Music Ther. 1990;9:62–81.
,
A song is born: Discovering meaning in improvised songs through a phenomenological analysis of two music therapy sessions with a traumatic spinal-cord injured adult
,
Music Ther.
, vol.
9
(pg.
62
-
81
)
Maddick R. “Naming the unnameable and communicating the unknowable”: Reflections on a combined music therapy/social work program. Arts Psychother. 2011;38:130–137.
,
“Naming the unnameable and communicating the unknowable”: Reflections on a combined music therapy/social work program.
,
Arts Psychother.
, vol.
38
(pg.
130
-
137
)
Scheel-Sailer A. Art therapies in the primary treatment of paraplegic patients: A qualitative study. In: dridge D, ed. Music Therapy and Neurological Rehabilitation: Performing Health. London: Jessica Kingsley Publishers; 2005:231–260.
,
Art therapies in the primary treatment of paraplegic patients: A qualitative study.
,
Music Therapy and Neurological Rehabilitation: Performing Health.
(pg.
231
-
260
)
Thaut MH. Rhythm, Music and the Brain: Scientific Foundations and Clinical Applications. New York: Taylor & Francis Group; 2005.
,
Rhythm, Music and the Brain: Scientific Foundations and Clinical Applications.
Tamplin J, Baker F, Grocke D, et al. The effect of singing on respiratory function, voice, and mood following quadriplegia: A randomized controlled trial. Arch Phys Med Rehabil. 2013;94:426–434.
,
The effect of singing on respiratory function, voice, and mood following quadriplegia: A randomized controlled trial
,
Arch Phys Med Rehabil.
, vol.
94
(pg.
426
-
434
)
Creswell JW. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. 2nd ed. Thousand Oaks, CA: Sage Publications; 2003.
,
Research Design: Qualitative, Quantitative, and Mixed Methods Approaches.
Grocke D, Wigram T. Receptive Methods in Music Therapy: Techniques and Clinical Applications for Music Therapy Clinicians, Educators and Students. London: Jessica Kingsley Publishers; 2007.
,
Receptive Methods in Music Therapy: Techniques and Clinical Applications for Music Therapy Clinicians, Educators and Students.
Tamplin J, Brazzale D, Pretto JJ, et al. Assessment of breathing patterns and respiratory muscle recruitment during singing and speech in quadriplegia. Arch Phys Med Rehabil. 2011;92:250–256.
,
Assessment of breathing patterns and respiratory muscle recruitment during singing and speech in quadriplegia
,
Arch Phys Med Rehabil.
, vol.
92
(pg.
250
-
256
)
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.
,
Using thematic analysis in psychology
,
Qual Res Psychol.
, vol.
3
(pg.
77
-
101
)
Bruscia K. The process of doing qualitative research Part III: Procedural steps. In: Wheeler BL, ed. Music Therapy Research: Quantitative and Qualitative Perspectives. Gilsum, NH: Barcelona Publishers; 1995:401–427.
,
The process of doing qualitative research Part III: Procedural steps
,
Music Therapy Research: Quantitative and Qualitative Perspectives.
(pg.
401
-
427
)
Glaser B, Strauss A. The Discovery of Grounded Theory. Chicago: Aldine; 1967.
,
The Discovery of Grounded Theory.
Dryden DM, Saunders LD, Rowe BH, et al. Depression following traumatic spinal cord injury. Neuroepidemiology. 2005;25.
,
Depression following traumatic spinal cord injury
,
Neuroepidemiology.
pg.
25
Migliorini C, Tonge B, Taleporos G. Spinal cord injury and mental health. Austral New Zealand J Psychiatry. 2008;42:309–314.
,
Spinal cord injury and mental health
,
Austral New Zealand J Psychiatry.
, vol.
42
(pg.
309
-
314
)
Heady A, Pirkis J, Merner B, et al. A review of 156 local projects funded under Australia’s National Suicide Prevention Strategy: Overview and lessons learned. Adv Mental Health. 2006;5:247–261.
,
A review of 156 local projects funded under Australia’s National Suicide Prevention Strategy: Overview and lessons learned
,
Adv Mental Health.
, vol.
5
(pg.
247
-
261
)
Donald M, Dower J, Correa-Velez I, Jones M. Risk and protective factors for medically serious suicide attempts: A comparison of hospital-based with population-based samples of young adults. Austral New Zealand J Psychiatry. 2006;40:87–96.
,
Risk and protective factors for medically serious suicide attempts: A comparison of hospital-based with population-based samples of young adults
,
Austral New Zealand J Psychiatry.
, vol.
40
(pg.
87
-
96
)
Schopp LH, Clark MJ, Hagglund KJ, et al. Life activities among individuals with spinal cord injury living in the community: Perceived choice and perceived barriers. Rehabil Psychol. 2007;52:82–88.
,
Life activities among individuals with spinal cord injury living in the community: Perceived choice and perceived barriers
,
Rehabil Psychol.
, vol.
52
(pg.
82
-
88
)
Rickard NS. Intense emotional responses to music: A test of the physiological arousal hypothesis. Psychol Music. 2004;32:371–388.
,
Intense emotional responses to music: A test of the physiological arousal hypothesis.
,
Psychol Music.
, vol.
32
(pg.
371
-
388
)
Juslin PN, Sloboda JA. Handbook of Music and Emotion: Theory, Research, Applications. Oxford: Oxford University Press; 2010.
,
Handbook of Music and Emotion: Theory, Research, Applications.
Keyes CLM. The mental health continuum: From languishing to flourishing in life. J Health Social Behav. 2002;43:207–222.
,
The mental health continuum: From languishing to flourishing in life
,
J Health Social Behav.
, vol.
43
(pg.
207
-
222
)
Andsdell G, DeNora T. Musical flourishing: Community music therapy, controversy, and the cultivation of wellbeing. In: MacDonald R, Kreutz G, Mitchell L, eds. Music, Health & Wellbeing. Oxford: Oxford University Press; 2012:97–112.
,
Musical flourishing: Community music therapy, controversy, and the cultivation of wellbeing
,
Music, Health & Wellbeing.
(pg.
97
-
112
)
MacDonald R, Mitchell L, Dillon T, Serpell MG, Davies JB, Ashley EA. An empirical investigation of the anxiolytic and pain reducing effects of music. Psychol Music. 2003;31:187–203.
,
An empirical investigation of the anxiolytic and pain reducing effects of music.
,
Psychol Music.
, vol.
31
(pg.
187
-
203
)
Batt-Rawden KB. The benefits of self-selected music on health and well-being. Arts Psychother. 2010;37:301–310.
,
The benefits of self-selected music on health and well-being.
,
Arts Psychother.
, vol.
37
(pg.
301
-
310
)
Batt-Rawden KB, DeNora T, Ruud E. Music listening and empowerment in health promotion: A study of the role and significance of music in everyday life of the long-term ill. Nordic J Music Ther. 2005;14:120–136.
,
Music listening and empowerment in health promotion: A study of the role and significance of music in everyday life of the long-term ill
,
Nordic J Music Ther.
, vol.
14
(pg.
120
-
136
)
Deslandes A, Moraes H, Ferreira C, et al. Exercise and mental health: Many reasons to move. Neuropsychobiology. 2009;59:191–198.
,
Exercise and mental health: Many reasons to move
,
Neuropsychobiology.
, vol.
59
(pg.
191
-
198
)
Strohle A. Physical activity, exercise, depression and anxiety disorders. J Neural Transmission. 2009;116:777–784.
,
Physical activity, exercise, depression and anxiety disorders
,
J Neural Transmission.
, vol.
116
(pg.
777
-
784
)
Stathopoulos G, Powers MB, Berry AC, Smits JAJ, Otto MW. Exercise interventions for mental health: A quantitative and qualitative review. Clin Psychol: Sci Pract. 2006;13:179–193.
,
Exercise interventions for mental health: A quantitative and qualitative review
,
Clin Psychol: Sci Pract.
, vol.
13
(pg.
179
-
193
)
Clift S, Hancox G, Morrison I, Hess B, Kreutz G, Stewart D. The significance of choral singing for sustaining psychological wellbeing: Findings from a survey of choristers in England, Australia and Germany. Music Perform Res. 2010;3:79–96.
,
The significance of choral singing for sustaining psychological wellbeing: Findings from a survey of choristers in England, Australia and Germany.
,
Music Perform Res.
, vol.
3
(pg.
79
-
96
)
Gridley H, Astbury J, Sharples J, Aguirre C. Benefits of Group Singing for Community Mental Health And Wellbeing: Survey and Literature Review. Carlton, Australia: Victorian Health Promotion Foundation (VicHealth); 2011.
,
Benefits of Group Singing for Community Mental Health And Wellbeing: Survey and Literature Review.
Tamplin J, Baker F, Jones B, Way A, Lee S. “Stroke a Chord”: The effect of singing in a community choir on mood and social engagement for people living with aphasia following a stroke. Neurorehabilitation. 2013;32:929–941.
,
“Stroke a Chord”: The effect of singing in a community choir on mood and social engagement for people living with aphasia following a stroke
,
Neurorehabilitation.
, vol.
32
(pg.
929
-
941
)
Ansdell G, Meehan J. “Some light at the end of the tunnel”: Exploring users’ evidence for the effectiveness of music therapy in adult mental health settings. Music Med. 2010;2:29–40.
,
“Some light at the end of the tunnel”: Exploring users’ evidence for the effectiveness of music therapy in adult mental health settings
,
Music Med.
, vol.
2
(pg.
29
-
40
)
Grocke D, Bloch S, Castle D. The effect of group music therapy on quality of life for participants living with a severe and enduring mental illness. J Music Ther. 2009;46:90–104.
,
The effect of group music therapy on quality of life for participants living with a severe and enduring mental illness
,
J Music Ther.
, vol.
46
(pg.
90
-
104
)
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