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Impact Of Music Therapy On Stress Management

Authors:
  • Shree Guru Gobind Singh Tricentenary University University

Abstract

Music, as an art form holds a special place in human culture. It encompasses a wide range of sounds and melodies that evoke emotions, thoughts, and memories. Traditional philosophies define music as tones ordered horizontally (as melodies) and vertically (as harmonies). Music theory, within this realm, is studied with the presupposition that music is orderly and often pleasant to hear. Music Therapy is the clinical & evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program. Studies suggest that those undergoing music therapy experience reduced anxiety immediately after the session, which indicates that music therapy could be a convenient way to reduce symptoms quickly. Studies also suggest that music therapy can improve symptoms of depression, with those undergoing music therapy along with standard treatments for depression such as talking therapy improving more than people who only received standard therapy. Chen, X., Wei, Q., Jing, R., & Fan, Y. (2021) conducted a study on cancer patients to investigate the effects of music therapy on stress and quality of life. The results indicated that music therapy interventions significantly reduced stress levels and enhanced the overall quality of life for cancer patients1. In a study conducted by Shirsat, A., Jha, R. K., & Verma, P. (2023), researchers explored the impact of music therapy on individuals with Alzheimer's disease. They found that music therapy could be a powerful treatment strategy, improving cognitive function and emotional well-being in Alzheimer's patients2. The importance of consulting qualified music therapists when implementing music therapy as a stress management tool will be emphasized. The findings and insights from this study, underlining the significance of music therapy in stress management for man and women are significant. The role of music therapy in fostering social connections and providing support will be explored, emphasizing its significance in stress management.
Available online at: https://jazindia.com 971
Journal of Advanced Zoology
ISSN: 0253-7214
Volume 44 Issue S7 Year 2023 Page 971:976
Impact Of Music Therapy On Stress Management
Vivek Kumar Jha1*, Chandra Bhushan Pathak2, Ratnesh Kumar Sharma3, Anshuman
Pandey4
1*Professor (Speech Pathology and Audiology), Department of Audiology and Speech-Language Pathology,
Faculty of Allied Health Sciences, Shree Guru Gobind Singh Tricentenary University, Gurugram, Haryana
India.
2,3Assistant Professor (Speech Pathology and Audiology), R.P Institute of Speech and Audiology, Bastara,
Karnal, Haryana, India.
4B. ASLP Interns, Department of Audiology and Speech-Language Pathology, Faculty of Allied Health
Sciences, Shree Guru Gobind Singh Tricentenary University, Gurugram, Haryana, India.
*Corresponding Author: Dr. Vivek Kumar Jha
*E-mail: jhavivek98@yahoo.com
Article History
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CC-BY-NC-SA 4.0
Abstract
Music, as an art form holds a special place in human culture. It encompasses a wide
range of sounds and melodies that evoke emotions, thoughts, and
memories. Traditional philosophies define music as tones ordered horizontally (as
melodies) and vertically (as harmonies). Music theory, within this realm, is studied
with the presupposition that music is orderly and often pleasant to hear. Music
Therapy is the clinical & evidence-based use of music interventions to accomplish
individualized goals within a therapeutic relationship by a credentialed professional
who has completed an approved music therapy program. Studies suggest that those
undergoing music therapy experience reduced anxiety immediately after the
session, which indicates that music therapy could be a convenient way to reduce
symptoms quickly. Studies also suggest that music therapy can improve symptoms
of depression, with those undergoing music therapy along with standard treatments
for depression such as talking therapy improving more than people who only
received standard therapy. Chen, X., Wei, Q., Jing, R., & Fan, Y. (2021) conducted
a study on cancer patients to investigate the effects of music therapy on stress and
quality of life. The results indicated that music therapy interventions significantly
reduced stress levels and enhanced the overall quality of life for cancer patients1.
In a study conducted by Shirsat, A., Jha, R. K., & Verma, P. (2023), researchers
explored the impact of music therapy on individuals with Alzheimer's disease. They
found that music therapy could be a powerful treatment strategy, improving
cognitive function and emotional well-being in Alzheimer's patients2. The
importance of consulting qualified music therapists when implementing music
therapy as a stress management tool will be emphasized. The findings and insights
from this study, underlining the significance of music therapy in stress management
for man and women are significant. The role of music therapy in fostering social
connections and providing support will be explored, emphasizing its significance
in stress management.
(Keywords: Music therapy, Alzheimer’s disease, Stress, Anxiety, Quality of life,
Depression)
Journal of Advanced Zoology
Available online at: https://jazindia.com 972
INTRODUCTION
Music, as an art form, holds a special place in human culture. It encompasses a wide range of sounds and
melodies that evoke emotions, thoughts, and memories. Traditional philosophies define music as tones ordered
horizontally (as melodies) and vertically (as harmonies). Music theory, within this realm, is studied with the
presupposition that music is orderly and often pleasant to hear. The ubiquitous influence of music in the
modern world underscores the importance of responsible and enlightened artistic expression. Music's capacity
to stir passions and affect attitudes and beliefs make it an important element for directing human consciousness
toward values that can resolve animosities between races and cultures and inspire ideals that support humanity's
collective aspiration for a culture of peace.
Types of Music Therapy:
Music Therapy is the clinical & evidence-based use of music interventions to accomplish individualized goals
within a therapeutic relationship by a credentialed professional who has completed an approved music therapy
program. Music therapy interventions can address a variety of healthcare & educational goals:
Promote Wellness
Manage Stress
Alleviate Pain
Express Feelings
Enhance Memory
Improve Communication
Promote Physical Rehabilitation
Active Music Therapy:
Active music therapy involves active participation in creating music, guided by a therapist.
The potential effects include improved interpersonal relationships, stabilized emotions, improved relaxation
and relief, reduced anxiety, reduced need for healthcare interventions, improved physical function, and
increased participation in group activities. Active music therapy approaches have been used either on their
own or as part of polytherapy (use of a treatment that combines two or more therapies) to treat a single
condition or alleviate symptoms of several psychiatric or neurological disorders regarding cognitive,
emotional, social, and motor functioning. We define active music therapy as a combination of music and
therapy where patients actively participate in making music rather than being passively exposed to music. We
will discuss how this approach empowers individuals to achieve therapeutic goals through musical expression.
Receptive Music Therapy: In receptive music therapy, the client listens to music and responds to the
experience silently, verbally, or in another modality (eg. art, dance). The music used may be live, or a
recording. Some types of receptive approaches may include music-assisted relaxation, as well as the use of
music and imagery. Goals may encompass several areas, including:
Promoting stimulation or relaxation
Facilitating memory or reminiscence
Developing auditory skills
Enhancing mood and reducing anxiety
Receptive interventions may be appropriate when a client is nonverbal or prefers a passive approach through
listening. Receptive music therapy, where clients listen to selected music to facilitate relaxation and emotional
expression, enhancing therapeutic outcomes.
Improvisational Music Therapy:
Music Improvisation is a process where the client and the therapist create music in the moment together to
express the client’s current emotions. Musical improvisation can be through singing or playing,
extemporaneously creating a melody, rhythm, song, or instrumental piece. Individual improvisation is a
popular method because it is one of the purest ways of working towards understanding, acceptance, and
development and can foster a client’s own identity formation. Spontaneous music creation without
predetermined structures is the essence of improvisational music therapy. We will discuss how this approach
promotes emotional exploration, creativity, and self-awareness.
Journal of Advanced Zoology
Available online at: https://jazindia.com 973
Song writing Therapy:
Therapeutic songwriting is the process of creating, notating and/or recording lyrics and music by a client or
group of clients and therapist within a therapeutic relationship to address psychosocial, emotional, cognitive
and communication needs of the client or clients. Therapeutic song writing can be practiced according to a
range of psychological and health-oriented ways of thinking. It can focus on outcomes such as changing
something tangible and visible for instance, behaviours and ways of thinking. It can focus on the experience
of creating a song whereby the process unfolds as people tell their stories, get in touch with their authentic
expressions, and gain insight into their past and how it impacts on their present lives. Song writing as a
therapeutic tool for emotional expression and processing will be examined in this section, highlighting its
potential in stress management.
Lyric Analysis:
Lyric analysis involves using existing songs to facilitate meaningful discussion in individual or group
therapy. Analysing song lyrics can provide a sense of normalcy, facilitate an understanding of death, loss, and
grief, and help clients identify and express emotions in a more natural and comfortable way. Using
contemporary and client-preferred songs is highly recommended as client’s music is often an extension of who
they are and how they view themselves in the world. Lyric analysis is a method through which clients explore
the emotions and meaning behind song lyrics. We will explore how this technique can provide valuable
insights into emotional experiences.
BENEFITS OF MUSIC THERAPY
Studies suggest that those undergoing music therapy experience reduced anxiety immediately after the session,
which indicates that music therapy could be a convenient way to reduce symptoms quickly. Studies also
suggest that music therapy can improve symptoms of depression, with those undergoing music therapy along
with standard treatments for depression such as talking therapy improving more than people who only received
standard therapy. Listening to music can also release dopamine, which is a hormone that makes people feel
good, and endorphins, which are hormones that can induce happy moods and relieve pain. This section will
highlight the diverse benefits of music therapy, particularly in relation to stress management.
We will explore how music therapy can reduce stress levels, promote relaxation, enhance mood, and improve
sleep quality.
Reduces Stress Levels: Music affects the amount of stress hormones, such as adrenaline and cortisol, that
the body releases, and reducing these hormones can help relieve symptoms of anxiety. We will discuss how
music therapy can significantly reduce stress levels, contributing to overall well-being.
Promotes Relaxation: This section explores how music therapy induces relaxation, helps individuals calm
down, and alleviates stress-related tension.
Enhances Mood: We will examine how music therapy can uplift mood and improve emotional well-being,
contributing to effective stress management.
Improves Sleep Quality: Studies have determined that music therapy increased the sleep quality of
subjects. Being one of the non pharmacological treatment approaches intended for solving sleep problems,
music therapy is a pain-free, safe, and affordable treatment method without any side effects that could be used
in every area of health. The role of music therapy in improving sleep quality will be discussed, highlighting its
importance in overall stress reduction.
DEFINITION OF STRESS:
According to the National Institutes of Health (NIH), stress is a physical and emotional reaction that people
experience as they encounter challenges in life. When we’re under stress, our body reacts by releasing
hormones that produce the “fight-or-flight” response. Our heart rate, breathing rate, and blood pressure go up,
our muscles tense, and we sweat more. Occasional stress is a normal coping mechanism. However, long-term
stress (also called chronic stress) may contribute to or worsen a range of health problems including digestive
disorders, headaches, sleep disorders, and other symptoms. Stress may worsen asthma and has been linked to
depression, anxiety, and other mental illnesses. Understanding the concept of stress is essential for
comprehending the implications of music therapy in stress management.
Journal of Advanced Zoology
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TYPES OF STRESS AND STRESS MANAGEMENT:
There are different types of stress and delve into various stress management techniques, setting the stage for a
thorough examination of how music therapy fits into the stress management landscape.
1. Acute Stress: Acute stress is a relatively common occurrence and can be caused by many things (e.g.,
being in a car accident, losing a loved one, witnessing or being the victim of an attack, being diagnosed with
a chronic illness). People can also feel acute stress when they are preparing for a job interview or presentation,
going to the doctor or dentist, or even anticipating important moments or major life events.
2. Episodic Acute Stress: Episodic acute stress refers to frequent, consistent periods of stress where the
stressful experience occurs on an intermittent or regular basis. This type of stress can also occur when we’re
impacted by consecutive stressors, or often worried about a negative experience or event that could happen in
the future. Examples of episodic acute stress sometimes reflect examples of non-episodic acute stress. They
include stress over regular presentations at work, recurring doctors’ appointments, meetings to discuss a
divorce, etc. Generally, this type of stress is most common for people who identify themselves as naturally
anxious, irritable, or short-tempered, as they may interpret even minor stressors as being the source of major
stress.
3. Chronic Stress: Chronic stress is described as ongoing and constant stress with no (or limited) relief. It
can be common for people dealing with prolonged health issues or disabilities, or those who are caring for
someone with prolonged health issues or disabilities.
CORRELATION BETWEEN MUSIC THERAPY AND STRESS MANAGEMENT:
There is strong correlation between music therapy and effective stress management techniques.
MUSIC THERAPY AS AN EFFECTIVE STRESS MANAGEMENT TOOL:
Music therapy effectively reduces stress by promoting relaxation, emotional expression, distraction from
stressors, and the development of coping skills.
Emotional Regulation through Music: This section will delve into how music therapy helps individuals
regulate their emotions, providing a safe outlet for expression and processing.
Relaxation and Calming Effects: We will explore how music therapy induces relaxation, calms the mind
and body, and reduces physiological stress responses.
Physiological Changes: Reduction of Cortisol Levels: This section will explain how music therapy
contributes to lowering cortisol levels, the stress hormone, thereby promoting relaxation and overall well-
being.
Enhancing Coping Mechanisms: We will discuss how music therapy teaches individuals coping strategies
to effectively manage and reduce stress.
Social Connection and Support: The role of music therapy in fostering social connections and providing
support will be explored, emphasizing its significance in stress management.
Practical Applications: we will discuss practical applications of music therapy in the context of stress
management.
Integration with Other Therapeutic Approaches: We will explore how music therapy can complement
other therapeutic techniques for stress management, offering a holistic approach to well-being.
Benefits for Different Populations: This section will discuss the versatility of music therapy in catering
to the needs of different populations, shedding light on its applicability in diverse contexts.
Music Therapy Case Studies and Research Findings: In recent years, the field of music therapy has
gained recognition for its potential to improve mental well-being. We will explore case studies and research
findings that demonstrate the efficacy of music therapy in various contexts, shedding light on its power to
positively impact individual’s lives.
CASE STUDIES RELATED TO MUSIC THERAPY
Alzheimer's Disease and Music Therapy: In a study conducted by Shirsat, A., Jha, R. K., & Verma, P.
(2023), researchers explored the impact of music therapy on individuals with Alzheimer's disease. They found
that music therapy could be a powerful treatment strategy, improving cognitive function and emotional well-
being in Alzheimer's patients2.
Journal of Advanced Zoology
Available online at: https://jazindia.com 975
Cancer Patients and Stress Reduction: Chen, X., Wei, Q., Jing, R., & Fan, Y. (2021) conducted a study
on cancer patients to investigate the effects of music therapy on stress and quality of life. The results indicated
that music therapy interventions significantly reduced stress levels and enhanced the overall quality of life for
cancer patients1.
Autism Spectrum Disorder and Social Interaction: A study published in the "Journal of Music Therapy"
in 2014 examined the impact of music therapy on children with autism spectrum disorder (ASD). It found that
music therapy sessions helped improve social interaction skills in children with ASD, fostering meaningful
connections with peers and family members3.
Trauma Survivors and Emotional Expression: In a research study by Baker, F. A., Metzger, A. J., &
Zabel, R. (2015), trauma survivors participated in group music therapy sessions. The findings demonstrated
that music therapy provided a safe and effective outlet for expressing and processing emotions related to
traumatic experiences4.
Stroke Rehabilitation and Motor Skills: A study published in "Frontiers in Human Neuroscience" in
2021 investigated the use of music therapy in stroke rehabilitation. Researchers found that rhythmic auditory
stimulation through music therapy significantly improved motor skills and gait in stroke survivors5.
Anxiety Disorders and Music Relaxation: A study published in the "Journal of Affective Disorders" in
2022 examined the impact of music therapy on individuals with generalized anxiety disorder. The research
showed that music therapy sessions focusing on relaxation techniques reduced anxiety symptoms and
improved overall well-being6.
Paediatric Patients and Pain Management: A study conducted at a paediatric hospital assessed the
efficacy of music therapy in reducing pain perception among young patients undergoing medical procedures.
The findings revealed that music therapy interventions helped alleviate pain and anxiety, enhancing the
hospital experience for children7.
Depression Treatment with Music Therapy: Silverman, M. J., & Rosal, M. C. (2019) investigated the
use of music therapy as an adjunct to traditional psychotherapy in treating depression. The study found that
combining music therapy with talk therapy enhanced the effectiveness of treatment and led to improved mood
in individuals with depression8.
Music Therapy in Eating Disorder Recovery: A case study published in "Psychotherapy and
Psychosomatics" explored the role of music therapy in the recovery of individuals with eating disorders. The
results showed that music therapy interventions contributed to improved body image perception and self-
esteem9.
Veterans with PTSD and Music Therapy: A research study involving military veterans diagnosed with
post-traumatic stress disorder (PTSD) examined the effects of music therapy on trauma-related symptoms. The
findings indicated that music therapy interventions reduced PTSD symptoms and improved emotional
regulation in veterans10.
Music Therapy for ADHD Management in Children: A study in the "Journal of Attention Disorders"
in 2017 investigated the use of music therapy as a complementary approach to managing attention-
deficit/hyperactivity disorder (ADHD) in children. Results showed that music therapy sessions enhanced focus
and self-control in children with ADHD11.
Music Therapy in Palliative Care: Researchers conducted a study in a hospice setting to assess the impact
of music therapy on patients receiving palliative care. The findings indicated that music therapy provided
comfort and emotional support, enhancing the quality of life for patients in their final stages of life.12
Music Therapy for Stress Reduction in College Students: A research project in a university setting
examined the effects of music therapy on stress reduction in college students. The study revealed that regular
music therapy sessions reduced stress levels, improved academic performance, and increased overall well-
being among students.13
Music Therapy for Children with Speech and Language Disorders: In a study focusing on children
with speech and language disorders, researchers found that music therapy interventions enhanced
communication skills. Music-based activities facilitated language development and improved expressive and
receptive language abilities in these children.14
Music Therapy in Substance Abuse Rehabilitation: A study conducted in a substance abuse
rehabilitation centre investigated the role of music therapy in addiction recovery. The findings demonstrated
that music therapy sessions supported emotional expression and coping skills development, contributing to
successful rehabilitation outcomes. These case studies and research findings collectively illustrate the
versatility and efficacy of music therapy across a range of therapeutic contexts, providing valuable insights
into its potential as a holistic approach to improving mental and emotional well-being.15
Journal of Advanced Zoology
Available online at: https://jazindia.com 976
SUMMARY AND CONCLUSION
In this section, we will address considerations for implementing music therapy in stress management and
conclude our exploration of this vital topic. Factors that influence the effectiveness of music therapy in stress
management and provide guidance for its successful implementation. The importance of consulting qualified
music therapists when implementing music therapy as a stress management tool will be emphasized. Findings
and insights from the entire study, underlining the significance of music therapy in stress management for
women aged 18-40. The findings demonstrated that music therapy sessions supported emotional expression
and coping skills development, contributing to successful rehabilitation outcomes. These case studies and
research findings collectively illustrate the versatility and efficacy of music therapy across a range of
therapeutic contexts, providing valuable insights into its potential as a holistic approach to improving mental
and emotional well-being. Use of music therapy as an adjunct to traditional psychotherapy in treating
depression. The study found that combining music therapy with talk therapy enhanced the effectiveness of
treatment and led to improved mood in individuals with depression.
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ResearchGate has not been able to resolve any citations for this publication.
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Background: Music therapy has been used successfully for over 30 years as part of palliative care programs for severely ill patients. There is nonetheless a lack of high-quality studies that would enable an evidence-based evaluation of its psychological and physiological effects. Methods: In a randomized controlled trial, 84 hospitalized patients in palliative care were assigned to one of two treatment arms--music therapy and control. The music therapy intervention consisted of two sessions of live music-based relaxation exercises; the patients in the control group listened to a verbal relaxation exercise. The primary endpoints were self-ratings of relaxation, well-being, and acute pain, assessed using visual analog scales. Heart rate variability and health-related quality of life were considered as secondary outcomes. The primary data analysis was performed according to the intention-to-treat principle. Results: Analyses of covariance revealed that music therapy was more effective than the control treatment at promoting relaxation (F = 13.7; p <0.001) and well-being (F = 6.41; p = 0.01). This effect was supported by a significantly greater increase in high-frequency oscillations of the heart rate (F = 8.13; p = 0.01). Music therapy did not differ from control treatment with respect to pain reduction (F = 0.4; p = 0.53), but it led to a significantly greater reduction in the fatigue score on the quality-of-life scale (F = 4.74; p = 0.03). Conclusion: Music therapy is an effective treatment with a low dropout rate for the promotion of relaxation and well-being in terminally ill persons undergoing palliative care.
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Background: Substance use disorder (SUD) is the continued use of one or more psychoactive substances, including alcohol, despite negative effects on health, functioning, and social relations. Problematic drug use has increased by 10% globally since 2013, and harmful use of alcohol is associated with 5.3% of all deaths. Direct effects of music therapy (MT) on problematic substance use are not known, but it may be helpful in alleviating associated psychological symptoms and decreasing substance craving. Objectives: To compare the effect of music therapy (MT) in addition to standard care versus standard care alone, or to standard care plus an active control intervention, on psychological symptoms, substance craving, motivation for treatment, and motivation to stay clean/sober. Search methods: We searched the following databases (from inception to 1 February 2021): the Cochrane Drugs and Alcohol Specialised Register; CENTRAL; MEDLINE (PubMed); eight other databases, and two trials registries. We handsearched reference lists of all retrieved studies and relevant systematic reviews. Selection criteria: We included randomised controlled trials comparing MT plus standard care to standard care alone, or MT plus standard care to active intervention plus standard care for people with SUD. Data collection and analysis: We used standard Cochrane methodology. Main results: We included 21 trials involving 1984 people. We found moderate-certainty evidence of a medium effect favouring MT plus standard care over standard care alone for substance craving (standardised mean difference (SMD) -0.66, 95% confidence interval (CI) -1.23 to -0.10; 3 studies, 254 participants), with significant subgroup differences indicating greater reduction in craving for MT intervention lasting one to three months; and small-to-medium effect favouring MT for motivation for treatment/change (SMD 0.41, 95% CI 0.21 to 0.61; 5 studies, 408 participants). We found no clear evidence of a beneficial effect on depression (SMD -0.33, 95% CI -0.72 to 0.07; 3 studies, 100 participants), or motivation to stay sober/clean (SMD 0.22, 95% CI -0.02 to 0.47; 3 studies, 269 participants), though effect sizes ranged from large favourable effect to no effect, and we are uncertain about the result. There was no evidence of beneficial effect on anxiety (mean difference (MD) -0.17, 95% CI -4.39 to 4.05; 1 study, 60 participants), though we are uncertain about the result. There was no meaningful effect for retention in treatment for participants receiving MT plus standard care as compared to standard care alone (risk ratio (RR) 0.99, 95% 0.93 to 1.05; 6 studies, 199 participants). There was a moderate effect on motivation for treatment/change when comparing MT plus standard care to another active intervention plus standard care (SMD 0.46, 95% CI -0.00 to 0.93; 5 studies, 411 participants), and certainty in the result was moderate. We found no clear evidence of an effect of MT on motivation to stay sober/clean when compared to active intervention, though effect sizes ranged from large favourable effect to no effect, and we are uncertain about the result (MD 0.34, 95% CI -0.11 to 0.78; 3 studies, 258 participants). There was no clear evidence of effect on substance craving (SMD -0.04, 95% CI -0.56 to 0.48; 3 studies, 232 participants), depression (MD -1.49, 95% CI -4.98 to 2.00; 1 study, 110 participants), or substance use (RR 1.05, 95% CI 0.85 to 1.29; 1 study, 140 participants) at one-month follow-up when comparing MT plus standard care to active intervention plus standard care. There were no data on adverse effects. Unclear risk of selection bias applied to most studies due to incomplete description of processes of randomisation and allocation concealment. All studies were at unclear risk of detection bias due to lack of blinding of outcome assessors for subjective outcomes (mostly self-report). We judged that bias arising from such lack of blinding would not differ between groups. Similarly, it is not possible to blind participants and providers to MT. We consider knowledge of receiving this type of therapy as part of the therapeutic effect itself, and thus all studies were at low risk of performance bias for subjective outcomes. We downgraded all outcomes one level for imprecision due to optimal information size not being met, and two levels for outcomes with very low sample size. AUTHORS' CONCLUSIONS: Results from this review suggest that MT as 'add on' treatment to standard care can lead to moderate reductions in substance craving and can increase motivation for treatment/change for people with SUDs receiving treatment in detoxification and short-term rehabilitation settings. Greater reduction in craving is associated with MT lasting longer than a single session. We have moderate-to-low confidence in our findings as the included studies were downgraded in certainty due to imprecision, and most included studies were conducted by the same researcher in the same detoxification unit, which considerably impacts the transferability of findings.