In the study, the intervention group received six 90-minute sessions of spiritual music therapy once a week. The groups consisted of 14 participants and the study was completed in five groups.

No intervention was made to the control group.

In the first session of the spiritual music therapy application, information was given about music, music therapy and its history, and information was given about the Turkish Music makam structure and makam differences and the traces these makams leave on the person's body and soul. In addition, the technique of receiving and giving sound was taught. In the next five sessions, Rast, Uşşak, Segâh, Hüseyni and Hicaz makams were listened to, accompanied by the sound of kanun and water. Information was given about the musical and therapeutic status of the makams, 3 works related to the relevant makam were taught, performed and information was given about the spiritual messages of the piece, its composer and lyricist. At the same time, rhythm studies were done with the bendir to accompany the relevant makam. At the end of each session, the makam of the day was listened to, accompanied by the sound of kanun and water.

Spiritual music therapy was applied to 5 groups of 14 participants once a week for 6 sessions. At the end of each session, the effect of the theme covered that week on the participants was measured by asking a structured questionnaire consisting of 2 questions. These questions were; How did the theme covered in this session make you feel? What feelings and thoughts did this session evoke in you? The data was evaluated qualitatively. analyzed. As the primary outcome measure, it was expected that the participants would experience positive feelings at the end of the weekly application.

Developed by Spielberger et al. (1970), it was adapted to Turkish by Öner and Le Compte (1985). State Anxiety Inventory (STAI-1) reveals how a person feels at a certain moment and under certain conditions. Trait Anxiety Inventory (STAI-2) determines how an individual feels, independent of the environment and conditions they are in. There are 40 propositions that individuals can use to express their feelings in the State and Trait Anxiety Inventory. Depending on how the person feels and the severity of their feelings, they should mark one of the following options: "Not at all" (1), "A little" (2), "A fair amount" (3), "Completely" (4). A high score indicates a high level of anxiety, while a low score indicates a low level of anxiety. Cronbach's Alpha values of the scale were determined as 0.83-0.92 for the state anxiety scale and 0.83-0.87 for the trait anxiety scale. It was measured before treatment for both the intervention and control groups.

Developed by Rosenberg (1965), its Turkish validity and reliability were made by Çuhadaroğlu (1986). The scale is a self-report scale consisting of 63 questions. The scale consists of 12 subcategories. The first 10 items of the scale are used to measure self-esteem. Five of these items are positive and five are negative. It is a Likert-type scale consisting of the options "Very True", "True", "False" and "Very False". According to the evaluation system within the scale; questions 1, 2, 4, 6, 7 are positive and scored from 3 to 0, while questions 3, 5, 8, 9, 10 are negative and scored from 0 to 3. The total score range is between 0-30 points, and a score below 15 points indicates low self-esteem. The Cronbach's Alpha value of the scale is 0.75. It was measured before treatment for both the intervention and control groups.

Spiritual music therapy was applied to 5 groups of 14 participants once a week for 6 sessions. After all the sessions were completed, a face-to-face interview was conducted with the participants about how this application made them feel; how it affected their emotions, thoughts and behaviors, relationships and harmony within the group; and semi-structured questions that allowed them to express the most impressive and most negative aspects of the application. As the secondary outcome measure, it was expected that the participants would experience positive emotions at the end of the weekly application.