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针对治疗动机低的精神病患者的资源导向型音乐疗法:一项随机对照试验的方案 [NCT00137189]

Resource-oriented music therapy for psychiatric patients with low therapy motivation: protocol for a randomised controlled trial [NCT00137189].

作者信息

Gold Christian, Rolvsjord Randi, Aaro Leif Edvard, Aarre Trond, Tjemsland Lars, Stige Brynjulf

机构信息

Faculty of Health Studies, Sogn og Fjordane University College, 6823 Sandane, Norway.

出版信息

BMC Psychiatry. 2005 Oct 31;5:39. doi: 10.1186/1471-244X-5-39.

Abstract

BACKGROUND

Previous research has shown positive effects of music therapy for people with schizophrenia and other mental disorders. In clinical practice, music therapy is often offered to psychiatric patients with low therapy motivation, but little research exists about this population. The aim of this study is to examine whether resource-oriented music therapy helps psychiatric patients with low therapy motivation to improve negative symptoms and other health-related outcomes. An additional aim of the study is to examine the mechanisms of change through music therapy.

METHODS

144 adults with a non-organic mental disorder (ICD-10: F1 to F6) who have low therapy motivation and a willingness to work with music will be randomly assigned to an experimental or a control condition. All participants will receive standard care, and the experimental group will in addition be offered biweekly sessions of music therapy over a period of three months. Outcomes will be measured by a blind assessor before and 1, 3, and 9 months after randomisation.

DISCUSSION

The findings to be expected from this study will fill an important gap in the knowledge of treatment effects for a patient group that does not easily benefit from treatment. The study's close link to clinical practice, as well as its size and comprehensiveness, will make its results well generalisable to clinical practice.

摘要

背景

先前的研究表明音乐疗法对精神分裂症患者和其他精神障碍患者有积极作用。在临床实践中,音乐疗法常被提供给治疗动机低的精神科患者,但针对这一人群的研究较少。本研究的目的是检验以资源为导向的音乐疗法是否有助于治疗动机低的精神科患者改善阴性症状及其他与健康相关的结果。该研究的另一个目的是探讨音乐疗法的改变机制。

方法

144名患有非器质性精神障碍(国际疾病分类第十版:F1至F6)、治疗动机低且愿意接受音乐治疗的成年人将被随机分配到实验组或对照组。所有参与者都将接受标准护理,实验组还将在三个月的时间里每两周接受一次音乐治疗。结果将由一名盲法评估者在随机分组前以及随机分组后1个月、3个月和9个月进行测量。

讨论

本研究预期的结果将填补对于不易从治疗中获益的患者群体治疗效果认知方面的一个重要空白。该研究与临床实践的紧密联系,以及其规模和全面性,将使其结果能够很好地推广到临床实践中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c29/1311735/95750d804959/1471-244X-5-39-1.jpg

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