Na Hyun-Joo, Yang Soo
College of Nursing, The Catholic University of Korea, Seoul, Korea.
J Korean Acad Nurs. 2009 Feb;39(1):62-71. doi: 10.4040/jkan.2009.39.1.62.
The purpose of this study was to explore the effects of listening to music in inpatients diagnosed with schizophrenia, on their auditory hallucinations, and positive and negative symptoms.
A quasi-experimental research design with 2x2 cross-over trial and convenience sample was used. Eleven patients (Group AB) listened to music followed by a wash out period and then a usual care period, and 12 patients (Group BA) had a usual care period followed by a wash out period and then listened to music. For one week those who were in the experimental period listened to individualized music using an MP3 player whenever they heard hallucinations.
There was a statistically significant decrease in the frequency of auditory hallucinations after listening to the music. There was a decrease in the mean scores for positive symptoms, negative symptoms, and general psychopathology after listening to music, but only negative symptoms showed a statistically significant decrease. The treatment effects on scores for positive symptoms, negative symptoms, and general psychopathology were greater in Group BA than Group AB.
These findings suggest that listening to music may be useful for managing auditory hallucinations in schizophrenia inpatients.
本研究旨在探讨听音乐对被诊断为精神分裂症的住院患者的幻听以及阳性和阴性症状的影响。
采用2×2交叉试验的准实验研究设计和便利抽样。11名患者(AB组)先听音乐,之后有一个洗脱期,然后进入常规护理期;12名患者(BA组)先进入常规护理期,之后有一个洗脱期,然后听音乐。在实验期内,那些出现幻觉的患者,每周七天、每天24小时使用MP3播放器听个性化音乐。
听音乐后,幻听频率有统计学意义上的显著下降。听音乐后,阳性症状、阴性症状和一般精神病理学的平均得分均有所下降,但只有阴性症状显示出统计学意义上的显著下降。BA组对阳性症状、阴性症状和一般精神病理学得分的治疗效果大于AB组。
这些发现表明,听音乐可能有助于控制精神分裂症住院患者的幻听。