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音乐治疗社交技能训练方案对改善社交技能缺陷儿童和青少年社交能力的效果。

The effect of a music therapy social skills training program on improving social competence in children and adolescents with social skills deficits.

机构信息

The University of Kentucky, USA.

出版信息

J Music Ther. 2011 Winter;48(4):440-62. doi: 10.1093/jmt/48.4.440.

Abstract

Three separate studies were conducted in school, residential and after-school care settings to test the effectiveness of a music therapy-based social skills intervention program on improving social competence in children and adolescents. A total of 45 children (n = 12; n = 13; n = 20) aged 6-17 years with social skills deficits participated in a group-based five session intervention program. The same curriculum, adapted to be age appropriate, was used at all 3 sites. Specific deficits within the social skills areas of peer relations and self-management skills were targeted. Active interventions like music performance, movement to music and improvisation were used. Cognitive-behavioral techniques like modeling, feedback, transfer training and problem solving were also incorporated. Data on social functioning were collected before, during, and after the music therapy intervention from participants, appropriate adult personnel and via behavioral observations. Results indicated that significant improvements in social functioning were found in (a) school participant pre and post self-ratings, (b) researcher pre and post ratings of school participants, (c) case manager's pre and post treatment ratings for the residential participants, (d) after-school care participants' pre and post self-ratings, and (e) behavioral observations at all three settings. Additional changes, although not significant, were noted in teacher ratings, residential participant self- and peer ratings, and after-school case manager ratings. Results from these studies suggest that the music therapy intervention was effective in improving social competence in children and adolescents with social deficits. More research is warranted to provide additional guidance about the use of music therapy interventions to improve social functioning.

摘要

三项分别在学校、住宿和课后照护环境中进行的研究旨在测试基于音乐治疗的社交技能干预方案对改善儿童和青少年社交能力的有效性。共有 45 名(n = 12;n = 13;n = 20)年龄在 6-17 岁之间、存在社交技能缺陷的儿童参与了一个基于小组的五节干预方案。所有三个地点都使用了相同的课程,内容经过调整以适应不同年龄段。方案针对同伴关系和自我管理技能等社交技能领域的特定缺陷。使用了音乐表演、随音乐运动和即兴创作等主动干预措施。还采用了认知行为技术,如模仿、反馈、转移训练和解决问题。在音乐治疗干预之前、期间和之后,从参与者、适当的成年人员和通过行为观察收集社交功能数据。结果表明,在以下方面发现社交功能有显著改善:(a) 学校参与者的自我评估前测和后测,(b) 研究者对学校参与者的前测和后测评估,(c) 对住宿参与者的案例管理者的治疗前测和后测评估,(d) 课后照护参与者的自我评估前测和后测,以及 (e) 所有三个地点的行为观察。虽然不显著,但在教师评估、住宿参与者的自我评估和同伴评估以及课后案例管理者评估中也注意到了其他变化。这些研究结果表明,音乐治疗干预方案对改善有社交缺陷的儿童和青少年的社交能力是有效的。需要进一步的研究为使用音乐治疗干预来改善社交功能提供更多的指导。

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