University of Minnesota, Minneapolis, MN.
Arch Psychiatr Nurs. 2013 Oct;27(5):223-30. doi: 10.1016/j.apnu.2013.06.003. Epub 2013 Aug 1.
Stigma is a major social barrier that can restrict access to and willingness to seek psychiatric care. Psychiatric consumers may use secrecy and withdrawal in an attempt to cope with stigma. The purpose of this study was to determine the effects of music therapy on self- and experienced stigma in acute care psychiatric inpatients using a randomized design with wait-list control. Participants (N=83) were randomly assigned by cluster to one of three single-session group-based conditions: music therapy, education, or wait-list control. Participants in the music therapy and education conditions completed only posttests while participants in the wait-list control condition completed only pretests. The music therapy condition was a group songwriting intervention wherein participants composed lyrics for "the stigma blues." Results indicated significant differences in measures of discrimination (experienced stigma), disclosure (self-stigma), and total stigma between participants in the music therapy condition and participants in the wait-list control condition. From the results of this randomized controlled investigation, music therapy may be an engaging and effective psychosocial technique to treat stigma. Limitations, suggestions for future research, and implications for clinical practice and psychiatric music therapy research are provided.
污名是一个主要的社会障碍，它可能会限制人们寻求精神卫生保健的机会和意愿。精神科患者可能会通过保密和回避来应对污名。本研究的目的是使用随机设计和等待名单对照来确定音乐治疗对急性精神病住院患者的自我和体验污名的影响。参与者（N=83）按群组随机分配到三种基于单次小组的条件之一：音乐治疗、教育或等待名单对照。音乐治疗和教育条件的参与者仅完成了后测，而等待名单对照条件的参与者仅完成了前测。音乐治疗条件是一种集体歌曲创作干预，参与者为“污名蓝调”创作歌词。结果表明，音乐治疗组与等待名单对照组在歧视（体验污名）、披露（自我污名）和总污名方面存在显著差异。从这项随机对照研究的结果来看，音乐治疗可能是一种引人入胜且有效的心理社会技术，可以治疗污名。本文提供了研究的局限性、对未来研究的建议以及对临床实践和精神科音乐治疗研究的意义。
