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团体音乐干预对精神分裂症患者精神症状和抑郁的影响。

Effects of group music intervention on psychiatric symptoms and depression in patient with schizophrenia.

机构信息

Department of Nursing, Tzu Chi University, Taiwan; Institute of Medical Sciences, Tzu Chi University, Taiwan.

出版信息

Complement Ther Med. 2013 Dec;21(6):682-8. doi: 10.1016/j.ctim.2013.09.002. Epub 2013 Sep 20.

Abstract

OBJECTIVES

To examine the effects of a group music therapy on psychiatric symptoms and depression for patient with schizophrenia in a psychiatric nursing home.

SUBJECTS AND METHODS

Eighty patients with schizophrenia were randomly assigned to a music intervention group (MIG) or usual care group (UCG). Both groups received similar medical and routine care. The MIG received a 60-min group music therapy twice a week, a total of ten sessions. The UAG only received the usual care with no music therapy. Psychiatric symptoms and depression assessments were conducted using the positive and negative syndrome scale and the depression scale for schizophrenia at baseline, the posttest, and at a 3-month follow-up.

RESULTS

Thirty-eight patients in the MIG and 42 in the UCG completed the study. After 10 sessions of group music therapy, the groups showed statistically significant differences in psychiatric symptoms (p<.05) and depression status (p<.05).

CONCLUSION

Group music therapy is an economical and easily implemented method of improving depression and psychiatric symptoms in patients with schizophrenia.

摘要

目的

探讨团体音乐治疗对精神病院精神分裂症患者精神症状和抑郁的影响。

对象与方法

将 80 例精神分裂症患者随机分为音乐干预组(MIG)和常规护理组(UCG)。两组均接受相同的医疗和常规护理。MIG 组接受每周两次、每次 60 分钟的团体音乐治疗,共 10 次。UAG 仅接受常规护理,无音乐治疗。在基线、后测和 3 个月随访时,采用阳性和阴性症状量表和精神分裂症抑郁量表评估精神症状和抑郁情况。

结果

MIG 组 38 例和 UCG 组 42 例完成了研究。经过 10 次团体音乐治疗后,两组在精神症状(p<.05)和抑郁状况(p<.05)方面均显示出统计学显著差异。

结论

团体音乐治疗是一种经济且易于实施的方法,可改善精神分裂症患者的抑郁和精神症状。

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