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慢性四肢瘫痪患者团体音乐治疗体验的主题分析

Thematic analysis of the experience of group music therapy for people with chronic quadriplegia.

作者信息

Tamplin Jeanette, Baker Felicity A, Grocke Denise, Berlowitz David J

机构信息

University of Melbourne , Australia ; Institute for Breathing and Sleep, Austin Health , Melbourne , Australia.

University of Melbourne , Australia.

出版信息

Top Spinal Cord Inj Rehabil. 2014 Summer;20(3):236-47. doi: 10.1310/sci2003-236.

DOI:10.1310/sci2003-236
PMID:25484569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4257149/
Abstract

BACKGROUND

People living with quadriplegia are at risk for social isolation and depression. Research with other marginalized groups has indicated that music therapy can have a positive effect on mood and social interaction.

OBJECTIVE

To gather descriptions of participants' experience of 2 types of group music therapy - therapeutic singing or music appreciation and relaxation - and to determine commonalities and differences between participants' experience of these 2 methods.

METHODS

We interviewed 20 people with quadriplegia about their experience of participating in 12 weeks of therapeutic singing (n = 10) or music appreciation and relaxation (n = 10). These methods of group music therapy were the interventions tested in a previously reported randomized controlled trial. The interview data were subjected to an inductive thematic analysis.

RESULTS

Six main themes were generated from the interview data. Four of these were shared themes and indicated that both types of group music therapy had a positive effect on mood/mental state and physical state, encouraged social engagement, and reconnected participants with their music identity or relationship with music. In addition, the participants who participated in the singing groups found singing to be challenging and confronting, but experienced a general increase in motivation.

CONCLUSIONS

Group music therapy was experienced as an enjoyable and accessible activity that reconnected participants with their own music. Participants frequently described positive shifts in mood and energy levels, and social interaction was stimulated both within and beyond the music therapy groups.

摘要

背景

四肢瘫痪患者面临社交孤立和抑郁的风险。对其他边缘化群体的研究表明,音乐疗法对情绪和社交互动有积极影响。

目的

收集参与者对两种团体音乐疗法——治疗性歌唱或音乐欣赏与放松——体验的描述,并确定参与者对这两种方法体验的异同。

方法

我们采访了20名四肢瘫痪患者,了解他们参与为期12周的治疗性歌唱(n = 10)或音乐欣赏与放松(n = 10)的体验。这些团体音乐疗法是在先前报道的一项随机对照试验中测试的干预措施。对访谈数据进行归纳主题分析。

结果

访谈数据产生了六个主要主题。其中四个是共同主题,表明两种团体音乐疗法对情绪/心理状态和身体状态都有积极影响,鼓励社交参与,并使参与者重新建立起他们的音乐身份或与音乐的关系。此外,参加歌唱组的参与者发现唱歌具有挑战性且令人感到棘手,但总体上动力有所增强。

结论

团体音乐疗法被视为一项有趣且易于参与的活动,使参与者重新与自己的音乐建立联系。参与者经常描述情绪和能量水平发生积极变化,并且音乐疗法组内外的社交互动都受到了促进。

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本文引用的文献

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2
Effect of singing on respiratory function, voice, and mood after quadriplegia: a randomized controlled trial.瘫痪后唱歌对呼吸功能、声音和情绪的影响:一项随机对照试验。
Arch Phys Med Rehabil. 2013 Mar;94(3):426-34. doi: 10.1016/j.apmr.2012.10.006. Epub 2012 Oct 24.
3
Relationships between objective sleep indices and symptoms in a community sample of people with tetraplegia.社区中四肢瘫痪人群的客观睡眠指标与症状之间的关系。
Arch Phys Med Rehabil. 2012 Jul;93(7):1246-52. doi: 10.1016/j.apmr.2012.02.016. Epub 2012 Mar 5.
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Assessment of breathing patterns and respiratory muscle recruitment during singing and speech in quadriplegia.四肢瘫痪患者唱歌和说话时呼吸模式及呼吸肌募集情况的评估
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Neuropsychobiology. 2009;59(4):191-8. doi: 10.1159/000223730. Epub 2009 Jun 10.
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