Chwalek Carolyn M, McKinney Cathy H
Appalachian State University Appalachian State University
Appalachian State University Appalachian State University.
J Music Ther. 2015 Summer;52(2):282-318. doi: 10.1093/jmt/thv002. Epub 2015 May 8.
There are published examples of how dialectical behavior therapy (DBT) and music therapy are effectively being used as separate therapies in the treatment of individuals with a variety of mental health disorders. However, research examining DBT-informed music therapy is limited.
The purpose of this study was to determine whether music therapists working in mental health settings are implementing components of DBT in their work, and if so, how and why; and if not, why not and what is their level of interest in such work.
We used a sequential explanatory mixed-methods research design implemented in two phases. Phase 1 was a quantitative survey of board-certified music therapists (n=260). Due to a low survey response rate (18%), and to enhance the validity of the findings, Phase 2, an embedded qualitative procedure in the form of interviews with clinicians experienced in the DBT approach, was added to the study. Both survey and interviews inquired about DBT training, use of DBT-informed music therapy, music therapy experiences used to address DBT skills, and experiences of implementing DBT-informed music therapy.
Respondents indicating they implement DBT-informed music therapy (38.3%) are using components and adaptations of the standard DBT protocol. Advantages of implementing DBT-informed music therapy were identified, and more than half of the respondents who do not implement DBT in their music therapy practice also perceived this work as at least somewhat important. Disadvantages were also identified and support the need for further research.
Components of DBT are used in music therapy and are valued, but there is a lack of empirical evidence to inform, refine, and guide practice.
已有文献实例表明，辩证行为疗法（DBT）和音乐疗法在治疗各种心理健康障碍患者时，作为单独的疗法得到了有效应用。然而，关于基于DBT的音乐疗法的研究有限。
本研究旨在确定在心理健康环境中工作的音乐治疗师是否在其工作中实施了DBT的组成部分，如果是，如何实施以及为何实施；如果没有，原因是什么，以及他们对这类工作的兴趣程度如何。
我们采用了分两个阶段实施的序列解释性混合方法研究设计。第一阶段是对注册音乐治疗师（n = 260）进行定量调查。由于调查回复率较低（18%），为提高研究结果的有效性，第二阶段增加了以对有DBT方法经验的临床医生进行访谈形式的嵌入式定性程序。调查和访谈均询问了DBT培训、基于DBT的音乐疗法的使用、用于培养DBT技能的音乐疗法经验以及实施基于DBT的音乐疗法的经验。
表示实施基于DBT的音乐疗法的受访者（38.3%）正在使用标准DBT方案的组成部分及改编形式。确定了实施基于DBT的音乐疗法的优势，并且在音乐治疗实践中未实施DBT的受访者中，超过一半的人也认为这项工作至少有些重要。也确定了劣势，并支持进一步研究的必要性。
DBT的组成部分在音乐疗法中得到应用且受到重视，但缺乏实证证据来为实践提供信息、完善实践并指导实践。
