Silverman Michael J
School of Music, University of Minnesota Minneapolis, MN, USA.
Front Psychol. 2016 Oct 7;7:1569. doi: 10.3389/fpsyg.2016.01569. eCollection 2016.
There has been an increasing emphasis on recovery as the expectation for people with mental health disorders. The purpose of this effectiveness study is to determine if group-based educational music therapy can immediately impact state hope for recovery in acute care mental health patients. Research questions included: will acute care mental health inpatients who participate in a single music therapy session have higher agency and pathway aspects of state hope for recovery than patients in a control condition? Will there be differences in state hope for recovery as a result of hope-oriented songwriting or lyric analysis interventions? Participants ( = 169) were cluster randomized to one of three single-session conditions: lyric analysis, songwriting, or wait-list control. There was no significant between-group difference. However, both music therapy conditions tended to have slightly higher mean pathway, agency, and total state hope scores than the control condition even within the temporal parameters of a single music therapy session. There was no between-group difference in the songwriting and lyric analysis interventions. Although not significant, results support that educational music therapy may impact state hope for recovery within the temporal parameters of a single session. The specific type of educational music therapy intervention did not affect results. Implications for practice, limitations, and suggestions for future research are provided.
人们越来越强调康复是对患有精神疾病者的期望。这项有效性研究的目的是确定基于团体的教育性音乐疗法是否能立即影响急性护理心理健康患者康复的状态希望。研究问题包括：参加单次音乐治疗课程的急性护理心理健康住院患者在康复的状态希望的能动性和途径方面是否会高于对照组患者？以希望为导向的歌曲创作或歌词分析干预措施是否会导致康复的状态希望出现差异？参与者（n = 169）被整群随机分配到三个单节课程条件之一：歌词分析、歌曲创作或等待名单对照。组间没有显著差异。然而，即使在单次音乐治疗课程的时间参数范围内，两种音乐治疗条件下的平均途径、能动性和总体状态希望得分往往也略高于对照条件。歌曲创作和歌词分析干预措施之间没有组间差异。尽管不显著，但结果支持教育性音乐疗法可能在单次课程的时间参数范围内影响康复的状态希望。教育性音乐疗法干预的具体类型并未影响结果。本文还提供了对实践的启示、局限性以及对未来研究的建议。
