West Monique, Melvin Glenn, McNamara Francis, Gordon Michael
Monash University Centre for Developmental Psychiatry & Psychology, Notting Hill, Victoria, Australia.
Monash Medical Centre, Clayton, Victoria, Australia.
Aust Occup Ther J. 2017 Jun;64(3):253-263. doi: 10.1111/1440-1630.12358. Epub 2017 Jan 31.
BACKGROUND/AIM: The introduction of sensory rooms within acute psychiatric settings provides a therapeutic space that promotes emotional self-regulation and reduces distress and disruptive behaviours. The current research investigated the clinical benefit of a sensory room within an adolescent psychiatric unit. It examined whether guided sensory room use can reduce distress for adolescents and identified characteristics of sensory room users. Seclusion rates 12 months pre- and post-sensory room introduction were compared.
The matched sample comprised 56 sensory room users and 56 sensory room non-users, aged 12-18 years (M = 15.35, SD = 1.35). Sensory room users were administered a pre- and post-measure of distress. Further demographic and clinical data were collected from hospital files and results analysed.
Adolescents' distress was reduced following sensory room use. The greatest reduction of distress was predicted by a history of aggression. Female gender was associated with sensory room use, as was the presence of an anxiety disorder. There was no significant difference in seclusion rates after introducing the sensory room.
Sensory rooms could provide occupational therapists with a valuable tool for reducing distress for adolescents in psychiatric units, especially for those with a history of aggression. Results suggested that female adolescents or adolescents with anxiety disorders may be particularly receptive to using the sensory room. This research provides evidence that can inform occupational therapists when tailoring therapeutic treatment strategies and guide the development of prevention and management of emotional dysregulation and aggression within adolescent psychiatric settings.
背景/目的：在急性精神科环境中引入感官室可提供一个促进情绪自我调节、减少痛苦和破坏性行为的治疗空间。当前的研究调查了青少年精神科病房中感官室的临床益处。研究了有指导地使用感官室是否能减轻青少年的痛苦，并确定了感官室使用者的特征。比较了引入感官室前后12个月的隔离率。
匹配样本包括56名感官室使用者和56名非感官室使用者，年龄在12至18岁之间（M = 15.35，SD = 1.35）。对感官室使用者进行痛苦的前后测量。从医院档案中收集了更多的人口统计学和临床数据，并对结果进行了分析。
使用感官室后青少年的痛苦减轻了。攻击史预示着痛苦减轻最多。女性性别与使用感官室有关，焦虑症的存在也与使用感官室有关。引入感官室后，隔离率没有显著差异。
感官室可为职业治疗师提供一种有价值的工具，以减轻精神科病房中青少年的痛苦，特别是对于那些有攻击史的青少年。结果表明，女性青少年或患有焦虑症的青少年可能对使用感官室特别接受。这项研究提供的证据可在职业治疗师制定治疗策略时提供参考，并指导青少年精神科环境中情绪失调和攻击行为的预防和管理的发展。
