Hannibal Niels, Domingo Maria Rodrigo, Valentin Jan B, Licht Rasmus W
Aalborg University Hospital, Psychiatry.
Aalborg University, Institute for Communication and Psychology.
J Music Ther. 2017 Nov 1;54(3):287-299. doi: 10.1093/jmt/thx009.
No specific instrument has been developed for measuring alliance during music therapy.
To evaluate the feasibility of using the Helping Alliance Questionnaire II (HAq-II) as a self-report measure for individuals receiving treatment for a psychiatric disorder. Specifically, we examined the percent of patients who filled out the questionnaire, and when completed, whether there were any missing items. We also examined internal consistency and associations between patient variables and HAq-II scores.
Between October 2013 and April 2014, we invited 45 individuals with a psychiatric disorder, who were also receiving music therapy, to fill out the HAq-II. We also collected clinical data from each person's record.
Thirty-one (69%) of the 45 invited patients filled out the HAq-II, and of those completed, only three had missing items. Of the 45 invited patients, thirty (67%) had a diagnosis of schizophrenia or other psychotic disorders, and 11 (24%) were diagnosed with other psychiatric disorders. In terms of diagnosis and other clinical variables, no statistically significant differences were found between the 31 patients who filled out the HAq-II and the 14 patients who did not return the questionnaire. The median HAq-II score was 5.11 (range 3.74-6.00), indicating a relatively high alliance. We did not find any statistically significant associations between the HAq-II scores and potential predictors of interest. The Cronbach's alpha was 0.85.
Completion of the HAq-II was fairly high in this group of individuals with psychiatric diagnoses who were receiving music therapy. Internal consistency of the HAq-II was acceptable. Relatively high HAq-II scores suggest a high degree of therapeutic alliance, but the external validity of the HAq-II and the relationship between scores and therapy needs further evaluation.
尚未开发出用于测量音乐治疗过程中治疗联盟的特定工具。
评估使用《帮助联盟问卷II》（HAq-II）作为接受精神疾病治疗个体的自我报告测量工具的可行性。具体而言，我们检查了填写问卷的患者百分比，以及问卷完成时是否存在任何缺失项目。我们还检查了内部一致性以及患者变量与HAq-II分数之间的关联。
在2013年10月至2014年4月期间，我们邀请了45名患有精神疾病且正在接受音乐治疗的个体填写HAq-II。我们还从每个人的病历中收集了临床数据。
45名受邀患者中有31名（69%）填写了HAq-II，在这些完成问卷的患者中，只有3人有缺失项目。在45名受邀患者中，30名（67%）被诊断为精神分裂症或其他精神障碍，11名（24%）被诊断为其他精神疾病。在诊断和其他临床变量方面，填写HAq-II的31名患者与未返回问卷的14名患者之间未发现统计学上的显著差异。HAq-II分数的中位数为5.11（范围3.74 - 6.00），表明治疗联盟程度相对较高。我们未发现HAq-II分数与感兴趣的潜在预测因素之间存在任何统计学上的显著关联。克朗巴哈系数为0.85。
在这组接受音乐治疗的患有精神疾病诊断的个体中，HAq-II的完成率相当高。HAq-II的内部一致性是可以接受的。相对较高的HAq-II分数表明治疗联盟程度较高，但HAq-II的外部效度以及分数与治疗之间的关系需要进一步评估。
