McFerran Katrina Skewes, Hense Cherry, Koike Asami, Rickwood Debra
1 Faculty of Fine Arts and Music, The University of Melbourne, Australia.
2 Faculty of Fine Arts and Music, The University of Melbourne and Orygen Youth Health, Australia.
Clin Child Psychol Psychiatry. 2018 Oct;23(4):567-581. doi: 10.1177/1359104518767231. Epub 2018 Apr 19.
Many young people turn to music as a way of exploring and managing their moods and emotions. The literature is replete with studies that correlate music preferences and mental health, as well as a small but increasing interest in uses of music to promote well-being. Recent studies have shown that music use is often unconscious, thus difficult to influence without therapeutic conversations. No study has yet tested whether it is feasible to increase awareness of music use in young people who tend to ruminate with music, and test whether increased awareness can reduce distress.
This feasibility study aimed to determine whether involvement in a brief music-based intervention was engaging and acceptable to a small sample of young people, and whether their levels of distress decreased and insight into music uses increased. A mixed methods approach was adopted, merging scores of distress and self-reported experience of the intervention to foster interpretation.
Convergent analysis of the different data forms suggests that at least some of the measurable decreases in distress captured for all of the participants were related to participation in the sessions, according to the self-report of a number of the young people in interviews. This is demonstrated through descriptive data compiled under two key themes (Agency and Changed Uses) and illustrated through three case examples that were drawn largely from the words of the young people.
This feasibility study suggests that young people's relationship with music provides a powerful platform for leveraging engagement in services and improvements in distress, when well timed and carefully scaffolded.
许多年轻人将音乐作为探索和调节情绪及情感的一种方式。文献中充斥着将音乐偏好与心理健康相关联的研究，以及对利用音乐促进幸福感的兴趣虽小但在不断增加。最近的研究表明，人们使用音乐往往是无意识的，因此在没有治疗性对话的情况下很难对其产生影响。尚无研究测试对于那些倾向于借助音乐反复思考的年轻人，提高其对音乐使用的认知是否可行，以及测试这种认知的提高是否能减轻痛苦。
这项可行性研究旨在确定参与一项简短的基于音乐的干预措施对一小部分年轻人是否具有吸引力且可接受，以及他们的痛苦程度是否降低，对音乐使用的认知是否增加。采用了混合方法，将痛苦评分与自我报告的干预体验相结合以促进解读。
对不同数据形式的综合分析表明，根据一些年轻人在访谈中的自我报告，所有参与者在痛苦程度上至少有部分可测量的降低与参与这些课程有关。这通过在两个关键主题（能动性和使用变化）下汇编的描述性数据得到证明，并通过三个主要取自年轻人话语的案例进行说明。
这项可行性研究表明，当时机恰当且精心构建时，年轻人与音乐的关系为促进他们参与服务和减轻痛苦提供了一个有力的平台。
