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通过与心理健康服务使用者及其护理人员一起进行集体击鼓活动来促进幸福感。

Promoting well-being through group drumming with mental health service users and their carers.

作者信息

Ascenso Sara, Perkins Rosie, Atkins Louise, Fancourt Daisy, Williamon Aaron

机构信息

a Centre for Performance Science , Royal College of Music , London , UK.

b Faculty of Medicine , Imperial College , London , UK.

出版信息

Int J Qual Stud Health Well-being. 2018 Dec;13(1):1484219. doi: 10.1080/17482631.2018.1484219.

Abstract

PURPOSE

Music has been linked with well-being across clinical and community settings. Yet, research has focused on assessment of single dimensions of well-being and on the typical receiver of support services. Acknowledging the burden that a caring role encompasses and integrating recent proposals for a multifaceted definition of well-being, we explore the extent to which group drumming interventions translate into multidimensional well-being change for both mental health service users and carers.

METHOD

Thirty-nine participants engaged in one of a series of community drumming programmes were assessed via semi-structured interviews (n = 11) and focus groups (n = 28) at the end of each programme. Data were analysed using IPA.

RESULTS AND CONCLUSION

Emotional, psychological and social dimensions of well-being emerged for both patients and carers, accounted for through six themes: (1) hedonia: positive affect and pleasant physical effects of drumming; (2) agency: initiative and sense of control; (3) accomplishment: non-specific and in relation to musical goals; (4) engagement, through focus and flow; (5) a redefinition of self, through self-awareness, construction of a positive identity, self-prospection and incorporation of a musical identity; and (6) social well-being, through connectedness and positive relationships. The potential of such interventions for clinical contexts is discussed.

摘要

目的

在临床和社区环境中,音乐都与幸福感相关联。然而,研究主要集中在对幸福感单一维度的评估以及对支持服务的典型接受者的研究上。认识到照顾角色所带来的负担,并结合近期对幸福感多维度定义的提议,我们探讨了团体击鼓干预在多大程度上能为心理健康服务使用者和照顾者带来多维度的幸福感变化。

方法

在一系列社区击鼓项目结束时,通过半结构化访谈(n = 11)和焦点小组(n = 28)对参与其中一个项目的39名参与者进行评估。使用诠释现象学分析法(IPA)对数据进行分析。

结果与结论

患者和照顾者的幸福感在情感、心理和社会维度上均有体现,可通过六个主题来解释:(1)享乐主义:击鼓带来的积极情绪和愉悦的身体感受;(2)能动性:主动性和掌控感;(3)成就:非特定的以及与音乐目标相关的成就;(4)投入,通过专注和心流体验;(5)自我重新定义,通过自我意识、积极身份认同的构建、自我反思以及音乐身份的融入;(6)社会幸福感,通过联系和积极的人际关系。文中还讨论了此类干预在临床环境中的潜力。

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