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音乐治疗偏好对台湾青少年同伴依恋、抑郁和唾液皮质醇的影响。

Effects of preferred music therapy on peer attachment, depression, and salivary cortisol among early adolescents in Taiwan.

机构信息

Department of Nursing, Mackay Medical College, New Taipei City, Taiwan.

School of Occupational Therapy, National Taiwan University, Taipei, Taiwan.

出版信息

J Adv Nurs. 2019 Sep;75(9):1911-1921. doi: 10.1111/jan.13975. Epub 2019 Mar 13.

Abstract

AIMS

To explore the effects of preferred music therapy on peer attachment, depression, and salivary cortisol among early adolescents.

BACKGROUND

As adolescents enter puberty, they start to seek partnering relationships among peers. Peer attachment is central for adolescents and greatly influences their physical and psychological development.

DESIGN

A pre-test-posttest control group design.

METHODS

The data were collected from July - October 2016. A total of 65 individuals were included. The treatment group received 40 min of music therapy twice per week over the course of 10 weeks. The control group maintained its typical routine. The research data were collected using structured questionnaires, including basic information, the Inventory of Peer Attachment, the Beck Depression Inventory-II questionnaires, and salivary cortisol concentrations. Statistical analysis methods included percentages, chi-square tests, t tests, analyses of covariance, and the Johnson-Neyman technique.

RESULTS

There were statistically significant differences in peer attachment, depression, and salivary cortisol levels in the music group compared to the control group (p < 0.05). Additionally, the findings showed that early adolescents with more severe depression experienced greater improvement through preferred music therapy.

CONCLUSION

The results allude to the beneficial effects of receiving preferred music therapy in terms of the peer attachment, depression, and salivary cortisol levels of early adolescents. Adjustments should be made based on the characteristics of student groups to develop suitable and safe music therapy and to reduce the risks of poor mental health.

摘要

目的

探讨青少年偏爱的音乐治疗对同伴依恋、抑郁和唾液皮质醇的影响。

背景

青少年进入青春期后,开始寻求同伴之间的伴侣关系。同伴依恋对青少年至关重要,极大地影响着他们的身体和心理发展。

设计

前测-后测对照组设计。

方法

数据收集于 2016 年 7 月至 10 月。共纳入 65 人。治疗组每周接受两次 40 分钟的音乐治疗,共 10 周。对照组保持其典型的日常习惯。研究数据通过结构问卷收集,包括基本信息、同伴依恋量表、贝克抑郁量表第二版问卷和唾液皮质醇浓度。统计分析方法包括百分比、卡方检验、t 检验、协方差分析和约翰逊-内曼技术。

结果

与对照组相比,音乐组在同伴依恋、抑郁和唾液皮质醇水平方面存在统计学上的显著差异(p<0.05)。此外,研究结果表明,抑郁程度较重的青少年通过偏爱的音乐治疗,其改善程度更大。

结论

研究结果表明,接受偏爱的音乐治疗对青少年的同伴依恋、抑郁和唾液皮质醇水平有有益的影响。应根据学生群体的特点进行调整,以开发合适和安全的音乐治疗,并降低不良心理健康的风险。

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