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比较急性心理保健环境中成人康复阶段的教育音乐治疗干预:一项集群随机试验有效性研究。

Comparing Educational Music Therapy Interventions via Stages of Recovery with Adults in an Acute Care Mental Health Setting: A Cluster-Randomized Pilot Effectiveness Study.

机构信息

Music Therapy Program, University of Minnesota School of Music, 2106 4th Street South, Minneapolis, MN, 55455, USA.

出版信息

Community Ment Health J. 2019 May;55(4):624-630. doi: 10.1007/s10597-019-00380-1. Epub 2019 Feb 23.

DOI:10.1007/s10597-019-00380-1
PMID:30798451
Abstract

The purpose of this cluster-randomized pilot effectiveness study was to compare two different group-based educational music therapy interventions with a control condition as measured by the stage model of recovery in adults on an acute care mental health unit. Participants (N = 69) were cluster-randomized to one of three single-session conditions: educational lyric analysis (ELA), educational songwriting (ESW), or control. ELA and ESW conditions targeted motivations for and factors contributing to recovery. Results indicated no significant between-group difference. However, ELA and ESW conditions tended to have slightly more favorable stage of recovery mean scores than the control condition. Generally, educational music therapy may be clinically relevant for impacting stage of recovery within the temporal parameters of a single session. As ELA and ESW conditions had similar results, the specific educational music therapy intervention did not affect results. Implications for clinical practice, limitations, and suggestions for future research are provided.

摘要

本群随机试点有效性研究的目的是比较两种不同的基于群体的教育音乐治疗干预措施与控制条件,以成年人急性护理心理健康单位的恢复阶段模型为衡量标准。参与者(N=69)被随机分为三组单一疗程条件之一:教育歌词分析(ELA)、教育歌曲创作(ESW)或对照组。ELA 和 ESW 条件针对的是恢复的动机和促成因素。结果显示组间无显著差异。然而,ELA 和 ESW 条件的恢复阶段平均得分略高于对照组。总的来说,教育音乐疗法在单次治疗的时间参数内可能对影响恢复阶段具有临床相关性。由于 ELA 和 ESW 条件的结果相似,特定的教育音乐治疗干预并不影响结果。提供了对临床实践、局限性的影响和对未来研究的建议。

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本文引用的文献

1
Music Therapy for Coping Self-Efficacy in an Acute Mental Health Setting: A Randomized Pilot Study.音乐治疗对急性心理健康环境中的应对自我效能的影响:一项随机试点研究。
Community Ment Health J. 2019 May;55(4):615-623. doi: 10.1007/s10597-018-0319-8. Epub 2018 Aug 11.
2
Effects of Educational Music Therapy on State Hope for Recovery in Acute Care Mental Health Inpatients: A Cluster-Randomized Effectiveness Study.教育性音乐疗法对急性护理心理健康住院患者康复希望状态的影响:一项整群随机有效性研究。
Front Psychol. 2016 Oct 7;7:1569. doi: 10.3389/fpsyg.2016.01569. eCollection 2016.
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"Music Therapy Helped Me Get Back Doing": Perspectives of Music Therapy Participants in Mental Health Services.
“音乐疗法助我恢复日常活动”:心理健康服务中音乐疗法参与者的观点
J Music Ther. 2016 Summer;53(2):121-48. doi: 10.1093/jmt/thw002. Epub 2016 Feb 24.
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Effects of a live educational music therapy intervention on acute psychiatric inpatients' perceived social support and trust in the therapist: a four-group randomized effectiveness study.一项现场教育音乐治疗干预对急性精神病住院患者感知到的社会支持及对治疗师信任的影响:一项四组随机有效性研究。
J Music Ther. 2014 Fall;51(3):228-49. doi: 10.1093/jmt/thu011. Epub 2014 Jul 23.
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PLoS One. 2013 Aug 2;8(8):e70252. doi: 10.1371/journal.pone.0070252. Print 2013.
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Is there a role for music therapy in the care of the severely mentally ill?
Australas Psychiatry. 2008 Dec;16(6):442-5. doi: 10.1080/10398560802366171.
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