a Music Therapy Department, University of Minnesota , Minneapolis , Minnesota, USA.
Subst Use Misuse. 2019;54(8):1345-1354. doi: 10.1080/10826084.2019.1580742. Epub 2019 Mar 4.
Resultant of engaging in behaviors outside of their value systems to maintain addiction, many people with substance use disorder (SUD) feel shame and guilt. Although shame, guilt, and pride do not represent traditional dependent measures in SUD research, experimental studies targeting these constructs are warranted.
The purpose of this study was to determine the effects of a single songwriting intervention on state shame, guilt, and pride with adults with SUD on a detoxification unit.
Participants (N = 118) were cluster-randomized to songwriting or control conditions. To avoid testing fatigue in this single-session study, experimental participants received a group-based blues songwriting protocol targeting state shame, guilt, and pride and then completed the questionnaire. Control participants completed the questionnaire before receiving an intervention.
While there was no significant between-group difference in state shame or guilt, there tended to be slightly lower mean scores in the experimental condition. There was a significant between-group difference in state pride (p = .012), with experimental participants having higher mean scores than control participants.
Although only the state pride measure reached significance, shame, guilt, and pride represent consequential constructs for people with SUD. As addressing shame and guilt can be perceived as confrontational, group-based blues songwriting may represent a positive, engaging, and creative intervention to target these challenging but important topics. Implications for clinical practice, limitations, and suggestions for future research are provided.
许多有物质使用障碍（SUD）的人会为了维持成瘾而从事不符合其价值观的行为，从而感到羞耻和内疚。尽管羞耻、内疚和自豪在 SUD 研究中并不代表传统的依赖测量指标，但针对这些结构的实验研究是合理的。
本研究的目的是确定单次歌曲创作干预对戒断单位中 SUD 成人的状态羞耻、内疚和自豪的影响。
参与者（N=118）被聚类随机分配到歌曲创作或对照组。为了避免在单次研究中出现测试疲劳，实验组接受了一项针对状态羞耻、内疚和自豪的基于群体的蓝调歌曲创作方案，然后完成了问卷。对照组在接受干预前完成了问卷。
虽然在状态羞耻或内疚方面两组之间没有显著差异，但实验组的平均得分略低。两组之间在状态自豪方面存在显著差异（p=0.012），实验组的平均得分高于对照组。
尽管只有状态自豪感测量达到了显著性，但羞耻、内疚和自豪对 SUD 患者来说是重要的结构。由于处理羞耻和内疚可能被认为具有对抗性，基于群体的蓝调歌曲创作可能代表一种积极、引人入胜和富有创意的干预措施，以针对这些具有挑战性但重要的主题。本文提供了对临床实践的影响、局限性和未来研究建议。
