Health and Social Care Research Centre, University of Derby, Derby, UK.
Queensland Conservatorium Research Centre, Griffith University, South Brisbane, Queensland, Australia.
Aging Ment Health. 2021 Apr;25(4):650-656. doi: 10.1080/13607863.2020.1720599. Epub 2020 Feb 5.
Group singing has been reported to enhance quality of life (QoL) and mental health in older people. This paper explored whether there are differences in the effects of group singing intervention on people with Parkinson's (PwPs) in Australia, UK and South Korea. The study included PwPs ( = 95; mean age = 70.26; male 45%) who participated in a standardised 6-month weekly group singing programme. Parkinson's health-related QoL measure (PDQ39) and mental health assessment (DASS) were administered at baseline and follow-up. ANOVAs were performed with significance set as < . ANOVAs revealed main effects of Time on the Stigma and Social Support subscales of PDQ39; both showed a small but significant improvement over time. However, the social support reduction was moderated by country; social support was improved only in South Korean participants. The reduction in stigma was greater than previously reported minimal clinically important differences, as was the social support reduction in South Korean participants. In terms of mental health, ANOVAs revealed that the scores of Anxiety and Stress domains of DASS significantly decreased from pre-test to post-test with small effect sizes. This first international singing study with PwPs demonstrated that group singing can reduce stigma, anxiety and stress and enhance social support in older adults living with Parkinson's. The findings are encouraging and warrant further research using more robust designs.
群体歌唱已被报道能提高老年人的生活质量（QoL）和心理健康。本文探讨了在澳大利亚、英国和韩国，群体歌唱干预对帕金森病患者（PwPs）的影响是否存在差异。该研究纳入了 95 名（平均年龄=70.26 岁；男性 45%）参与了标准化的 6 个月每周群体歌唱项目的 PwPs。在基线和随访时使用帕金森病相关生活质量量表（PDQ39）和心理评估量表（DASS）进行评估。采用方差分析（ANOVAs），显著性水平设定为 <. ANOVA 结果显示，时间对 PDQ39 的耻辱感和社会支持分量表有主要影响；两个分量表均随时间呈现出小但有统计学意义的改善。然而，社会支持的减少受到国家的调节；只有韩国参与者的社会支持得到改善。耻辱感的减少大于之前报道的最小临床重要差异，韩国参与者的社会支持减少也是如此。就心理健康而言，ANOVA 结果显示，DASS 的焦虑和压力域的分数从前测到后测显著降低，具有较小的效应量。这是第一项针对帕金森病患者的国际歌唱研究，表明群体歌唱可以减轻帕金森病患者的耻辱感、焦虑和压力，增强社会支持。这些发现令人鼓舞，需要进一步采用更严格的设计进行研究。
