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BMJ Paediatr Open. 2021 Oct 1;5(1):e001139. doi: 10.1136/bmjpo-2021-001139. eCollection 2021.
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Internet-Delivered Acceptance and Commitment Therapy for Adolescents with Chronic Pain and Their Parents: A Nonrandomized Pilot Trial.互联网传递的接受与承诺疗法对青少年慢性疼痛及其父母的疗效:一项非随机试点试验。
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针对青少年歌手音乐表演焦虑的接纳与承诺辅导

Acceptance and commitment coaching for music performance anxiety in adolescent singers.

作者信息

Paul Anupa Elizabeth, Juncos David G, Winter Debbie

机构信息

Independent Researcher, Esslingen, Germany.

Voice Study Centre, University of Wales Trinity St David, East Bergholt, United Kingdom.

出版信息

Front Psychol. 2024 Aug 20;15:1386559. doi: 10.3389/fpsyg.2024.1386559. eCollection 2024.

DOI:10.3389/fpsyg.2024.1386559
PMID:39228872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11370724/
Abstract

INTRODUCTION

Most of the anxiety disorders, particularly social anxiety, seem to develop either during childhood or adolescence. Adolescent singers who experience physical, mental and emotional changes along with voice change are particularly prone to the development of MPA. However, adolescence also seems to be an opportune time to instil healthy behaviours in singing students as they are more likely to remember these coping strategies, owing to the release of dopamine and the 'reminiscence bump'. As this period of a singer's life is wrought with inevitable anxiety development, the additional aim of the study was to develop a coaching framework which can be used by singing teachers in their practice. Mindset training for adolescents seems crucial to help them continue singing through puberty so they do not drop out of singing lessons or choir during voice change and identity development.

METHODS

The study aimed to determine if Acceptance and Commitment coaching could be used with adolescent singers with MPA and to record and analyse rich qualitative data in the form of semi-structured participant interviews and questionnaires.

RESULTS

When their perception of MPA symptoms and physiological and psychological arousal before a performance changed, their behaviour and reactions changed accordingly. The change took place over a period of time, which was characterised by discoveries about themselves, confusion in understanding new concepts and letting go of old habits. Interestingly, by the end of the coaching sessions, their preoccupation with pleasing the audience and appearing perfect on stage was replaced by a new-found delight in pursuing values and goals related to their singing. Along with this came the acceptance of themselves and others as individuals with the potential for growth and change and the capacity to learn from mistakes.

DISCUSSION

This study marks the first investigation into the effectiveness of using of ACC as an intervention for MPA in adolescent singers undergoing puberty by a singing teacher. The results are promising and suggest that ACC is an effective MPA intervention for adolescent singers to cope with inevitable development-related anxieties and keep them engaged in the activity of singing during their pubertal years.

摘要

引言

大多数焦虑症,尤其是社交焦虑症,似乎在童年或青少年时期就开始出现。经历身体、心理和情绪变化以及嗓音变化的青少年歌手特别容易患上音乐表演焦虑症(MPA)。然而,青少年时期似乎也是向歌唱学生灌输健康行为的恰当时机,因为他们更有可能记住这些应对策略,这得益于多巴胺的释放和“回忆高峰”。由于歌手生命中的这一时期不可避免地会出现焦虑情绪,该研究的另一个目标是开发一个可供歌唱教师在教学实践中使用的指导框架。对青少年进行心态训练似乎至关重要,有助于他们在青春期继续唱歌,这样他们在嗓音变化和身份发展期间就不会退出歌唱课程或合唱团。

方法

该研究旨在确定接纳与承诺指导是否可用于患有音乐表演焦虑症的青少年歌手,并以半结构化的参与者访谈和问卷的形式记录和分析丰富的定性数据。

结果

当他们对音乐表演焦虑症症状以及表演前生理和心理唤醒的认知发生变化时,他们的行为和反应也相应改变。这种变化发生在一段时间内,其特点是对自己的发现、对新概念理解的困惑以及摒弃旧习惯。有趣的是,在指导课程结束时,他们对取悦观众和在舞台上表现完美的关注被对追求与歌唱相关的价值观和目标的新发现的喜悦所取代。与此同时,他们接受自己和他人是有成长和改变潜力以及从错误中学习能力的个体。

讨论

本研究标志着歌唱教师首次对将接纳与承诺疗法(ACC)作为青春期青少年歌手音乐表演焦虑症干预措施的有效性进行调查。结果很有前景,表明接纳与承诺疗法是一种有效的音乐表演焦虑症干预措施,可帮助青春期青少年歌手应对与发育相关的不可避免的焦虑情绪,并使他们在青春期继续参与歌唱活动。