Zhou Jie, Liu Liying, Zheng Lipeng
General Psychiatry Department, Wenzhou Seventh People's Hospital, Wenzhou 325000, Zhejiang, China.
Noise Health. 2025;27(125):149-157. doi: 10.4103/nah.nah_156_24. Epub 2025 Apr 29.
This study aims to investigate the effects and feasibility of integrating music therapy into a family support system (FSS) for adolescent depression.
In this retrospective study, 120 adolescents with depression who visited the Wenzhou Seventh People's Hospital between June 2022 and June 2024 were selected and categorized into the music therapy group and a conventional group (60 cases in each group). The conventional group received FSS-assisted treatment and conventional medication, whereas the music therapy group was given music therapy based on the conventional treatment. The Hamilton Depression Rating Scale (HAMD), Hamilton Anxiety Rating Scale (HAMA), Family Assessment Device (FAD), Adolescent Self-Rating Life Events Checklist (ASLEC), and Pittsburgh Sleep Quality Index (PSQI) were compared between the two groups.
After treatment, the decrease in HAMD and HAMA scores was significantly greater in the music therapy group than in the conventional group (P < 0.05). The FAD score in the music therapy group improved more significantly in dimensions such as problem-solving, communication, emotional involvement, behavior control, and overall function than that of the conventional group (P < 0.05). The ASLEC score showed a greater reduction in aspects such as interpersonal relationships, academic stress, punishment, and loss (P < 0.05). The PSQI score improved more significantly with regard to subjective sleep quality, sleep latency, sleep duration, sleep disorders, hypnotic drug use, and daytime dysfunction (P < 0.05).
Integrating music therapy into FSS can effectively reduce depression and anxiety symptoms in adolescents with depression, improve the family and psychosocial function, and enhance sleep quality. However, further studies are still needed to verify and improve this approach.
本研究旨在探讨将音乐疗法整合到青少年抑郁症家庭支持系统（FSS）中的效果及可行性。
在这项回顾性研究中，选取了2022年6月至2024年6月期间就诊于温州市第七人民医院的120名抑郁症青少年，并将其分为音乐治疗组和常规组（每组60例）。常规组接受FSS辅助治疗及常规药物治疗，而音乐治疗组在常规治疗基础上给予音乐治疗。比较两组的汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）、家庭评估量表（FAD）、青少年自评生活事件量表（ASLEC）和匹兹堡睡眠质量指数（PSQI）。
治疗后，音乐治疗组HAMD和HAMA评分的下降幅度显著大于常规组（P<0.05）。音乐治疗组在解决问题、沟通、情感卷入、行为控制和整体功能等维度的FAD评分改善比常规组更显著（P<0.05）。ASLEC评分在人际关系、学业压力、惩罚和丧失等方面的下降幅度更大（P<0.05）。PSQI评分在主观睡眠质量、入睡潜伏期、睡眠时间、睡眠障碍、催眠药物使用和日间功能障碍方面改善更显著（P<0.05）。
将音乐疗法整合到FSS中可有效减轻抑郁症青少年的抑郁和焦虑症状，改善家庭及心理社会功能，并提高睡眠质量。然而，仍需进一步研究来验证和完善这种方法。
