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个体化唱歌疗法对长期住院精神分裂症患者康复的影响

  • 李曼,刘丽,严文佳,朱莉,潘令仪

* 通信作者: 潘令仪, 单位:上海市精神卫生中心

摘要


目的:探索个体化唱歌疗法对长期住院精神分裂症患者康复的影响。

方法:对60例累计住院时长五年以上的精神分裂症患者随机分组,唱歌组在常规治疗的基础上每周开展三次、每次30分钟左右的唱歌课程。对照组依照常规治疗。研究期间研究对象的精神科药物种类及剂量保持不变(特殊情况除外),日常治疗照常进行。

结果:① 纵向比较:中后期评估数据显示唱歌组ITAQ量表分值明显高于治疗前评估分数(P<0.01),BPRS量表总分值较治疗前评估有明显下降(P<0.01);对照组则无明显差异(P>0.05)。② 横向比较:治疗前研究组与对照组的ITAQ量表与BPRS量表评分差异无统计学意义(P>0.05)。治疗中、后期评定唱歌组与对照组进行横向比较ITAQ量表分值明显升高(P<0.01),BPRS量表总分值明显下降(P<0.01)。

结论:个体化唱歌疗法作为音乐治疗的一种形式能够帮助长期在院的精神分裂症患者改善心境、调节情绪、提高自我认识能力,增强其对外界的注意力,从而对其康复产生影响。

关键词:音乐治疗;歌唱;精神分裂症;康复

ABSTRACT


Objective: To explore the effect of individualized singing therapy on the rehabilitation of schizophrenic patients in long term hospitalization.

Methods: a total of 60 schizophrenic patients who had been hospitalized for more than five years were randomly divided into the singing group, three times a week and 30 minutes' Singing Course with regular treatment of schizophrenic patients. The control group was treated according to regular treatment of schizophrenic patients. During the study, the types and doses of psychotropic drugs remained unchanged (except in special cases), and regular treatment was carried out.

Results: (1) Longitudinal comparison: in the middle stage and later stage, the score of ITAQ score in the singing group was significantly higher than that before treatment(P<0.01), and the total score of BPRS scale decreased significantly compared with that before treatment (P<0.01), while there was no significant difference in control group(P>0.05). (2) Horizontal comparison: there was no significant difference in the difference between the ITAQ scale and the BPRS scale in both of the singing group and the control group before treatment(P>0.05). The ITAQ scale of the singing group was significantly higher than that of the control group(P<0.01), and the total score of the BPRS scale decreased significantly (P<0.01).

Conclusion  : The individualized singing therapy, as a form of music therapy, can help long-term schizophrenic patients in the hospital improve and regulate their mood,improve their self cognition ability, and enhance their attention to the outside world, thus affect their rehabilitation.

Key words: Music therapy; Singing; Schizophrenia; Rehabilitation.

引用本文 / How to Cite This Article

李曼,刘丽,严文佳,朱莉,潘令仪.个体化唱歌疗法对长期住院精神分裂症患者康复的影响[J]. 国际精神病学杂志, 2019, 46(1): 116-118

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