五行音乐疗法对跨文化压力探索性试点研究  

Effectiveness of the Five Elements Music Therapy in Relieving Stress with Different Cultural Backgrounds

作　　者：廖娟[1] 李静[1] 吉云飞 池春丽 蔡小青 李明珠 Michael Frishkopf 赵楠[1] 孙丽娟 Liao Juan;Li Jing;Ji Yunfei;Chi Chunli;Cao Xiaoqing;Li Mingzhu;Michael Frishkopf;Zhao Nan;Sun Lijuan(Xi Yuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Beijing Electric Power Hospital,Beijing 100073,China;Department of Music,Faculty of Arts,University of Alberta,Canada T6G 2C9)

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]北京电力医院,北京100073 [3]阿尔伯塔大学艺术学院音乐系,加拿大T6G 2C9

出　　处：《世界科学技术-中医药现代化》2023年第7期2297-2303,共7页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：中国中医科学院科技创新工程重大公关项目(CI2021A03211):基于情绪类别选乐方式的中医五行音乐疗法对恶性肿瘤相关抑郁状态影响的随机对照研究,负责人:赵楠。

摘　　要：目的探讨五行音乐疗法(FEMT)对不同文化背景下压力的有效性,并比较五行音乐疗法(FEMT)与西方艺术音乐疗法(WAMT)在缓解压力的差异。方法采用探索性随机对照试点研究,共纳入37名受试者,中方脱落2例,最终纳入35例,其中23名来自加拿大、12名来自中国。知情同意后,所有受试者被随机分配在家中听中医五行音乐或西方艺术音乐30 min,每周2次,持续4周。参与者被要求使用耳机,每次会议前后均测量脉搏率,并填写5份问卷,包括背景和人口统计调查(报告年龄、性别、教育、文化背景、聆听经验)。压力自我评估(每次干预前后),综合医院焦虑/抑郁量表(HADS,第2次干预后每周1次),压力感知调查(PSS,第2次干预后每周1次),音乐治疗干预调查(MTIS,每次干预前后)。结果①与WAMT组相比,FEMT第2次治疗后自我评估的压力评分显著下降(t=-2.057,P=0.046)。②在两组中,每组治疗前的压力评分均显著降低(WAMT:t=5.026;FEMT:T=7.645,P=0.000)。③两组干预后HADS评分差异无统计学意义(P>0.05);在中国样本中,FEMT和WAMT组第八次治疗后HADS评分存在显著差异(t=-3.862,P=0.003),FEMT干预前后HADS的差异有统计学意义(t=5.117,P=0.004)。WAMT组的MTIS治疗前后有显著差异(t=-2.572,P=0.023),但FEMT组没有(t=1.331,P=0.207)。结论该试点研究探索了一种安全可行的自我管理方法-音乐疗法干预两个不同文化群体的压力,并首次提供了FEMT和WAMT在缓解压力和焦虑方面的有效性的初步比较和证据。需要对更大的随机样本进行进一步调查,以阐明不同类型的音乐和文化群体对压力和焦虑水平的影响。Objective To explore the effectiveness of the Five Elements Music Therapy(FEMT)in relieving stress in participants with different cultural backgrounds,and to compare the differences between the FEMT and the Western Art Music Therapy(WAMT)in stress relief.Methods This was a comparative pilot randomized pre-post repeated measures study,37 subjects were allocated with 2 dropped out,with an inclusion-ended sample of 35 subjects,23 from Canada and 12 from China.After informed consent,all subjects were randomly assigned to listening to either Five Elements Music or Western Art Music at home for 30 minutes,twice a week for four weeks.Participants were asked to use headphones,measure their pulse rate before and after each session,and fill out five questionnaires,including a background and demographic survey(reporting age,gender,education,cultural background,listening experience).Selfassessment of stress(pre-post after each session),General Hospital Anxiety/Depression Scale(HADS,weekly after 2^(nd) session),Perceived Stress Survey(PSS,weekly after 2^(nd) session),the Music Therapy Intervention Survey(MTIS,pre-post each session).Results①There was a significant decrease in self-assessed stress scores after the second session in the FEMT compared with the WAMT group(t=-2.057,P=0.046).②In both groups,there was a significant decrease in stress scores pre-post treatment in each group(WAMT t=5.026;FEMT T=7.645,P=0.000).③There was no significant difference between the two groups in post-intervention HADS scores(P>0.05);In the Chinese sample,there was a significant difference in HADS scores after the eighth session in both FEMT and WAMT groups(t=-3.862,P=0.003),and a statistically significant difference in HADS pre-post intervention in the FEMT(t=5.117,P=0.004).There was a significant difference in MTIS pre-post treatment in the WAMT(t=-2.572,P=0.023),but in not the FEMT group(t=1.331,P=0.207).Conclusion This pilot trial explores a safe and feasible self-administered music therapy approach for stress in two distinct cultural

关 键 词：五行音乐疗法(FEMT) 西方古典音乐疗法(WAMT) 音乐治疗干预调查(MTIS) 医院焦虑和抑郁量表(HADS) 感知压力量表(PSS) 

分 类 号：R2-031[医药卫生—中西医结合]