“高声喊唱”宣泄疗法与认知疗法对心理压力影响的比较(英文)  

Effects of "sing a song loudly" versus cognitive therapy on psychological stress

作　　者：刘伟[1] 潭文捷[2] 黄果[1] 

机构地区：[1]江苏大学医学院预防医学系,江苏省镇江市212001 [2]江苏大学附属医院康复理疗科,江苏省镇江市212001

出　　处：《中国临床康复》2006年第10期168-170,共3页Chinese Journal of Clinical Rehabilitation

基　　金：2002年江苏大学科技处科研基金支持(2661280005);2005年江苏省教育厅高校哲学社会科学基金项目(05SJD840007)~~

摘　　要：背景:认知疗法治疗心理压力效果不显著,通过体力消耗的发泄疗法很多人不愿意接受。目的:探讨治疗和缓解心理压力的有效方法。设计:对照观察(自身空白对照和实验对照),单盲法干预。单位:江苏大学医学院预防医学系。对象:对自觉有心理压力的来访者用“心理压力自测表”进行测试,选择测试结果得分≥5来访者40人为观察对象。根据观察对象心理压力程度(测试得分)和年龄进行配对,分成对照组和实验观察组,每组20人。方法:对照组采用一般的认知疗法认知“谈话”进行治疗,实验组采用“高声喊唱”宣泄法治疗。选唱《青藏高原》,用最大的声音来歌唱以宣泄心中的苦闷,减轻心理压力。播放第一、二遍时,用“以音乐为背景的语言诱导”使其情绪进入状态。播放第三遍时,把播放音量调至最大,并完全掩盖来访者“高声喊唱”的声音,以便更好地掩饰“喊唱者”的羞涩。“高声喊唱”《青藏高原》四五遍。“高声喊唱”治疗室内要配有窗帘,光线较暗,隔音效果要好。音响设备中功放的功率要大,音箱要求是高保真。两组治疗前后均用“心理压力自测表”进行测试。心理压力自测量表包含30项自我诊断症状。如出现5项其中症状,属于轻型紧张;有11～20项则属于严重紧张;在21项以上就会出现适应性障碍的问题。主要观察指标:两组治疗前后心理压力评分结果。结果:对照组治疗前后心理压力评分接近[(15.6±5.3),(14.7±4.8),=1.739,P>0.05]。实验组治疗后心理压力评分显著低于治疗前,差异有显著性[(11.6±5.8),(15.5±6.1),t=9.863,P<0.05]。治疗后实验组心理压力评分显著低于对照组,差异有显著性[(11.6±5.8),(14.7±4.8),t=4.811,P<0.05]。结论:“高声喊唱”宣泄法是一种有效的、易操作的心理压力治疗法。BACKGROUND： The effect of cognitive therapy on psychological stress is not remarkable and optimal. Some psychocatharsis through physical activities cannot be accepted by many clients. OBJECTIVE： To explore an effective method to treat and relieve psychological stress. DESIGN： A controlled （the blank control and the self-control） observation study and single blind trial. SETTING： Department of Preventive Medicine, Medical College of jinagsu University. PARTICIPANTS： Clients who suffered from emotional suppression or nervous stress would be tested with ＂psychological stress test＂. Forty clients, with scores over 5, were selected as the subjects. They were randomly divided into two groups matching of ages and scores： control group （n=20） and experimental group （n=20）. METHODS： Clients in the control group were treated with common cognitive therapy by means of talking, and those in the experimental group accepted a sing a song loudly therapy. The song named as Qinghai-Tibet plateau was selected for the treatment. The clients were requested to sing the song loudly in order to release their stress and vent their repression. The psycbologist used the language introduction by background music to make a client under a special kind of psychological situation and emotional state when the music was played for one to two times. Then the psychologist would turn up gradually the volume of sound to the maximum when the music was played for the third time. The volume from the VCD would overwhelm that from the client＇s voice in order to cover up the singer＇s shyness. The client sung the song of Qinghai-Tibet Plateau loudly for four to five times. The therapeutic room was required to have a blanch curtain. The sound insulation also was required, The soundscape of the loudspeakers should be wide. The power magnifier should be strong. The loudspeaker should be high fidelity. The questionnaire of psychological stress test was adopted in both groups before and after therapy respectively, It had 30 item

关 键 词：压力 认知疗法 心理学 

分 类 号：R749.055[医药卫生—神经病学与精神病学]