非指导性音乐想象治疗对抑郁症患者自动思维及疗效的影响  

The effect of non-directed musical imagery therapy on the automatic thoughts and therapeutic effect of depression

作　　者：张国富[1] 查智群[1] 李达[1] 

机构地区：[1]南京医科大学附属无锡市精神卫生中心,无锡214151

出　　处：《中华行为医学与脑科学杂志》2014年第9期818-820,共3页Chinese Journal of Behavioral Medicine and Brain Science

摘　　要：目的 探讨非指导性音乐治疗对抑郁症患者自动思维及治疗效果的影响.方法 收集门诊及住院抑郁症患者60例,所有患者按照随机数字隐藏分组的方法分为合并音乐治疗组（研究组）和单药治疗组（对照组）.分别在治疗前、治疗后2周、4周、8周,应用汉密尔顿抑郁量表（HAMD-24）、自动思维量表（ATQ）进行评定,比较两组的评分变化情况.结果 在治疗后的2周、4周、8周各时点,HAMD量表分研究组为（15.70±2.63）分、（10.03±2.28）分、（6.00±1.98）分,对照组为（17.43±2.62）分、（12.47±2.75）分、（7.50±2.03）分,差异有统计学意义（F=11.754,P=0.001）.ATQ量表分研究组为（73.27± 17.60）分、（58.33±13.66）分、（47.43± 11.94）分,对照组为（84.20±22.30）分、（72.53±20.86）分、（58.90± 18.61）分,差异有统计学意义（F=4.136,P=0.047）.结论 非指导性音乐想象能改善抑郁症患者的自动思维,提高治疗效果.Objective To explore the effect of non-directed musical therapy on the automatic thoughts and therapeutic effect of depression.Methods 60 people outpatient and inpatient who with depression disorder participated in this research.According to the medical order,we choose the people who with Cardinality order as the group of the musical therapy （study group） and the people with the even order as the group of drug therapy （control group）.all the patients was test with the Hamilton＆#39;s Depression Scale （HAMD-24） and Automatic Thoughts Questionnaire （ATQ） before and after 2,4,8 weeks treatment,and comparison of these questionnaires scores of the two groups.Results After the 2,4,8 weeks treatment,the HAMD scores of the study group was （15.70±2.63）,（10.03±2.28）,（6.00± 1.98） and the scores of control group was （17.43±2.62）,（12.47±2.75）,（7.50±2.03）.The result of HAMD scores had significant difference（F=11.754,P=0.001）.ATQ scores of the study group was （73.27± 17.60）,（58.33± 13.66）,（47.43± 11.94） and the scores of control group was（84.20±22.30）,（72.53±20.86）,（58.90± 18.61）.The result of ATQ scores had significant difference（F=4.136,P=0.047）.Conclusion Non-directive musical imagery could be an effective way to improve the automatic thoughts of people who with depression disorder and improve the effect of treatment.

关 键 词：非指导性音乐想象 自动思维 抑郁症 

分 类 号：R749.4[医药卫生—神经病学与精神病学]