嗓音训练和心理干预对嗓音疾病患者焦虑和抑郁情绪改善的作用  

Effects of voice therapy and psychological intervention on anxious and depressive in patients with voice disorders

作　　者：张馨元[1] 吕丹[1] 余蓉[1] 周琦[1] 张小燕[1] 杨慧[1] 邹剑[1] 王海洋[1] 任佳[1] 郑义涛 

机构地区：[1]四川大学华西医院耳鼻咽喉头颈外科,成都610041

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第14期1062-1065,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨嗓音训练对改善嗓音疾病患者焦虑、抑郁情绪的作用。方法:对2014-05-2016-07期间在我科参加嗓音训练的患者进行焦虑自评量表(SAS)和抑郁自评量表(SDS)问卷调查,对比其嗓音训练前后的焦虑、抑郁程度,以研究嗓音训练对嗓音疾病患者焦虑、抑郁情绪的改善。结果:嗓音训练前患者的SAS得分为47.52±11.15,SDS得分为48.63±8.70,显著高于国内常模37.23±12.59和41.88±10.57,差异有统计学意义(P<0.05)。完成嗓音训练后患者的SAS得分为38.03±6.95,SDS得分为42.21±7.71,均低于训练前得分,且差异有统计学意义(P<0.05);且与国内常模相比,差异无统计学意义(P>0.05)。结论:嗓音疾病患者的焦虑及抑郁得分较普通人高;嗓音训练能改善嗓音疾病患者焦虑、抑郁情绪。Objective：To investigatethe effect of voice therapy on anxious and depressive in patients with voice disorders.Method：The patients who received voicee therapy in our department from May 2014 to July 2016 were enrolled in our study and evaluated by self-rating anxiety scale（SAS）and self-rating depression scale（SDS）,before and after voice therapy.Result：Before voicee therapy,the score of SAS and SDS were 47.52±11.15 and 48.63±8.70 respectively,which were higher than domestic norm（37.23±12.59 and 41.88±10.57 for SAS and SDS,respecative）with P〈0.05.After voice therapy,the score of SAS and SDS were 38.03±6.95 and 42.21±7.71,which were lower than the score of before voice therapy（P〈0.05）.And compared with the domestic norm,the difference was not statistically significant（P〉0.05）.Conclusion：The anxiety and depression scores of patients with voice disorders are higher than those of ordinary people.The voice therapy can effectively relieve anxiety and depression of patients with voice disease.

关 键 词：嗓音训练 焦虑情绪 抑郁情绪 心理支持 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]