歌曲治疗技术对精神分裂症患者应对方式及症状改善作用的随机对照试验  

A randomized controlled trial of song techniques on coping style and clinical effect in patients with schizophrenia

作　　者：尹誉霏[1] 童永胜[1] 李静雯 张娱 刘琳[1] 崔勇[1] 谭云龙[1] YIN Yufei;TONG Yongsheng;LI Jingwen;ZHANG Yu;LIU Lin;CUI Yong;TAN Yunlong(Beijing Huilongguan Hospital, Peking University, Beijing 100096, China)

机构地区：[1]北京回龙观医院,北京100096

出　　处：《中国心理卫生杂志》2019年第4期260-266,共7页Chinese Mental Health Journal

基　　金：北京市科委-首都临床特色研究(Z131107002213077);北京市自然科学基金资助项目(重点项目)(7151005)

摘　　要：目的:评价音乐治疗中的歌曲治疗技术对慢性精神分裂症患者应对方式及临床症状的干预效果。方法:将133例慢性精神分裂症患者按歌曲组与对照组2∶1的比例随机分组,歌曲组(n=89)接受常规精神科治疗合并歌曲治疗12周,对照组(n=44)接受常规精神科治疗12周。运用精神分裂症应对方式量表(CQSP)、阳性阴性症状评定量表(PANSS)分别于基线、12周干预后对患者应对方式和临床症状进行评定,同时辅以访谈。结果:重复测量方差分析结果显示,12周干预后歌曲组的CQSP的问题解决和认知调整得分均高于对照组(均P<0.05),而PANSS总分及阴性症状、复合量表得分均低于对照组(均P<0.05)。访谈结果显示,12周的干预后,歌曲组约69.9%的患者认为应对自我效能感有提高。结论:音乐治疗中的歌曲治疗技术对于慢性精神分裂症患者的应对方式和临床症状,尤其是阴性症状可能有一定的改善作用。Objective: To evaluate the effect of song techniques of music therapy on coping style and clinical symptom in patients with chronic schizophrenia. Methods: Totally 133 inpatients with chronic schizophrenia were randomly assigned into song group ( n = 89) and control group ( n = 44) at the ratio of 2∶ 1. The song group was given previous regular treatment plus song techniques for 12 weeks,while the control group was given previous regular treatment for 12 weeks. All patients were assessed with the Coping Questionnaire for Schizophrenic Patients ( CQSP) and Positive and Negative Syndrome Scale ( PANSS) at base line and at the end of the 12 weeks intervention to evaluate the improvement of coping style and clinical effect. Participants in both groups completed interviews. Results: The repeated-measures analysis of variance ( ANOVA) showed that,compared with control group,the factor scores of " problem solving" and " cognitive adjustment" of CQSP increased ( Ps < 0. 05) in song group after 12 weeks intervention,the factor scores of " negative scale"," complex scale" and total score of PANSS decreased significantly ( Ps < 0. 05) in song group after 12 weeks intervention. Conclusion: Song techniques of music therapy could possibly improve coping style and clinical effect,especially negative symptoms in patients with chronic schizophrenia.

关 键 词：歌曲治疗技术 音乐治疗 精神分裂症 应对方式 阴性症状 

分 类 号：R749.305.9[医药卫生—神经病学与精神病学]