音乐治疗对不同气质类型男性戒毒青少年心理健康的影响  

Effect of music therapy on mental health of male adolescents with different temperaments

作　　者：程鸿鑫 景璐石 张敏 付卫东 CHENG Hong-xin;JING Lu-shi;ZHANG Min;FU Wei-dong(Chengdu Medical College,Chengdu 610500,China;The Compulsory Isolation Detoxification Center in Chengdu of Sichuan Province,Chengdu 610200,China)

机构地区：[1]成都医学院心理学院,成都610500 [2]四川省成都强制隔离戒毒所,成都610200 [3]四川省司法厅,成都610015

出　　处：《中国药物依赖性杂志》2024年第2期160-164,177,共6页Chinese Journal of Drug Dependence

摘　　要：目的分析男性戒毒青少年心理健康状况,探索音乐治疗对不同气质类型男性戒毒青少年的心理健康的干预效果。方法从四川某戒毒所选取60名男性戒毒青少年,使用《一般信息调查表》《症状自评量表》(SCL-90)及《陈会昌气质量表》对其进行问卷调查,按照年龄、文化程度、民族等相匹配的原则将其分为实验组(30人)和对照组(30人)。实验组接受6次音乐治疗,对照组暂不做任何干预。结果与全国青年常模相比,男性戒毒青少年SCL-90评定结果在躯体化、强迫、抑郁、焦虑、敌对、偏执、精神病性的差异显著,且具有统计学意义(均P<0.05)。经过音乐治疗,实验组男性戒毒青少年的人际关系敏感、抑郁、偏执和精神病性因子得分在干预前后差异显著,且具有统计学意义(均P<0.05);对照组躯体化和恐怖因子得分显著上升,差异具有统计学意义(均P<0.05);对照组后测躯体化和人际关系因子得分显著高于实验组后测(均P<0.05);不同气质类型男性戒毒青少年经过音乐治疗,其SCL-90中精神病性得分变化与胆汁质呈负相关(r=-0.56,P<0.05),躯体化得分变化与多血质呈显著负相关(r=-0.66,P<0.01),偏执、精神病性两个因子得分变化与抑郁质呈负相关(r=-0.53,-0.64,均P<0.05)。结论音乐治疗能够有效改善男性戒毒青少年的人际关系敏感、抑郁、偏执、精神病性;音乐治疗对于不同气质类型有不同的干预效应。Objective To analyze the mental health status of male drug rehabilitation adolescents and explore the intervention effect of music therapy on the mental health of male drug rehabilitation adolescents with different temperament types.Methods Sixty male drug rehabilitation adolescents were chosen from a drug rehabilitation center in Sichuan.The General Information Survey Questionnaire,Symptom Checklist-90(SCL-90),and Chen Huichang Temperament Scale were used in the survey.They were divided into the experimental group(30 participants)and the control group(30 participants)in accordance with the principle of matching by age,literacy level,and ethnicity.The experimental group received six sessions of music therapy while the control group did not receive any intervention temporarily.Results Compared with the national youth norm,the SCL-90 assessment results of male drug rehabilitation adolescents showed differences in somatization,compulsion,depression,anxiety,hostility,paranoia,and psychosis,all results were statistically significant(all P<0.05).After music therapy,the scores of interpersonal sensitivity,depression,paranoia,and psychogenic factors among male drug rehabilitation adolescents in the experimental group showed differences before and after intervention,and were statistically significant(all P<0.05).The scores of somatization and terror factors in the control group significantly increased,and the dfference was statistically significant(all P<0.05).The scores of somatization and interpersonal relationship factors in the control group were significantly higher than those in the experimental group in the post test(all P<0.05).After music therapy,a negative correlation was showed between psychiatric scores and bilirubin(r=-0.56,P<0.05),a significant negative correlation between somatization scores and polyhemostasis(r=-0.66,P<0.01),and a negative correlation between scores of paranoid,psychiatric factors and depressive symptoms(r=-0.53,-0.64,all P<0.05).Conclusion Music therapy can effectively improve the interpe

关 键 词：音乐疗法 青少年 戒毒 气质类型 干预研究 

分 类 号：R749[医药卫生—神经病学与精神病学]