音乐疗法治疗精神障碍:如何从“通用性”走向“个性化”  

Music Therapy for Mental Disorders:from“Universality”to“Personalization”

作　　者：肖春风 魏镜[1] XIAO Chunfeng;WEI Jing(Department of Psychiatry,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院心理医学科,北京100730

出　　处：《协和医学杂志》2025年第2期285-291,共7页Medical Journal of Peking Union Medical College Hospital

基　　金：国家自然科学基金专项项目(T2341003)。

摘　　要：在临床心理学与精神病学领域,音乐疗法作为一种安全且有效的辅助干预手段,已在多种精神障碍的治疗与康复中展现出显著的应用价值。然而,目前对于音乐治疗的中长期疗效及其作用机制研究仍不足,尤其是如何依据患者的个体差异制订更具生物学意义的音乐治疗方案,已成为亟待深入探讨的新方向。本文结合国内外相关研究进展以及笔者的临床实践经验,深入分析音乐治疗在精神障碍领域的现状、不足与面临的挑战,并提出以脑科学为基础、整合多学科理论与技术,推动个性化音乐疗法发展的未来展望;同时呼吁进一步加强音乐疗法的生物学机制研究与实时神经监测技术的应用,深入挖掘音乐的情绪、认知与社会价值,并通过多学科协作诊疗,推动音乐疗法在精神障碍领域迈向更科学、更精准的个体化治疗新时代。In the fields of clinical psychology and psychiatry,music therapy has emerged as a safe and effective adjunctive intervention,demonstrating significant value in the treatment and rehabilitation of various mental disorders.However,research on the medium⁃and long⁃term efficacy and underlying mechanisms of music therapy remains insufficient,particularly in developing biologically informed treatment protocols tailored to individual patient differences,which represents a critical and emerging direction for further exploration.From an expert review perspective,this paper synthesizes recent advancements in both domestic and international re⁃search with the author's clinical experience to provide an in⁃depth analysis of the current status,limitations,and challenges of music therapy in the context of mental disorders.Furthermore,it proposes a future⁃oriented vision for the development of individualized music therapy grounded in neuroscience and integrating multidisci⁃plinary theories and technologies.We advocate for intensified research into the biological mechanisms of music therapy,the application of real⁃time neural monitoring technologies,and a deeper exploration of the emotional,cognitive,and social dimensions of music.Through interdisciplinary collaboration,we aim to advance music therapy into a more scientific and precise era of personalized care in the field of mental disorders.

关 键 词：音乐疗法 精神障碍 个性化 脑科学 

分 类 号：R749[医药卫生—神经病学与精神病学] R459.9[医药卫生—临床医学]