题名

輔助性音樂治療對女性慢性精神分裂症病患的療效

并列篇名

Effect Adjunct of Music Therapy in Female Patients with Schizophrenia

DOI

10.29478/TJP.200512.0006

作者

陳泰瑞(Tai-Jui Chen);林麗晴(Li-Quing Lin);孫光天(Guang-Tian Sun);鄭夙雯(Su-Wen Zung);蘇淑芳(Shu-Fang Su);許維琪(Wei-Chi Hsu);余伍洋(Younger W-Y Yu);陳明招(Ming-Chao Chen);楊志偉(Chih-Wei Yang)

关键词

音樂治療 ; 女性慢性精神分裂症病患 ; 負性症狀 ; music therapy ; female chronic schizophrenia patients ; negative symptoms

期刊名称

台灣精神醫學

卷期/出版年月

19卷4期(2005 / 12 / 01)

页次

305 - 313

内容语文

繁體中文

中文摘要

目的:本研究旨在探討女性慢性精神分裂症病患接受音樂治療後對精神症狀改善的影響。方法:南部某精神專科醫院慢性病房之精神分裂症女性病患共46位,分為實驗組與對照組。對照組20位接受病房一般性護理及職能復健治療;實驗組26位另外接受每週兩次,每次50分鐘,為期一個月,共計八次的音樂治療;再比較兩組在音樂介入措施前與介入措施後的精神症狀變化。結果:研究結果顯示,音樂治療可以有效減少女性慢性精神分裂症患者的負性症狀。結論:本研究結果支持音樂治療對女性慢性精神分裂症病患的負性症狀治療是有幫助的。

英文摘要

Objective: The purpose of this study was to assess the influence of music therapy on psychotic symptoms in female patients with chronic schizophrenia. Methods: Forty-six female patients from a psychiatric hospital were assigned to the experimental group (n=26) and the control group (n=20). Control group patients received general nursing care and occupational rehabilitation treatment. Patients in the experimental group received additional music therapy for eight sessions in one month. The duration and frequency of each music therapy session was 52 minutes twice a week. Changes in psychotic symptoms were evaluated after music therapy intervention. Results: Music therapy significantly reduced scores for negative symptoms on the Brief Psychiatric Rating Scale compared to controls. Conclusion: This study supports the concept that music therapy is effective in the treatment of negative symptoms of female chronic schizophrenia patients.

主题分类 醫藥衛生 > 社會醫學
参考文献
  1. Andreasen NC(1982).Negative vs positive schizophrenia: Definition and validation.Arch Gen Psychiatry,39,789-94.
  2. Bonny HC, McCarron N(1984).Music as an adjunct to anesthesia in operative procedures.J Am Assoc Nurse Anesthetists,2,55-7.
  3. Chang WH,Hwu HG,Chen TY(1993).Plasma homovanillic acid and treatment response in a large group of schizophrenic patients.Schizophr Res,10,259-65.
  4. Ciapparelli A,Dell`Osso L,Bandettini di Poggio A(2003).Clozapine in treatment-resistant patientswith schizophrenia, schizoaffective disorder, or psychotic bipolar disorder: a naturalistic 48-month follow-up study.J Clin Psychiatry,64,451-8.
  5. Cook JD(1986).Music as an intervention in the oncology setting.Cancer Nursing,9,23-8.
  6. Covington HR(2001).Therapeutic music for patients with psychiatric disorders.Holist Nurs Pract,15,59-69.
  7. Heaney CJ(1992).Evaluation of music therapy and other treatment modalities by adult psychiatric inpatients.Journal of Music Therapy,29,70-86.
  8. Hsu WC,Lai HL(2004).Effects of music on major depression in psychiatric inpatients.Arch Psychiatr Nurs,18,193-9.
  9. Michael JS(2003).The influence of music on the symptoms of psychosis: a meta-analysis.Journal of Music Therapy,40,27-40.
  10. Pacchetti C,Mancini F,Aglieri R,Fundaro C,Martignoni E,Nappi G(2000).Active music therapy in Parkinson's disease: an integrative method for motor and emotional rehabilitation.Psychosom Med,62,386-93.
  11. Prensner JD,Yowler CJ,Smith LF,Steele AL,Fratianne RB(2001).Music therapy for assistance with pain and anxiety management in burn treatment.J Burn Care Rehabil,22,83-8.
  12. Ragneskog H,Kihlgren M,Karlsson I,Norberg A(1996).Dinner music for demented patients: analysis of video-recorded observations.Clin Nurs Res,5,262-77.
  13. Scheufele PM(2000).Effects of progressive relaxation and classical music on measurements of attention, relaxation, and stress responses.J Behav Med,23,207-28.
  14. Sechtcr D,Peuskens J,Flernot O,Rein W,Lecrubier Y(2002).Amisulpride vs. risperidone in chronic schizophrenia: results of a 6-month double-blind study.Neuropsychopharmacology,27,1071-81.
  15. Tang W,Yao X,Zheng Z(1994).Rehabilitative effect of music therapy for residual schizophrenia: a onemonth randomized controlled trial in Shanghai.Br J Psychiatry,165,38-44.
  16. You ZY,Wang JZ(2002).Meta-analysis of assisted music therapy for chronic schizophrenia.Zhongguo Yi Xue Ke Xue Yuan Xue Bao,24,564-7.
  17. 王淑美、葉美玉、張麗雲(2003)。慢性精神病患音樂治療成效研究。長庚護理,14,342-51。
  18. 李德芬、黃秀梨(1997)。音樂治療對燒傷病患換藥疼痛反應之探討。台灣精神醫學,11,28-39。
  19. 李選、葉美玉、劉燦榮(1993)。音樂治療對改善住院精神病患精神症狀與人際互動之成效。護理研究,1,145-57。
  20. 胡海國(1991)。精神醫學診斷手冊。台北市:國立台灣大學醫學院出版委員會。
  21. 張初穗(1999)。音樂治療之輔助性運用於臨床醫療。長庚護理,10,53-4。
  22. 張瑛、黃秀梨、李明濱、許心恬、廖玟君(1996)。音樂治療對白臟病人手術前壓力反應之效果。中華精神醫學,10,128-37。
  23. 黃秀梨、張瑛、李明濱、柯文哲、朱樹勳(1996)。音樂治療對減輕心臟手術後病人加護期間壓力的效果。慈濟醫學,8,47-54。
  24. 蕭佳蓉、蕭淑貞(1998)。音樂治療於臨床精神科護理之應用。護理雜誌,45,64-70。
被引用次数
  1. 黃蔚翎,洪菁霞(2021)。演奏太鼓對於改善慢性精神疾患負性症狀及人際互動之成效:單一樣本之前後對照先驅效果評量。身心障礙研究季刊,19(3&4),119-131。
  2. 錢怡君,蔡尚津,林妍伶(2015)。音樂治療於社區精神病患之實務運用。諮商與輔導,356,44-46+17。