抑郁症患者行非指导性音乐治疗对心理状态及自动思维的影响

Effects of Unguided Music Therapy on the Psychological State and Automatic Thinking in Patients with Depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(2)
作者
作者单位

广东省茂名市第三人民医院精神科一区 ;

摘要
【摘要】 研究抑郁症者行非指导性音乐医治对其心理状态及自动思维产生的效果。方法 分析本院2015年6月-2016年6月选取的抑郁症106例患者临床资料,依据临床所用不同治疗方案分成对照组及观察组,均为53例,对前者实施单药医治,对后者合并非指导性音乐医治,对比两组心理状态及自动思维。结果 观察组医治后汉密尔顿抑郁量表(Hamilton Despression Scale,HAMD)、抑郁自评量表(Depression Self Rating Scale,SDS)评分均比对照组低,且医治2w、4w和8w自动思维评分均比对照组低(P<0.01);观察组个人与社会功能量表(Personal And Social Performance,PSP)71-100分所占比例58.49%比对照组28.30%高,且0-30分所占比例0.00%比对照组18.87%低(P<0.01)。结论 非指导性音乐和药物联合应用于抑郁症治疗中,能改善患者抑郁心理和自动思维,促进个人与社会功能提高,临床推广价值高。
Abstract
[Abstract] Objective To explore the effects of unguided music therapy on the psychological state and automatic thinking in patients with depression. Methods The clinical data of 106 patients with depression who had received treatment in our hospital between June 2015 and June 2016 were analyzed and divided into two groups (n=53) according to the different treatment options. The control group was treated with medicine only, whereas the observation group was given un-guided music therapy combined with medicine. The psychological state and automatic thinking of patients in the two groups were compared. Results After treatment, the scores of Hamilton Depression Scale (HAMD) and Depression Self Rating Scale (SDS) in the observation group were both shown to be lower than each of that in the control group, and after 2 weeks, 4 and 8 weeks of treatment, score of automatic thinking in the former group was also lower than the control group (P<0.01). The proportion of patients whose Personal and Social Performance (PSP) was between 71-100 in the observation group was 58.49%, higher than the 28.30% in the control group, and the proportion of those between 0-30 in the former group was 0.00%, also lower than the 18.87% in the control group (P<0.01). Conclusion In the treatment of depression, unguided music therapy combined with medicine treatment can improve the patients’ psychological state and automatic thinking, and promote the improvement of personal and social functions; therefore, it is of high clinical value to be popularized in clinical application.
关键词
【关键词】 抑郁症;非指导性音乐;心理状态;自动思维
KeyWord
[Key words] Depression; Unguided Music Therapy; Psychological State; Automatic Thinking
基金项目
页码 236-239
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吴耀*,张春锋,林妙略,徐文耀. 抑郁症患者行非指导性音乐治疗对心理状态及自动思维的影响 [J]. 国际精神病学杂志. 2017; 44; (2). 236 - 239.

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