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体验式音乐剧对康复期精神分裂症患者的临床疗效
阳瑞林张岱威卢惠鹏曹民佑张建龙
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摘要:
目的 本研究探讨了体验式音乐剧治疗在慢性精神分裂症患者康复治疗中的临床效果。 方法 研究纳入60例住院慢性康复期精神分裂症患者,分试验组和对照组,对试验组患者进行为期12周 的体验式音乐剧治疗,采用阳性与阴性症状量表(PANSS)、大体评定量表(GAS)评估研究前后两组患者 精神症状改变情况,采用中文版人际反应指针量表(IRI-C)和德克萨斯社会行为问卷(TSBI)评估研究前 后两组患者的社会功能。结果 经过治疗后,试验组患者的PANSS 评分(t=2.77,P=0.01)明显低于对照 组,GAS 评分(t=3.16,P< 0.05)和TSBI 得分(t=3.07,P< 0.01)明显高于对照组,两组IRI-C 得分(t=0.47, P=0.64)差异无统计学意义。结论 本研究发现在康复治疗中使用体验式音乐剧治疗可以改善慢性精 神分裂症患者的精神症状,提高自我效能,促进其社会功能康复。
关键词:  精神分裂症  体验式音乐剧  精神症状  人际互动能力
DOI:
基金项目:2017 年中山市卫生和计划生育局医学科研项目(2017J146)
Clinical observation on the effect of experiential musical therapy on patients with schizophreniaduring convalescent period
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Abstract:
Objectives To investigate the clinical effects of experiential musical therapy in the rehabilitation of patients with chronic schizophrenia. Methods A total of 60 inpatients with chronic convalescent schizophrenia were divided into experimental group and control group. The patients in experimental group were treated with experiential musical therapy for 12 weeks. The Positive and Negative Symptom Scale (PANSS) and Global Assessment Scale( GAS) were used to evaluate the changes of mental symptoms in the two groups before and after the study. The Chinese version of the Interpersonal Reactivity Index-C scale( IRI-C) and Texas Social Behavior Inventory( TSBI) were used to assess the social function of the two groups before and after the study. Results After treatment, there were significant differences between the two groups in the PANSS score( t=2.77,P=0.01), the GAS score( t=3.16,P<0.05), and the TSBI score( t=3.07,P<0.01), but there was no significant difference in the IRI-C score( t=0.47,P=0.64). Conclusions It is found that experiential musical therapy can improve the mental symptoms, self-efficacy and social function rehabilitation of patients with chronic schizophrenia.
Key words:  Schizophrenia  Experiential musical therapy  Mental symptom  Interpersonalinteraction

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