{"title":"Lee Silverman声音治疗- big对精神分裂症患者运动、认知、心理健康、职业表现和职业平衡的影响:一项单受试者实验研究","authors":"Woo-Hyuk Jang, Sang-Min Seo, Si-Hyun Kim","doi":"10.1155/oti/3566653","DOIUrl":null,"url":null,"abstract":"<p><p><b>Introduction:</b> In this study, we aim to apply BIG to patients with schizophrenia to confirm changes in mental symptoms, task performance, and occupational balance through motor and cognitive enhancement. <b>Method:</b> This study used a single-subject A-B-A design. It consisted of a total of 22 sessions, with 4 sessions in the baseline period, 16 sessions in the intervention period (Lee Silverman Voice Treatment-BIG), and 2 sessions in the follow-up period. The subjects were three male patients diagnosed with chronic schizophrenia, all severe cases. During the 22 sessions, the timed up and go test (TUG) and functional reach test (FRT) and the Montreal Cognitive Assessment (MoCA) were used to determine changes in motor function and cognition, and the subjective cognitive and mental score (SS), Canadian Occupational Performance Measure (COPM), and Occupational Balance Questionnaire-Korean (OBQ-K) were used to determine changes in psychiatric symptoms, work performance, and work balance satisfaction before and after the intervention. Statistically significant changes were determined using the two standard deviation (2SD) band method. <b>Results:</b> The TUG, FRT, and MoCA showed significant results in the intervention period compared to the baseline period. The SS, COPM, and OBQ-K also showed positive changes in scores from pre- to postintervention. <b>Conclusion:</b> In this study, BIG was found to promote improvement in motor and cognitive function in chronic schizophrenia patients, with positive effects on psychiatric symptoms, task performance, and occupational balance satisfaction.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2025 ","pages":"3566653"},"PeriodicalIF":1.3000,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11865464/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effects of Lee Silverman Voice Treatment-BIG on Motor, Cognition, Mental Health, Occupational Performance, and Occupational Balance in Patients With Schizophrenia: A Single-Subject Experimental Study.\",\"authors\":\"Woo-Hyuk Jang, Sang-Min Seo, Si-Hyun Kim\",\"doi\":\"10.1155/oti/3566653\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Introduction:</b> In this study, we aim to apply BIG to patients with schizophrenia to confirm changes in mental symptoms, task performance, and occupational balance through motor and cognitive enhancement. <b>Method:</b> This study used a single-subject A-B-A design. It consisted of a total of 22 sessions, with 4 sessions in the baseline period, 16 sessions in the intervention period (Lee Silverman Voice Treatment-BIG), and 2 sessions in the follow-up period. The subjects were three male patients diagnosed with chronic schizophrenia, all severe cases. During the 22 sessions, the timed up and go test (TUG) and functional reach test (FRT) and the Montreal Cognitive Assessment (MoCA) were used to determine changes in motor function and cognition, and the subjective cognitive and mental score (SS), Canadian Occupational Performance Measure (COPM), and Occupational Balance Questionnaire-Korean (OBQ-K) were used to determine changes in psychiatric symptoms, work performance, and work balance satisfaction before and after the intervention. Statistically significant changes were determined using the two standard deviation (2SD) band method. <b>Results:</b> The TUG, FRT, and MoCA showed significant results in the intervention period compared to the baseline period. 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引用次数: 0
摘要
在本研究中,我们旨在将BIG应用于精神分裂症患者,通过运动和认知增强来证实精神症状、任务表现和职业平衡的变化。方法:本研究采用单受试者a - b - a设计。共包括22个疗程,其中基线期4个疗程,干预期16个疗程(Lee Silverman Voice Treatment-BIG),随访期2个疗程。研究对象为三名诊断为慢性精神分裂症的男性患者,均为重症病例。在22个阶段中,采用时间起跑测试(TUG)、功能到达测试(FRT)和蒙特利尔认知评估(MoCA)评估运动功能和认知的变化,采用主观认知和心理评分(SS)、加拿大职业绩效量表(COPM)和职业平衡问卷-韩国量表(OBQ-K)评估干预前后精神症状、工作绩效和工作平衡满意度的变化。采用双标准差(2SD)波段法确定具有统计学意义的变化。结果:与基线期相比,干预期的TUG、FRT和MoCA显示出显著的结果。SS、COPM和OBQ-K在干预前和干预后得分均呈现正变化。结论:本研究发现,BIG可促进慢性精神分裂症患者运动和认知功能的改善,对精神症状、任务表现和职业平衡满意度有积极影响。
Effects of Lee Silverman Voice Treatment-BIG on Motor, Cognition, Mental Health, Occupational Performance, and Occupational Balance in Patients With Schizophrenia: A Single-Subject Experimental Study.
Introduction: In this study, we aim to apply BIG to patients with schizophrenia to confirm changes in mental symptoms, task performance, and occupational balance through motor and cognitive enhancement. Method: This study used a single-subject A-B-A design. It consisted of a total of 22 sessions, with 4 sessions in the baseline period, 16 sessions in the intervention period (Lee Silverman Voice Treatment-BIG), and 2 sessions in the follow-up period. The subjects were three male patients diagnosed with chronic schizophrenia, all severe cases. During the 22 sessions, the timed up and go test (TUG) and functional reach test (FRT) and the Montreal Cognitive Assessment (MoCA) were used to determine changes in motor function and cognition, and the subjective cognitive and mental score (SS), Canadian Occupational Performance Measure (COPM), and Occupational Balance Questionnaire-Korean (OBQ-K) were used to determine changes in psychiatric symptoms, work performance, and work balance satisfaction before and after the intervention. Statistically significant changes were determined using the two standard deviation (2SD) band method. Results: The TUG, FRT, and MoCA showed significant results in the intervention period compared to the baseline period. The SS, COPM, and OBQ-K also showed positive changes in scores from pre- to postintervention. Conclusion: In this study, BIG was found to promote improvement in motor and cognitive function in chronic schizophrenia patients, with positive effects on psychiatric symptoms, task performance, and occupational balance satisfaction.
期刊介绍:
Occupational Therapy International is a peer-reviewed journal, publishing manuscripts that reflect the practice of occupational therapy throughout the world. Research studies or original concept papers are considered for publication. Priority for publication will be given to research studies that provide recommendations for evidence-based practice and demonstrate the effectiveness of a specific treatment method. Single subject case studies evaluating treatment effectiveness are also encouraged. Other topics that are appropriate for the journal include reliability and validity of clinical instruments, assistive technology, community rehabilitation, cultural comparisons, health promotion and wellness.