IF 1.9 3区 医学 Q1 Arts and Humanities
Michael J Silverman
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引用次数: 0

摘要

音乐疗法可以实现与急性精神疾病住院患者康复相关的各种临床目标。然而,关于以小组为基础的歌曲创作是否能影响心理健康自信/自我效能的文献研究尚属空白。因此,本研究的目的是通过心理健康自信心的测量,确定以单次疗程康复为导向的集体歌曲创作方案对急性期精神疾病住院患者的影响。在 48 个疗程中,128 名参与者被分组随机分配到歌曲创作或对照组。歌曲创作条件涉及康复的动机和途径。为了避免在单次疗程研究中出现测试疲劳,歌曲创作参与者在接受干预后完成心理健康信心量表(MHCS),而对照组参与者在完成心理健康信心量表后接受不涉及康复的音乐干预。结果表明,在乐观、应对和倡导分量表以及总体心理健康信心方面,组间差异明显。在所有测量指标中,歌曲创作组的平均得分均高于对照组。效应大小处于中小范围。尽管单次治疗在时间上有一定的局限性,但对于急性期精神疾病患者来说,其结果在统计学上是有意义的,并且与临床相关。本文还提供了对临床实践的启示、局限性以及对未来研究的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recovery-Oriented Group Songwriting for Mental Health Confidence with Adults on an Acute Mental Health Unit: A Cluster-Randomized Effectiveness Study.

Music therapy can address various clinical objectives related to recovery in acute mental health inpatient settings. However, there is a gap in the literature investigating if group-based songwriting can impact mental health confidence/self-efficacy. Therefore, the purpose of this study was to determine the effects of a single-session recovery-oriented group-based songwriting protocol on adults hospitalized in an acute care mental health unit as measured by mental health confidence. Over 48 sessions, 128 participants were cluster-randomized to songwriting or control conditions. The songwriting condition addressed motivations for and pathways to recovery. To avoid testing fatigue in this single-session study, songwriting participants received the intervention and then completed the Mental Health Confidence Scale (MHCS) while control participants completed the MHCS and then received a music intervention that did not address recovery. Results indicated significant between-group differences in optimism, coping, and advocacy subscales as well as total mental health confidence. In all measures, the songwriting group had more favorable mean scores than the control group. Effect sizes were in the small and medium ranges. Despite the temporal limitations associated with single-session treatment germane to acute mental health settings, results were statistically significant and clinically relevant. Implications for clinical practice, limitations, and suggestions for future research are provided.

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来源期刊
Journal of Music Therapy
Journal of Music Therapy REHABILITATION-
CiteScore
3.50
自引率
5.30%
发文量
13
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