音乐疗法对慢性精神分裂症康复治疗的疗效

The Effect of Musical Therapy on Chronic Schizophrenics Rehabilitation

目的利用音乐治疗改善慢性精神分裂症的阴性症状,延缓精神活动的衰退。方法选取100例精神分裂症病人进行了音乐治疗前后对照研究,进行了BPRS、SANS、NOSIE的测定。结果音乐治疗能提高慢性精神分裂症的社会功能、社会兴趣和活跃情绪,对缺乏活动的精神症状有改善作用(P<0.01)。主动性音乐治疗疗效优于被动性音乐治疗。但对思维贫乏、思维障碍等症状的改善作用欠佳(P>0.05)。结论音乐治疗是慢性精神分裂症康复疗法中的一种有效的辅助治疗,应长期进行。

Objective The purpose of this study was to investigation the effect of musical therapy in chronic schizophrenia,for there have been some data suggested that musical therapy may improve the negative symptoms,delay the deterioration of chronic schizophrenics. Methods 100 chronic schizophrenic patients were treated with musical therapy and the effect was assessed with BPRS, SANS and NOSIE before and after the treatment.Results The results showed that the musical therapy increased the social function social interesting and activated affection of the patients,the activity lacking was improved significantly（P〈0.01）.The effect of initiative musical therapy was better than of passive musical therapy.The symptoms such as poorness of thought,thought disorder were not changed（P〉0.05）. Conclusion The results suggest that musical therapy is an effective auxiliay treatment in the recovery of the chronic schizophrenic,so it should be applied for long period of time.