团体音乐治疗对精神分裂症患者自尊的影响

Influence of group music therapy on self-esteem in schizophrenic patients

目的:探讨团体音乐治疗对精神分裂症患者自尊的影响。方法:将74例精神分裂症患者随机分为治疗组和对照组,每组各37例。对照组患者仅接受精神科常规治疗,治疗组患者在接受精神科常规治疗的基础上,实施团体音乐治疗8周,每周2次,每次60 min。采用阳性与阴性症状量表(PANSS)、自尊量表(SES)进行治疗前后评定。结果:治疗前,两组患者间的PANSS量表和SES量表分值无统计学意义,治疗后,治疗组患者PANSS量表总分、阴性症状因子分、一般精神病理症状分都显著低于对照组(P<0.01),SES分值高于对照组(P<0.05)。结论:在精神分裂症患者中实施音乐治疗可以改善精神分裂症患者的精神症状,最大程度的促进患者康复,有助于提高患者的自尊水平。

Objective: To discuss influence of group music therapy on self-esteem in schizophrenic patients. Methods: 71 schizophrenic patients were randomly divided into treatment group( n = 37) and control group( n = 37). Both groups received routine psychiatric therapy,while the treatment group received the group music therapy additionally,which lasted 8 weeks,2 times a week,and 60 minutes at a time. The patients were evaluated with positive and negative symptom scale( PANSS) and self-esteem scale( SES) before and after the treatment. Results: The PANSS and SES scale scores between the two groups had no significant differences before the treatment. The PANSS scale score,negative symptom factor score,general psychopathological symptom score of treatment group were significantly lower than those of control group( P < 0. 01) after the treatment,while the SES score of treatment group was higher than that of control group after the treatment( P<0.05). Conclusions: The group music therapy can improve the mental symptoms of the patients with schizophrenia,promote patients recovery to a great extent,and also improve the level of self-esteem.