接受式音乐疗法在脑卒中后抑郁康复中的应用

脑卒中后抑郁是脑卒中后发病率最高的情感障碍类并发症之一,使用常规手段进行临床干预的康复效果有限。而音乐治疗作为一种成本较低、安全性高、无明显副作用的治疗手段,为脑卒中后抑郁患者的临床康复提供了有力支持。本文通过文献检索与回顾国内外相关研究,梳理了接受式音乐疗法及脑卒中后抑郁的现状与治疗手段;阐明了接受式音乐疗法对脑卒中后抑郁的潜在干预机制;梳理了中西方接受式音乐治疗在脑卒中后抑郁中的应用原理;结合实证案例分析了接受式音乐疗法联合常规干预手段治疗脑卒中后抑郁的临床疗效;并讨论了接受式音乐疗法在脑卒中后抑郁康复治疗中的优势与局限所在。最后进行总结,接受式音乐治疗在脑卒中后抑郁的应用中弥补了传统治疗方式的不足,能够有效改善患者的身心状态,应用前景广阔,值得在临床康复治疗中予以推广。Post-stroke depression is a prevalent complication of emotional disorders following stroke, and the efficacy of conventional clinical intervention for rehabilitation is limited. Music therapy, characterized by its low cost, high safety, and absence of significant side effects, offers robust support for the clinical rehabilitation of patients with post-stroke depression. This paper conducts a comprehensive review of domestic and foreign studies to examine the current status and treatment methods of receptive music therapy in addressing post-stroke depression. It also elucidates the potential intervention mechanism of receptive music therapy for this condition. Furthermore, it reviews the application principles of receptive music therapy in both China and Western countries for post-stroke depression while also analyzing the clinical effects of combining it with conventional interventions. The advantages and limitations of receptive music therapy in rehabilitating post-stroke depression are also discussed. In conclusion, receptive music therapy complements traditional treatments for post-stroke depression by effectively enhancing patients' physical and mental well-being;thus holding promising prospects for widespread application in clinical rehabilitation.

中医五行音乐疗法对医学院校大学生焦虑情绪的影响

目的:研究中医五行音乐治疗对医学院校大学生的焦虑情绪的影响。方法:53例医学院校大学生焦虑情绪者,随机分为对照组及实验组,其中对照组26例、实验组27例。对照组不进行任何干预,实验组基于焦虑情绪中医证候辨证分型,采用中医五行音乐疗法进行干预。比较两组被试治疗前和治疗6周后的焦虑自评量表(SAS)评分、SCL-90焦虑因子评分、睡眠质量自测表评分。结果:干预后,两组被试的焦虑自评量表(SAS)、SCL-90焦虑因子评分均较本组治疗前降低,睡眠质量自测表得分较本组治疗前升高,差异具有统计学意义(p p p < 0.05)。结论:中医五行音乐治疗能够有效缓解中医药院校大学生的焦虑情绪,降低躯体不适感,提高睡眠质量。