【摘要】 目的探索个体化唱歌疗法对长期住院精神分裂症患者康复的影响。方法对60例累计住院时长五年以上接受常规治疗的精神分裂症患者随机分组,唱歌组每周三次、每次30分钟唱歌课程。对照组仅常规治疗。结果①唱歌组治疗态度评定问卷(ITAQ)量表评分治疗后明显高于治疗前(P<0.01),简明精神病评定量表(BPRS)总评分治疗后明显低于治疗前(P<0.01);对照组治疗后无明显统计学差异(P>0.05)。②两组比较:治疗前两组的ITAQ量表与BPRS量表评分差异无统计学意义(P>0.05);与对照组比较,治疗中后期唱歌组的ITAQ量表评分明显升高(P<0.01),BPRS量表总评分明显下降(P<0.01)。结论个体化唱歌疗法能够帮助长期住院的精神分裂症患者改善心境、调节情绪、提高自我认识能力,增强其对外界的注意力,加速康复进程。这种个体化唱歌疗法需要进一步增加病例数、对比男女疗效差别,才能更好地推广应用这个辅助治疗方法。更多还原

【Abstract】 Objective To explore the effect of individualized singing therapy on the rehabilitation of schizophrenic patients in long term hospitalization. Methods A total of 60 schizophrenic patients who had been hospitalized for more than five years were randomly divided into the singing group,three times a week and 30 minutes’ Singing Course with regular treatment of schizophrenic patients. The control group was treated according to regular treatment of schizophrenic patients. Results(1)ITAQ score and total BPRS score :the scores of post-treatment in the singing group were significantly better than the scores of pro-treatment(P<0.01),while there was no significant difference in control group(P>0.05).(2)There was no significant difference of ITAQ score and BPRS score between the singing group and the control group before treatment(P>0.05). The ITAQ score and total BPRS score of the singing group was significantly better than that of the control group(P<0.01). Conclusion The individualized singing therapy,as a form of music therapy,can help long-term schizophrenic patients in the hospital improve and regulate their mood,improve their self cognition ability,and enhance their attention to the outside world,thus affect their rehabilitation. This individualized singing therapy needs to increase the number of cases and to compare the difference between the male patients and female patients,in order to achieve better auxiliary therapeutic effects in the application.更多还原