Abstract:

Objective　To study the effect of music therapy on negative symptoms in patients with chronic schizophrenia. Methods　By the sampling test, 28 patients with non-hereditary chronic schizophrenia who meet the 3rd edition of Chinese Classification and Diagnosis Criteria for Mental Disorders (CCMD-3), with a duration of disease of 2 years or more and a duration of hospitalization of not less than 2 years were selected from Wuxi Mental Rehabilitation Center in December 2021 as the study objects, including 15 males and 13 females, aged (49.50±13.14) years. They received 12 weeks of regular psychotherapy and music therapy intervention. The score change of Scale for Assessment of Negative Symptoms (SANS) before and after treatment was analyzed, and Rosenberg Self-Esteem Scale (SES) and Social Function Rating Scale (SFRS) were used as auxiliary measures to observe the validity of the experiment. Paired t test was used. Results　After treatment, the SANS and SFRS scores were lower than those before treatment [(14.00±2.07) points vs. (17.13±2.10) points, (72.50±5.21) points vs. (80.88±7.64) points], and the SES score was higher than that before treatment [(27.38±3.02) points vs. (25.50±2.67) points], with statistically significant differences (all P<0.05). There were significant correlations in the scores of SFRS and SES before and after treatment (r=0.716 and 0.805, P=0.046 and 0.016), but no significant correlation in the score of SANS before and after treatment (r=0.624, P=0.098). Conclusion　Music therapy can improve the negative symptoms and social function in patients with chronic schizophrenia, and can effectively improve their self-confidence.

Key words:

Schizophrenia, Negative symptoms, Music therapy ,

摘要：

目的　研究音乐治疗对慢性精神分裂症患者阴性症状的作用。方法　通过抽样试验，将2021年12月在无锡精神康复中心各病区进行宣传招募的符合中国精神障碍分类与诊断标准第3版（CCMD-3），病程持续2年及以上，住院时长不低于2年的非遗传性慢性精神分裂症患者28例［男15例、女13例，年龄（49.50±13.14）岁］选为研究对象，接受12周常规精神治疗加音乐治疗。分析患者治疗前后阴性症状评定量表（SANS）评分变化，以罗森伯格自信心量表（SES）、社会功能评定量表（SFRS）进行辅助，观察试验的有效性。采用配对t检验。结果　治疗后SANS、SFRS评分均低于治疗前［（14.00±2.07）分比（17.13±2.10）分、（72.50±5.21）分比（80.88±7.64）分］，SES评分高于治疗前［（27.38±3.02）分比（25.50±2.67）分］，差异均有统计学意义（均P<0.05）。SFRS、SES前后期数据间具有显著相关性（r=0.716、0.805，P=0.046、0.016），SANS前后期数据间无显著相关性（r=0.624，P=0.098）。结论　音乐治疗对于慢性精神分裂症患者的阴性症状、社会功能具有改善作用，同时能够有效提高其自信心。

关键词:

精神分裂症, 阴性症状, 音乐治疗