对比积极或被动音乐治疗对慢性精神分裂症患者负面症状和认知功能的影响
Yuanyuan Ji1, Shengli Zheng2, Liying Liu3
1Yuanyuan Ji Department of Psychiatry, The Seventh People's Hospital of Wenzhou City, Wenzhou, Zhejiang Province 325000, P.R. China.
Pakistan journal of medical sciences
|March 16, 2026
概括
积极的音乐疗法 (MT) 与被动的MT相比,可显著改善精神分裂症患者的负面症状和认知功能. 积极的MT还可以增强内在动机,为精神分裂症治疗提供更大的好处.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 治疗干预 治疗干预
- 神经科学是一个神经科学.
背景情况:
- 音乐治疗 (MT) 是一种非药物治疗情绪和情绪障碍的方法.
- 慢性精神分裂症带来负面症状和认知缺陷的挑战.
- 区分主动的MT (例如,唱歌,玩) 和被动的MT (例如,听) 对于理解治疗疗效至关重要.
研究的目的:
- 为了比较主动与被动音乐治疗对慢性精神分裂症患者负面症状和认知功能的影响.
- 为了评估主动和被动MT对本质动机的影响,在这个患者群体.
主要方法:
- 对120名慢性精神分裂症患者 (60名活跃MT,60名被动MT) 的回顾性分析.
- 使用了积极和消极症状量表 (PANSS),消极症状评估量表 (SANS),蒙特利尔认知评估 (MoCA) 和精神分裂症研究内在动机库存 (IMI-SR).
- 在干预后,积极和被动MT组之间的症状评分和认知评估进行了比较.
主要成果:
- 活跃的MT组与被动的MT组相比,PANSS一般,负和总得分明显较低,SANS得分较低 (P<0.05).
- 积极的MT与显著更高的MoCA和IMI-SR得分相比,被动的MT (P<0.05).
结论:
- 积极的音乐治疗在改善慢性精神分裂症的负面症状,认知功能和内在动机方面比被动的MT更有效.
- 活跃的MT证明了治疗精神分裂症患者的优越益处,特别是在解决负面症状和认知障碍方面.
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