融合音乐回忆的内观认知疗法对慢性精神分裂症女性患者应对方式的效果

doi:10.3969/j.issn.1006-9771.2022.03.012

Abstract

Abstract: Objective To explore the effect of Naikan cognitive-music reminiscence therapy on coping style in female patients with chronic schizophrenia.Methods In May, 2020, 72 female patients with chronic schizophrenia from Beijing Huilongguan Hospital were assigned into control group (n = 48) and music group (n = 24) after trait matching. Both groups accepted routine medicine, while the control group accepted Naikan cognitive therapy, and the music group accepted Naikan cognitive therapy combined music reminiscence, for twelve weeks. They were blind assessed with Simplified Coping Style Questionnaire, Self-rating Depression Scale and Self-rating Anxiety Scale before and after intervention.Results There were five cases in the control group removed for erroneous response. The main effects of group were not significant for all the assessments (F < 0.567, P > 0.05). The main effect of time was significant for negative coping style score (F = 6.968, P = 0.01), and the interaction effects were significant for positive coping style score and Self-rating Depression Scale score (F > 4.227, P < 0.05).Conclusion Combining with music reminiscence, Naikan cognitive therapy may be advantageous for the coping style of female patients with chronic schizophrenia.

Key words: chronic schizophrenia, women, Naikan cognitive therapy, music reminiscence, coping style

YU Hui,YIN Yufei,PAN Guiping,LUO Wei,MA Guijun,SHAO Jing,TAN Shuping,YANG Fude. Effects of Naikan cognitive-music reminiscence therapy on coping style for female patients with chronic schizophrenia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(3): 350-355.

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References 25

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变量	对照组 (n = 43)	音乐组 (n = 24)	F/χ²值	P值
年龄/岁	53.7±12.33	53.5±14.26	0.003	0.954
受教育年限/年	13.0±2.74	11.3±2.96	5.601	0.021
婚姻/n			0.069	0.793
已婚	13	8
其他	30	16
职业/n			3.743	0.053
无业	17	4
其他	26	20
病程/年	20.9±13.19	18.8±13.51	0.395	0.532
首次发病年龄/岁	32.4±14.88	33.8±16.13	0.135	0.714
分诊类型/n			0.336	0.562
偏执	38	20
其他	5	4

时间/周	主题	目标	NCT	融合音乐回忆的NCT
1	建立关系与导入	互相认识,介绍方法与设置	成员互相认识,介绍基础理论和操作步骤,讲解和学习内观手册,讨论治疗目标,布置内观任务,确立内观三主题和对象	同对照组
2	激发兴趣	挖掘积极资源,提高参与兴趣,增强深入内在探索的能量和勇气	讲解内观治疗、贝克认知疗法以及NCT历史故事和来源,讲解成功案例、应用与效果	增加团体音乐回忆,引导成员回忆积极的体验,如与家人旅行、有成就感的往事等
3	内观学习	帮助成员分散内观体验更为顺畅、深入和清晰	根据NCT指导手册指导成员分散内观体验	在分散内观前加入音乐回忆引导语,在分散内观时增加促进回忆的背景音乐
4	规范流程	进一步规范流程,提升和深化内观感受	通过成员分享感悟和提出问题,提供流程改善建议,帮助解除心理阻抗和发现问题	在导入和总结阶段增加团体互动和支持
5~8	内观体验	通过体验逐渐加深心理层次,增加成员换位思考和主客观结合的能力	深化和熟练内观三主题与亲近者的内观体验,指导成员总结、记录和分享,引导成员从静心阶段向专注阶段、感悟阶段过渡	教授成员运用与回忆相关的音乐或匹配自身情绪的音乐促进内观中的回忆,以深化情绪体验,加深内观中回忆的心理层次
9~12	认知调整	引导成员识别自动思维和真实性检验,对非理性认知进行调整	讲解自动式思维和非理性认知概念,引导成员理解、觉察和自我调整,在团体中进行具体事例的分享和交流	同前一主题

指标	组别	n	干预前	干预后
积极应对方式	对照组	43	36.1±7.67	33.9±9.21
	音乐组	24	34.3±6.19	36.5±7.67
消极应对方式	对照组	43	19.0±4.23	20.2±4.18
	音乐组	24	18.8±3.71	21.0±4.83
SAS	对照组	43	44.0±6.06	45.3±7.97
	音乐组	24	44.8±7.48	42.5±6.33
SDS	对照组	43	56.7±6.16	54.0±8.28
	音乐组	24	54.9±6.95	57.1±7.12

指标	分组		时间		分组×时间
指标	F值	P值	F值	P值	F值	P值
积极应对方式	0.043	0.837	< 0.001	0.991	4.742	0.033
消极应对方式	0.101	0.752	6.968	0.010	0.560	0.457
SAS	0.567	0.454	0.170	0.682	2.591	0.112
SDS	0.229	0.634	0.053	0.818	4.227	0.044

Effects of Naikan cognitive-music reminiscence therapy on coping style for female patients with chronic schizophrenia

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