遊憩治療對憂鬱症治療效果之研究

The Effect of Therapeutic Recreation on Depressive Disorders

陳惠美(Hui-Mei Chen) ； 許正典(Cheng-Dien Hsu)

《休閒事業研究》 7卷1期 (2009/03) Pp. 68-81

https://doi.org/10.6746/LIR.200903_7(1).0004

摘要

本研究主要探討遊憩治療對於憂鬱症患者的治療效果，並以在臺安醫院精神科接受治療的憂鬱症病患為研究對象，針對有意願接受試驗之患者，根據他們的休閒偏好，選擇五位分別接受運動、戶外遊憩、藝術、園藝、室內娛樂五種不同的遊憩治療輔導。研究程序分為四個階段：狀況評估、活動設計、治療執行、活動評估；整個遊憩治療療程實施四個月，執行期間受測者必須每週至少從事三次、每次至少三十分鐘之遊憩活動。研究結果發現，受測者在接受整個遊憩治療療程之後，根據專科醫師之評估，在漢氏憂鬱量表方面，其憂鬱程度至少下降65%以上；另外，在病情臨床整體評估方面，其罹病程度也有明顯減輕。此外，本研究也發現，從事遊憩活動能誘發憂鬱症患者正面情緒；而且患者的單次活動時間與其對於遊憩活動的自覺效益呈正相關。

關鍵字

遊憩活動 ； 憂鬱症 ； 遊憩效益

並列摘要

The purposes or this research was to study the effect of the therapeutic recreation upon the depressive disorders, the differences of treatment effect among varied activities, and the leisure behavior of depressed patients. The respondents are the patients who accept psychotherapy in the Taiwan Adventist Hospital. There were five patients accepted different therapeutic recreation programs including sports, outdoor recreation activities, arts, horticultural activities, and indoor amusements. The experimental process contains four steps: conditional assessment, activity design, implementation of therapeutic recreation, activity evaluation. The results showed that after the therapy, all of the patients' depressed degrees were significantly decreased. Besides, they perceived positive emotion after participating recreational activities. Moreover, there was positive relation between lasting time and patients' self-estimated benefit of participating recreational activity.

並列關鍵字

Therapeutic Recreation ； Depressive Disorders ； Recreational Benefit