團體音樂治療對改善急性精神病房住院病人憂鬱及焦慮之成效

目的：探討團體音樂治療對急性住院精神病人憂鬱及焦慮改善成效。方法：採兩組前後測之類實驗研究設計。研究對象取自中部某醫學中心急性精神科病房住院病人122位。實驗組於每週三、五接受每次50分鐘「團體音樂治療」，四週共執行8次，對照組接受常規照顧，兩組皆接受BDI-II「貝克憂鬱量表」及BAI「貝克焦慮量表」前後測，進行（GEE）分析檢驗。結果：團體音樂治療在憂鬱之成效，實驗組顯著降低（p＜.001）；在焦慮，亦達顯著降低（p＜.001）。結論／實務應用：團體音樂治療能夠改善住院精神病人憂鬱及焦慮的實證基礎，建議可將團體音樂治療成為常規團體治療項目之一，達到改善急性住院精神病人之憂鬱及焦慮的效果。

關鍵字

團體音樂治療；憂鬱；焦慮；急性住院精神病人

並列摘要

Objectives: This study is to investigate the effect of group music therapy on depression and anxiety in acute psychiatric in-patients. Methods: Two groups of experiments were pretest-posttest designed. The research subjects were 122 inpatients in the acute psychiatric ward of a medical center. The experimental group received 50 minutes of a group music therapy intervention every Wednesday and Friday for a total of 8 times over 4 weeks. The control group received routine care. Both groups were administered the Beck Depression Inventory (BDI-II) and Beck Anxiety Inventory (BAI) pretest and posttest. Results: For the experimental group, the music therapy intervention showed a significant reduction in both depression (p <.001) and anxiety (p <.001). Implications for practice: The results of this study provide an empirical basis for the use of group music therapy as an intervention to reduce depression and anxiety in in-patients with mental illness. It is suggested that mental health care professionals may find music therapy helpful in routine group therapy programs to reduce depression and anxiety symptoms in acute psychiatric in-patients.