基督教歌曲應用於慢性思覺失調症患者歌唱團體之療效因子研究

Abstract

背景：思覺失調症是值得社會關注的常見慢性精神疾病。過去許多研究均發現歌唱有助於促進人的心理健康，其中也包括宗教歌曲. 然而，很少人從療效因子的角度去看唱宗教歌曲對慢性思覺失調症患者心理健康的助益. 本文的目的即是從療效因子的角度去比較自由歌唱團體跟基督宗教歌曲歌唱團體對思覺失調病人的助益。方法：本研究之收案對象主要為新北市某兩家精神科康復之家共38位思覺失調症患者，分別接受較具結構化之歌唱團體治療介入、曲目以基督教勵志歌曲為素材，並也讓他們從事非結構化的一般自由歌唱團體，例如卡拉ok。經過八週後，使用療效因子問卷分析這兩種歌唱團體所分別發揮的療效因子之差異。結果：結果發現病人對於12個療效因子的感受皆是較具結構化、以基督教勵志歌曲為素材之歌唱團體治療高於自由歌唱活動，且皆達統計上的顯著值。若比較性別對於音樂治療團體療效因子之影響，發現女性病人在對於「宣洩」這個療效因子的感受比男性強，且達統計上之顯著值。而教育程度對所發揮的療效因子在本研究中並無影響，但年齡對於發展社交技巧、灌輸希望、存在性因子這三個療效因子呈負相關，並達統計上的顯著值。結論：本研究發現較具結構化、以基督教勵志歌曲為素材之歌唱團體治療可比自由放任式的歌唱團體更容易產生療效因子，可供未來研究或臨床做參考。  Background and purpose: Schizophrenia is a serious contemporary mental illness, and many previous investigations have demonstrated that singing is beneficial to people’s mental health, including religion songs. However, few investigations have utilized therapeutic factors to study the benefits of group religion song singing to pa-tients with chronic schizophrenia. The purpose of this investigation is to compare the therapeutic factors between Christian song singing group and free-style singing group of patients with schizophrenia. Methods: This investigation gathered 38 patients with chronic schizophrenia, living at two residential institutions for psychiatric rehabilita-tion, as research subjects. They participated in two singing groups: Christian song singing group, and a general singing group. The differences in therapeutic factors be-tween the two singing groups were analyzed using a therapeutic-factors assessment tool after eight weeks of study. Results: Analytical results show that patients felt more favorably about group religion song singing than about general free-style singing ac-tivity for all 12 therapeutic factors. Additionally, female patients tend to experience “catharsis” more than their male counterparts in therapeutic singing groups. Education level has no influence on therapeutic factors, and age is negatively correlated to three therapeutic factors, namely developing socializing techniques, instillation of hope and existential factor. Conclusion: This study concludes that group religion song singing offers more therapeutic benefits than general free-style group singing for schizophre-nia patients. The latter group therefore is worthy of further promotion.