De-Fang Meng, Jun Bao, Tao-Zhi Cai, Ying-Jie Ji, Yan Yang
{"title":"Music therapy combined with motivational interviewing.","authors":"De-Fang Meng, Jun Bao, Tao-Zhi Cai, Ying-Jie Ji, Yan Yang","doi":"10.5498/wjp.v14.i12.1886","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Percutaneous coronary intervention (PCI) is one of the main treatment methods for myocardial infarction (MI). Despite its positive effects, patients often experience different degrees of anxiety and depression after the intervention. Therefore, effectively changing the emotional state of patients with MI during PCI remains a focus of clinical research.</p><p><strong>Aim: </strong>To assess the effect of music therapy and motivational interviewing in young and middle-aged patients with anxiety and depression after PCI.</p><p><strong>Methods: </strong>We collected data from January 2022 to December 2023 from 86 young and middle-aged patients with MI after PCI. They were divided into observation and control groups according to the random throwing method. The observation group consisted of 43 patients undergoing music therapy and motivational interviewing, and the control group (43 cases) underwent music therapy and conventional communication. The two groups were then compared on mood status [Chinese Brief Mood Status Scale (POMS)], coping methods [Medical Coping Methods Questionnaire (MCMQ) Chinese version], and healthy lifestyle behaviors [Heart Health Self-Efficacy and Self-Management (HH-SESM) scale].</p><p><strong>Results: </strong>Two weeks post-intervention, the observation group had lower POMS scores, improved MCMQ scores, and higher HH-SESM scores than the control group (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>The combined intervention of music therapy and motivational interviewing for young and middle-aged patients with anxiety and depression after MI can effectively regulate their mood, reduce anxiety and depression symptoms, and stimulate patients to actively face their condition. It also encourages the formation of healthy behavioral habits.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"14 12","pages":"1886-1891"},"PeriodicalIF":3.9000,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622026/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5498/wjp.v14.i12.1886","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Percutaneous coronary intervention (PCI) is one of the main treatment methods for myocardial infarction (MI). Despite its positive effects, patients often experience different degrees of anxiety and depression after the intervention. Therefore, effectively changing the emotional state of patients with MI during PCI remains a focus of clinical research.
Aim: To assess the effect of music therapy and motivational interviewing in young and middle-aged patients with anxiety and depression after PCI.
Methods: We collected data from January 2022 to December 2023 from 86 young and middle-aged patients with MI after PCI. They were divided into observation and control groups according to the random throwing method. The observation group consisted of 43 patients undergoing music therapy and motivational interviewing, and the control group (43 cases) underwent music therapy and conventional communication. The two groups were then compared on mood status [Chinese Brief Mood Status Scale (POMS)], coping methods [Medical Coping Methods Questionnaire (MCMQ) Chinese version], and healthy lifestyle behaviors [Heart Health Self-Efficacy and Self-Management (HH-SESM) scale].
Results: Two weeks post-intervention, the observation group had lower POMS scores, improved MCMQ scores, and higher HH-SESM scores than the control group (P < 0.05).
Conclusion: The combined intervention of music therapy and motivational interviewing for young and middle-aged patients with anxiety and depression after MI can effectively regulate their mood, reduce anxiety and depression symptoms, and stimulate patients to actively face their condition. It also encourages the formation of healthy behavioral habits.
背景:经皮冠状动脉介入治疗(PCI)是治疗心肌梗死(MI)的主要方法之一。尽管有积极的效果,但患者在干预后往往会经历不同程度的焦虑和抑郁。因此,如何有效地改变心肌梗死患者在PCI治疗过程中的情绪状态一直是临床研究的重点。目的:探讨音乐治疗和动机性访谈对中青年PCI术后焦虑抑郁患者的治疗效果。方法:我们收集了2022年1月至2023年12月86例中青年PCI术后心肌梗死患者的数据。按随机投掷法分为观察组和对照组。观察组43例接受音乐治疗和动机访谈,对照组43例接受音乐治疗和常规交流。比较两组患者的情绪状态量表(Chinese Brief mood status Scale, POMS)、应对方式量表(Chinese Medical coping methods Questionnaire, MCMQ)、健康生活方式行为量表(Heart Health Self-Efficacy and Self-Management, HH-SESM)。结果:干预后2周,观察组患者POMS评分低于对照组,MCMQ评分高于对照组,HH-SESM评分高于对照组(P < 0.05)。结论:音乐疗法结合动机性访谈对中青年心肌梗死后焦虑抑郁患者进行联合干预,可有效调节患者情绪,减轻焦虑抑郁症状,刺激患者积极面对自身病情。它还鼓励形成健康的行为习惯。
期刊介绍:
The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.