42 THE INFLUENCE OF CHORAL ACTIVITIES ON LANGUAGE FUNCTION AND COMMUNICATION ABILITY OF YOUNG PATIENTS WITH DEPRESSION

IF 4.8 1区 医学 Q1 PSYCHIATRY Schizophrenia Bulletin Pub Date : 2025-02-18 DOI:10.1093/schbul/sbaf007.042
Qidong Kang
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Abstract

Background Depression is a psychological disorder characterized by depressed mood and diminished interest, accompanied by significant cognitive impairment, including decreased verbal expression and social communication skills. Language dysfunction is characterized by delayed speech, poor vocabulary and difficulty in verbal expression, while impaired communication skills exacerbate the patient’s sense of social isolation. In recent years, choral singing, as a group musical activity, has been widely recognized as having psychological rehabilitation and social promotion effects. Through musical expression, patients can benefit from emotional catharsis and language training; while through team interaction, patients can enhance social skills and self-efficacy. The study aimed to assess the effects of choral activities on language function and communication ability of young depressed patients, and to provide innovative rehabilitation interventions for patients. Methods The study included 100 depressed patients aged 18-35 years, all of whom met the diagnostic criteria for depression in the International Classification of Diseases, 10th Revision (ICD-10). The patients were randomly divided into an experimental group and a control group, with 50 in each group. The experimental group received conventional psychotherapy and participated in a 10-week choral intervention, which took place three times a week for 90 minutes each time, and included vocal training, choral technique practice and group music creation. The control group received only conventional psychotherapy. Before and after the intervention, the patients were assessed for changes in verbal expression and social communication skills using the Language Function Assessment Scale and the Communication Skills Assessment Scale, respectively. Data were analyzed by paired t-tests and between-group comparisons, with P<0.05 as the level of significance. Results The results of the experiment showed that the language function and communication ability of the patients in the experimental group improved significantly and the effect was better than that of the control group (P<0.01). The language function score of the experimental group improved from 45.2±6.1 before the intervention to 60.3±5.9 after the intervention, while the language function score of the control group only improved from 46.1±5.6 to 47.8±5.5. The communication skills score improved from 42.1±5.4 to 58.4±4.7 in the experimental group and from 41.9±5.2 to 43.6±5.1 in the control group. The difference in improvement between the two groups was statistically significant (P<0.01). Discussion The results of the study confirmed the positive effects of choral activities in improving the language function and communication ability of young depressed patients. Through choral activities, patients were able to exercise their language skills in musical expression and overcome language expression difficulties; team interaction provided patients with more communication opportunities and enhanced their social skills and self-confidence. The successful application of this intervention method provides new ideas for the comprehensive rehabilitation of depression.
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合唱活动对青年抑郁症患者语言功能和交际能力的影响
抑郁症是一种以情绪低落和兴趣减退为特征的心理障碍,伴有显著的认知障碍,包括语言表达能力和社会沟通能力下降。语言功能障碍的特点是言语迟缓、词汇量不足、言语表达困难,而沟通能力受损加剧了患者的社会孤立感。近年来,合唱作为一种群体性的音乐活动,被广泛认为具有心理康复和社会促进作用。通过音乐表达,患者可以得到情绪宣泄和语言训练;而通过团队互动,患者可以提高社交技能和自我效能感。本研究旨在评估合唱活动对青少年抑郁症患者语言功能和沟通能力的影响,为患者提供创新的康复干预措施。方法选取符合《国际疾病分类第十版》(ICD-10)抑郁症诊断标准的抑郁症患者100例,年龄18 ~ 35岁。将患者随机分为实验组和对照组,每组50例。实验组接受常规心理治疗,并参加为期10周的合唱干预,每周三次,每次90分钟,包括声乐训练、合唱技巧练习和集体音乐创作。对照组只接受常规心理治疗。干预前后分别采用语言功能评估量表和沟通技巧评估量表对患者的口头表达和社会沟通技巧的变化进行评估。数据分析采用配对t检验和组间比较,显著性水平为P&;lt;0.05。结果实验结果显示,实验组患者的语言功能和沟通能力明显改善,效果优于对照组(P<0.01)。实验组的语言功能评分从干预前的45.2±6.1提高到干预后的60.3±5.9,而对照组的语言功能评分仅从46.1±5.6提高到47.8±5.5。实验组沟通能力评分由42.1±5.4分提高到58.4±4.7分,对照组由41.9±5.2分提高到43.6±5.1分。两组改善程度差异有统计学意义(P<0.01)。本研究结果证实了合唱活动对改善青少年抑郁症患者语言功能和交际能力的积极作用。通过合唱活动,患者可以锻炼音乐表达的语言能力,克服语言表达困难;团队互动为患者提供了更多的交流机会,增强了他们的社交能力和自信心。该干预方法的成功应用为抑郁症的综合康复提供了新的思路。
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来源期刊
Schizophrenia Bulletin
Schizophrenia Bulletin 医学-精神病学
CiteScore
11.40
自引率
6.10%
发文量
163
审稿时长
4-8 weeks
期刊介绍: Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.
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