102 ASSESSMENT AND TREATMENT POTENTIAL OF MUSIC INTERVENTION FOR THINKING DISORDERS IN PATIENTS WITH SCHIZOPHRENIA

IF 4.8 1区 医学 Q1 PSYCHIATRY Schizophrenia Bulletin Pub Date : 2025-02-18 DOI:10.1093/schbul/sbaf007.102
Yuan Ren
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Abstract

Background Patients with schizophrenia often show significant thinking disorders, which have a serious impact on their daily life and recovery of social functions. Traditional treatment methods mainly rely on drugs and psychotherapy, and music intervention, as a new non-drug treatment method, has shown its potential in improving the symptoms of schizophrenia. The study aims to evaluate the effect of music intervention on improving thinking disorders and cognitive functions in patients with schizophrenia. Methods The study included 60 patients with schizophrenia and randomly divided them into a music intervention group and a control group, with 30 people in each group. The experimental group received 12 weeks of music intervention, 3 times a week, 60 minutes each time, including auditory training, instrumental performance, and rhythm activities. The control group continued to receive conventional drug treatment. The study evaluated the patients before and after using the Positive and Negative Syndrome Scale (PANSS) and the cognitive function test scale to compare the changes in thought disorders, positive symptoms, negative symptoms, and cognitive function between the two groups. Results The results showed that the experimental group showed significant improvements in both positive and negative symptom scores, especially in thought disorder symptoms. See Table 1 for specific data. As can be seen from Table 1, the improvement in thought disorder scores, positive symptoms, and negative symptoms scores in the experimental group was significantly greater than that in the control group. The experimental group’s thinking disorder score improved by 9.5 points, positive symptoms improved by 8.2 points, negative symptoms improved by 7.8 points, and cognitive function score improved by 15.7 points, all of which were statistically significant (P < 0.05). The improvement in various assessments in the control group was smaller and did not reach the significance level. Data show that music intervention has significant therapeutic effects in alleviating thinking disorders and improving cognitive function. Discussion Research shows that music intervention can significantly improve the thinking disorders and cognitive functions of patients with schizophrenia, especially showing positive effects in alleviating positive symptoms and negative symptoms. Music intervention is easy to implement and has low side effects, which makes it have good clinical application prospects and provides a valuable supplementary path for the comprehensive treatment of schizophrenia. Future research can further explore the role of music intervention in the long-term recovery of patients with schizophrenia, and combine neuroimaging techniques to further analyze its specific impact on brain function.
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音乐干预对精神分裂症患者思维障碍的评价及治疗潜力
精神分裂症患者常表现出明显的思维障碍,严重影响其日常生活和社会功能的恢复。传统的治疗方法主要依靠药物和心理治疗,而音乐干预作为一种新的非药物治疗方法,在改善精神分裂症症状方面已显示出潜力。本研究旨在评估音乐干预对改善精神分裂症患者思维障碍和认知功能的影响。方法将60例精神分裂症患者随机分为音乐干预组和对照组,每组各30人。实验组接受为期12周的音乐干预,每周3次,每次60分钟,包括听觉训练、器乐演奏、节奏活动。对照组继续接受常规药物治疗。采用阳性与阴性症状量表(PANSS)和认知功能测试量表对患者进行评估,比较两组患者在思维障碍、阳性症状、阴性症状和认知功能方面的变化。结果实验组在阳性和阴性症状评分上均有显著改善,尤其是在思维障碍症状方面。具体数据见表1。由表1可以看出,实验组在思维障碍评分、阳性症状评分、阴性症状评分上的改善均显著大于对照组。实验组思维障碍评分提高9.5分,阳性症状评分提高8.2分,阴性症状评分提高7.8分,认知功能评分提高15.7分,差异均有统计学意义(P <;0.05)。对照组各项评估的改善较小,未达到显著性水平。数据显示,音乐干预在缓解思维障碍和改善认知功能方面具有显著的治疗效果。研究表明,音乐干预可以显著改善精神分裂症患者的思维障碍和认知功能,特别是在缓解阳性症状和阴性症状方面都有积极作用。音乐干预容易实施,副作用小,具有良好的临床应用前景,为精神分裂症的综合治疗提供了一条有价值的补充途径。未来的研究可以进一步探索音乐干预在精神分裂症患者长期康复中的作用,并结合神经影像学技术进一步分析其对脑功能的具体影响。
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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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