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음악요법이 정신질환의 우울과 정신병적 행동에 미치는 영향

The Effects of Systematic Group Music Therapy for the inpatients with Depressive Mood and Psychiatric Behavior

간호학논문집 - 서울대학교 1996년 10권 1호 p.53 ~ 70
박영숙, 김금순,
소속 상세정보
박영숙 ( Park Young-Sook ) - 서울대학교 간호대학
김금순 ( Kim Keum-Soon ) - 서울대학교 간호대학

Abstract


The purpose of this study was to identify the effects of singing & listening of music therapy for the inpatients with depressive mood and psychiatric behavior. Music therapy was programmed of listening and singing rhythmic instruments systematically.
The study was designed with nonequivalent control group repeated measures design.
The subjects were selected from the 2 neuropsychiatric wards of Seoul National University Hospital. They were composed of 44 patients : 22 patients were assigned to the experimental group in the one ward and the rests of them to control group in the other ward.
The experimental group was received the music therapy for 35-45 minutes 8 times during 2 weeks. On the other hand, the control group had the tea time instead of music therapy.
The tools of this study were Brief Psychiatric Rating Scale(BPRS), Depressive Adjective Mood Scale, Music Preference Questionnaire and Music Therapy Evaluation Questionnaire. BPRS consists of 18 items, including 4 factors: anxious depression behavior, withdrawal-retardation behavior, hostile suspiciousness behavior and thinking disturbance behavior.
The data, were collected from December, 26, 1994 to January, 17, 1995. The data were analyzed using the SPSS/PC+ program: Chi-Square Test and t-test were used to test the homogeneity of the general characteristics, extraneous variables, depressive mood and psychiatric behavior before intervention between the two groups ; Chronbach’s α-model was used to test reliability of BPRS and between the raters ; ANCOVA, t-test and paired t-test were used to test the homogeneity of the depressive mood and psychiatric behavior after intervention between the two groups.
The results of the study were as follows :
There was no significant difference in the general characteristics, extraneous variables, depressive mood and psychiatric behavior before intervention between the experimental and the control group except anxious depression behavior.
There was significant difference in depressive mood and some psychiatric behavior after intervention between the two groups. That is, there was significant difference in withdrawal-retardation behavior, hostile suspiciousness behavior and thinking disturbance behavior at 18th session. And there was significant difference in depressive mood at only 1st session between the two groups and the therapeutic effects maintained. Experimental group had more anxious depression behavior than control group at 2nd and 4th sessions temporarily. But we should remember one point that there was no significant difference after the time.
In conclusion, the finding of this study showed that group music therapy, systematically programmed of listening and singing using rhythmic instruments, had therapeutic effects for the inpatients with depressive mood and psychiatric behavior. The data in this study suggest that music therapy requires at least 8 sessions and is good nursing intervention of neuropsychiatric inpatient.
Finally, I suggest that further researches for the effects of music therapy in contrast to other therapeutic activities should be followed.

키워드

music therapy;psychiatric behavior;depressive mood;tea time

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