神经生物反馈与音乐联合训练对冰毒成瘾者干预的初步研究
发布时间：2018-08-30 13:47
【摘要】：对4名冰毒成瘾病人进行半个月共12次的神经生物反馈与音乐联合训练,试图探索一种适合冰毒成瘾病人的神经生物反馈训练方案。神经生物反馈训练包括6次的SMR-Beta训练和6次的Alpha-Theta训练。训练前后用90项症状自评量表(SCL-90)、卡特尔16种人格因素问卷(16PF)、生存质量测定量表简表(WHOQOL-BREF)施测,比较前后测的差异。采用色词干涉的Stroop测验评价SMR-Beta训练对注意控制的影响。神经生物反馈训练中加入音乐,将刺激型音乐作为SMR-Beta训练阶段的背景音乐,松弛型音乐作为Alpha-Theta训练阶段的背景音乐。结果显示:(1)后测scl-90总分显著低于前测总分,其中后测焦虑因子分、敌对因子分显著低于前测分数;(2) 16PF后测幻想性因子分显著低于前测分数;(3) WHOQOL-BREF后测心理领域分数显著高于前测分数;(4) Stroop测验后测反应时的一致性效应比率显著低于前测,这表明经过SMR-Beta训练,被试的注意力水平有所提高。对4名冰毒成瘾病人的训练情况进行个案分析:(1) SMR-Beta训练阶段的脑电结果显示,个案2与个案3 SMR波、Beta波均有所上升;个案1与个案4 SMR波有明显上升,而Beta波变化不明显。比较4名被试SMR-Beta训练前后Stroop测验的结果,发现后测反应时的一致性效应比率显著低于前测,这表明SMR-Beta阶段的训练目标已达到效果,冰毒成瘾病人的注意力水平有所提高。(2) Alpha-Theta训练阶段,个案1与个案2 Alpha、Theta波均有所上升;个案3与个案4 Alpha、Theta波变化不明显。在Alpha-Theta训练的想象陈述部分,个案1、个案3都有较好的转变,戒毒决心增强,对未来生活有憧憬。结论:经过神经生物反馈与音乐联合的训练,4名冰毒成瘾病人的心理健康、人格特征和生活质量水平均有所改善。在SMR-Beta训练阶段,其中2名被试SMR波、低频Beta波均有所上升,另2名被试SMR波水平有所提高,低频Beta波变化不明显;在Alpha-Theta训练阶段,其中2名被试的Alpha、Theta波上升趋势,另2名被试Alpha、Theta波变化不明显。SMR-Beta阶段训练有助于改善冰毒成瘾病人的注意力水平以及认知缺陷,Alpha-Theta阶段的训练通过引导被试想象,让其向积极的方面转变。本次实验为神经生物反馈与音乐联合训练运用于冰毒成瘾病人的治疗提供了一套训练方案,然而要将此方案推广运用于治疗,还需要增加被试、延长训练周期、设置对照组进一步完善。
[Abstract]:Four methamphetamine addicts were given 12 neurobiofeedback and music training sessions for half a month in order to explore a kind of neurobiofeedback training scheme suitable for meth addiction patients. Neurobiofeedback training includes 6 SMR-Beta training and 6 Alpha-Theta training. 90 symptom Checklist (SCL-90), Cattell's 16 Personality Factor questionnaire (16PF) and quality of Life scale (WHOQOL-BREF) were used before and after training. The effect of SMR-Beta training on attention control was evaluated by Stroop test of color word interference. In the neurobiofeedback training, the stimulative music is used as the background music in the SMR-Beta training stage, and the relaxed music as the background music in the Alpha-Theta training stage. The results showed that: (1) the total score of post-test scl-90 was significantly lower than that of pre-test, and the post-test anxiety factor score was significantly lower than that of pre-test. The scores of hostile factors were significantly lower than those of pre-test scores; (2) the scores of 16PF post-test fantasy factors were significantly lower than those of pre-test scores; (3) the scores of post-test psychological field of WHOQOL-BREF were significantly higher than those of pre-test scores; (4) the rate of consistency effect in post-test response of Stroop test was significantly lower than that in pre-test. This indicated that after SMR-Beta training, the participants' attention level improved. A case study of 4 methamphetamine addicts was carried out: (1) the EEG results of the SMR-Beta training stage showed that both case 2 and case 3 showed an increase in SMR wave, case 1 and case 4 showed a significant increase in SMR wave, but no significant change in Beta wave. The results of Stroop test in 4 subjects before and after SMR-Beta training showed that the rate of consistency effect in post-test reaction was significantly lower than that in pre-test, which indicated that the training goal in SMR-Beta stage had achieved results. The attention level of patients with methamphetamine addiction was improved. (2) in the Alpha-Theta training stage, the Alpha,Theta wave of case 1 and case 2 increased, while the wave of Alpha,Theta in case 3 and case 4 did not change significantly. In the imaginative statement of Alpha-Theta training, case 1 and case 3 all had a better change, and the determination to detoxification was strengthened, and there was a vision for future life. Conclusion: the mental health, personality and quality of life of 4 patients with methamphetamine addiction were improved after neurobiofeedback and music training. In the SMR-Beta training stage, the SMR wave of 2 subjects increased, the low frequency Beta wave increased, while the SMR wave level of the other 2 subjects increased, the low frequency Beta wave did not change obviously, and in the Alpha-Theta training stage, the Alpha,Theta wave of 2 subjects increased. In the other two subjects, the change of Alpha,Theta wave was not obvious in SMR-Beta stage training, which was helpful to improve the attention level of meth addiction patients and to improve the cognitive deficit Alpha-Theta stage by guiding the subjects' imagination and making them change to positive aspects. This experiment provides a training program for the treatment of methamphetamine addicts by combining neurobiofeedback and music training. However, in order to apply this program to the treatment, we need to increase the number of subjects and prolong the training period. The control group was further improved.
【学位授予单位】：南京师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：B845.4
本文编号：2213261
[Abstract]:Four methamphetamine addicts were given 12 neurobiofeedback and music training sessions for half a month in order to explore a kind of neurobiofeedback training scheme suitable for meth addiction patients. Neurobiofeedback training includes 6 SMR-Beta training and 6 Alpha-Theta training. 90 symptom Checklist (SCL-90), Cattell's 16 Personality Factor questionnaire (16PF) and quality of Life scale (WHOQOL-BREF) were used before and after training. The effect of SMR-Beta training on attention control was evaluated by Stroop test of color word interference. In the neurobiofeedback training, the stimulative music is used as the background music in the SMR-Beta training stage, and the relaxed music as the background music in the Alpha-Theta training stage. The results showed that: (1) the total score of post-test scl-90 was significantly lower than that of pre-test, and the post-test anxiety factor score was significantly lower than that of pre-test. The scores of hostile factors were significantly lower than those of pre-test scores; (2) the scores of 16PF post-test fantasy factors were significantly lower than those of pre-test scores; (3) the scores of post-test psychological field of WHOQOL-BREF were significantly higher than those of pre-test scores; (4) the rate of consistency effect in post-test response of Stroop test was significantly lower than that in pre-test. This indicated that after SMR-Beta training, the participants' attention level improved. A case study of 4 methamphetamine addicts was carried out: (1) the EEG results of the SMR-Beta training stage showed that both case 2 and case 3 showed an increase in SMR wave, case 1 and case 4 showed a significant increase in SMR wave, but no significant change in Beta wave. The results of Stroop test in 4 subjects before and after SMR-Beta training showed that the rate of consistency effect in post-test reaction was significantly lower than that in pre-test, which indicated that the training goal in SMR-Beta stage had achieved results. The attention level of patients with methamphetamine addiction was improved. (2) in the Alpha-Theta training stage, the Alpha,Theta wave of case 1 and case 2 increased, while the wave of Alpha,Theta in case 3 and case 4 did not change significantly. In the imaginative statement of Alpha-Theta training, case 1 and case 3 all had a better change, and the determination to detoxification was strengthened, and there was a vision for future life. Conclusion: the mental health, personality and quality of life of 4 patients with methamphetamine addiction were improved after neurobiofeedback and music training. In the SMR-Beta training stage, the SMR wave of 2 subjects increased, the low frequency Beta wave increased, while the SMR wave level of the other 2 subjects increased, the low frequency Beta wave did not change obviously, and in the Alpha-Theta training stage, the Alpha,Theta wave of 2 subjects increased. In the other two subjects, the change of Alpha,Theta wave was not obvious in SMR-Beta stage training, which was helpful to improve the attention level of meth addiction patients and to improve the cognitive deficit Alpha-Theta stage by guiding the subjects' imagination and making them change to positive aspects. This experiment provides a training program for the treatment of methamphetamine addicts by combining neurobiofeedback and music training. However, in order to apply this program to the treatment, we need to increase the number of subjects and prolong the training period. The control group was further improved.
【学位授予单位】：南京师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：B845.4
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