接受式音乐治疗对女性医学研究生心理健康干预研究

发布时间：2018-06-09 13:35

本文选题：接受式音乐治疗 + 医学研究生　；参考：《大连医科大学》2017年硕士论文

【摘要】：实验一、医学研究生心理健康现状和音乐喜爱情况调查目的:采用SCL-90量表调查了解大连医科大学医学研究生心理健康状况,同时了解他们的音乐喜爱情况,为心理问题研究生的音乐干预提供依据。方法:以585名大连医科大学研究生为研究对象,采用一般人口学资料表、自编音乐喜爱调查表和症状自评量表(SCL-90)。统计:采用单样本t检验;独立样本t检验;单因素方差分析,以p0.05为差异具有统计学意义。结果:1、医学研究生SCL-90心理健康现状SCL-90与常模比较,采用独立样本t检验,医学研究生在躯体化(t=2.596,p0.05)、强迫症状(t=11.440,p0.01)、抑郁(t=5.273,p0.01)、焦虑(t=7.040,p0.01)、敌对(t=2.622,p0.01)、恐怖(t=8.415,p0.01)、偏执(t=3.510,p0.01)、精神病性(t=8.316,p0.01)和总分值(t=6.389,p0.01)上显著高于全国成人常模分数,而在人际关系敏感这个因子项上不存在显著差异(t=1.747,p0.05)。医学研究生在症状自评量表(SCL-90)评估结果显示,平均数及标准差为142.89±48.96。总分值大于等于160分为阳性,医学研究生中的165人显示了阳性结果,占总人数的28.2%。10个因子项中,每个因子项超过2分的阳性检出率,按从高到低的顺序排列,依次是强迫症状(44.4%)、人际关系敏感(29.6%)、抑郁(26.7%)、敌对(21.2%)、其他(21.0%)、焦虑(20.5%)、偏执(20.2%)、精神病性(16.2%)、恐怖(15.4%)、躯体化(14.4%)。SCL-90性别差异,男性在人际关系敏感(t=2.054,p0.05)、偏执(t=2.207,p0.05)、精神病性(t=2.180,p0.05)和其他(t=2.289,p0.05)因子得分上显著高于女性。心理健康总分、躯体化、强迫症状、抑郁、焦虑、敌对、恐怖因子得分均无显著差异(t1-7=0.066/0.160/0.136/0.180/0.209/0.063/0.129,p1-70.05)。2、医学研究生音乐喜爱与偏好调查结果对音乐持喜欢态度(非常喜欢和比较喜欢)的人占75.8%,不喜欢(不太喜欢和完全不喜欢)的人仅占1%。通过听音乐来缓解情绪的人为50.9%,其他的占49.1%。认为音乐对缓解情绪有帮助的占69.6%,而认为没有帮助的仅有3.3%。在缓解情绪志愿选择歌曲时,选择与自己当时心境相同音乐的占79%,而仅有7.0%的学生选择了与当时心境相反的音乐。有音乐偏好的人数为473人,占总人数的80.9%,而在具有音乐偏好的人中,偏好听流行音乐的人数最多为296人,占有音乐偏好人数的62.6%。结论:1、医学研究生心理问题严重程度高于全国成人常模,较高的项目包括躯体化、强迫症状、抑郁、焦虑、敌对、恐怖、偏执、精神病性和总分值。28.2%的医学研究生存在心理健康问题,心理问题因子严重程度由高到低包括:强迫症状、人际关系敏感、抑郁、敌对、其他、焦虑、偏执、精神病性、恐怖和躯体化。2、医学研究生音乐喜爱调查发现对音乐持喜欢的态度选择用听音乐来缓解情绪的人数较多,且认为音乐具有良好的效果。在选择音乐时更倾向于选择与当时心境相同的音乐,医学研究生更偏好流行音乐。实验二、接受式音乐治疗对于女性医学研究生心理健康问题干预研究目的:探讨接受式音乐治疗对女性医学研究生SCL-90心理健康阳性者的影响情况,为提高女性医学研究生心理健康水平寻找新的技术与方法。对象与方法:对象是从165名心理健康问题阳性者中随机抽取33名女性医学研究生为研究被试,根据各个因子的阳性情况,随机将被试分成两组,即实验组(15人)和对照组(18人)。实验组接受每周一次,一次90分钟,共八次的接受式音乐治疗活动,对照组不做任何处理。采用SCL-90在接受式音乐治疗前后分别对实验组和对照组进行评估。统计:采用独立样本t检验、配对样本t检验和重复测量方差分析,以p0.05为差异有统计学意义。结果:1、干预前,实验组和对照组在SCL-90量表上心理健康总分及各因子项均分上均未发现显著差异(t1-11=0.763/0.492/0.233/0.745/0.967/1.353/1.081/0.962/0.033/0.284/0.440,p1-110.05)。2、在干预前后,实验组和对照组在SCL-90量表上心理健康总得分(F=12.986,p0.01)及人际关系敏感(F=4.187,p0.05)、抑郁(F=25.428,p0.01)、焦虑(F=10.696,p0.01)因子得分上交互作用显著。对具有交互作用的因子项进行事后t检验,发现在干预前后,实验组在SCL-90量表上心理健康总分(t=6.172,p0.01)、人际关系敏感(t=2.679,p0.01)、抑郁(t=8.136,p0.01)及焦虑(t=4.163,p0.01)因子项上得分存在显著差异,而对照组无显著差异。此外,在干预后,实验组在SCL-90量表上心理健康总分(t=4.318,p0.01)、人际关系敏感(t=3.315,p0.01)、抑郁(t=5.710,p0.01)及焦虑(t=2.600,p0.01)因子项上得分显著低于对照组。结论:接受式音乐治疗改善了医学研究生的心理健康状况,特别是对于人际关系敏感、抑郁、焦虑因子均有显著改善效果。
[Abstract]:The first, the status of mental health of medical postgraduates and the investigation of music love: the SCL-90 scale was used to investigate the mental health status of medical postgraduates in Dalian Medical University. At the same time, their music affection was understood and the music of the graduate students of psychological problems were previewed. Methods: 585 graduate students from Dalian Medical University Study subjects, using the general demographic data table, self compiled music favorite questionnaire and symptom checklist (SCL-90). Statistics: single sample t test, independent sample t test, single factor analysis of variance, P0.05 as difference has statistical significance. Results: 1, medical postgraduate SCL-90 mental health status SCL-90 and normal model comparison, use independent sample This t test shows that medical postgraduate students in t=2.596 (P0.05), t=11.440 (P0.01), t=5.273 (P0.01), anxiety (t=7.040, P0.01), hostility (t=2.622, P0.01), terror (t=8.415, P0.01), paranoia, and total scores are significantly higher than the national adult norm scores, but in interpersonal relationships. There was no significant difference between the factors of relationship sensitivity (t=1.747, P0.05). The results of the medical postgraduate's assessment of the symptom checklist (SCL-90) showed that the average and standard deviation of 142.89 + 48.96. were more than equal to 160, and 165 of the medical postgraduates showed positive results, each of the 28.2%.10 factors in the total number of students. The positive rate of factor item more than 2 points, according to the order of high to low, were compulsive symptoms (44.4%), interpersonal sensitivity (29.6%), depression (26.7%), hostility (21.2%), other (21%), anxiety (20.5%), paranoid (20.2%), psychosis (16.2%), terror (15.4%), somatization (14.4%).SCL-90 gender difference, and men's sensitivity to interpersonal relationship (t=2.054 P0.05), t=2.207 (P0.05), psychosis (t=2.180, P0.05) and other (t=2.289, P0.05) factors were significantly higher than those of women. There were no significant differences in scores of mental health, somatization, compulsion, depression, anxiety, hostility and terror (t1-7=0.066/0.160/0.136/0.180/0.209/0.063/0.129, p1-70.05), and the music happiness of medical postgraduate students. The love and preference survey results accounted for 75.8% of the people who were fond of music (very likes and prefers). People who did not like (dislike and completely disliked) accounted for only 50.9% of the people who had 1%. by listening to music to relieve their emotions. The others accounted for 69.6% of 49.1%. that music was helpful in relieving emotion, and that only 3.3%. was not helpful. When the song was relieved, 79% of the music of the same mood was chosen, while only 7% of the students chose music that was contrary to the mood of the time. The number of music preferences was 473, accounting for 80.9% of the total, and among the people with a preference for music, the number of people listening to pop music was up to 296, occupying a musical preference. The number of 62.6%. conclusions: 1, the psychological problems of medical postgraduates are higher than the national adult norm, and the higher projects include somatization, compulsive symptoms, depression, anxiety, hostility, terror, paranoia, psychosis and total.28.2%, and the psychological problems are from high to low, including obsessive-compulsive disorder. .2, depression, hostility, hostility, hostility, others, anxiety, paranoia, psychosis, horror and somatization, and the music favorite investigation of medical postgraduates found that the preference for music is more likely to be relieved by listening to music, and that music has a good effect. It is more inclined to choose music when choosing music. The same music, medical graduate students prefer pop music. Experiment two, acceptance type music therapy for female medical graduate students' psychological health problem intervention research purpose: To explore the effect of reception type music therapy on SCL-90 mental health positive in female medical postgraduate students, looking for new mental health level for higher female medical postgraduate students. Techniques and methods. Objects and methods: the subjects were randomly selected 33 female medical postgraduates from 165 positive mental health problems. According to the positive conditions of each factor, the subjects were randomly divided into two groups, namely, the experimental group (15 people) and the control group (18 people). The test group was accepted once a week, 90 minutes a time, and eight acceptance Music treatment activities, the control group did not do any treatment. The experimental group and the control group were evaluated with SCL-90 before and after the reception of music treatment. Statistics: using independent sample t test, paired sample t test and repeated measurement of variance analysis, the difference was statistically significant with P0.05. Results: 1, before intervention, experimental group and control group in SCL-90 There was no significant difference (t1-11=0.763/0.492/0.233/0.745/0.967/1.353/1.081/0.962/0.033/0.284/0.440, p1-110.05).2 on the total score of mental health and all factors on the scale. Before and after the intervention, the total score of mental health (F= 12.986, P0.01) and interpersonal sensitivity (F=4.187, P0.05) and depression (F=) were found on the SCL-90 scale before and after the intervention. 25.428, P0.01), the interactive effect of anxiety (F=10.696, P0.01) factor was significant. After the t test of the factor item with interaction, it was found that before and after the intervention, the experimental group was on the SCL-90 scale (t=6.172, P0.01), interpersonal sensitivity (t= 2.679, P0.01), depression (t=8.136, P0.01) and anxiety (t=4.163,) factors. There were significant differences in scores, but there was no significant difference in the control group. In addition, the scores of the experimental group on the SCL-90 scale (t=4.318, P0.01), interpersonal sensitivity (t=3.315, P0.01), depression (t=5.710, P0.01) and anxiety (t=2.600, P0.01) factors were significantly lower than those in the control group. Conclusion: accepted music therapy improved medical research. The mental health status of postgraduates, especially for interpersonal sensitivity, depression and anxiety factors, is significantly improved.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：J60-05

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