중추신경계 손상 환자의 우울과 삶의 질에 대한 음악요법의 효과 (The effects of Music Threapy on Depression and Quality of Life for Central Nervous System Injured Patients)

서지정보

· 발행기관 : 고신대학교(의대) 고신대학교 의과대학 학술지
· 수록지 정보 : 고신대학교 의과대학 학술지 / 25권 / 1호 / 35 ~ 41페이지
· 저자명 : 최성복, 정호중, 심영주

초록

Objectives: To identify whether music therapy is effective for depression and quality of life (QOL) of patients with central nervous system (CNS) injury, using controlled comparison method. Methods: Twenty nine subjects with CNS injury assigned to one of the two groups, music therapy group (therapy group) or control group. Music therapy was applied to fifteen patients in the therapy group twice a week for 5 weeks (10 sessions) with daily physical and occupational therapy, while only physical and occupational therapy were applied to the control group routinely. Depression of all subjects was assessed by Beck depression inventory (BDI) and Hamiltonrating scale for depression (HRSD). QOL was measured with the use of the world health organization quality of life assessment instrument-brief (WHOQOL-BREF). Each evaluation was assessed at the beginning of this study and after 10 sessions’music therapy. Results: The mean BDI scores reduced in the two groups, but the differences were not significant. In the therapy group, the mean score of HRSD was reduced significantly after song psychotherapy for 5 weeks, from 7.6±5.6 to 3.5±4.1 (p<0.05), while it was not significantly reduced in the control group. The mean scores of WHOQOL-BREF in the therapy group were advanced in every domain. In the control group the mean score of social relationships domain was worsen after 5 weeks comparing the mean score at the beginning of this study. Conclusions : The music therapy relieves patients with CNS injury from depression, and it also seems to be able to improve QOL of them.

영어초록

Objectives: To identify whether music therapy is effective for depression and quality of life (QOL) of patients with central nervous system (CNS) injury, using controlled comparison method. Methods: Twenty nine subjects with CNS injury assigned to one of the two groups, music therapy group (therapy group) or control group. Music therapy was applied to fifteen patients in the therapy group twice a week for 5 weeks (10 sessions) with daily physical and occupational therapy, while only physical and occupational therapy were applied to the control group routinely. Depression of all subjects was assessed by Beck depression inventory (BDI) and Hamiltonrating scale for depression (HRSD). QOL was measured with the use of the world health organization quality of life assessment instrument-brief (WHOQOL-BREF). Each evaluation was assessed at the beginning of this study and after 10 sessions’music therapy. Results: The mean BDI scores reduced in the two groups, but the differences were not significant. In the therapy group, the mean score of HRSD was reduced significantly after song psychotherapy for 5 weeks, from 7.6±5.6 to 3.5±4.1 (p<0.05), while it was not significantly reduced in the control group. The mean scores of WHOQOL-BREF in the therapy group were advanced in every domain. In the control group the mean score of social relationships domain was worsen after 5 weeks comparing the mean score at the beginning of this study. Conclusions : The music therapy relieves patients with CNS injury from depression, and it also seems to be able to improve QOL of them.

참고자료

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