本文選題：接受式音樂治療 + 醫(yī)學(xué)研究生　； 參考：《大連醫(yī)科大學(xué)》2017年碩士論文

【摘要】：實(shí)驗(yàn)一、醫(yī)學(xué)研究生心理健康現(xiàn)狀和音樂喜愛情況調(diào)查目的:采用SCL-90量表調(diào)查了解大連醫(yī)科大學(xué)醫(yī)學(xué)研究生心理健康狀況,同時(shí)了解他們的音樂喜愛情況,為心理問題研究生的音樂干預(yù)提供依據(jù)。方法:以585名大連醫(yī)科大學(xué)研究生為研究對(duì)象,采用一般人口學(xué)資料表、自編音樂喜愛調(diào)查表和癥狀自評(píng)量表(SCL-90)。統(tǒng)計(jì):采用單樣本t檢驗(yàn);獨(dú)立樣本t檢驗(yàn);單因素方差分析,以p0.05為差異具有統(tǒng)計(jì)學(xué)意義。結(jié)果:1、醫(yī)學(xué)研究生SCL-90心理健康現(xiàn)狀SCL-90與常模比較,采用獨(dú)立樣本t檢驗(yàn),醫(yī)學(xué)研究生在軀體化(t=2.596,p0.05)、強(qiáng)迫癥狀(t=11.440,p0.01)、抑郁(t=5.273,p0.01)、焦慮(t=7.040,p0.01)、敵對(duì)(t=2.622,p0.01)、恐怖(t=8.415,p0.01)、偏執(zhí)(t=3.510,p0.01)、精神病性(t=8.316,p0.01)和總分值(t=6.389,p0.01)上顯著高于全國(guó)成人常模分?jǐn)?shù),而在人際關(guān)系敏感這個(gè)因子項(xiàng)上不存在顯著差異(t=1.747,p0.05)。醫(yī)學(xué)研究生在癥狀自評(píng)量表(SCL-90)評(píng)估結(jié)果顯示,平均數(shù)及標(biāo)準(zhǔn)差為142.89±48.96�？偡种荡笥诘扔�160分為陽(yáng)性,醫(yī)學(xué)研究生中的165人顯示了陽(yáng)性結(jié)果,占總?cè)藬?shù)的28.2%。10個(gè)因子項(xiàng)中,每個(gè)因子項(xiàng)超過2分的陽(yáng)性檢出率,按從高到低的順序排列,依次是強(qiáng)迫癥狀(44.4%)、人際關(guān)系敏感(29.6%)、抑郁(26.7%)、敵對(duì)(21.2%)、其他(21.0%)、焦慮(20.5%)、偏執(zhí)(20.2%)、精神病性(16.2%)、恐怖(15.4%)、軀體化(14.4%)。SCL-90性別差異,男性在人際關(guān)系敏感(t=2.054,p0.05)、偏執(zhí)(t=2.207,p0.05)、精神病性(t=2.180,p0.05)和其他(t=2.289,p0.05)因子得分上顯著高于女性。心理健康總分、軀體化、強(qiáng)迫癥狀、抑郁、焦慮、敵對(duì)、恐怖因子得分均無顯著差異(t1-7=0.066/0.160/0.136/0.180/0.209/0.063/0.129,p1-70.05)。2、醫(yī)學(xué)研究生音樂喜愛與偏好調(diào)查結(jié)果對(duì)音樂持喜歡態(tài)度(非常喜歡和比較喜歡)的人占75.8%,不喜歡(不太喜歡和完全不喜歡)的人僅占1%。通過聽音樂來緩解情緒的人為50.9%,其他的占49.1%。認(rèn)為音樂對(duì)緩解情緒有幫助的占69.6%,而認(rèn)為沒有幫助的僅有3.3%。在緩解情緒志愿選擇歌曲時(shí),選擇與自己當(dāng)時(shí)心境相同音樂的占79%,而僅有7.0%的學(xué)生選擇了與當(dāng)時(shí)心境相反的音樂。有音樂偏好的人數(shù)為473人,占總?cè)藬?shù)的80.9%,而在具有音樂偏好的人中,偏好聽流行音樂的人數(shù)最多為296人,占有音樂偏好人數(shù)的62.6%。結(jié)論:1、醫(yī)學(xué)研究生心理問題嚴(yán)重程度高于全國(guó)成人常模,較高的項(xiàng)目包括軀體化、強(qiáng)迫癥狀、抑郁、焦慮、敵對(duì)、恐怖、偏執(zhí)、精神病性和總分值。28.2%的醫(yī)學(xué)研究生存在心理健康問題,心理問題因子嚴(yán)重程度由高到低包括:強(qiáng)迫癥狀、人際關(guān)系敏感、抑郁、敵對(duì)、其他、焦慮、偏執(zhí)、精神病性、恐怖和軀體化。2、醫(yī)學(xué)研究生音樂喜愛調(diào)查發(fā)現(xiàn)對(duì)音樂持喜歡的態(tài)度選擇用聽音樂來緩解情緒的人數(shù)較多,且認(rèn)為音樂具有良好的效果。在選擇音樂時(shí)更傾向于選擇與當(dāng)時(shí)心境相同的音樂,醫(yī)學(xué)研究生更偏好流行音樂。實(shí)驗(yàn)二、接受式音樂治療對(duì)于女性醫(yī)學(xué)研究生心理健康問題干預(yù)研究目的:探討接受式音樂治療對(duì)女性醫(yī)學(xué)研究生SCL-90心理健康陽(yáng)性者的影響情況,為提高女性醫(yī)學(xué)研究生心理健康水平尋找新的技術(shù)與方法。對(duì)象與方法:對(duì)象是從165名心理健康問題陽(yáng)性者中隨機(jī)抽取33名女性醫(yī)學(xué)研究生為研究被試,根據(jù)各個(gè)因子的陽(yáng)性情況,隨機(jī)將被試分成兩組,即實(shí)驗(yàn)組(15人)和對(duì)照組(18人)。實(shí)驗(yàn)組接受每周一次,一次90分鐘,共八次的接受式音樂治療活動(dòng),對(duì)照組不做任何處理。采用SCL-90在接受式音樂治療前后分別對(duì)實(shí)驗(yàn)組和對(duì)照組進(jìn)行評(píng)估。統(tǒng)計(jì):采用獨(dú)立樣本t檢驗(yàn)、配對(duì)樣本t檢驗(yàn)和重復(fù)測(cè)量方差分析,以p0.05為差異有統(tǒng)計(jì)學(xué)意義。結(jié)果:1、干預(yù)前,實(shí)驗(yàn)組和對(duì)照組在SCL-90量表上心理健康總分及各因子項(xiàng)均分上均未發(fā)現(xiàn)顯著差異(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、在干預(yù)前后,實(shí)驗(yàn)組和對(duì)照組在SCL-90量表上心理健康總得分(F=12.986,p0.01)及人際關(guān)系敏感(F=4.187,p0.05)、抑郁(F=25.428,p0.01)、焦慮(F=10.696,p0.01)因子得分上交互作用顯著。對(duì)具有交互作用的因子項(xiàng)進(jìn)行事后t檢驗(yàn),發(fā)現(xiàn)在干預(yù)前后,實(shí)驗(yàn)組在SCL-90量表上心理健康總分(t=6.172,p0.01)、人際關(guān)系敏感(t=2.679,p0.01)、抑郁(t=8.136,p0.01)及焦慮(t=4.163,p0.01)因子項(xiàng)上得分存在顯著差異,而對(duì)照組無顯著差異。此外,在干預(yù)后,實(shí)驗(yàn)組在SCL-90量表上心理健康總分(t=4.318,p0.01)、人際關(guān)系敏感(t=3.315,p0.01)、抑郁(t=5.710,p0.01)及焦慮(t=2.600,p0.01)因子項(xiàng)上得分顯著低于對(duì)照組。結(jié)論:接受式音樂治療改善了醫(yī)學(xué)研究生的心理健康狀況,特別是對(duì)于人際關(guān)系敏感、抑郁、焦慮因子均有顯著改善效果。
[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.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：J60-05

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