| 马依鸣
，张洪光
，袁梦迪
，钟宝亮,.创伤后应激障碍音乐治疗的范围综述[J].神经损伤功能重建,2024,(4):230-234 |
| 创伤后应激障碍音乐治疗的范围综述 |
| Music Therapy for Patients with Post-traumatic Stress Disorder: a Scoping Review |
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| DOI： |
| 中文关键词: 音乐治疗 创伤后应激障碍 范围综述 |
| 英文关键词: music therapy post-traumatic stress disorder scoping review |
| 基金项目: |
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| 摘要点击次数: 1624 |
| 全文下载次数: 2014 |
| 中文摘要: |
| 目的：从干预措施分类和组成部分的角度描述音乐治疗在创伤后应激障碍（post-traumatic stress disorder，PTSD）的干预方法，并从临床应用角度分析其发展，为未来该领域研究提供新的见解。方法：以Arksey
和O’Malley研究的范围综述指南为方法学框架，系统检索了主要中英文电子数据库（中国知网、PubMed、
Cochrane Library、Web of Science、Embase、Medline）中音乐治疗对PTSD干预措施的相关文献，提取音乐治
疗措施和疗效的数据，进行综合分析。结果：共纳入18篇研究。纳入研究的对象包括经历因战争、躯体残
疾、暴力虐待、恐怖事件等而PTSD的患者；音乐干预主要以团体形式、接受式聆听方式为主，音乐没有作为
单独的干预手段，通常与药物治疗联合；多数研究显示，与常规治疗组相比，音乐治疗组有效改善了PTSD
患者的核心症状和伴随症状。结论：现有研究采取了多种音乐干预措施来减轻PTSD患者的回避、再体验、
睡眠、焦虑、抑郁等症状，但尚无统一技术标准或指南以指导音乐干预措施的制定。PTSD患者的临床异质
性表明了只有多样化和个性化音乐治疗方案才能有效的满足患者群体的需求。整体而言，该领域研究尚存
在许多不足，发展标准化的音乐治疗技术指南是当前的紧迫工作。 |
| 英文摘要: |
| To describe the intervention methods of music therapy in post-traumatic stress disorder
(PTSD) from the perspective of intervention classification and components, and to analyze its development from
a clinical application standpoint, providing new insights for future research in this field. Methods: Using the
scoping review guidelines by Arksey and O’Malley as the methodological framework, a systematic search was
conducted in major Chinese and English electronic databases (CNKI, PubMed, Cochrane Library, Web of
Science, Embase, Medline) for relevant literature on music therapy interventions for PTSD. Data on music
therapy measures and therapeutic effects were extracted for comprehensive analysis. Results: A total of 18
studies were included. The subjects of the included studies were patients with PTSD due to war, physical
disability, violent abuse, terrorist incidents, etc. Music interventions were primarily conducted in groups and
through a receptive listening approach; music was not used as a sole intervention but was usually combined with
drug treatment. Most studies showed that compared to the conventional treatment group, the music therapy
group effectively improved the core and associated symptoms of PTSD patients. Conclusion: Existing studies
have employed various music intervention measures to alleviate symptoms such as avoidance, re-experiencing,
sleep disturbance, anxiety, and depression in PTSD patients. However, there is no unified technical standard or
guideline to direct the formulation of music intervention measures. The clinical heterogeneity of PTSD patients
indicates that only diversified and personalized music therapy programs can effectively meet the needs of the
patient population. Overall, research in this field is lacking, and developing standardized technical guidelines for
music therapy is an urgent task at present. |
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