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中華團體心理治療

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篇名 詩詞吟誦團體模式對改善精神分裂症患者的情緒與人際適應效應之探討
卷期 13:4
並列篇名 Effects of a Poetry Recitation Group on Emotional and Interpersonal Adjustment of Schizophrenic Disorders
作者 王逸文李娟娟唐心北
頁次 005-018
關鍵字 詩詞吟誦情緒適應人際適應poetry recitationemotional adjustmentinterpersonal adjustmentTSCI
出刊日期 200712

中文摘要

目的:本研究乃在探討詩詞吟誦團體模式對改善精神分裂症患者的情緒與人際適應的效 應,以供日後多元化治療模式之參考。方法:本研究的個案:選自本院復健病房診斷為精神分裂症個案,選出10位,男女各半,參與詩詞吟調團體模式經驗者作為實驗組個案。另選出10位,男女各半,不參與詩詞吟誦團體模式經驗者作為控制組個案。訓練課程內容:參考古韻新聲(潘麗珠,2003),擇取適用的詩詞元曲約15首,並附譜曲的吟誦訓練手冊,人手一冊,計有24次訓練會期,每週一次,每次一小時,持續6個月。評估工具:搜集資料採訓練前測、後測,兩組個案均施以曾氏焦慮量表(SAS)中文版及曾氏憂鬱量表(SDS)中文版,社會距離量表(SD)與活性症狀量表(PSS)中文版。本研究的設計:採實驗組一控制組前後測設計。結果:1、實驗组個案在參與團體經驗前後,在情緒與人際適應方面有明顯的改善。2、實驗組個案在參與團體經驗前後,在情緒與人際適應方面的改善明顯優於控制組 個案。3、性別的差異對團體模式經驗的效應,不具明顯差異性。結論:整體言之,詩詞吟誦團體模式對改善精神分裂症患者的情緒與人際適應的效果有明顯正向效應,值得提供日後多元化治療模式之參考選項。

英文摘要

Objectives: The study aimed to assess the efficacy of a poetry recitation group ( PRG) with chronic schizophrenics (CSs) on emotional and interpersonal adjustment. Methods: The 24 study subjects selected from 3 rehabilitation wards were randomly assigned to 2 groups (experimental and control groups) » each group were 12 subjects. The session ran weekly and each lasted 90 minutes. Total 24 sessions in 6 months. Data were to collect by using the SAS, SDS, SD and PSS and measured at the pre-training and post-training periods respectively. Results: 1. Owing to about 17% drop-out rate, the experimental group were still maintained 10 study subjects and participated and completed 24-session PRG. The control group were also still maintained 10 study subjects without any PRG. 2. This PRG with CSs was effective for enhancing their emotional and interpersonal adjustment. 3. This PRG with CSs was an improvement on emotional and interpersonal adjustment over the control group. 4. No sex difference of a PRG with CSs effected on emotional and interpersonal adjustment was noted. Conclusions: The efficacy of a PRG with CSs on emotional and interpersonal adjustment was positive, we suggest it could be worthy of being considered as one of multiple treatment modalities.

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