音乐辅助治疗对抑郁症患者所伴发躯体疼痛症状的疗效

目的探讨音乐治疗对抑郁症患者所伴发躯体疼痛症状的辅助治疗作用。方法伴有躯体疼痛症状的抑郁症患者随机分组,分别接受帕罗西汀联合音乐治疗(音疗组,n=40)或单一帕罗西汀治疗(对照组,n=40)。于治疗前、治疗后2周末、4周末,分别以视觉模拟评分量表(VAS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评定疼痛、抑郁、焦虑的严重程度。结果①音疗组、对照组治疗后2、4周末时,SDS、SAS均较治疗前显著下降(t=3.517~5.664,P均0.001);治疗后4周末时,两组VAS评分也较治疗前显著下降(分别t=3.507、2.158,P0.01、0.05);②音疗组治疗4周末的VAS、SAS评分的变化值均显著高于对照组,差异有统计学意义(t=2.093、2.458,P均0.05);③音疗组、对照组的治疗前、治疗后2周末、4周末VAS评分,与SDS、SAS评分均正相关(r=0.329~0.464,P0.05~0.01);2周末的VAS评分变化值与SDS评分变化值正相关(r=0.408、0.343,P0.05);4周末的VAS评分变化值与SAS评分变化值正相关(r=0.484、0.395,P0.01、0.05)。结论音乐治疗对抑郁症患者伴发的躯体疼痛症状有一定的辅助治疗作用。

Effect of Music Therapy as an Adjunctive Treatment on Somatic Pain in Depression Patients

Objective To investigate the effect of music therapy on the somatic pain of depression patients .Methods Depressive patients with somatic pain were randomly divided into two groups receiving continuative paroxetine treatment for 4 weeks,one with music therapy addition （ music-therapy group , n=40 ） , one without adjunctive treatment （ control group , n=40 ） .The Visual Analogue Scale （VAS）,Self-rating Depression Scale（SDS） and Self-rating Anxiety Scale（SAS） were used for the assessment of pain,depression,anxiety respectively before and 2,4 weeks after treatment .Results The scores of SDS and SAS were significantly decreased at 2,4 weekend （t=3.517-5.664,all P〈0.001）in both two groups,while the score of VAS was significantly decreased in music-therapy group at 4 weekend after treatment（t=3.507,P〈0.01）or control group （t=2.158,P〈0.05）.The delta of VAS（t=2.093,P〈0.05）and SAS （t=2.458,P〈0.05） in music-therapy group were significantly higher than those in contol group 4 weeks after treatment.In either mu-sic-therapy group or control group ,a positive relationship were observed between VAS and SDS /SAS at 2,4 weekend of the study （ r=0.329~0.464,P〈0.05-0.01）,between VAS and SDS at the end of 2 weeks（r=0.408,0.343;both P〈0.05）,between VAS and SAS at 4 weekend post therapy r=0.484,0.395;P〈0.01,0.05）.Conclusion The combined music therapy has some benefits on the relief of pain symptom of depression patients .