CAJ | 학술논문

目的：探讨音乐治疗对精神分裂症康复期患者认知功能的影响。方法将80例精神分裂症康复期患者按随机数字表法分为研究组和对照组，每组40例，2组患者均按精神科常规治疗，研究组在此基础上进行音乐治疗。以威斯康星卡片分类测验（WCST）、韦氏记忆量表（WMS）、韦氏成人智力量表（WAIS-R）进行效果评定。结果治疗6个月后，研究组 WCST评分正确应答数和完成分类数明显高于对照组（P＜0．05），持续性应答数较对照组显著降低（P＜0．01），WMS短时记忆、瞬时记忆得分明显高于对照组（P＜0．05），WAIS-R操作智商明显高于对照组（P＜0．05）。结论音乐治疗能改善精神分裂症康复期患者的认知功能。
목적：탐토음악치료대정신분렬증강복기환자인지공능적영향。방법장80례정신분렬증강복기환자안수궤수자표법분위연구조화대조조，매조40례，2조환자균안정신과상규치료，연구조재차기출상진행음악치료。이위사강성잡편분류측험（WCST）、위씨기억량표（WMS）、위씨성인지역량표（WAIS-R）진행효과평정。결과치료6개월후，연구조 WCST평분정학응답수화완성분류수명현고우대조조（P＜0．05），지속성응답수교대조조현저강저（P＜0．01），WMS단시기억、순시기억득분명현고우대조조（P＜0．05），WAIS-R조작지상명현고우대조조（P＜0．05）。결론음악치료능개선정신분렬증강복기환자적인지공능。
Objective To explore the effect of music therapy on cognitive function in convales-cent patients with schizophrenia.Methods Eighty convalescent patients with schizophrenia were randomly divided into study group and control group,with 40 patients in each group.All patients were treated with antipsychotic medications.In addition,patients in study group received music therapy.Curative efficacy was evaluated using Wisconsin Card Sorting Test(WCST),Wechsler Memory Scale(WMS)and Wechsler Adult Intelligence Scale(WAIS-R).Results Compared with control group,music therapy significantly increased WCST scores of completed categories and correct responses,WMS scores of short-term memory and immediate memory and WAIS-R scores of performance IQ,but obviously decreased WCST scores of perseverative responses after treat-ment for 6 months(P<0.05 or P<0.01).Conclusion Music therapy can improve the cognitive function in convalescent patients with schizophrenia.