환청이 있는 조현병 환자에서 음악 듣기의 효과
The Effect of Listening to Music on Auditory Hallucination in Patients with Schizophrenia
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초록
본 연구는 약물 치료에도 불구하고 지속적인 환청을 가지고 있는 조현병 환자들을 대상으로 음악 듣기가 환청, 정신증상, 기분 증상 및 삶의 질과 환자의 음악 듣기에 대한 주관적 만족도에 미치는 영향을 알아 보았다. 비록 증상 자체에대한 유의미한 향상은 없었지만, 상당 수의 환자가 환청이 있을 때 음악듣기가 도움이 된다고 보고하였고, 향후 음악듣기로 도움을 받겠다고 하였다. 또, 참여 대상자 개개인을 봤을때는 음악 듣기가 증상의 호전을 가져 오는 경우도 있었다. 그러므로 환청이 지속되는 환자에서 약물 치료에 보조적으로 음악을 잘 이용한다면 도움이 될 수 있음을 나타내는 연구결과이다. 음악 듣기가 큰 비용이 들지 않고 부작용도 거의없으며, 필요시 스스로 언제든지 시행 가능한 방법이므로, 약물 치료를 하지만 지속되는 환청으로 어려움을 겪는 환자에게 쉽게 권할 수 있는 방법이며, 더 나아가 조현병 환자의 재활 프로그램으로도 이용해 볼 수 있을 것이다.
Abstract
Objectives Auditory hallucinations are a common complaint in patients with schizophrenia. They are also refractory to treatment in a substantial number of patients. The aim of this study was to investigate the effects of listening to music on auditory hallucinations, positive and negative symptoms, depression, and quality of life in subjects with schizophrenia. Methods Our study employed a single-blind (assessor blinded) randomized design with a crossover trial. Ten patients with schizophrenia were randomly assigned to two groups. The first group (AB group) experienced an initial ‘music listening period’, followed by a resting period. This sequence was reversed in the second group (BA group). Each period was two weeks in duration. Measurements of outcome were performed by a blind assessor at baseline and at two and four weeks after randomization. Results The effect of listening to music on auditory hallucinations, positive and negative symptoms, depression, and quality of life was not statistically significant. On self-report questionnaires, 40% of the subjects reported that ‘listening to music was helpful’ and 90% responded that they would positively consider listening to music when experiencing an auditory hallucination in the future. Conclusion Listening to music did not result in a statistically significant treatment effect according to objective symptom scales. However, several subjects replied that it was ‘helpful’, implying that it may be useful as an adjunctive treatment for patients suffering from refractory auditory hallucinations.
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