인간행동과 음악연구 (Journal of Music and Human Behavior)

  • 제12권2호
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  • Pages.37-60
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  • 2015
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  • 2288-2774(pISSN)
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  • 2799-9076(eISSN)
한국음악치료교육학회 (Korean Music Therapy Education Association)
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조현병 환자 대상 음악중재에 대한 체계적 고찰

Music as a Therapeutic Intervention for Patients with Schizophrenia: Systematic Review

  • 투고 : 2015.09.25
  • 심사 : 2015.11.18
  • 발행 : 2015.11.30
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초록

본 연구는 조현병환자 대상 음악중재 연구를 체계적으로 고찰하고자 실시되었다. 2000년 이후 연구를 대상으로 9개의 학술검색엔진에서 조현병과 음악중재 관련 주제어를 조합, 검색하여 272개를 우선 선택하였고, 제목 및 초록의 내용 확인 후 전문 확인의 과정을 거쳐 15개의 논문을 선택하였다. 조현병 음악치료에 대한 기존의 고찰연구에서 15개에 포함되지 않은 3개의 논문을 추가하여 전체 18개의 분석대상 논문을 최종 결정하였다. 연구의 일반적인 내용에 대해 1차 분석을 하고, 음악중재 중심으로 2차 분석을 하였다. 임상연구의 질 평가 체크리스트인 PEDro 척도를 사용하여 대상연구들의 질평가를 실시한 결과, 음악중재의 질이 더 높은 연구일지라도 무선 표집, 참여자들에 대한 검맹 여부를 명시하고 있지 않은 연구들은 중재의 질이 상대적으로 낮은 연구들에 비해 연구의 질이 저평가되었다. 음악중재자의 자격요건을 명시한 8개의 연구에서는 대부분 음악창작활동을 포함하고 있고, 참여자-음악-치료사의 상호적 관계형성의 중요성을 강조하고 있으며, 중재의 질 향상을 위한 체계적인 수퍼비전 시스템에 대하여 언급하고 있다. 결론적으로 신뢰할 수 있는 조현병 환자대상 음악중재 효과연구를 위해 검맹, 무선 표집을 연구과정에 도입할 것과 동시에 음악활동 제시에 대한 상세한 설명과 근거가 함께 고려되어야 함을 제안하는데 본 연구의 의의가 있다.

The purpose of this study was to systematically review music intervention studies for patients with schizophrenia. The researcher searched nine electronic databases for clinical trials published since 2000, using combinations of keyword related to schizophrenia and music interventions. The initial search identified 272 studies, and fifteen studies were selected by reviewing the titles, abstracts and full articles, In addition, three articles were added by examining other review articles. Thus, a total of 18 articles were analyzed in terms of their general and intervention characteristics, and the PEDro scale was used to evaluate the methodological quality of the included studies. The results demonstrated that, due to the lack of randomization and blinding, the methodological qualities of the studies with high quality music interventions were often rated low. Eight Music interventions conducted by qualified music therapists included active music-making, therapeutic relationship, and supervision systems for improving intervention quality. In conclusion, the randomization, blinding, and the therapeutic rationale of intervention are recommended in future clinical trials for patients with schizophrenia.

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피인용 문헌

  1. A comparison of emotion identification and its intensity between adults with schizophrenia and healthy adults: Using film music excerpts with emotional content vol.27, pp.2, 2018, https://doi.org/10.1080/08098131.2017.1405999