"The culture palette" - a randomized intervention study for women with burnout symptoms in Sweden.
"The culture palette" - a randomized intervention study for women with burnout symptoms in Sweden.
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“文化调色板”——一项针对瑞典有倦怠症状的女性的随机干预研究。
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发表时间：
2015
影响因子：
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通讯作者：
E. B. Horwitz
中科院分区：
文献类型：
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作者：
Christina Grape Viding;W. Osika;T. Theorell;Jan Kowalski;J. Hallqvist;E. B. Horwitz
职业倦怠在瑞典妇女中很常见。文化活动，即艺术，使不同的患者群体受益，也可能有治疗这一群体的潜力。目的：评估定期文化活动对有倦怠症状的女性的健康影响，重点关注疲惫水平。方法：48名妇女（平均年龄54岁）被随机分配到文化活动组（干预组）或对照组。四个保健中心是“文化活动”的设置，包括六个不同的文化活动包：互动戏剧，电影，即兴声乐和绘画，舞蹈，正念训练和音乐表演。在三个月的时间里，每周提供一次一揽子活动。标准化问卷;分别于治疗前、治疗3个月及随访6个月时采用Karolinska耗竭障碍量表（KEDS）、一致感量表（SOC）、多伦多述情障碍量表（TAS）和健康自评量表进行评定。在第三个月和第六个月对患者、文化生产者和卫生保健工作人员进行了定性访谈。结果如下：干预组的倦怠症状/疲惫（P<0.001）和述情障碍（P=0.007）以及自评健康（P<0.001）的改善程度高于对照组，具有临床相关效应方差。没有统计学证据表明干预组和对照组之间SOC的发展存在任何差异。医护人员虽然没有参加文化活动，但也受到积极影响。结论：经常性的文化活动对这一群体的妇女有益，她们的健康状况得到了改善，疲惫程度有所降低。
Burnout is common among women in Sweden. Cultural activities, i.e. arts, have benefitted different patient populations and may have potential for treating this group as well. Aim: To evaluate possible health effects of regular cultural activities for women with burnout symptoms with focus on exhaustion level. Methods: 48 women (mean age 54) were randomly assigned either to a cultural activity group (intervention group) or to a control group. Four health care centers were the settings for a “Culture Palette” comprised of six different cultural activity packages: interactive theater, movie, vocal improvisation and drawing, dance, mindfulness training and musical show. The activity packages were offered once a week over a period of three months. Standardized questionnaires; the Karolinska Exhaustion Disorder Scale ( KEDS), Sense of Coherence (SOC), Toronto Alexithymia Scale (TAS) and Self-rated health were used at baseline, in month three and at follow-up in month six. Qualitative interviews with patients, cultural producers and health care staff were conducted at month three and month six. Results: Burnout symptoms/exhaustion (P< .001) and alexithymia (P=0.007) as well as self-rated health (P<0.001) improved more in the intervention group than in the control group with clinically relevant effect variances. There was no statistical evidence of any difference in the development of SOC between the intervention and the control group. The healthcare staff were also positively affected although they did not participate in the cultural activities. Conclusion: Regular cultural activities affected this group of women beneficially with enhanced health and decreased levels of exhaustion.