The impact of group singing on mood, coping, and perceived pain in chronic pain patients attending a multidisciplinary pain clinic

The impact of group singing on mood, coping, and perceived pain in chronic pain patients attending a multidisciplinary pain clinic
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DOI:
10.1093/jmt/41.3.241
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发表时间:
2004-09-01
影响因子:
1.9
通讯作者:
Faunce, G
Faunce, G
中科院分区:
医学2区
文献类型:
--
作者:
Kenny, DT;Faunce, G

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这项研究探讨了在多学科疼痛诊所就诊的慢性疼痛患者中,集体唱歌对情绪、应对方式和感知疼痛的影响。歌手们参加了9次30分钟的小组演唱,而对照组则一边锻炼一边听音乐。在选定的歌唱阶段前后,进行了一份简短的情绪状态简表(POMS),以评估歌唱是否能短期提升情绪。结果表明,歌唱组和控制组在15个情绪变量(即不安)中只有一个在前后差异得分上存在显著差异。为了测试歌唱对情绪状态的长期影响,在歌唱之前和之后立即进行Zung抑郁量表、疼痛自我效能问卷、疼痛等级自我陈述和疼痛残疾问卷的测试。除POMS外的所有清单都在6个月后重新管理。单因素方差分析表明,当干预前的积极应对差异得到控制时,参加歌唱课程的参与者比没有参加的参与者显示出干预后积极应对方面的改善。虽然歌唱组从干预前到干预后在所有情绪、应对和感知疼痛变量上都显示出显著的改善,但在对照参与者中也观察到了这些改善。这项研究的结果表明,在增强积极应对方面,积极的歌唱可能会有一些好处,尽管研究的局限性和观察到的小影响规模表明,需要进一步的研究来充分探索这种影响。
This study explored the impact of group singing on mood, coping, and perceived pain in chronic pain patients attending a multidisciplinary pain clinic. Singers participated in nine 30-minute sessions of small group singing, while comparisons listened to music while exercising. A short form of The Profile of Mood States (POMS) was administered before and after selected singing sessions to assess whether singing produced short-term elevations in mood. Results indicated that pre to post difference scores were significantly different between singing and control groups for only one of the 15 mood variables (i.e., uneasy). To test the longer term impacts of singing the Profile of Mood States, Zung Depression Inventory, Pain Self-Efficacy Questionnaire, Pain Rating Self-Statement, and Pain Disability Questionnaire were administered immediately before and after the singing sessions. All inventories other than the POMS were re-administered 6 months later. One-way ANCOVAs indicated that participants who attended the singing sessions showed evidence of postintervention improvements in active coping, relative to those who failed to attend, when preintervention differences in active coping were controlled for. While the singing group showed marked improvements from pre to postintervention on all mood, coping, and perceived pain variables, these improvements were also observed among comparison participants. The results of this study suggest that active singing may have some benefits, in terms of enhancing active coping, though the limitations of the study and small effect sizes observed suggest that further research is required to fully explore such effects.