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Therapeutic songwriting to address distress tolerance for adults on an acute care mental health unit: A pilot study

机译:治疗歌曲对急性护理心理健康单位成人的痛苦耐受性:试点研究

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The Stress Vulnerability Model describes how stressors can function as a precursor for mental health episodes that may result in hospitalization. As such, it is crucial for people with mental health conditions to be able to anticipate and tolerate distress. The purpose of this pilot study was to determine the effects of a group therapeutic songwriting intervention on distress tolerance with adults in an acute care mental health setting. Due to the temporal parameters of acute mental health care in the United States, participants (N = 58) were clusterrandomized to a single songwriting session or control condition. Experimental participants composed lyrics for a two-verse blues song identifying causes of distress and how to tolerate them while living in the community. Results indicated no significant between-group difference. However, the songwriting condition tended to have slightly more favorable scores in all subscales (tolerance, absorption, appraisal, and regulation) and total distress tolerance than the control condition. While results of this underpowered pilot effectiveness study should be interpreted with caution, highly-structured group-based songwriting may be clinically relevant for addressing distress tolerance. Implications for clinical practice, limitations, and suggestions for future research are provided.
机译:压力脆弱性模型描述了压力源如何作为可能导致住院的心理健康事件的前兆发挥作用。因此,对于有心理健康状况的人来说,能够预见并忍受痛苦是至关重要的。这项初步研究的目的是确定在急性护理心理健康环境下,集体治疗性写歌干预对成人痛苦耐受性的影响。由于美国急性精神卫生保健的时间参数,参与者(N=58)被随机分组到一个单一的作曲环节或对照条件。实验参与者为一首两节的蓝调歌曲作词,确定痛苦的原因,以及如何在社区中忍受痛苦。结果表明,两组之间没有显著差异。然而,与对照组相比,写歌组在所有分量表(耐受性、吸收、评价和调节)和总痛苦耐受性方面的得分都略高。虽然这项动力不足的试点有效性研究的结果应该谨慎解释,但高度结构化的基于群体的歌曲创作可能与解决抑郁耐受性的临床相关。对临床实践的影响,局限性,以及对未来研究的建议。

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