Arbeidsterpie en die gebruik van musiektempo in behandeling: die effek op die geestesgesondheidsverbruiker met psigose

[摘要] English: The mental health care user (MHCU) with psychosis presents with various restrictions in his/her occupational performance components (OPC's) and occupational performance areas (OPA's). Restricted motivation, inappropriate affect and sensory-motor problems, together with poor cognition, cause inability in directedness towards activity that leads to poor execution of tasks (Reed, 2001:821-823). These restrictions in OPC's lead to restrictions in OPA's, and therefore negatively affect the MHCU's occupation. This negative effect compromises the promotion of Occupational Therapy goals with this population, as well as integration in the community and prognosis (Sue, Sue & Sue, 2006:421). In the field of psychiatry, music is used by music therapists to treat psychiatric illnesses. The effect of slow versus fast tempo music, together with activity, during Occupational Therapy treatment of the MHCU with psychosis was investigated by using a quantitative, experimental study design. The focus was specifically on MHCU's with agitated symptoms versus MHCU's with inhibited symptoms during the psychotic phase. The Ethics Committee of the Faculty of Health Sciences, University of the Free State, approved the study (ETOVS 23/9). Data was collected between October 2009 and September 2010 at the Free State Psychiatric Hospital (FSPC). Hundred and sixty (160) MHCU's with psychosis, admitted in block A and C of FSPC, participated in the study. The median ages of the study population varied between 27.5 and 30.5 years in the four groups and 72.0% of the participants were male. The participants were included in the study after being evaluated by the inclusion criteria checklist. The MHCU's were divided into two experimental groups by a process of randomisation. The groups did not contain more that four members and agitated, as well as inhibited MHCU's could be included in one group. The activity participation of the MHCU's, in terms of attention, following of instructions, directedness towards activity and willingness to participate, as well as behavior was evaluated by three evaluators by means of a pretest, composed by the researcher. Thereafter the two groups were exposed to either fast or slow tempo music, during Occupational Therapy intervention (creative leatherwork activity). The post test, evaluating the same components and behavior, followed and was administered by the same evaluators. The blood pressure and pulse rate of each participant were also measured and noted during the execution of the group. Results were analysed and presented in four groups. Department of Biostatistics, University of the Free State, analysed the data of the study.

[发布机构] University of the Free State