重度高膽固醇血症患者的治療性創作歌曲介入對於動機的影響

作者

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https://doi.org/10.47513/mmd.v15i3.890

关键词:

Cardiovascular Disease, Familial Hypercholesterolemia, Music Therapy, Self-Determination Theory, Autonomous Motivation

摘要

對於低密度脂蛋白-膽固醇 LDL-C ≥ 190mg/dL的患者而言，遵循健康生活方式並使用藥物降低心血管疾病（CVD）風險對他們有益。根據自我決定理論，自主動機和知覺能力的改變是減少CVD風險的可行目標。本隨機控制前導實驗，由認證音樂治療師對31名高度LDL-C的受試者進行一到兩個治療性創作歌曲療程。所有參與者在音樂治療後，對於健康生活方式的知覺能力顯著提高（p<0.05），平均LDL-C從131降至87mg/dL（p<0.0005），平均非HDL-C從155降至113mg/dL（p=0.001）。對於藥物使用之自主動機的增加，預測了平均LDL-C的降低，解釋了變異量的15.9%（p<0.05）。以治療性創作歌曲的形式進行音樂治療，可能增強了參與者的動機，進而減少CVD風險。藥物使用的自主動機和對於生活方式改變的知覺能力可能是未來降低高膽固醇的介入措施之有用目標。

 

關鍵詞：心血管疾病、家族性高膽固醇血症、音樂治療、自我決定理論、自主動機

##submission.authorBiographies##

Christopher Wojdak

Christopher Wojdak is a licensed professional counselor and board-certified music therapist in private practice.

Janaki Nathan

Janaki Nathan is a licensed physician who is board-certified in general preventive medicine.

Geoffrey Williams

Geoffrey C. Williams MD, PhD is a board certified lipidologist, health psychologist and Emeritus professor of medicine at University Of Rochester.

Cameron Coykendall

Cameron Coykendall has a bachelor of art’s in epidemiology and is a research coordinator for the Penn Program on Precision Medicine for the Brain (P3MB) lab.

Scott McIntosh

Scott McIntosh is a Professor of Public Health Sciences and Research Director in the Division of Social & Behavioral Sciences.

Robert Block

Robert C. Block, MD, MPH, Associate Professor in the Department of Public Health Sciences and in the Cardiology Division of the Department of Medicine at the University of Rochester

Kelly Thevenet-Morrison

Kelly Thevenet-Morrison, M.S is a programmer/analyst in the Department of Public Health Sciences at the University of Rochester Medical Center.

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已出版

2023-07-28

期

卷 15 编号 3 (2023): July 2023

栏目

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