| 摘要: | 背景及目的：頌缽屬於聲音療癒的範疇，不仰賴語言的的互動與陪伴，而是在頌缽過程中，為人帶來寧靜、休憩、自在的身心感受，透過不同的音頻可以讓人快速進入深層的放鬆，越來越多人使用頌缽作為靜心冥想的輔助工具，本研究擬探討頌缽的身心效益。 材料及方法：本實驗為兩組平行前後對照實驗設計，公開招募20-59歲之成人，排除心身壓力反應量表<40分者，符合資格者共52 人，以亂數表塊狀隨機分派為實驗組及對照組，介入方式為每週一次40分鐘的團體頌缽，連續四週，實驗組由頌缽者在現場進行頌缽引導，對照組則播放頌缽CD。評量工具為心率變異檢測及主觀問卷，包括情緒特質量表、心理彈性量表及匹茲堡睡眠量表。資料譯碼後輸入電腦以 SPSS 18.0 軟體為分析工具，統計方法包括描述性統計、成對樣本T檢定、獨立樣本T檢定、重複量數單因子變異數分析、單因子共變數分析比對結果，統計水準以p < .05表示有統計上意義。 研究結果：1. 兩組前測各項數據同質性檢定，除情緒特質量表之希望感，以及心理彈性量表之個人能力的概念、高標準、堅韌性之外，基本資料、HRV及其餘問卷項目兩組之間未達顯著差異。2. 生理效益部分，每次介入HRV前後測之差異分析結果，第一週兩組的LF/HF均上升，而實驗組第三、四週及對照組第四週LF/HF皆下降，達顯著差異。對照組LF/HF第一週上升，第二、四週下降且達顯著效果。3. 心身壓力總分檢定結果，兩組後測、追蹤測皆與前測有顯著差異，兩組後測及追蹤測組間未達統計上顯著差異。4. 情緒特質量表正向得分整體呈上升趨勢，兩組後測、追蹤測皆與前測有顯著差異，而後測與追蹤測之間則無顯著差異。5. 心理彈性量表CD-RISC整體呈上升趨勢，兩組的前測與後測、追蹤測之間達顯著差異，兩組後測組間達顯著差異，追蹤測組間則未達顯著差異。6. 匹茲堡睡眠品質量表CPSQI得分呈下降趨勢，兩組前測與後測、追蹤測有顯著差異，兩組後測及追蹤測組間無顯著差異。 結論：本研究顯示頌缽介入使副交感神經活性上升，睡眠品質、心身壓力及情緒特質獲得改善，增加堅韌性、抗壓力等心理彈性度。頌缽屬於體感音波振動療法（Vibroacoustic Therapy）之類型，是一種低成本的介入技術，可以減少現代人的緊張、焦慮感，並增加情緒健康，值得推廣。
Background and Purpose: Singing bowl therapy is a type of sound therapy; it involves interaction and companionship that does not rely on language. During singing bowl meditation, different sound frequencies are used to help individuals rapidly enter a deep state of relaxation; this leads to physical and mental sensations of tranquility, restfulness, and ease. This study aimed to investigate the physical and mental benefits of singing bowl meditation. Materials and Methods: This is a randomized controlled experimental design study with blocked sampling method to include adults aged 20-59 met the inclusion criteria of the subjects. The experimental group received a 40 mins group singing bowl meditation sessions in every week for four weeks. Control group were conducted by playing a singing bowl meditation recording. Assessment tools are the Emotional Trait Scale, the Connor–Davidson Resilience Scale, and the Pittsburgh Sleep Quality Inventory (PSQI) for the psychological, physiological measurement tool is Heart Rate Variability (HRV), low frequency/high frequency (LF/HF), standard deviation of all NN intervals (SDNN) and total power were measured. Questionnaires were assessed for two group at pre-test, post-test and follow-up (more 4 weeks after program). Results: A total of 52 subjects were screened for inclusion and the data were obtained from 48 participants who have completed the study (25 in the experimental group and 23 in the control group). After the singing bowl interventions, both groups showed significantly increased in SDNN at the post-test. LF/HF showed increased at the 1st post-test and decreased at the 2nd, 3rd and 4th post-test in both groups. Participants exhibited an overall increase in Emotional Trait and Resilience Scale, and decrease in CPSQI. A significant difference in Emotional Trait, Resilience Scale and CPSQI between the pre-test and post-test as well as between the pre-test and follow-up test in both groups. A significant difference in Resilience Scale was observed between groups at the post test. Conclusion: This research indicated that, the 4 weeks singing bowl meditation can effectively decreased LF/HF, it improved autonomic function. Additionally, singing bowl could improve sleep quality, physical and mental stress, and psychological flexibility constructs such as resilience and stress tolerance. Song bowls is a type of vibroacoustic therapy. It is a low-cost intervention technique that can reduce tension and anxiety as well improve emotional health. Therefore, singing-bowl-based therapy is worth promoting. |
