背景及目的：頌缽透過不同的音頻可以讓人快速進入深層的放鬆，並對情緒感覺產生影響。當人們不經由語言的支持與互動，而是在頌缽音波過程中，為人們帶來寧靜、放鬆、自在的身心感受，進一步緩解身心苦痛、不適感。本研究在探討Covid-19 疫情期間遠距頌缽靜心對於憂鬱情緒、睡眠及生活品質影響及身心狀態之效益。 材料及方法：研究對象為20～60歲，半年內曾因睡眠或情緒困擾就醫之民眾，實驗為隨機分派及對照組等待名單設計(waiting list control group)，實驗組進行每週一次每次60分鐘，連續四週之團體遠距頌缽靜心課程介入，評估工具:1.貝克憂鬱量表(Beck Depression Inventory, BDI-II); 2.中文版匹茲堡睡眠量表(Chinese version of Pittsburgh Sleep Quality Index, CPSQI); 3.台灣簡明版世界衛生組織生活品質問卷(WHOQOL-BREF)。 結果：共計46位受試者完成試驗，兩組受試者在基本資料上的分佈 屬於同質。獨立樣本t檢定分析組間差異，兩組在BDI-II、CPSQI與WHOQOL-BREF之前測得分為無顯著差異，貝克憂鬱量表部分，介入後二組之BDI-II總分有顯著的差異 (p < 0.05)。睡眠品質部分，CPSQI總分、分量表之「睡眠潛伏期」、「睡眠總時數」及「睡眠干擾」二組有顯著的差異 (p < 0.05)。生活品質部分，後測實驗組WHOQOL-BREF總分較對照組為高，但未達統計之顯著的差異 (p = 0.07)，分量表之「整體健康滿意評價」二組有顯著的差異 (p<0.05)。成對樣本t檢定分析組內差異，對照組在貝克憂鬱量表的分數皆為上升；而實驗組在介入後BDI-II量表的分數皆有降低，但二組組內皆未達統計上顯著差異。對照組在睡眠品質分項得分呈上升趨勢，總分及「睡眠總時數」、「睡眠干擾」、「日間精神狀態」、「是否使用藥物」皆有顯著的差異 (p < 0.05)；實驗組在睡眠品質分項得分呈下降趨勢，「自我評估量表」、「睡眠潛伏期」、「睡眠干擾」、「日間精神狀態」、「是否使用藥物」皆有顯著的差異 (p < 0.05)。實驗組在「整體健康滿意」、「生理範疇」及「心理範疇」分項得分呈上升趨勢，並達顯著的差異存在 (p < 0.05)。無論是實驗組或對照組，在「環境互動範疇」皆呈顯著下降 (p < 0.01)。 結論: COVID-19 期間的心理健康值得重視，本研究證明Covid-19 期間遠距頌缽靜心對於民眾的睡眠品質、憂鬱情緒及生活品質有顯著改善之成效，可作為相關單位列入精神健康促進方案的輔助療法參考。 Background and Purpose：Singing bowls can quickly enter deep relaxation and affect emotional feelings through different audio. This study investigated the effects of distance singing bowl meditation on physical and mental states such as depression, sleep and quality of life. Materials and Methods：46 subjects with insomnia and depressive symptoms were randomly assigned to distance singing bowl meditation and waitlist control groups. The experimental group participated in a group distance singing bowl meditation course for four consecutive weeks, once a week for 60 minutes. The assessment tools are: Beck Depression Inventory (BDI-II); Chinese version of Pittsburgh Sleep Quality Index (CPSQI); Taiwan Concise Version World Health Organization Quality of Life Questionnaire (WHOQOL-BREF). Results: There was no significant difference between the two groups in BDI-II, CPSQI and WHOQOL-BREF scores before the intervention. The BDI-II total scores of the two groups after intervention were significantly different. There were significant differences in CPSQI total score, subscale “sleep latency”, “total sleep hours” and “sleep disturbance” between the two groups. The scores of the BDI-II in the control group all increased; while the scores of the BDI-II scale in the experimental group decreased after intervention, but the two groups did not reach statistical significance difference. In the control group, the sub-score of sleep quality showed an upward trend, and there were significant differences in the total score and “total hours of sleep”, “sleep disturbance”, “daytime mental state” and “use of drugs”. In the experimental group, the sleep quality and quality of life were significant improved. Conclusion: Mental health during the COVID-19 period deserves attention. This study proves that the distance singing bowl meditation during the Covid-19 period can significantly improve the sleep quality, depression and quality of life of the people. It can be included in the mental health promotion plan as a relevant unit resources and references to related research.
