目的：加賀谷音樂照顧 (Kagayashiki Music Care) 引入台灣已廿年，其定義為「利用音樂的特性帶給個案身心上的刺激，進而改善人際與情緒狀態，以及促進動作功能方面的改善，使個案的身心和生活有更好的改變」（宮本啟子，2006）。目前加賀谷音樂照顧已有實證應用於改善長者和兒童的情緒、認知和人際互動，但在精障患者的相關研究仍然付之闕如。本研究作為一前驅研究，探討加賀谷音樂照顧應用於思覺失調症患者之情緒及人際互動成效。方法：本研究於台灣北部某醫學中心精神科日間病房和門診收案，排除精神官能性憂鬱症、器質性腦傷和智能障礙等診斷後，共招募 30 位思覺失調症患者（14 男16 女），參與者平均年齡 37.43 歲（標準差 12.28 歲）。研究團體為每週一次，每次 90分鐘，共 12 週，由加賀谷高級師資成員帶領，職能治療師進行收案評估。本研究使用視覺類比情緒量表評估情緒前後差異，以溝通與互動技巧評估工具評估人際互動技巧，並以貝克憂鬱量表第二版評估憂鬱程度。視覺類比情緒量表於每次團體前與團體後施測，而溝通與互動技巧評估工具與貝克憂鬱量表第二版為第一週團體前與第十二週團體後施測。本研究採準實驗研究設計 (quasi-experimental design)，並以方便取樣的方式收案。統計分析使用成對樣本 t 檢定 (paired t-test) 來了解加賀谷音樂照顧介入於情緒和溝通及人際互動技巧效果，另外使用混合線性模式 (Linear Mixed Model) 來分析加賀谷音樂照顧對於情緒在十二週的介入改變效果。結果：研究結果顯示，參與完十二週的加賀谷音樂照顧團體後，參與者的情緒狀態在每次團體後有顯著改善（前測平均值 3.89 ± 4.62；後測平均值 3.28 ± 2.41；p < .02）；同時，每週的情緒進步程度有增加的趨勢：每週多 .90（標準誤：.031；p = .005）的進步量；人際互動技巧有顯著進步（前測：67.07 ± 8.96；後測：69.67 ± 7.85；p < .001）；憂鬱情況無顯著差異（前測：15.03 ± 10.57；後測：13.37 ± 12.69；p = .45）。結論：本次研究顯示加賀谷音樂照顧對思覺失調症患者，在情緒狀態及人際互動技巧達顯著改善，而長期追蹤的憂鬱程度，則無顯著差異。

Objective: With the definition of “using the music features to physically and mentally stimulate clients in order to improve their interpersonal relationship and emotional status. Subsequently, the clients’ movements can be improved with their physical condition and mental health elevated”, the Kagayashiki music care has been launched in Taiwan for more than 20 years. Although evidence shows the effects of using Kagayashiki music care on emotions, cognitions, and interpersonal interactions of older people and children, its effects on people with schizophrenia are still unclear. This study was a pilot study to examine the effects of using Kagayashiki music care intervention on social skills and emotions of people with schizophrenia. Methods: Participants with schizophrenia (n = 30; 14 males; mean [SD] age = 37.43 [12.28]) were recruited from a medical center in Northern Taiwan. Those with obvious general cognitive impairments, major depression, and brain injury were excluded. Participants attended a 90-minute Kagayashiki music care group for 12 weeks, once per week. The group was led by a Kagayashiki facilitator who received formal training and the assessments were done by occupational therapists. Each participant completed the Visual Analogue Mood Scale (VAMS; before and after every Kagayashiki group) to evaluate the changes of emotions; the Assessment of Communication and Interaction Skills (ACIS; before and after the 12-week group sessions) to evaluate the changes of social skills; and the Beck Depression Inventory-II (BDI-II; before and after the 12-week group sessions) to evaluate the changes of depressive symptoms. Results: After the 12-week sessions, the participants’ emotional state was significantly improved (pretest: 3.89 ± 4.62; posttest: 3.28 ± 2.41; p < .02). Moreover, the improvement of emotional state before and after group sessions had an increased trend over 12 weeks. Specifically, each week improved .90 (SE = .031; p = .005). The participants’ social skills were significantly improved over 12 weeks (pretest: 67.07 ± 8.96; posttest: 69.67 ± 7.85; p < .001). The participants’ depressive symptoms were not significantly different between pretest and posttest (pretest: 15.03 ± 10.57; posttest: 13.37 ± 12.69; p = .45). Conclusion: After receiving Kagayashiki music care, people with schizophrenia showed significant improvements in emotional state and social skills. However, their depressive symptoms were not improved.