The Stress Vulnerability Model describes how stressors can function as a precursor for mental health episodes that may result in hospitalization. As such, it is crucial for people with mental health conditions to be able to anticipate and tolerate distress. The purpose of this pilot study was to determine the effects of a group therapeutic songwriting intervention on distress tolerance with adults in an acute care mental health setting. Due to the temporal parameters of acute mental health care in the United States, participants (N = 58) were cluster-randomized to a single songwriting session or control condition. Experimental participants composed lyrics for a two-verse blues song identifying causes of distress and how to tolerate them while living in the community. Results indicated no significant between-group difference. However, the songwriting condition tended to have slightly more favorable scores in all subscales (tolerance, absorption, appraisal, and regulation) and total distress tolerance than the control condition. While results of this underpowered pilot effectiveness study should be interpreted with caution, highly-structured group-based songwriting may be clinically relevant for addressing distress tolerance. Implications for clinical practice, limitations, and suggestions for future research are provided.

压力脆弱性模型描述了压力源如何充当可能导致住院的心理健康发作的先兆。因此，对于患有精神疾病的人来说，能够预见并容忍痛苦至关重要。这项初步研究的目的是确定在急性护理心理健康环境下，集体治疗性歌曲创作干预措施对成年人的窘迫耐受性的影响。由于急性精神卫生保健在美国时间参数，参与者（ñ= 58）被集群随机化为单个歌曲创作会话或控制条件。实验参与者为两首蓝调歌曲创作了歌词，这些歌曲确定了困扰的原因以及在社区中生活时如何容忍他们。结果表明组间无显着差异。但是，歌曲创作条件在所有子量表（容忍，吸收，评估和调节）和总遇险容忍度上的得分都比控制条件稍好一些。尽管应谨慎解释这项功能不足的飞行员有效性研究的结果，但高度结构化的基于小组的歌曲创作可能在临床上与解决遇险耐受性有关。提供了对临床实践的影响，局限性以及对未来研究的建议。