271. Application research on mental health intervention of sight-singing and ear training in the multidisciplinary cooperation mode

Abstract Background With the evolution of the biopsychosocial model of medicine, multidisciplinary teams (MDTs) have become an important trend in the intervention of mental health disorders. While traditional drug therapy combined with psychotherapy is effective, it still faces challenges in improving patients' social functioning and fine motor regulation of emotions. Solfège, as a core course in music professional training, requires a high degree of auditory focus, pitch control, and rhythmic coordination. This comprehensive "cognitive-perceptual-motor" training may promote the reshaping of emotional regulation circuits by activating mirror neuron systems. Current music therapy research largely focuses on passive listening, lacking empirical studies on the clinical efficacy of active, structured training like solfège within the MDT framework. This study aims to explore the intervention effects of integrating solfège into the MDT model on the emotional regulation ability and clinical symptoms of patients with anxiety disorders. Methods The study recruited 128 patients who met the diagnostic criteria for generalized anxiety disorder. Participants were randomly assigned to two groups: (1) MDT combined with sight singing ear training group (n = 64), who received sight singing ear training twice a week on the basis of conventional medication and cognitive-behavioral therapy (including pitch construction and rhythm coordination); (2) The MDT routine group (n = 64) received only standard medication and cognitive-behavioral therapy. The intervention period is 12 weeks, and the Self Rating Anxiety Scale (SAS) and Emotion Regulation Questionnaire (ERQ) are used to evaluate at baseline and at the end of the intervention. Results There was no significant difference between the two groups in the baseline period. As shown in Table 1, after 12 weeks of intervention, the SAS scores in both groups declined, but the improvement in the MDT combined with sight-singing and ear training group was significantly greater than that in the conventional group (p=.008). In terms of emotion regulation, the frequency of using the "cognitive reappraisal" strategy was significantly higher in the combined group. Discussion The research results indicate that introducing sight singing ear training in MDT mode can significantly outperform conventional treatment alone. Sight singing and ear training is not only an artistic training, but also a complex cognitive control task. The closed-loop training of auditory feedback and vocal control may enhance the inhibitory effect of the prefrontal cortex on the amygdala, thereby improving the patient's cognitive reappraisal ability. Therefore, sight singing and ear training, as a low-cost and non-invasive auxiliary method, can effectively supplement existing medical models. It transforms dull rehabilitation training into an interactive process with aesthetic experience, improving patient compliance. Future MDT programs should consider incorporating such structured art interventions to achieve comprehensive treatment goals from symptom elimination to social and psychological functional recovery.