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Comparing the effects of different individualized music interventions for elderly individuals with severe dementia

Sakamoto M, Ando H, Tsutou A

International psychogeriatrics · 134 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
Ministry of Education, Culture, Sports, Science and Technology
Gobierno
Japan Society for the Promotion of Science
Subvenciones
Ministry of Education, Culture, Sports, Science and Technology (2007-2009); Japan Society for the Promotion of Science (22592586); Japan Society for the Promotion of Science (19592567)

Según 2 financiadores declarados y la declaración de financiación del texto completo.

Publicación

Publicado
2013-01-08 · Int Psychogeriatr · vol. 25 · número 5 · págs. 775–784
Editorial
Cambridge University Press
Citado
251 citas · más que el 99% de estudios similares · 17.3× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
30 trabajos
Acceso
Acceso abierto (revista) · CC-BY-NC-SA
Áreas de investigación
Music Therapy and Health · Dementia and Cognitive Impairment Research · Intensive Care Unit Cognitive Disorders
Palabras clave
Dementia, Music therapy, Intervention (counseling), Psychological intervention, Quality of life (healthcare), Severe dementia, Medicine, Psychology, Randomized controlled trial, Cognition, Physical therapy, Physical medicine and rehabilitation, Clinical psychology, Disease, Psychiatry, Psychotherapist, Internal medicine
MeSH
humans, dementia, treatment outcome, music therapy, severity of illness index, analysis of variance, behavioral symptoms, stress, psychological, individuality, psychiatric status rating scales, time factors, quality of life, socioeconomic factors, aged, aged, 80 and over, female, male

3 autores

  • Mayumi Sakamoto🇯🇵 · autor de correspondenciaHyogo University of Health Sciences; Kobe University
  • Hiroshi Ando🇯🇵Hyogo University of Health Sciences; Kobe University
  • Akimitsu Tsutou🇯🇵Hyogo University of Health Sciences; Kobe University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Individuals with dementia often experience poor quality of life (QOL) due to behavioral and psychological symptoms of dementia (BPSD). Music therapy can reduce BPSD, but most studies have focused on patients with mild to moderate dementia. We hypothesized that music intervention would have beneficial effects compared with a no-music control condition, and that interactive music intervention would have stronger effects than passive music intervention.

Methods

Thirty-nine individuals with severe Alzheimer's disease were randomly and blindly assigned to two music intervention groups (passive or interactive) and a no-music Control group. Music intervention involved individualized music. Short-term effects were evaluated via emotional response and stress levels measured with the autonomic nerve index and the Faces Scale. Long-term effects were evaluated by BPSD changes using the Behavioral Pathology in Alzheimer's Disease (BEHAVE-AD) Rating Scale.

Results

Passive and interactive music interventions caused short-term parasympathetic dominance. Interactive intervention caused the greatest improvement in emotional state. Greater long-term reduction in BPSD was observed following interactive intervention, compared with passive music intervention and a no-music control condition.

Conclusion

Music intervention can reduce stress in individuals with severe dementia, with interactive interventions exhibiting the strongest beneficial effects. Since interactive music intervention can restore residual cognitive and emotional function, this approach may be useful for aiding severe dementia patients' relationships with others and improving QOL. The registration number of the trial and the name of the trial registry are UMIN000008801 and "Examination of Effective Nursing Intervention for Music Therapy for Severe Dementia Elderly Person" respectively.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC-SA).

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