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Revisión sistemática2017Financiación no declarada

Does music therapy enhance behavioral and cognitive function in elderly dementia patients? A systematic review and meta-analysis

Zhang Y, Cai J, An L, Hui F, Ren T, Ma H, Zhao Q

Ageing research reviews · 116 citas

Etiquetas de revisión

Financiación no declarada

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Cómo se estudió

Diseño
Revisión sistemática (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2016-12-24 · Ageing Res Rev · vol. 35 · págs. 1–11
Editorial
Elsevier BV
Citado
276 citas · más que el 95% de estudios similares · 4.6× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
84 trabajos
Acceso
De pago
Áreas de investigación
Music Therapy and Health · Dementia and Cognitive Impairment Research · Neuroscience and Music Perception
Palabras clave
music therapy, dementia, elderly patients, disruptive behavior, cognitive function, non-pharmacological treatment, depression, anxiety, quality of life
MeSH
humans, dementia, treatment outcome, music therapy, behavioral symptoms, cognition, quality of life, aged

7 autores

  • Yingshi Zhang🇨🇳Shenyang Pharmaceutical University; General Hospital of Shenyang Military Region
  • Jiayi Cai🇨🇳Shenyang Pharmaceutical University; General Hospital of Shenyang Military Region
  • An Li🇨🇳Shenyang Pharmaceutical University; General Hospital of Shenyang Military Region
  • Fuhai Hui🇨🇳Shenyang Pharmaceutical University
  • Tianshu Ren🇨🇳General Hospital of Shenyang Military Region
  • Hongda Ma🇨🇳General Hospital of Shenyang Military Region
  • Qingchun Zhao🇨🇳 · autor de correspondenciaShenyang Pharmaceutical University; General Hospital of Shenyang Military Region

Resumen

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

Demographic aging is a worldwide phenomenon, cognitive and behavioral impairment is becoming global burden of nerve damage. However, the effect of pharmacological treatment is not satisfying. Therefore, we analyzed the efficacy of music therapy in elderly dementia patients, and if so, whether music therapy can be used as first-line non-pharmacological treatment. A comprehensive literature search was performed on PubMed, EMbase and the Cochrane Library from inception to September 2016. A total of 34 studies (42 analyses, 1757 subjects) were included; all of them had an acceptable quality based on the PEDro and CASP scale scores. Studies based on any type of dementia patient were combined and analyzed by subgroup. The standardized mean difference was -0.42 (-0.74 to -0.11) for disruptive behavior and 0.20 (-0.09 to 0.49) for cognitive function as primary outcomes in random effect models using controls as the comparator; the secondary outcomes were depressive score, anxiety and quality of life. No evidence of publication bias was found based on Begg's and Egger's test. The meta-analysis confirmed that the baseline differences between the two groups were balanced. Subgroup analyses showed that disease sub-type, intervention method, comparator, subject location, trial design, trial period and outcome measure instrument made little difference in outcomes. The meta-regression may have identified the causes of heterogeneity as the intervention method, comparator and trial design. Music therapy was effective when patients received interactive therapy with a compared group. There was positive evidence to support the use of music therapy to treat disruptive behavior and anxiety; there were positive trends supporting the use of music therapy for the treatment of cognitive function, depression and quality of life. This study is registered with PROSPERO, number CRD42016036153.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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