Comparing the effects of different individualized music interventions for elderly individuals with severe dementia
Sakamoto M, Ando H, Tsutou A
International psychogeriatrics · 134 citations
How it was studied
- Design
- Randomized controlled trial (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- Government
- Ministry of Education, Culture, Sports, Science and Technology
- Government
- Japan Society for the Promotion of Science
- Grants
- 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)
Based on 2 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2013-01-08 · Int Psychogeriatr · vol. 25 · issue 5 · pp. 775–784
- Publisher
- Cambridge University Press
- Cited
- 251 citations · more than 99% of similar papers · 17.3× the field average
- Impact
- Top 10% most cited in its field
- References
- 30 works
- Access
- Open access (journal) · CC-BY-NC-SA
- Research areas
- Music Therapy and Health · Dementia and Cognitive Impairment Research · Intensive Care Unit Cognitive Disorders
- Keywords
- 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 authors
From JP
- Mayumi Sakamoto · correspondingHyogo University of Health Sciences; Kobe University
- Hiroshi AndoHyogo University of Health Sciences; Kobe University
- Akimitsu TsutouHyogo University of Health Sciences; Kobe University
Abstract
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.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-SA).
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