Meta-analysis2025Open access

Cognitive enhancement through music therapy: meta-analytic evidence across clinical population

Mulia GJ, Chiang YH, Maringka SG, Wu JC, Ma HP, Ou JC, Chen KY

Frontiers in public health · 2 citations

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Government
Ministry of Education, India
University or hospital
Taipei Medical University
University or hospital
National Taipei University of Technology
Government
National Science and Technology Council
Grants
National Science and Technology Council (113-2811-B-038-032)

Based on 4 listed funder(s) and full-text disclosure statement.

Publication

Published
2026-01-08 · Front Public Health · vol. 13 · p. 1735470
Publisher
Frontiers Media
Cited
3 citations · more than 99% of similar papers · 27.8× the field average
Impact
Top 10% most cited in its field
References
51 works
Access
Open access (journal) · CC-BY
Research areas
Music Therapy and Health · Neuroscience and Music Perception · Functional Brain Connectivity Studies
Keywords
Cognition, Population, Population health, MEDLINE, Cognitive bias
MeSH
humans, music therapy, cognition, aged, cognitive dysfunction

7 authors

From TW, ID

  • Gabriella Jeanne MuliaTaipei Medical University
  • Yung-Hsiao ChiangTaipei Medical University Hospital; Taipei Medical University
  • Stephanie Grace MaringkaIndonesia International Institute for Life Sciences
  • Jinqing WuTaipei Medical University Hospital; Taipei Medical University
  • Hon‐Ping MaTaipei Medical University-Shuang Ho Hospital; Taipei Medical University
  • Ju‐Chi Ou · correspondingTaipei Medical University

Abstract

Introduction

Cognitive decline in aging populations presents a growing public health concern. Music therapy has emerged as a promising non-invasive approach to enhance cognitive function.

Methods

This meta-analysis synthesized data from 14 studies (2010-2025) assessing Mini-Mental State Examination (MMSE) outcomes following music therapy interventions.

Results

Results revealed a significant improvement in cognitive function (SMD = 0.46, 95% CI: 0.26 to 0.67), particularly with passive listening-based therapies administered for more than 3 months (SMD = 0.62, 95% CI: 0.05 to 1.20). Furthermore, non-RCT study designs and publications made after 2019 showed larger effects due to larger sample sizes and technological advancements. These findings support the hypothesis that auditory-based music therapy may facilitate neuroplasticity via modulation of the dopaminergic system and default mode network connectivity. The results underscore the therapeutic potential of music-based interventions as accessible, scalable, and non-invasive strategies for cognitive enhancement across diverse clinical populations.

Discussion

Music therapy, especially passive listening interventions, shows significant promise for improving cognitive function in aging populations. Larger effects in recent non-RCT studies likely reflect technological advancements and improved methodologies. Future research should standardize protocols, examine long-term outcomes, and investigate the neurobiological mechanisms, particularly dopaminergic modulation and default mode network changes, to optimize therapeutic strategies and validate music therapy's role in cognitive health.

Systematic review registration

https://www.crd.york.ac.uk/PROSPERO/view/CRD420251004837, identifier PROSPERO (CRD420251004837).

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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