Bedtime music for sleep problems in older adults with dementia: a feasibility study

Authors

  • Kira Vibe Jespersen Center for Music in the Brain, Department of Clinical Medicine, Aarhus University & the Royal Academy of Music Aarhus/Aalborg, Denmark. http://orcid.org/0000-0002-7183-3849
  • Jens Madsen Department of Applied Mathematics and Computer Science, Technical University of Denmark, Kongens Lyngby, Denmark
  • Peter Vuust Center for Music in the Brain, Department of Clinical Medicine, Aarhus University & the Royal Academy of Music Aarhus/Aalborg, Denmark.

DOI:

https://doi.org/10.47513/mmd.v12i4.765

Abstract

Sleep problems are highly prevalent in elderly persons with dementia. Poor sleep constitute a major problem as it causes distress and may aggravate the dementia symptoms. Music has been proposed as a potential sleep aid, and in this study, we assessed the feasibility and effect of bedtime music listening for improving sleep problems in older adults with dementia. We used a within-subject design including 40 participants. Participants and caregivers evaluated the feasibility and effect after the intervention period, and we measured sleep with wrist actigraphy 14 days at baseline and during the 14 days intervention period. In the intervention period participants listened to music for 30 minutes every night at bedtime. We developed five playlists with slow, soothing music of different genres, and participants could choose the genre they liked the best. We found that the music intervention was well-liked and sleep improvement was observed in around half the participants. Wrist actigraphy showed no significant changes in the objective sleep pattern. Music listening at bedtime could provide a safe, comfortable and low-cost intervention for sleep problems among elderly persons with dementia, the intervention is feasible, but more research is needed to determine the effect on sleep outcomes.

Author Biographies

Kira Vibe Jespersen, Center for Music in the Brain, Department of Clinical Medicine, Aarhus University & the Royal Academy of Music Aarhus/Aalborg, Denmark.

Kira Vibe Jespersen is postdoctoral researcher at Center for Music in the Brain, Department of Clinical Medicine, Aarhus University, Denmark.

Jens Madsen, Department of Applied Mathematics and Computer Science, Technical University of Denmark, Kongens Lyngby, Denmark

Jens Madsen is postdoctoral researcher at Parra lab, Department of Biomedical Engineering, City College of New York, USA.

Peter Vuust, Center for Music in the Brain, Department of Clinical Medicine, Aarhus University & the Royal Academy of Music Aarhus/Aalborg, Denmark.

Peter Vuust is Director of the Danish National Research Foundation’s Center of Excellence for Music in the Brain, Professor in Neuroscience, Department of Clinical Medicine, Aarhus University, Denmark and Professor at the Royal Academy of Music, Aarhus/Aalborg, Denmark.

References

van der Steen, J.T., van Soest-Poortvliet, M.C., van der Wouden, J.C., et al. Music-based therapeutic interventions for people with dementia. Cochrane Database Syst Rev, 2017, DOI: 10.1002/14651858.CD003477.pub3 Available from: http://dx.doi.org/10.1002/14651858.CD003477.pub3.

Fancourt, D. and Finn, S., What is the evidence on the role of the arts in improving health and well-being? A scoping review, in Health Evidence Network synthesis report 67. 2019: WHO.

McDermott, O., Orrell, M., and Ridder, H.M., The importance of music for people with dementia: the perspectives of people with dementia, family carers, staff and music therapists. Aging Ment Health, 2014: 18(6): 706-716 Available from: https://doi.org/10.1080/13607863.2013.875124.

Sihvonen, A.J., Särkämö, T., Leo, V., et al., Music-based interventions in neurological rehabilitation. Lancet Neurol, 2017: 16(8): 648-660.

Petit, D., Montplaisir, J., St. Louis, E.K., and Boeve, B.F., Chapter 96 - Alzheimer Disease and Other Dementias, in Principles and Practice of Sleep Medicine (Sixth Edition), M. Kryger, T. Roth, and W.C. Dement, Editors. 2017, Elsevier. p. 935-943.e6.

Kinnunen, K.M., Vikhanova, A., and Livingston, G., The management of sleep disorders in dementia: an update. Curr Opin Psychiatry, 2017: 30(6): 491-497.

McCleery, J., Cohen, D.A., and Sharpley, A.L. Pharmacotherapies for sleep disturbances in dementia. Cochrane Database Syst Rev, 2016.

Cipriani, G., Lucetti, C., Danti, S., and Nuti, A., Sleep disturbances and dementia. Psychogeriatrics, 2015: 15(1): 65-74.

De Niet, G., Tiemens, B., Lendemeijer, B., and Hutschemaekers, G., Music-assisted relaxation to improve sleep quality: Meta-analysis. J Adv Nurs, 2009: 65(7): 1356-1364 Available from:

http://onlinelibrary.wiley.com/store/10.1111/j.1365-2648.2009.04982.x/asset/j.1365-2648.2009.04982.x.pdf?v=1&t=h987wvrv&s=6f14e66fa7b3a82268db094ee102b4a325848629.

Jespersen, K.V., Koenig, J., Jennum, P., and Vuust, P. Music for insomnia in adults. Cochrane Database Syst Rev, 2015, CD010459 DOI: 10.1002/14651858.CD010459.pub2.

Huang, C.-Y., Chang, E.-T., and Lai, H.-L., Comparing the effects of music and exercise with music for older adults with insomnia. Appl Nurs Res, 2016: 32: 104-110 Available from: http://www.sciencedirect.com/science/article/pii/S0897189716300313.

Lai, H.L. and Good, M., Music improves sleep quality in older adults. J Adv Nurs, 2005: 49(3): 234-244 Available from: http://onlinelibrary.wiley.com/store/10.1111/j.1365-2648.2004.03281.x/asset/j.1365-648.2004.03281.x.pdf?v=1&t=h9883hwh&s=b3b57c0a9eafcc7953db45ec5c434ed03db8e374.

Shum, A., Taylor, B.J., Thayala, J., and Chan, M.F., The effects of sedative music on sleep quality of older community-dwelling adults in Singapore. Complement Ther Med, 2014: 22(1): 49-56.

Ziv, N., Rotem, T., Arnon, Z., and Haimov, I., The effect of music relaxation versus progressive muscular relaxation on insomnia in older people and their relationship to personality traits. J Music Ther, 2008: 45(3): 360-380 Available from: http://www.scopus.com/inward/record.url?eid=2-s2.0-56349130824&partnerID=40&md5=36316523aa6739e2d5eb7a3581556625.

Innes, K.E., Selfe, T.K., Khalsa, D.S., and Kandati, S., Meditation and music improve memory and cognitive function in adults with subjective cognitive decline: a pilot randomized controlled trial. J Alzheimers Dis, 2017: 56(3): 899-916.

Lindenmuth, G., Patel, M., and Chang, P., Effects of music on sleep in healthy elderly and subjects with senile dementia of the Alzheimer type. American Journal of Alzheimer's Care and Related Disorders & Research, 1992: 7(2): 13-20.

Weise, L., Töpfer, N.F., Deux, J., and Wilz, G., Feasibility and effects of individualized recorded music for people with dementia: A pilot RCT study. Nord J Music Ther, 2020: 29(1): 39-56 Available from: https://doi.org/10.1080/08098131.2019.1661507.

Grocke, D. and Wigram, T., Receptive methods in music therapy: Techniques and clinical applications for music therapy clinicians, educators and students. 2006: Jessica Kingsley Publishers.

Bernardi, L., Porta, C., Casucci, G., et al., Dynamic interactions between musical, cardiovascular, and cerebral rhythms in humans. Circulation, 2009: 119(25): 3171-3180 Available from: http://circ.ahajournals.org/content/119/25/3171.full.pdf.

Gomez, P. and Danuser, B., Relationships between musical structure and psychophysiological measures of emotion. Emotion, 2007: 7(2): 377-387 Available from: http://www.scopus.com/inward/record.url?eid=2-s2.0-34249013658&partnerID=40&md5=371eb10c2f68c9c6f4fb568225770fe5.

Trehub, S.E. and Trainor, L., Singing to infants: Lullabies and play songs. Advances in infancy research, 1998: 12: 43-78.

Guetin, S., Portet, F., Picot, M., et al., Effect of music therapy on anxiety and depression in patients with Alzheimer’s type dementia: randomised, controlled study. Dement Geriatr Cogn Dis, 2009: 28(1): 36-46.

Rossetti, A., Towards prescribed music in clinical contexts: More than words. Music Med, 2014: 6(2): 70-77.

Van Someren, E.J., Improving actigraphic sleep estimates in insomnia and dementia: how many nights? J Sleep Res, 2007: 16(3): 269-275.

van Hees, V.T., Sabia, S., Anderson, K.N., et al., A novel, open access method to assess sleep duration using a wrist-worn accelerometer. PloS one, 2015: 10(11): e0142533.

Baglioni, C., Regen, W., Teghen, A., et al., Sleep changes in the disorder of insomnia: A meta-analysis of polysomnographic studies. Sleep Med Rev, 2014: 18(3): 195-213 Available from: http://www.sciencedirect.com/science/article/pii/S1087079213000452.

Chang, E.T., Lai, H.L., Chen, P.W., Hsieh, Y.M., and Lee, L.H., The effects of music on the sleep quality of adults with chronic insomnia using evidence from polysomnographic and self-reported analysis: A randomized control trial. International Journal of Nursing Studies, 2012: 49(8): 921-930 Available from:

http://ac.els-cdn.com/S0020748912000855/1-s2.0-S0020748912000855-main.pdf?_tid=7548c594-21c4-11e2-9b34-00000aab0f6c&acdnat=1351514024_0aca099a625f541821f27dc7857db291.

Jespersen, K.V., Otto, M., Kringelbach, M., Van Someren, E., and Vuust, P., A randomized controlled trial of bedtime music for insomnia disorder. J Sleep Res, 2019: 28(4): e12817 Available from: https://www.ncbi.nlm.nih.gov/pubmed/30676671.

Harmat, L., Takács, J., and Bódizs, R., Music improves sleep quality in students. J Adv Nurs, 2008: 62(3): 327-335 Available from:

http://onlinelibrary.wiley.com/store/10.1111/j.1365-2648.2008.04602.x/asset/j.1365-2648.2008.04602.x.pdf?v=1&t=h987ymuc&s=31dfc75b7efbf13a3b8033bd54952c4edea57892.

Baird, A. and Samson, S., Music and dementia, in Progress in brain research. 2015, Elsevier. p. 207-235.

Jacobsen, J.-H., Stelzer, J., Fritz, T.H., et al., Why musical memory can be preserved in advanced Alzheimer’s disease. Brain, 2015: 138(8): 2438-2450.

Loewy, J., Music therapy as a potential intervention for sleep improvement. Nat Sci Sleep, 2020: 12: 1.

Bernardi, L., Porta, C., and Sleight, P., Cardiovascular, cerebrovascular, and respiratory changes induced by different types of music in musicians and non-musicians: the importance of silence. Heart, 2006: 92(4): 445-52.

Koenig, J., Jarczok, M.N., Warth, M., et al., Music listening has no positive or negative effects on sleep quality of normal sleepers: Results of a randomized controlled trial. Nord J Music Ther, 2013: 22(3): 233-242 Available from: http://dx.doi.org/10.1080/08098131.2013.783095.

Pollak, C.P. and Perlick, D., Sleep problems and institutionalization of the elderly. Topics in Geriatrics, 1991: 4(4): 204-210.

Published

2020-10-23

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