Music-based interventions for people with Alzheimer's disease and related dementias: A review of the research
DOI:
https://doi.org/10.47513/mmd.v13i3.823Resumen
This paper is an umbrella review of systematic research reviews investigating music-based interventions for people with Alzheimer’s disease and related dementias. While the quality of research methodology for many articles is variable, the findings are nevertheless impressive regarding a variety of positive results for music and music therapy. The strongest outcomes include the ability of these interventions to reduce agitation, anxiety, depression, and other behavioral/psychological symptoms in this population. Yet the impact on cognition and memory is mixed, and it is difficult to determine whether observed improvements might be due to reductions in anxiety. The article addresses several specific music-based interventions, service delivery options and caregiver programming that have been effective. Finally, neurological evidence is presented to account for preserved musical ability of people into late stages of Alzheimer’s disease. These findings support the success of music-based interventions, as well as need for clinical and research guidelines to standardize protocols and compare research studies.
Citas
References
Powell, T. Dementia Reimagined. New York: Avery; 2019.
Vasionytė I, Madison G. Musical intervention for patients with dementia: A meta-analysis. J Clin Nurs. 2013;22:1203-16. doi:10.1111/jocn.12166.
Sherratt K, Thornton A, Hatton C. Music interventions for people with dementia: A review of the literature. Aging Mental Health. 2004;8:3-12. doi: 10.1080/13607860310001613275
Vink A, Bruinsma M, Scholten R. Music therapy for people living with dementia. Cochrane Database Syst Rev. 2011;4:Cd003477. doi:10.1002/14651858.CD003477.pub2
van der Steen JT, Smaling HJ, van der Wouden JC, et al. Music-based therapeutic interventions for people with dementia. Cochrane Database Syst Rev. 2018;7:Cd003477. doi:10.1002/14651858.CD003477.pub4
Vink A, Hanser SB. Music-based therapeutic interventions for people with dementia: A mini-review. Medicines (Basel). 2018;5(4). doi:10.3390/medicines5040109
Leggieri M, Thaut MH, Fornazzari L, et al. Music intervention approaches for Alzheimer’s disease: A review of the literature. Frontiers in Neuroscience. 2019. doi:10.3389/fnins.2019.00132
Lam HL, Li WTV, Laher I, et al. Effects of music therapy on patients with dementia—A systematic review. Geriatrics. 2020;5(4):62. doi.org/10.3390/geriatrics5040062
Mohler R, Renom A, Renom H, et al. Personally tailored activities for improving psychosocial outcomes for people with dementia in long-term care. Cochrane Database Syst Rev. 2018;2:Cd009812. doi:10.1002/14651858.CD009812.pub2
Pentland D. A Scoping Review of AHP Interventions for Dementia. Edinburgh, Scotland: Queen Margaret University; 2015.
Livingston G, Kelly L, Lewis-Holmes E, et al. A systematic review of the clinical effectiveness and cost-effectiveness of sensory, psychological and behavioural interventions for managing agitation in older adults with dementia. Health Technology Assessment (Winchester, England). 2014;18(39):1. doi:10.3310/hta18390
Pedersen SKA, Andersen PN, Lugo RG, et al. Effects of music on agitation in dementia: A meta-analysis. Frontiers In Psychology. 2017. doi:10.3389/fpsyg.2017.00742
Ing-Randolph AR, Phillips LR, Williams AB. Group music interventions for dementia-associated anxiety: A systematic review. Int J Nurs Stud. 2015;52(11):1775-1784. doi:10.1016/j.ijnurstu.2015.06.014
Petrovsky D, Cacchione PZ, George M. Review of the effect of music interventions on symptoms of anxiety and depression in older adults with mild dementia. Int Psychogeriatrics. 2015;27(10):1661-1670. doi:http://dx.doi.org/10.1017/S1041610215000393
Ueda T, Suzukamo Y, Sato M, et al. Effects of music therapy on behavioral and psychological symptoms of dementia: A systematic review and meta-analysis, Ageing Res Rev. 2013;12(2):628-641. doi:http://dx.doi.org/10.1016/j.arr.2013.02.003
Chang YS, Chu H, Yang CY, et al. The efficacy of music therapy for people with dementia: A meta-analysis of randomised controlled trials. J Clin Nurs. 2015;24:3425-3440. doi:org/10.1111/jocn.12976
Janata P. Effects of widespread and frequent personalized music programming on agitation and depression in assisted living facility residents with Alzheimer-type dementia. Music and Medicine. 2012;4(1):8-15. doi:10.1177/1943862111430509
de la Rubia Ortí JE, García-Pardo MP, Iranzo CC, et al. Does music therapy improve anxiety and depression in Alzheimer's patients? J Alternative Complementary Medicine (New York, N.Y.). 2018;24(1):33-36. doi:10.1089/acm.2016.0346
Li HC, Wang HH, Lu CY, et al. (2019). The effect of music therapy on reducing depression in people with dementia: A systematic review and meta-analysis. Geriatr nurs (New York, N.Y.). 2019. doi:10.1016/j.gerinurse.2019.03.017Li
Ray KD, Götell E. The use of music and music therapy in ameliorating depression symptoms and improving well-being in nursing home residents with dementia. Frontiers in Medicine. 2018. doi:10.3389/fmed.2018.00287
Gomez-Romero M, Jimenez-Palomares M, Rodriguez-Mansilla J, et al. Benefits of music therapy on behaviour disorders in subjects diagnosed with dementia: a systematic review. Neurologia, 2017;32(4):253-263. doi:10.1016/j.nrl.2014.11.001
Raglio A, Bellelli G, Traficante D, et al. Efficacy of music therapy treatment based on cycles of sessions: a randomised controlled trial. Aging & Mental Health. 2010;14(8):900-904. doi:10.1080/13607861003713158
Legere LE, McNeill S, Schindel Martin L, et al. (2018). Nonpharmacological approaches for behavioural and psychological symptoms of dementia in older adults: A systematic review of reviews. J Clin Nursing. 2018;27(7-8):e1360-e1376. doi:http://dx.doi.org/10.1111/jocn.14007
Zhang Y, Cai J, An L, et al. Does music therapy enhance behavioral and cognitive function in elderly dementia patients? A systematic review and meta-analysis. Ageing Res Rev. 2017;35:1-11. doi:10.1016/j.arr.2016.12.003
Moreira SV, dos Reis Justi FR, Moreira M. Can musical intervention improve memory in Alzheimer's patients? Evidence from a systematic review. Dementia & Neuropsychologia. 2018;12(2):133-142. doi:10.1590/1980-57642018dn12-020005
Fang R, Ye S, Huangfu J, et al. Music therapy is a potential intervention for cognition of Alzheimer's Disease: a mini-review. Translational Neurodegeneration 2017;1. doi:10.1186/s40035-017-0073-9
Li Y, Chen S, Chou M, et al. The use of music intervention in nursing practice for elderly dementia patients: A systematic review. Music Dementia Nurs Care. 2014;61(2):84-94. doi: 10.6224/JN.61.2.84.
Irish M, Cunningham CJ, Walsh JB, et al. Investigating the enhancing effect of music on autobiographical memory in mild Alzheimer's disease. Dementia & Geriatr Cognitive Disorders. 2006;22(1):108-120. Retrieved from https://www.karger.com/Article/Abstract/93487
Raglio A, Filippi S, Bellandi D, et al. Global music approach to persons with dementia: evidence and practice. Clin Interventions In Aging. 2014;9:1669-1676. doi:10.2147/CIA.S71388
Shibazaki K, Marshall NA. (2017). Exploring the impact of music concerts in promoting well-being in dementia care. Aging & Mental Health. 2017;21(5):468-476. doi:10.1080/13607863.2015.1114589
Garrido S, Dunne L, Chang E, et al. The use of music playlists for people with dementia: A critical synthesis. J Alzheimer's Disease. 2017;60(3):1129-1142. doi:10.3233/jad-170612
Gaviola MA, Inder KJ, Dilworth S, et al. Impact of individualised music listening intervention on persons with dementia: A systematic review of randomised controlled trials. Australasian J Ageing. 2019. doi:10.1111/ajag.12642
Tsoi KK, Chan JY, Ng YM, et al. Receptive music therapy is more effective than interactive music therapy to relieve behavioral and psychological symptoms of dementia: A systematic review and meta-analysis. J American Medical Directors Assoc. 2018;19(7):568-576. doi:org/10.1016/j.jamda.2017.12.009
McDermott O, Crellin N, Ridder H, et al. (2013). Music therapy in dementia: a narrative synthesis systematic review. Int J Geriatr Psychiatry. 2013;28:781- 94. doi:10.1002/gps.3895
Okada K, Kurita A, Takase B, et al. Effects of music therapy on autonomic nervous system activity, incidence of heart failure events, and plasma cytokine and catecholamine levels in elderly patients with cerebrovascular disease and dementia. Int Heart J. 2009;50(1):95-110. Retrieved from https://www.jstage.jst.go.jp/article/ihj/50/1/50_1_95/_pdf
Takahashi T, Matsushita H. Long-term effects of music therapy on elderly with moderate/severe dementia. J Music Ther. 2006;43(4):317-333. doi:10.1093/jmt/43.4.317
Hulme C, Wright J, Crocker T, et al. Non-pharmacological approaches for dementia that informal carers might try or access: a systematic review. Int J Geriatr Psychiatry. 2010;25(7):756-763. doi:10.1002/gps.2429
Särkämö T. Cognitive, emotional, and neural benefits of musical leisure activities in aging and neurological rehabilitation: A critical review. Annals Physical & Rehab Medicine. 2018;61(6):414-418. doi:10.1016/j.rehab.2017.03.006
Hanser SB, Butterfield-Whitcomb J, Kawata M, et al. Home-based music strategies with individuals who have dementia and their family caregivers. J Music Ther. 2011;48(1):2-27. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21866711
Rio R. A community-based music therapy support group for people with Alzheimer's disease and their caregivers: A sustainable partnership model. Frontiers in Medicine. 2018. doi:10.3389/fmed.2018.00293
Hsu MH, Flowerdew R, Parker M. Individual music therapy for managing neuropsychiatric symptoms for people with dementia and their carers: a cluster randomised controlled feasibility study. BMC Geriatr. 2015;15(1):1. doi.org/10.1186/s12877-015-0082-4
McDermott O, Ridder HM, Baker FA, et al. Indirect music therapy practice and skill-sharing in dementia care. J Music Ther. 2018;55(3):255-279. doi:10.1093/jmt/thy012
Särkämö T, Laitinen S, Tervaniemi M, et al. Music, emotion, and dementia: Insight from neuroscientific and clinical research. Music and Medicine. 2012;4(3):153-162. doi:10.1177/1943862112445323
Särkämö T, Tervaniemi M. Cognitive, emotional, and neural benefits of musical leisure activities in stroke and dementia. Annals Physical & Rehab Medicine. 2015. doi:10.1016/j.rehab.2015.07.16
Jacobsen JH, Stelzer J, Fritz TH, et al. Why musical memory can be preserved in advanced Alzheimer’s disease. Brain. 2015;35(1):1-13. doi:10.1093/brain/awv135