Effects of one-to-one music therapy in older adults with cognitive impairment: A randomized controlled trial.

IF 3.7 1区心理学 Q1 GERONTOLOGY Psychology and Aging Pub Date : 2024-12-01 DOI:10.1037/pag0000861

Anthony M A Mangiacotti, Ming Hung Hsu, Clare Barone, Martine Van Puyvelde, Alessandro Zandonà, Gianfranco Gabai, Michele Biasutti, Fabia Franco

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Abstract

This study investigated the effects of music therapy (MT), a nonpharmacological therapy, on cognitive, behavioral, and physiological outcomes in older adults with mild-to-moderate cognitive decline residing in care home settings. A randomized controlled trial design was employed, with 42 care home residents (Mage = 86.25 years) randomly assigned to either a one-to-one 16-week MT intervention or an active control group receiving storytelling. Experimental and control activities were matched on key aspects, and groups were equivalent at baseline concerning demographic factors, general health, cognitive-behavioral characteristics, and cognitive reserve levels. Pre/postintervention neuropsychological and behavioral measures were collected, alongside saliva samples for cortisol/dehydroepiandrosterone ratio and respiratory sinus arrhythmia analysis as indicators of overall stress and autonomic regulation. The MT group exhibited benefits in cognitive, behavioral, and physiological domains, suggesting potential advantages in maintaining cognitive functioning and reducing neuropsychiatric symptoms. Biomarkers indicated possible mechanisms underlying the effectiveness of MT. The 16 one-to-one interactive MT sessions-delivered over 5 months-had a positive impact on older adults with mild-to-moderate cognitive decline living in care home settings. The implications of these findings for healthy aging and suggestions for future research are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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一对一音乐疗法对认知障碍老年人的影响：随机对照试验

本研究调查了音乐疗法（MT）这种非药物疗法对居住在护理之家的轻度至中度认知功能衰退老年人的认知、行为和生理结果的影响。该研究采用随机对照试验设计，将 42 名护理院居民（年龄 = 86.25 岁）随机分配到为期 16 周的一对一 MT 干预组或接受讲故事的积极对照组。实验组和对照组的活动在主要方面是匹配的，两组在人口统计因素、一般健康状况、认知行为特征和认知储备水平方面的基线是相同的。实验组收集了干预前/后的神经心理和行为测量数据，并采集唾液样本进行皮质醇/脱氢表雄酮比率和呼吸窦性心律失常分析，作为整体压力和自主神经调节的指标。MT 组在认知、行为和生理领域都表现出优势，这表明他们在维持认知功能和减少神经精神症状方面具有潜在优势。生物标志物表明了 MT 有效的可能机制。16节一对一互动式MT课程为期5个月，对居住在护理之家的轻度至中度认知功能衰退的老年人产生了积极影响。本文讨论了这些发现对健康老龄化的影响以及对未来研究的建议。(PsycInfo Database Record (c) 2024 APA, all rights reserved)。

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来源期刊

Psychology and Aging Multiple-

CiteScore

6.40

自引率

10.80%

发文量

期刊介绍： Psychology and Aging publishes original articles on adult development and aging. Such original articles include reports of research that may be applied, biobehavioral, clinical, educational, experimental (laboratory, field, or naturalistic studies), methodological, or psychosocial. Although the emphasis is on original research investigations, occasional theoretical analyses of research issues, practical clinical problems, or policy may appear, as well as critical reviews of a content area in adult development and aging. Clinical case studies that have theoretical significance are also appropriate. Brief reports are acceptable with the author"s agreement not to submit a full report to another journal.