Music and medicine最新文献

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The effectiveness of music as an intervention for dementia patients in acute settings 音乐作为急性痴呆患者干预的有效性

Music and medicine

Pub Date : 2021-10-25 DOI: 10.47513/mmd.v13i4.787

Kate Hack, Kate Martin, C. Atkinson

In 2019 there were an estimated 50 million people living with dementia globally [1]. There is a strong need for therapies and interventions that ameliorate symptoms and improve quality of life for individuals living with dementia. Whilst there is evidence for the effectiveness of music interventions in long-term care settings, such as nursing homes, less research has been conducted into their effectiveness in acute settings. It is important to build up an evidence base of effective interventions in acute settings specifically, which often see the most challenging cases of symptoms associated with dementia. This systematic review represents a novel examination of the literature on music as an intervention for dementia patients in acute settings. A database search identified 204 papers, of which 10 studies satisfied criteria and were reviewed. A quality assessment framework was applied, with the majority of studies scoring highly (above 80%). The review identified 4 areas where music interventions have been utilized to improve outcomes for dementia patients in acute settings: mood and wellbeing, behavioral and psychological symptoms of dementia, and use of inpatient resources. The most reliable evidence is currently within mood and behavior domains reflecting positive change following music intervention for inpatients. Limitations, clinical implications and recommendations for future research are discussed.

2019年，全球估计有5000万人患有痴呆症[1]。迫切需要治疗和干预措施，以改善痴呆症患者的症状和提高生活质量。虽然有证据表明音乐干预在长期护理环境(如养老院)中的有效性，但对其在急性环境中的有效性进行的研究较少。建立有效干预措施的证据基础非常重要，特别是在急性环境中，通常会看到与痴呆症相关的最具挑战性的症状病例。这一系统综述代表了对音乐作为急性痴呆患者干预的文献的新颖检查。数据库检索确定了204篇论文，其中10篇研究符合标准并进行了审查。采用了质量评估框架，大多数研究得分很高(超过80%)。该综述确定了4个领域，音乐干预已被用于改善急性痴呆症患者的预后:情绪和健康、痴呆症的行为和心理症状，以及住院资源的使用。目前最可靠的证据是在情绪和行为领域反映出住院患者在音乐干预后的积极变化。本文讨论了局限性、临床意义和对未来研究的建议。

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引用次数: 1

Effects of choral singing on salivary cortisol levels and self-reported stress in university students 合唱对大学生唾液皮质醇水平和自我报告压力的影响

Music and medicine

Pub Date : 2021-10-25 DOI: 10.47513/mmd.v13i4.794

Gunnar Glauco de Cunto Carelli Taets, Ramon Werner Heringer Gutierrez, L. Bergold, L. S. Monteiro

Although mental disorders are common among university students, the majority of students with mental health issues do not seek out treatment during their academic life. The aim of this study was to evaluate the effects of a novel group approach- choir singing, and its potential impact on stress, via salivary cortisol levels and self-reported stress levels in university students during 4 sessions of choir singing. It was based on a quasi-experimental research conducted with 25 Brazilian university students. Each choir singing session lasted 60 minutes. A question was asked before and after the intervention: what is the level of your stress? Salivary cortisol was collected before and after the intervention. After the choir singing intervention, there was a statistically significant reduction in self-reported stress (p<0.0001) and salivary cortisol levels (p<0.0001). This research suggests that choir singing can reduce the self-reported stress of university students after 4 weeks of follow-up with ∆= 45.83% and salivary cortisol levels in the first week with ∆= 3.57%.

虽然心理障碍在大学生中很常见，但大多数有心理健康问题的学生在他们的学术生活中并没有寻求治疗。本研究的目的是评估一种新颖的群体方法——唱诗班唱歌的效果，以及它对压力的潜在影响，通过在4次唱诗班唱歌期间，大学生唾液皮质醇水平和自我报告的压力水平。它是基于对25名巴西大学生进行的准实验研究。每个唱诗班的歌唱时间为60分钟。在干预前后分别问了一个问题:你的压力水平是多少?在干预前后采集唾液皮质醇。在合唱团演唱干预后，自我报告的压力(p<0.0001)和唾液皮质醇水平(p<0.0001)有统计学意义的降低。本研究表明，合唱能使大学生在随访4周后自我报告的压力下降∆= 45.83%，第一周唾液皮质醇水平下降∆= 3.57%。

引用次数: 1

Development of the Caregiver Confidence using Music Scale 用音乐量表研究照顾者自信心的发展

Music and medicine

Pub Date : 2021-10-25 DOI: 10.47513/mmd.v13i4.784

David Kim, Brandon Ruan, L. Bartel, Beverly B. Foster, Chelsea Mackinnon

Music serves as an important tool to improve the health and wellness of individuals in healthcare settings. In times of high caregiver burnout, therapeutic outlets such as music for care receivers and providers are becoming increasingly important. This paper presents the first iteration of the Caregiver Confidence using Music Scale (CCuMS), an assessment tool designed to evaluate caregivers’ readiness to adopt music care. Music care is defined as the informed and intentional use of music by anyone to improve the quality of care. The CCuMS was derived from a hierarchical cluster analysis of the Music Care Training program’s Level 1 post-evaluation survey (Post-MCTL1). Thematic interpretation of the statistical outputs from the cluster analysis was completed, resulting in the first iteration of the CCuMS. Initial validation methods that were feasible with current data were conducted. Specifically, face validity, content validity and convergent validity were calculated using Pearson correlations. The CCuMS shows promise as a measurement tool for use in healthcare settings due to the moderate correlation between the Post-MCTL1 and the CCuMS scale (r=0.524), and the strong correlation between the music care training thematic questionnaire and the CCuMS (r=0.970).

音乐是改善医疗保健环境中个人健康的重要工具。在照顾者高度倦怠的时期，对照顾者和提供者来说，音乐等治疗途径变得越来越重要。本文介绍了使用音乐量表(CCuMS)的护理人员信心的第一次迭代，这是一种评估工具，旨在评估护理人员是否愿意采用音乐护理。音乐护理被定义为任何人在知情和有意的情况下使用音乐来提高护理质量。CCuMS来源于音乐护理培训项目的1级后评价调查(Post-MCTL1)的分层聚类分析。完成了对聚类分析统计结果的专题解释，从而进行了ccum的第一次迭代。对现有数据进行了初步验证。具体而言，采用Pearson相关计算了面效度、内容效度和收敛效度。由于mctl1后与CCuMS量表之间的中度相关性(r=0.524)，以及音乐护理培训主题问卷与CCuMS之间的强相关性(r=0.970)， CCuMS显示出在医疗保健环境中使用的测量工具的前景。

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引用次数: 0

Music Intervention Pilot Study: Assessing Teaching Methods of Group Marimba Classes Designed to Train Spatial Skills of Older Adults with Changes in Cognition. 音乐干预先导研究:评估认知变化老年人空间技能训练马林巴小组班教学方法。

Music and medicine

Pub Date : 2021-10-01 DOI: 10.47513/mmd.v13i4.749

Juleen Rodakowski, Jennie L Dorris, Diana J McLaughlin, Dustin L Grimes

Spatial skills decline in older adults, particularly those with cognitive challenges, leaving them less confident to navigate their environment. Spatial training has been shown to help with this decline and engaging in music has benefitted the spatial skills of musicians. A paucity of research explores ways that music could serve as spatial training for older adults. This study explored music classes as spatial training for older adults in three ways: 1) Success rates staying spatially oriented on the instrument. 2.) Ability to read written music. 3.) Outcomes on a spatial orientation test taken pre- and post-intervention. We developed and tested a six-week marimba class that targeted spatial training principles for older adults with predementia or early dementia. We assessed the spatial skills with the Orientation Test from the Test of Visual Perceptual Skills pre- and post-intervention. Their scores increased an average of 0.71, a clinically meaningful change (d = 0.3). Participants also demonstrated high frequencies of remaining oriented on the instrument, and more participants self-selected to read music without notes (p < 0.01) over the course of the intervention. With future research, music-based training may be one way to support spatial skills during cognitive decline.

老年人的空间技能会下降，尤其是那些有认知障碍的老年人，这让他们在驾驭环境时缺乏信心。空间训练已被证明有助于这种下降，从事音乐有益于音乐家的空间技能。很少有研究探索音乐可以作为老年人空间训练的方式。本研究从三个方面探讨了音乐课程作为老年人空间训练的作用:1)在乐器上保持空间导向的成功率。2)。能够阅读乐谱。3)。干预前和干预后的空间取向测试结果。我们开发并测试了一个为期六周的马林巴琴课程，针对老年痴呆症前期或早期痴呆症患者的空间训练原则。在干预前和干预后，我们使用视觉知觉技能测试中的定向测试来评估空间技能。他们的得分平均增加0.71，有临床意义的变化(d = 0.3)。在干预过程中，参与者还表现出高频率的继续专注于乐器，更多的参与者自我选择阅读没有音符的音乐(p < 0.01)。在未来的研究中，以音乐为基础的训练可能是在认知衰退期间支持空间技能的一种方法。

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引用次数: 0

Music therapy & music based interventions in the context of dementia: Recommendations for clinical guidelines - Part II 在痴呆的背景下音乐治疗和音乐为基础的干预:临床指南的建议-第二部分

Music and medicine

Pub Date : 2021-08-11 DOI: 10.47513/mmd.v13i3.822

Melissa Mercadal-Brotons, C. Tomaino, Tereza Raquel Alcântara Silva, Shirlene Vianna Moreira

The therapeutic benefits of music are well recognized in care for the elderly and especially for people with dementia (PWD). Currently, music-based programs occur at different levels and by a variety of professionals. The challenge is to ensure that music is provided in a positive and beneficial way. There is a need for clinical practice guidelines, based on research outcomes in order to guarantee reliable music therapy and music-based intervention procedures for people with dementia (PWD) so that these interventions are properly implemented by professional music therapists, other health allied professionals as well as caregivers. This paper reflects on this need in order to guarantee successful best practices in the use of music with PWD.

音乐的治疗益处在老年人护理中得到了很好的认可，尤其是对痴呆症患者(PWD)。目前，以音乐为基础的课程出现在不同的水平和各种专业人士。挑战在于确保音乐以积极和有益的方式提供。有必要根据研究结果制定临床实践指南，以保证对痴呆症患者(PWD)进行可靠的音乐治疗和基于音乐的干预程序，以便专业音乐治疗师、其他健康相关专业人员和护理人员正确实施这些干预措施。本文反映了这一需求，以确保在使用音乐与残疾的最佳实践的成功。

引用次数: 4

Telehealth music therapy for persons with dementia and/or caregivers 为痴呆症患者和/或照顾者提供的远程保健音乐疗法

Music and medicine

Pub Date : 2021-08-11 DOI: 10.47513/mmd.v13i3.821

Amy Clements-Cortés, Melissa Mercadal-Brotons, Tereza Raquel Alcântara Silva, Shirlene Vianna Moreira

The COVID-19 pandemic has placed many restrictions on social interaction. Although these restrictions are challenging for everyone, they are particularly difficult for older adults who are often isolated. While telehealth has been around for a number of years, it had not been practiced to any great extent by music therapists until COVID-19. Telehealth will continue to prove valuable even when the pandemic ends, and as a result, it is timely to assess the benefits and recommendations for best practices. This paper provides a starting point of reflection for telehealth for persons with dementia, offering practical recommendations and implications for planning and training.

新冠肺炎大流行给社会交往带来了许多限制。尽管这些限制对每个人来说都是挑战，但对经常被孤立的老年人来说尤其困难。虽然远程医疗已经存在了很多年，但直到COVID-19，音乐治疗师才在很大程度上实施了远程医疗。即使在大流行结束后，远程保健仍将证明其价值，因此，及时评估其益处并就最佳做法提出建议。本文为痴呆症患者的远程保健提供了一个反思的起点，为规划和培训提供了实际建议和影响。

引用次数: 9

Music-based interventions for people with Alzheimer's disease and related dementias: A review of the research 音乐对阿尔茨海默病及相关痴呆患者的干预:研究综述

Music and medicine

Pub Date : 2021-07-23 DOI: 10.47513/mmd.v13i3.823

S. Hanser

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.

这篇论文是一篇概括性的综述，综述了对阿尔茨海默病和相关痴呆症患者进行音乐干预的系统研究。虽然许多文章的研究方法质量不一，但关于音乐和音乐治疗的各种积极结果的发现仍然令人印象深刻。最强的结果包括这些干预措施能够减少该人群中的躁动、焦虑、抑郁和其他行为/心理症状。然而，对认知和记忆的影响是混合的，而且很难确定观察到的改善是否可能是由于焦虑的减少。本文讨论了几个具体的基于音乐的干预措施，服务提供选择和护理人员规划，这些都是有效的。最后，神经学的证据被提出，以说明保存的音乐能力的人进入老年痴呆症的晚期。这些发现支持了基于音乐的干预的成功，同时也支持了临床和研究指南的需要，以规范协议和比较研究。

引用次数: 6

Evaluating the use of music-assisted caregiving interventions by certified nursing assistants caring for nursing home residents with HIV-associated neurocognitive disorders and depressive symptoms: A mixed-methods study 评估持证护理助理在照顾患有hiv相关神经认知障碍和抑郁症状的养老院居民时使用音乐辅助护理干预措施:一项混合方法研究

Music and medicine

Pub Date : 2021-07-23 DOI: 10.47513/mmd.v13i3.819

Kendra Ray, Girija Kaimal, Ayelet Dassa, Jaime C. Slaughter-Acey, M. Mittelman

In recent years, HIV-associated neurocognitive disorders (HAND) have become more common as people with HIV live longer due to advances in anti-retroviral medications. The symptoms of HAND are often associated with mild-to-severe cognitive impairment and depression, which may lead to burden and burnout among the certified nursing assistants (CNAs) of individuals with HAND. Music-based interventions provided by paid caregivers have been shown to have positive effects for people with cognitive impairments, depression, and HIV. However, little is known about the benefits of music-based interventions for people with HAND and depression. In this concurrent nested, mixed-methods experiment, 12 nursing home residents with HIV-associated neurocognitive disorders and depression participated in 4 weeks of music-assisted caregiving with 5 CNAs. The music-assisted caregiving intervention significantly decreased depressive symptoms among the residents and personal achievement improved among the CNAs. This study supports the effectiveness of the music-assisted caregiving intervention in reducing depressive symptoms among nursing home residents with HIV-associated neurocognitive disorders and provides directions for research to explore interdisciplinary approaches for people with HIV and related cognitive disorders further.

近年来，随着抗逆转录病毒药物的进步，艾滋病毒感染者的寿命延长，艾滋病毒相关神经认知障碍(HAND)变得越来越普遍。HAND的症状通常与轻度至重度认知障碍和抑郁相关，这可能导致HAND患者的注册护理助理(CNAs)负担和倦怠。有偿护理人员提供的基于音乐的干预措施已被证明对患有认知障碍、抑郁症和艾滋病毒的人有积极影响。然而，人们对以音乐为基础的干预对HAND和抑郁症患者的好处知之甚少。在这个同时嵌套的混合方法实验中，12名患有hiv相关神经认知障碍和抑郁症的养老院居民参加了为期4周的音乐辅助护理。音乐辅助照护干预可显著降低住院病人的抑郁症状，并改善中心病人的个人成就。本研究支持音乐辅助照护干预对降低HIV相关神经认知障碍患者抑郁症状的有效性，并为进一步探索HIV相关神经认知障碍患者的跨学科治疗方法提供研究方向。

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引用次数: 0

Special issue on music therapy in the context of dementia 音乐治疗在老年痴呆症中的特殊问题

Music and medicine

Pub Date : 2021-07-23 DOI: 10.47513/mmd.v13i3.838

Melissa Mercadal-Brotons

The demographic global changes in societies, coupled with the increase of life expectancy, have resulted in common disease processes at older ages...

社会人口结构的全球变化，加上预期寿命的延长，导致老年人罹患常见疾病。

引用次数: 0

Music and Creativity in Healthcare Settings. Does Music Matter? Hilary Moss, PhD, MBA 医疗环境中的音乐和创造力。音乐重要吗?希拉里·莫斯，博士，MBA

Music and medicine

Pub Date : 2021-07-23 DOI: 10.47513/mmd.v13i3.839

Stine Camilla Blichfeldt-Ærø

Book Review

书评

引用次数: 2

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