Depression in older adults is prevalent and often undiagnosed and untreated.This study sought to assess if participation in a music therapy choir intervention could reduce depressive symptoms and improve quality of life and cognitive functioning in older adults. In this mixed method study, 40 participants were assessed pre- and post-intervention for depressive symptoms (Cornell Scale), quality of life (Cornell Brown) and cognitive functioning (Mini Mental State Examination). The treatment group (n=20) actively participated in a music-therapist led choir for 12 weeks, while the control group (n=20) received standard daily care. Mean depressive symptoms in the music therapy group were reduced by 54% (p=0.004), mean quality of life score improved by 57% (p= 0.0004) and there was a statistically significant increase in cognitive functioning (p= 0.011). Results from self-administered questionnaires highlighted perceived benefits of the intervention. 67% (n=17) reported improved mood, while 40% reported physical gains. Other themes included increased social interaction and memory improvement. The results of this controlled study indicate that the intervention significantly reduced depressive symptoms, improved quality of life and increased cognitive functioning.Keywords: music therapy, choir, singing, depression, quality of life, older adults, cognitive functionSpanishDepresión en adultos es muy común y , a menudo, no se diagnostica ni se trata. Este estudio intenta evaluar si la participación en intervención coral de Musicoterápia reduciría síntomas depresivos, aumentaria calidad de vida y habilidades cognitivas en personas de edad avanzada. En este método mixto de investigación, síntomas depresivos (Cornell Scale),calidad de vida (Cornell Brown) y hablilidad cognitiva (Mini Mental State Examination) fueron evaluados antes y despues de la intervención,(N=40). El grupo de intervención (20) participó activamente por 12 semanas en un coro dirigido por un musicoterapeuta, mientras el grupo control (20) recibió tratamiento estandar diario.La media de síntomas depresivos en el grupo de intervención se redujo un 50% (p=0.004), calidad de vida mejoró un 57% (p= 0.0004), y se encontró un incremento estatísticamente significativo en habilidades cognitivas (p= 0.011). Los resultados de los cuestionarios auto-administrados señalaron beneficios percibidos en el grupo intervencion: 67% (n=17) reportaron un aumento en el espíritu, mientras que un 40% reportó mejoria física. Otros temas incluyen aumento en interacción social y mejora en la memoria. Estos resultados indican que la intervención redujo significativamente símtomas depresivos, mejoró la calidad de vida e incrementó habilidades cognitivas.French Utilisation d’une chorale de musicothérapie pour réduire la dépression et améliorer la qualité de vie chez la personnea âgée – Etude randomisée contrôlée (ERC) Résumé La dépression chez la personne âgée est courante et souvent non diagnostiquée et non traitée. Cette étude a cherché à évaluer si la participation à une chorale en atelier de musicothérapie pouvait réduire les symptomes de dépression et améliorer la qualité de vie et les fonctions cognitives de la personne âgée. Dans cette méthode de recherche mixte, 40 participants ont été évalués, avant et après l’intervention, sur les symptomes dépressifs (Cornell Scale), la qualité de vie (Cornell Brown) et les fonctions cognitives (MMS). Le groupe de traitement (n=20) a participé activement à l’atelier chorale de musicothérapie pendant 12 semaines, tandis que le groupe controle (n=20) a reçu les soins quotidiens habituels. Les symptomes dépressifs dans le groupe de musicothérapie ont été réduits de 54 % (p=0.004), les résultats de la qualité de vie ont été améliorés de 57 % (p=0.0004) et il y a eu une augmentation statistique significative des fonctions cognitives (p=0.011). Les résultats d’un questionnaire auto-aministré ont souligné les bénéfices perçus de l’intervention. 60 % (n=17) ont déclaré une amélioration de leur humeur, tandis que 40 % ont déclaré des bénéfices physiques.Les résultats de cette étude controllée indiquent que l’intervention en musicothérapie réduit significativement les symptomes dépressifs, améliorent la qualité de vie et augmentent les capacités cognitives.Mots clés : musicothérapie, chorale, chant, dépresion, qualité de vie, personne âgée, fonctions cognitives.GermanMusiktherapeutischer Chorgesang, um bei älteren Erwachsenen Depression zu verringern und Lebensqualität zu erhöhen: eine randomisierte kontrollierte Studie (RCT)Abstract:Depression bei älteren Erwachsenen ist weit verbreitet, oft nicht diagnostiziert und nicht behandelt. Diese Studie versucht einzuschätzen, in wie weitdie Teilnahme an einem musiktherapeutischen geführten Chor depressive Symptome reduzieren sowie Lebensqualität und kognitives Funktionieren bei älteren Erwachsenen verbessern kann. In dieser mixed-method Studie wurden prä- und post-Interventionen zu Depressiven Symptomen (Cornell Scale), Lebensqualität (Cornell Brown) und Kognitives Funktionieren bei 40 Teilnehmern eingeschätzt. Die Probanden (n=20) beteiligten sich aktiv in dem musiktherapeutisch geleiteten Chor über einen Zeitraum von 12 Wochen, während die Kontrollgruppe die tägliche Standardversorgung erhielten. Das Mittel der depressiven Symptome in der MT Gruppe wurde um 54 % reduziert (p=0.004), das der Lebensqualität erhöhte sich um 57% (p=0.0004), außerdem fand sich ein statistisch signifikanter Anstieg bei den kognitiven Funktionen (p=0.011).Die Ergebnisse von selbst-beurteilten Fragebögen betonen den Gewinn durch die Intervention. 60 % (n=17) berichteten über verbesserte Stimmung, 40 % berichteten über physische Verbesserungen. Andere Themen beinhalteten soziale Interaktion und Verbesserung des Gedächtnisses. Die Ergebnisse dieser kontrollierten Studie zeigen, dass die Intervention die depressiven Symptome signifikant reduziert, die Lebensqualität erhöht und die kognitiven Funktionen verbessert. Japanese音楽療法クワイアを使った高齢者のうつ軽減とQOLの向上 — 無作為コントロール治験 Bill Ahessy *1*1 アイルランド、ダブリン、Meath Community Unit 所属【要旨】高齢者のうつ症状は広く認められているが、診断未確定で治療を受けていないことが頻繁である。この研究は、高齢者の音楽療法クワイアへの参加が、うつ症状の軽減、そしてQOLと認知機能を向上できるかを評価するために行われた。これは混合法研究で、40人の参加者は、介入前後に、うつ症状(Cornell Scale)、QOL (Cornell Brown)、認知機能 (MMSE) を評価された。処置グループ (n=20) は音楽療法士のリードするクワイアに12週間能動的に参加した一方、対照グループ (n=20) は通常のケアを受けた。音楽療法グループの平均的なうつ症状は54%減少 (p=0.004) し、QOLのスコアは57% 向上 (p= 0.0004) 、認知機能においては統計学的に有意な向上 (p= 0.011) があった。自己記入質問書の結果は介入の恩恵を認識していることが強調していた。60% (n=17) は気分が向上したと報告し、40% は身体的な向上を報告した。他の主題は社会的相互作用の増加と記憶向上を含んでいた。このコントロール治験の結果は介入が有意にうつ症状を軽減し、QOLを向上し、認知機能を向上させることが示唆している。【キーワード】音楽療法、クワイア、歌唱、うつ、QOL、高齢者、認知機能Chinese憂鬱在老年族群中相當普遍,但常常未得到診斷與治療。本研究旨在評估透過音樂治療合唱團的介入是否可減少老年人的憂鬱症狀,提升生活品質及認知功能。在這個混合方法研究中,40位參與者被測驗介入前及介入後的憂鬱症狀(康乃爾憂鬱量表)、生活品質(Cornell Brown)及認知功能(簡易心智量表MMSE)。治療組(n=20)積極參與了為期12週,由音樂治療師帶領的合唱團,同時對照組(n=20)則接受標準日常照護。音樂治療組的憂鬱症狀平均數減少達54%(p=0.004),生活品質平均分數進步57%(p=0.0004),並在認知功能方面達到統計上的顯著進步(p=0.011)。結果顯示從參與者的自陳問卷中特別突顯出接受處遇的好處。60%(n=17)的參與者認為情緒獲得改善,40%則認為得到身體上的益處。其他主題則包括增進社會互動及改善記憶力。此對照研究的結果顯示出音樂治療介入顯著降低了憂鬱症狀,增進生活品質及認知功能。
The COVID-19 pandemic created a major transformation in the delivery of music therapy services worldwide as they moved online. Telehealth research is in its infancy and online work with children and adolescents with visual impairment has yet to be investigated. This survey-based study explored the experiences and perceptions of parents of children and adolescents with visual impairment ( n = 11) who engaged in online music therapy. Video playlists were accessed regularly and almost all parents reported positive (2/11) or very positive (8/11) responses and perceived them as beneficial in engaging with their child. Ninety-five percent (10/11) of parents perceived the teleheath programme to be a positive experience for their child, 73% (8/11) observed positive behaviours directly after the sessions, and 82% (9/11) indicated that the programme was a valuable family resource that supported bonding and interaction. Inductive reflexive thematic analysis generated four themes from the qualitative data: (a) positive impacts, (b) interactive family resource, (c) connection to school, and (d) challenges. A discussion of the findings is followed by implications for practice.
Person-centered dementia care has been extensively integrated into music therapy practice; its central aim being to meet the core psychological needs of people with dementia, uphold personhood, and contribute to enhanced quality of life. Furthermore, Kitwood’s model has been widely referenced as the theoretical framework underpinning multiple studies with people with dementia. However, few studies explore it in more concrete terms, expand on how it is implemented in practice, or describe how “positive person work” can be facilitated in music therapy with this population. This paper aims to address these lacunae, by presenting a comprehensive overview of Kitwood’s model; identifying how it has informed music therapy practice, and highlighting current applications of “person-centered music therapy” in relation to meeting the core psychological needs of people with dementia. Furthermore, the authors present practical considerations on facilitating “positive person work” in music therapy, drawing on their experiences of providing music therapy in dementia care.
Although there is a growing body of evidence suggesting that combining music therapy and reminiscence in a structured and complementary way may yield positive well-being outcomes for people with dementia, there is a gap in the literature combining both in equal measure. Furthermore, there are no known studies exploring the use of ‘associative items’ as part of the combined intervention and no known standardised protocol or method currently exists. This mixed methods study aims to explore whether combining music therapy and reminiscence with associative items for people with dementia may promote positive mood and engagement levels and shared interaction through (a) musical expression, (b) reminiscence and (c) verbal interaction. Five weekly reminiscence-focused music therapy (RFMT) sessions with associative items were conducted with a group of five people with dementia living in a residential care unit. Results from the Dementia Care Mapping (DCM) revealed that the RFMT intervention was highly effective in promoting positive mood and engagement levels and shared interaction. Participants exhibited considerable positive mood and engagement (+3) 51.6%, and high positive mood and engagement (+5) 38.2%, of the total time observed. The three most frequent behaviours across the five RFMT sessions included musical expression, which was observed 53.2% of the time, reminiscence, observed 23% of the time, and verbal interaction, observed 34% of the total time observed. Data from the music therapist’s reflective journal and session summaries revealed that the associative items prompted reality orientation, verbal interaction, and cognitive stimulation. The music elements were found to increase group cohesion, stimulate cognition, and act as an anchor, re-orientating group members intermittently. Implications of practice are considered, and future recommendations of practice are outlined.
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