The effect of music therapy on reducing depression in people with dementia: A systematic review and meta-analysis

Li, Hui-Chi; Wang, Hsiu‐Hung; Lu, Chu-Yun; Chen, Tai‐Been; Lin, Yu-Hua; Lee, I

doi:10.1016/j.gerinurse.2019.03.017

Cited by 43 publications

(31 citation statements)

References 33 publications

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“…The ability of music therapy to alleviate anxiety and depression is apparent in the selected groups of patients [57,58]. This finding is in keeping with a previous meta-analysis on patients living with dementia [59]. Apathy was also reduced, which was in agreement with a previous meta-analysis where patients living with dementia demonstrated improved apathy after music therapy [60].…”

Section: Discussionsupporting

confidence: 89%

Effects of Music Therapy on Patients with Dementia—A Systematic Review

Lam

Laher

et al. 2020

Geriatrics

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Dementia is an increasingly common syndrome and while pharmacotherapy is available, its potential benefit is limited, especially in non-cognitive outcomes. Non-pharmacotherapy such as music therapy is potentially associated with improved outcomes. We assessed the effects of music therapy on patients with dementia to evaluate its potential benefits on dementia. Two independent reviewers searched MEDLINE, EMBASE, CINAHL, CENTRAL, and ClinicalTrials.gov databases for clinical trials, using the keywords “music therapy” and “dementia”. Study outcomes included cognitive function, behavioral and psychological symptoms of dementia (BPSD), and quality of life. A total of 82 studies were included, of which 43 were interventional clinical trials, and 39 were systematic reviews or meta-analyses. Significant improvements in verbal fluency occurred after music therapy, with significant reductions in anxiety, depression, and apathy. There were no significant improvements in cognition or daily functioning, and the results on quality of life and agitation were ambiguous. Limitations of studies included low patient numbers, lack of standardized music therapy, and high heterogeneity in outcomes. More large-scale clinical trials would allow for clearer conclusions on the benefits of music therapy in patients with dementia.

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Section: Discussionsupporting

confidence: 89%

Effects of Music Therapy on Patients with Dementia—A Systematic Review

Lam

Laher

et al. 2020

Geriatrics

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“…To our knowledge, no other previous studies have investigated symptoms of depression and quality of life among people with dementia who participated in TSW. However, a recent systematic review and meta-analysis of seven high-quality randomized controlled trials investigating the effects of active (singing, instrument playing) and receptive (listening) music interventions for people with dementia demonstrated significant reductions in symptoms of depression for programs over 6, 8, and 16 weeks when sessions were facilitated by a qualified music therapist (Li et al, 2019). Our results are consistent with findings from this review, suggesting that symptoms of depression in people with dementia could be sensitive to change in a fully powered randomized controlled trial investigating the effects of group TSW over the short-term.…”

Section: Discussionmentioning

confidence: 99%

“It’s Feasible to Write a Song”: A Feasibility Study Examining Group Therapeutic Songwriting for People Living With Dementia and Their Family Caregivers

et al. 2020

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Background: Psychosocial interventions for people with dementia and their family caregivers together may sustain relationship quality and social connection. No previous music therapy research has examined the effects of group therapeutic songwriting (TSW) attended by people with dementia/family caregiver dyads. Methods: This pre-post feasibility study aimed to examine the acceptability of a group TSW intervention for people with dementia/family caregiver dyads and test the sensitivity of the following outcomes: Quality of the Caregiver-Patient Relationship (QCPR, primary); Cornell Scale for Depression in Dementia (CSDD) and Quality of Life-Alzheimer's Dementia for people with dementia, Patient Health Questionnaire-9, Assessment of Quality of Life-8 Dimensions (AQoL-8D); and Zarit Burden Interview for family caregivers. Six weekly 1 h sessions guided participants to identify preferred music, brainstorm ideas, create lyrics, and record songs. Qualitative interviews were conducted with dyads who completed the intervention. Results: Fourteen dyads were recruited and completed baseline assessments. Participants with dementia were aged 62-92 years (M = 77, SD = 11). Caregiver participants (11 spouses, two daughters, one son) were aged 54-92 years (M = 67, SD = 10.1). Four dyads withdrew owing to declining health or inconvenience before the program commenced (n = 2) and after attending 1-2 sessions (n = 2). Ten dyads formed four homogeneous TSW groups (71% completion). No statistically significant changes were detected for any measure. High QCPR ratings at baseline (M = 57.1) and follow-up (M = 57.4) demonstrated sustained relationship quality. For participants with dementia, large effect sizes for the CSDD suggested trends toward decreased depression (d =-0.83) and improved mood (d =-0.88). For family caregivers, a large effect size suggested a trend toward improvement for the AQoL-8D sub-domain examining independent living (d =-0.93). Qualitative data indicated that session design and delivery were acceptable, and TSW was a positive shared experience with personal benefits, which supported rather than changed relationship quality.

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“…Some prior reviews have evaluated the effects of music therapy for reducing depression. These reviews found a significant effectiveness of music therapy on reducing depression among older adults with depressive symptoms, people with dementia, puerpera, and people with cancers [4,5,[73][74][75][76]. However, these reviews did not differentiate music therapy from music medicine.…”

Section: Plos Onementioning

confidence: 99%

“…A meta-analysis by Li et al [74] suggested that medium-term music therapy (6-12 weeks) was significantly associated with improved depression in people with dementia, but not short- PLOS ONE term music therapy (3 or 4 weeks). On the contrary, our present meta-analysis found a stronger effect of short-term (1-4 weeks) and medium-term (5-12 weeks) music therapy on reducing depression compared with long-term (�13 weeks) music therapy.…”

Section: Plos Onementioning

confidence: 99%

Effects of music therapy on depression: A meta-analysis of randomized controlled trials

et al. 2020

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Background We aimed to determine and compare the effects of music therapy and music medicine on depression, and explore the potential factors associated with the effect. Methods PubMed (MEDLINE), Ovid-Embase, the Cochrane Central Register of Controlled Trials, EMBASE, Web of Science, and Clinical Evidence were searched to identify studies evaluating the effectiveness of music-based intervention on depression from inception to May 2020. Standardized mean differences (SMDs) were estimated with random-effect model and fixed-effect model. Results A total of 55 RCTs were included in our meta-analysis. Music therapy exhibited a significant reduction in depressive symptom (SMD = −0.66; 95% CI = -0.86 to -0.46; P<0.001) compared with the control group; while, music medicine exhibited a stronger effect in reducing depressive symptom (SMD = −1.33; 95% CI = -1.96 to -0.70; P<0.001). Among the specific music therapy methods, recreative music therapy (SMD = -1.41; 95% CI = -2.63 to -0.20; P<0.001), guided imagery and music (SMD = -1.08; 95% CI = -1.72 to -0.43; P<0.001), music-assisted relaxation (SMD = -0.81; 95% CI = -1.24 to -0.38; P<0.001), music and imagery (SMD = -0.38; 95% CI = -0.81 to 0.06; P = 0.312), improvisational music therapy (SMD = -0.27; 95% CI = -0.49 to -0.05; P = 0.001), music and discuss (SMD = -0.26; 95% CI = -1.12 to 0.60; P = 0.225) exhibited a different effect respectively. Music therapy and music medicine both exhibited a stronger effects of short and medium length compared with long intervention periods. Conclusions A different effect of music therapy and music medicine on depression was observed in our present meta-analysis, and the effect might be affected by the therapy process.

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The effect of music therapy on reducing depression in people with dementia: A systematic review and meta-analysis

Cited by 43 publications

References 33 publications

Effects of Music Therapy on Patients with Dementia—A Systematic Review

Effects of Music Therapy on Patients with Dementia—A Systematic Review

“It’s Feasible to Write a Song”: A Feasibility Study Examining Group Therapeutic Songwriting for People Living With Dementia and Their Family Caregivers

Effects of music therapy on depression: A meta-analysis of randomized controlled trials

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