Effects of music participation for mild cognitive impairment and dementia: A systematic review and meta-analysis.

Effects of music participation for mild cognitive impairment and dementia: A systematic review and meta-analysis.
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DOI:
10.1111/jgs.17208
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发表时间:
2021-09
影响因子:
6.3
通讯作者:
Rodakowski J
Rodakowski J
中科院分区:
医学1区
文献类型:
--
作者:
Dorris JL;Neely S;Terhorst L;VonVille HM;Rodakowski J

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旨在检查采用主动音乐制作干预措施的随机对照试验,其中可能患有轻度认知障碍 (MCI) 或痴呆症的老年人身体上参与音乐,及其对认知功能、情绪健康和社交参与的影响。参与音乐制作很有趣,而且已经显示出多种好处。此外,本次审查还对每次干预的音乐活动进行了分类。系统评价和荟萃分析 长期护理机构、日间中心、专科门诊单位、社区 通过在 Medline (Ovid)、APA PsycInfo (Ovid)、CINAHL (Ebsco) 和 Embase (Elsevier) 上进行搜索,确定了(截至 2021 年 3 月 15 日)已发表的关于积极音乐创作干预措施的随机对照试验,以支持可能患有 MCI 或痴呆症的老年人。结果是认知功能、情绪健康和社会参与,包括自我报告和临床医生报告的指标,例如简易精神状态检查、积极和消极情绪表以及贝克抑郁量表。对研究进行了严格评价,并对采用类似方法的研究进行了荟萃分析。可能患有 MCI、轻度或中度痴呆的老年人。对 21 项涉及 1,472 名参与者的研究进行了潜在影响大小和干预活动的分析。在这 21 项研究中,有 9 项研究总共招募了 495 名参与者,用于生成认知功能的随机效应荟萃分析模型。音乐对认知功能显示出微小的积极影响;实验组和对照组的综合标准均差为 0.30,[95% 置信区间 (CI),0.10,0.51]。研究异质性较低,I2 为 24% (p=.004)。关于生活质量和情绪方面的情绪健康的个别研究显示出积极的影响大小,分别为 d = 1.08 和 d = 1.74。这篇综述表明,音乐制作对可能患有轻度认知障碍或痴呆症的老年人的认知功能影响虽小,但具有统计学意义。未来的音乐干预可以受益于隔离特定活动的严格干预协议。
To examine randomized controlled trials with active music-making interventions, in which for older adults with probable Mild Cognitive Impairment (MCI) or dementia physically participate in music, and their effects on cognitive functioning, emotional well-being, and social engagement. Participating in music-making is engaging and has shown diverse benefits. Additionally, this review categorized the music activities of each intervention. Systematic review and meta-analysis Long-term care facilities, day centers, specialty outpatient units, community Published randomized controlled trials of active music-making interventions to support older adults with probable MCI or dementia were identified (to March 15, 2021) using searches on Medline (Ovid), APA PsycInfo (Ovid) CINAHL (Ebsco), and Embase (Elsevier). The outcomes were cognitive functioning, emotional well-being, and social engagement, including self- and clinician-reported measures such as the Mini-Mental State Examination, Positive and Negative Affect Schedule, and the Beck Depression Inventory. Studies were critically appraised and studies with similar methodology were meta-analyzed. Older adults with probable MCI, mild, or moderate dementia. 21 studies with 1,472 participants were analyzed for potential effect sizes and intervention activities. Of the 21 studies, nine studies recruiting a total of 495 participants were used to produce a random-effects meta-analytic model for cognitive functioning. Music showed a small, positive effect on cognitive functioning; the combined Standard Mean Difference for the experimental and control group was 0.30, [95% confidence interval (CI), 0.10, 0.51]. There was low study heterogeneity, with an I2 of 24% (p=.004). Individual studies for emotional well-being in terms of quality of life and mood showed positive effect sizes, d =1.08 and d = 1.74, respectively. This review shows that music-making has a small but statistically significant effect on cognitive functioning for older adults with probable MCI or dementia. Future music interventions can benefit from rigorous intervention protocols that isolate specific activities.
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