The effect of music therapy on cognitive functions in patients with dementia: a systematic review and meta-analysis
The effect of music therapy on cognitive functions in patients with dementia: a systematic review and meta-analysis
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DOI：
10.1080/13607863.2017.1348474
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发表时间：
2018-01-01
影响因子：
3.4
通讯作者：
Gold, Christian
中科院分区：
文献类型：
--
作者：
Fusar-Poli, Laura;Bieleninik, Lucja;Gold, Christian
目的：对音乐疗法对痴呆患者认知功能的影响进行Meta分析。方法：对截至2016年9月8日的文献进行系统检索，检索词为Medline、QicINFO、Embase、CINAHL和RILM。我们纳入了所有随机对照试验，将MT与标准护理或其他非音乐类型的干预进行比较，评估痴呆症患者的认知结果。结果：在1089项潜在相关记录中，110项研究合格，其中7项符合纳入标准，其中6项包含可用于Meta分析的适当数据(330名参与者，平均年龄78.8-86.3岁)。总体而言，随机效应荟萃分析表明MT对所有结果没有显著影响。亚组分析发现活跃的MT对整体认知有有益影响的证据(SMD=0.29，95%CI 0.02至0.57，p=0.04)。结论：尽管本综述的证据有限，但继续支持MT作为老年痴呆症的补充治疗是很重要的。为了更好地阐明MT对认知功能的影响，需要更大样本量的随机对照试验。
Objectives: The aim of the present study was to meta-analyze the effect of music therapy (MT) on cognitive functions in patients with dementia.Method: A systematic literature search was performed in Medline, PsycINFO, Embase, CINAHL and RILM up to 8 September 2016. We included all randomized controlled trials that compared MT with standard care, or other non-musical types of intervention, evaluating cognitive outcomes in patients with dementia. Outcomes included global cognition, complex attention, executive function, learning and memory, language, and perceptual-motor skills.Results: From 1089 potentially relevant records, 110 studies were assessed for eligibility, and 7 met the inclusion criteria, of which 6 contained appropriate data for meta-analysis (330 participants, mean age range 78.8-86.3). Overall, random-effects meta-analyses suggested no significant effects of MT on all outcomes. Subgroup analysis found evidence of a beneficial effect of active MT on global cognition (SMD = 0.29, 95% CI 0.02 to 0.57, p = 0.04). Conclusion: Despite the limited evidence of the present review, it is important to continue supporting MT as a complementary treatment for older adults with dementia. RCTs with larger sample sizes are needed to better elucidate the impact of MT on cognitive functions.