Journal List > Dement Neurocogn Disord > v.13(4) > 1120735

Han, Son, Ha, Lee, Kim, and Lee: The Effect of Group Musical Therapy on Depression and Activities on Daily Living in Patients with Cognitive Decline

Abstract

Background

Beside pharmacological treatment, non-pharmacological interventions are a great deal of interest resides on ways that allow modulation of brain plasticity in the elderly. Music therapy is a potential non-pharmacological treatment for the behavioral and psychological symptoms of dementia, but a few studies reported it to be helpful. The aim of this study was to evaluate the effect of structured musical intervention therapy in patient with cognitive decline.

Methods

The subjects of the study were a total of fifty elderly with cognitive decline (K-MMSE: 21±3.99, CDR: 0.80±0.38). The musical therapy was applied to the group twice a week, fifty minutes per session for eight weeks. The data were analyzed by using chi-square and paired t-test before and after musical intervention.

Results

The study showed a significant reduction in depression and anxiety after musical therapy measured with short form-GDS and BDI (p<0.001). Activities daily living (ADL) markedly improved after the all session of musical interventions (p<0.001).

Conclusion

Group music therapy is a safe and effective method for treating depression and anxiety, and also improving ADL in patients with cognitive decline.

Figures and Tables

Fig. 1
The neuropsychological results after musical intervention in patients with cognitive decline. (*p<0.001) GDS, geriatric depression scale; BAI, Beck anxiety inventory; S-IADL, Seoul-instrumental activities daily living.
dnd-13-107-g001
Table 1
Clinical characteristics of patients with MCI and AD
dnd-13-107-i001

MCI, mild cognitive impairment; AD, Alzheimer's disease; K-MMSE, Korean-Mini Mental state Examination; CDR, clinical dementia rating; GDS, global deterioration scale.

Table 2
Comparison between baseline and follow-up evaluation
dnd-13-107-i002

BAI, Beck Anxiety Inventory; short form-GDS, geriatric depression scale; S-IADL, Seoul-Instrumental activities of daily living.

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