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

Dement Neurocogn Disord. 2014 Dec;13(4):107-111. Korean.
Published online Dec 31, 2014.
© 2014 Korean Dementia Association
The Effect of Group Musical Therapy on Depression and Activities on Daily Living in Patients with Cognitive Decline
Hyun Jeong Han, M.D.,* Sang Joon Son, M.D., Juwon Ha, M.D., Jee Hee Lee,§ Sun Ae Kim, RN,* and So Young Lee, Ph.D.
*Department of Neurology, Myongji Hospital, Goyang, Korea.
Department of Psychiatry, Ajou University School of Medicine, Suwon, Korea.
Department of Psychiatry, Myongji Hospital, Goyang, Korea.
§Department of Public Health and Healthcare Service, Myongji Hospital, Goyang, Korea.
Center of Arts and Healing, Myongji Hospital, Goyang, Korea.

Address for correspondence: So Young Lee, Ph.D. Center of Arts and Healing, Myongji Hospital, 55 Hwasu-ro 14beon-gil, Deogyang-gu, Goyang 412-270, Korea. Tel: +82-31-810-5446, Fax: +82-31-969-0500, Email:
Received Nov 18, 2014; Revised Nov 26, 2014; Accepted Nov 26, 2014.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.



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.


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.


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).


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

Keywords: Music therapy; Mild cognitive impairment; Alzheimer's disease


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.
Click for larger image


Table 1
Clinical characteristics of patients with MCI and AD
Click for larger image

Table 2
Comparison between baseline and follow-up evaluation
Click for larger image

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