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http://dx.doi.org/10.5762/KAIS.2021.22.1.520

Effects of Music Therapy on Cognitive function and Agitation, Anxiety and Depression in Dementia Elderly: a Systematic Review and Meta-analysis of Randomized Controlled Trials  

Chai, Gong Ju (Department of Nursing, Hallym Polytechnic University)
Lee, Mi-Kyung (College of Nursing, Kangwon National University)
Nam, Eun Sook (College of Nursing, Kangwon National University)
Lee, Ho Yeon (Department of Nursing, Seoul Medical Center)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.22, no.1, 2021 , pp. 520-530 More about this Journal
Abstract
Objectives: This study aimed to identify the effects of music therapy on cognitive function, agitation, anxiety and depression in the elderly with dementia. Method: A comprehensive literature search was performed on PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, Google scholar and PsycINFO, for the period 2010 to 2019. In the meta-analysis, the standardized mean difference (Hedges' g) and 95% confidence interval were calculated as summary measure, and the random effect model and inverse variance method were applied using the RevMan 5.4 program. A total of 13 studies were included; all were determined to be acceptable, based on the Cochrane collaboration's tool for assessing risk of bias. Results: The effect size (Hedges' g) was 0.31 (95% CI: -0.02, 0.65) for cognition and -0.03 (95% CI: -0.17, 0.11) for agitation behavior as the primary outcomes, and 0.61 (95% CI: -1.17, -0.05) for anxiety and -0.44(95% CI: -0.88, 0.00) for depression as the secondary outcomes. Subgroup analysis by type of music intervention revealed that combined music therapy has a significantly increasing beneficial effect on cognition of dementia patients (g=0.45[95% CI: 0.03, 0.87]). Conclusion: Music therapy was determined to exert beneficial effects in reducing anxiety and depression, and combined music therapy demonstrated improved cognitive functions in elderly patients with dementia.
Keywords
Music Therapy; Dementia; Cognitive Function; Systematic Review; Meta-Analysis;
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