Efficacy of Music Therapy in the Treatment of Behavioral and Psychiatric Symptoms of Dementia

  title={Efficacy of Music Therapy in the Treatment of Behavioral and Psychiatric Symptoms of Dementia},
  author={Alfredo Raglio and Giuseppe Bellelli and Daniel D. Traficante and Marta Gianotti and Maria Chiara Ubezio and Daniele Villani and Marco Trabucchi},
  journal={Alzheimer Disease \& Associated Disorders},
BackgroundMusic therapy (MT) has been proposed as valid approach for behavioral and psychologic symptoms (BPSD) of dementia. However, studies demonstrating the effectiveness of this approach are lacking. ObjectiveTo assess MT effectiveness in reducing BPSD in subjects with dementia. MethodFifty-nine persons with dementia were enrolled in this study. All of them underwent a multidimensional assessment including Mini Mental State Examination, Barthel Index and Neuropsychiatry Inventory at… 

Music Therapy Effects in People with Dementia

  • S. Federici
  • Psychology, Medicine
    Scholarly Journal of Psychology and Behavioral Sciences
  • 2019
The study showed that MT is effective in reducing psycho-behavioral disturbances and maintaining a good quality of life and the paradigm was suitable to integrate quantitative and qualitative data on the effectiveness of MT interventions.

Active music therapy in dementia: results from an open-label trial

Active music therapy is a promising intervention with good acceptance among participants and more studies with larger sample sizes are needed to confirm its effects and efficacy in cognitive and neuropsychiatric symptoms in dementia.

The Efficacy of Nonpharmacological Treatment for Dementia-related Apathy

A structured, nonpharmacological, short-term occupational therapy intervention is more useful than activities of the patients' own choice for improving apathy in patients with mild or moderate dementia.

Music-based therapeutic interventions for people with dementia.

Low-quality evidence is found that music-based therapeutic interventions for people with dementia may have little or no effect on emotional well-being and quality of life, and future studies should employ larger sample sizes.

Effects of Music Therapy on Patients with Dementia—A Systematic Review

There were no significant improvements in cognition or daily functioning, and the results on quality of life and agitation were ambiguous, so more large-scale clinical trials would allow for clearer conclusions on the benefits of music therapy in patients with dementia.

Combining drug and music therapy in patients with moderate Alzheimer’s disease: a randomized study

In patients with moderate AD, AMT added to pharmacotherapy has no further benefits for language in comparison with pharmacotherapy alone, however, this integrated treatment can improve the psycho-behavioral profile.

Effect of Music Therapy Versus Recreational Activities on Neuropsychiatric Symptoms in Elderly Adults with DementiA: An Exploratory Randomized Controlled Trial

The present study compared music therapy with recreational activities and failed to show a superior effect on agitation, with the aim of comparing the effect on reduction of neuropsychiatric symptoms.

Music-based therapeutic interventions for people with dementia.

Low-quality evidence is found that music-based therapeutic interventions for people with dementia may improve emotional well-being and quality of life and reduce anxiety, but may have little or no effect on aggression or aggression effects on social behaviour.



Music therapy in moderate and severe dementia of Alzheimer's type: a case–control study

It is shown that music therapy is a safe and effective method for treating agitation and anxiety in moderately severe and severe AD.

Music therapy for dementia symptoms.

The evidence available suggests that music therapy may be beneficial in treating or managing dementia symptoms, and the predominant conclusion of this review is the highlighting of the need for better designed studies of the intervention.

Is Music Therapy an Effective Intervention for Dementia?A Meta-Analytic Review of Literature.

Although the published literature demonstrates that music/music therapy is an effective method overall for treating symptoms of dementia, systematic variation of treatment protocols is necessary to identify the underlying mechanisms and delineate the most effective techniques.

Effects of Individualized Versus Classical “Relaxation” Music on the Frequency of Agitation in Elderly Persons With Alzheimer's Disease and Related Disorders

  • L. Gerdner
  • Psychology
    International Psychogeriatrics
  • 2000
A repeated measures analysis of variance with Bonferroni post hoc test showed a significant reduction in agitation during and following individualized music compared to classical music, supporting a theoretically based intervention for agitation in persons with ADRD.

Use of music to decrease aggressive behaviors in people with dementia.

Results indicated that during the music condition, decreases occurred in 12 of 15 identified aggressive behaviors during bathing episodes, and caregivers frequently reported improved affect and a general increase in cooperation with the bathing task.

The Neuropsychiatric Inventory

The NPI has the advantages of evaluating a wider range of psychopathology than existing instruments, soliciting information that may distinguish among different etiologies of dementia, differentiating between severity and frequency of behavioral changes, and minimizing administration time.

Pharmacological treatment of neuropsychiatric symptoms of dementia: a review of the evidence.

Of the agents reviewed, the atypical antipsychotics risperidone and olanzapine currently have the best evidence for efficacy, however, the effects are modest and further complicated by an increased risk of stroke.

Music interventions for people with dementia: a review of the literature

A qualitative review of clinical empirical studies looking at the effects of a variety of music activities on the emotional and behavioural responses in people with dementia argues for the use of Kitwood's theory of personhood as a framework to inform and guide future research.

Effectiveness of atypical antipsychotic drugs in patients with Alzheimer's disease.

Adverse effects offset advantages in the efficacy of atypical antipsychotic drugs for the treatment of psychosis, aggression, or agitation in patients with Alzheimer's disease.

Alzheimer's disease: rhythm, timing and music as therapy.

  • D. Aldridge
  • Psychology
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie
  • 1994