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[痴呆与音乐]

[Dementia and music].

作者信息

Kerer Manuela, Marksteiner Josef, Hinterhuber Hartmann, Mazzola Guerino, Steinberg Reinhard, Weiss Elisabeth M

机构信息

Abteilung für Allgemeine Psychiatrie, Medizinische Universität Innsbruck.

出版信息

Neuropsychiatr. 2009;23(1):4-14.

Abstract

Patients suffering from dementia are nevertheless still able to render exceptional musical performances. For example, they can recognize music from childhood and reproduce lyrics and melodies of songs with four verses. Furthermore, behavioural symptoms such as psycho- motor agitation and crying, but also aggressive behaviour can be positively influenced by music and motivation and positive emotions can be increased. A variety of physiological and psychological changes occur when patients are listening to music. Previous research could show that music activated different parts of the brain especially in the temporal cortex, but also motoric areas in the frontal cortex, thalamus and cerebellum were essential for rhythm, melody and harmony perception and processing. Music therapy is an interpersonal process in which music is used within a therapeutic relationship to address physical, emotional, cognitive, and social needs of individuals with various psychiatric or medical conditions. However, until now only little research has been directed towards non-pharmacological treatments like music therapy in dementia patients. Further research is warranted to investigate the long term influence of music therapy on patients suffering from dementia.

摘要

患有痴呆症的患者仍然能够进行非凡的音乐表演。例如,他们能够识别童年时期的音乐,并重现包含四段歌词的歌曲的歌词和旋律。此外,诸如精神运动性激越和哭泣等行为症状,以及攻击性行为,都可以受到音乐的积极影响,并且可以增强动机和积极情绪。当患者听音乐时,会发生各种生理和心理变化。先前的研究表明,音乐激活了大脑的不同部位,尤其是颞叶皮质,但额叶皮质、丘脑和小脑的运动区域对于节奏、旋律和和声的感知与处理也至关重要。音乐疗法是一种人际过程,在治疗关系中运用音乐来满足患有各种精神或身体疾病的个体的身体、情感、认知和社会需求。然而,到目前为止,针对痴呆症患者的音乐疗法等非药物治疗的研究还很少。有必要进行进一步的研究,以调查音乐疗法对痴呆症患者的长期影响。

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