Brancatisano Olivia, Baird Amee, Thompson William Forde
Department of Psychology, Faculty of Human Sciences, Macquarie University, Sydney, NSW, Australia.
Centre for Scaffolding the Ageing Mind, Faculty of Human Sciences, Macquarie University, Sydney, NSW, Australia.
Front Psychol. 2019 Jul 16;10:1435. doi: 10.3389/fpsyg.2019.01435. eCollection 2019.
Music is being increasingly used as a therapeutic tool for people with dementia. Research has uncovered several qualities of music that are responsible for its beneficial effects. Based on the identification of seven therapeutic capacities of music, we devised the (MMM) program and evaluated whether it had therapeutic benefit for people with dementia (various types) in the areas of cognition, mood, identity, and motor fluency.
The MMM program involved seven 45-min weekly group sessions, and individual 15-min "booster" sessions. Twenty people with mild to moderate dementia participated. Group 1 ( = 10) completed the MMM program first and Group 2 ( = 10) acted as a wait list control for 7 weeks, receiving standard care and completing the MMM program after the first group. Assessments of global cognition (Addenbrooke's Cognitive Examination, ACE-III), mood (Geriatric Depression Scale short form), identity ('I am' task), and fine motor skills (9-Hole peg task) were conducted at baseline (T1), time 2 (T2, post treatment), and time 3 (T3, 1 month post MMM program).
Within group comparisons were conducted with 12 participants from the MMM program and 10 participants receiving standard care. Global cognition (total ACE-III score) improved in 8/12 participants after the MMM program, whilst it decreased in 8/10 participants after the period of standard care. MMM participants showed increases in ACE-III subdomain scores of attention ( = 0.007) and verbal fluency ( = 0.056).
Our preliminary findings suggest that the MMM program may improve cognition, particularly verbal fluency and attention, in people with dementia.
音乐越来越多地被用作痴呆症患者的治疗工具。研究发现了音乐的几种特质，这些特质是其产生有益效果的原因。基于对音乐七种治疗能力的识别，我们设计了音乐记忆与运动（MMM）项目，并评估其在认知、情绪、身份认同和运动流畅性方面对各类痴呆症患者是否具有治疗益处。
MMM项目包括每周7次45分钟的小组课程以及每次15分钟的个人“强化”课程。20名轻度至中度痴呆症患者参与其中。第1组（n = 10）先完成MMM项目，第2组（n = 10）作为等待名单对照组，为期7周，接受标准护理，并在第一组之后完成MMM项目。在基线（T1）、时间点2（T2，治疗后）和时间点3（T3，MMM项目结束后1个月）对整体认知（Addenbrooke认知检查，ACE-III）、情绪（老年抑郁量表简表）、身份认同（“我是”任务）和精细运动技能（9孔插板任务）进行评估。
对MMM项目的12名参与者和接受标准护理的10名参与者进行了组内比较。MMM项目后，12名参与者中有8名的整体认知（ACE-III总分）得到改善，而在接受标准护理期间，10名参与者中有8名的整体认知下降。MMM项目参与者的ACE-III注意力子域得分（p = 0.007）和语言流畅性子域得分（p = 0.056）有所提高。
我们的初步研究结果表明，MMM项目可能改善痴呆症患者的认知，尤其是语言流畅性和注意力。
