School of Music, College of Fine Arts, University of Kentucky, Lexington, KY, USA.
Department of Psychological Science, Missouri University of Science and Technology, Rolla, MO, USA.
J Alzheimers Dis. 2020;78(3):1019-1031. doi: 10.3233/JAD-200889.
Research has indicated that individuals with Alzheimer's-type dementia (AD) can experience prolonged emotions, even when they cannot recall the eliciting event. Less is known about whether music can modify the emotional state of individuals with AD and whether emotions evoked by music linger in the absence of a declarative memory for the eliciting event.
We examined the effects of participant-selected recorded music on self-reported feelings of emotion in individuals with AD, and whether these feelings persisted irrespective of declarative memory for the emotion-inducing stimuli.
Twenty participants with AD and 19 healthy comparisons (HCs) listened to two 4.5-minute blocks of self-selected music that aimed to induce either sadness or happiness. Participants reported their feelings at baseline and three times post-induction and completed recall and recognition tests for the music selections after each induction.
Participants with AD had impaired memory for music selections compared to HCs. Both groups reported elevated sadness and negative affect after listening to sad music and increased happiness and positive affect after listening to happy music, relative to baseline. Sad/negative and happy/positive emotions endured up to 20 minutes post-induction.
Brief exposure to music can induce strong and lingering emotions in individuals with AD. These findings extend the intriguing phenomenon whereby lasting emotions can be prompted by stimuli that are not remembered declaratively. Our results underscore the utility of familiar music for inducing emotions in individuals with AD and may ultimately inform strategies for using music listening as a therapeutic tool with this population.
研究表明,患有阿尔茨海默病(AD)的个体即使无法回忆起引发事件,也可能会经历长时间的情绪。关于音乐是否可以改变 AD 患者的情绪状态,以及在没有引发事件的陈述性记忆的情况下,音乐唤起的情绪是否会持续存在,人们知之甚少。
我们研究了参与者选择的录制音乐对 AD 患者自我报告的情绪的影响,以及这些情绪是否在不考虑引发情绪刺激的陈述性记忆的情况下持续存在。
20 名 AD 患者和 19 名健康对照组(HCs)聆听了两段 4.5 分钟的自选音乐,旨在引起悲伤或快乐情绪。参与者在基线和诱导后三次报告他们的感受,并在每次诱导后完成对音乐选择的回忆和识别测试。
与 HCs 相比,AD 患者对音乐选择的记忆受损。与基线相比,两组参与者在听完悲伤音乐后报告情绪低落和负面情绪增加,在听完快乐音乐后报告情绪愉快和积极情绪增加。悲伤/负面和快乐/积极情绪持续时间长达 20 分钟。
短暂接触音乐可以在 AD 患者中引起强烈而持久的情绪。这些发现扩展了一个有趣的现象,即可以通过非陈述性记忆的刺激引发持久的情绪。我们的结果强调了熟悉音乐在诱导 AD 患者情绪方面的效用,并可能最终为使用音乐聆听作为该人群的治疗工具提供策略。