D'Aniello Guido Edoardo, Cammisuli Davide Maria, Cattaneo Alice, Manzoni Gian Mauro, Molinari Enrico, Castelnuovo Gianluca
Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, 20122 Milan, Italy.
Department of Psychology, Catholic University of the Sacred Heart, 20123 Milan, Italy.
J Pers Med. 2021 May 23;11(6):455. doi: 10.3390/jpm11060455.
Music therapy (MT) is considered one of the complementary strategies to pharmacological treatment for behavioral and psychological symptoms (BPSD) of dementia. However, studies adopting MT protocols tailored for institutionalized people with dementia are limited and their usefulness for supporting caregivers is under investigated to date. Our study aimed at evaluating the effects of an MT intervention according to Gerdner and colleagues' protocol in a sample of 60 elderly people with moderate-to-severe dementia of the Auxologico Institute (Milan, Italy) and associated caregivers, randomly assigned to an Experimental Group (EG) ( = 30) undergoing 30 min of MT two times a week for 8 weeks and to a Control Group ( = 30) (CG) receiving standard care. Before and after the intervention, residents-associated caregivers were administered the Caregiver Burden Inventory (CBI) and the Neuropsychiatric Inventory (NPI). Depression and worry were also assessed in caregivers prior to the intervention, by the Beck Depression Inventory-II and the Penn State Worry Questionnaire, respectively. A mixed model ANCOVA revealed a TimeGroup effect ( = 0.006) with regard to CBI decreasing after the intervention for the EG and TimeGroup effects ( = 0.001) with regard to NPI_frequencyXseverity and NPI_distress, with a greater effect for the EG than the CG. Implications for MT protocols implementations are discussed.
音乐疗法(MT)被认为是治疗痴呆症行为和心理症状(BPSD)的药物治疗的补充策略之一。然而,针对机构化痴呆症患者量身定制音乐疗法方案的研究有限,其对照顾者的支持作用至今仍在研究中。我们的研究旨在评估根据格德纳及其同事的方案进行的音乐疗法干预对意大利米兰奥索洛吉科研究所60名中重度痴呆老年人及其相关照顾者的影响,这些人被随机分配到实验组(EG)(n = 30),每周接受两次30分钟的音乐疗法,为期8周,以及接受标准护理的对照组(CG)(n = 30)。在干预前后,对与居民相关的照顾者进行照顾者负担量表(CBI)和神经精神科问卷(NPI)评估。在干预前,还分别通过贝克抑郁量表第二版和宾夕法尼亚州立大学忧虑问卷对照顾者的抑郁和忧虑情况进行了评估。混合模型协方差分析显示,实验组干预后CBI得分下降存在时间组效应(p = 0.006),NPI_频率×严重程度和NPI_痛苦程度存在时间组效应(p = 0.001),实验组的效果大于对照组。文中讨论了音乐疗法方案实施的意义。