Abe Makiko, Tabei Ken-Ichi, Satoh Masayuki
Department of Community Mental Health & Low, National Center of Neurology and Psychiatry, Tokyo, Japan.
Department of Dementia and Neuropsychology, Advanced Institute of Industrial Technology, Tokyo Metropolitan Public University Corporation, Tokyo, Japan.
Dement Geriatr Cogn Dis Extra. 2022 Jan 21;12(1):6-13. doi: 10.1159/000521231. eCollection 2022 Jan-Apr.
Research on music therapy for dementia has taken a variety of measures and has been slow to consolidate evidence. Examining the outcomes that are currently being investigated and the measures that have been used can be useful for future research on music therapy for dementia.
This study used cited original papers from a review in the Cochrane Database of Systematic Reviews to determine if there are items that should be measured or scales that should be used in conducting research on music therapy for dementia. The rating scales used and the outcomes examined were extracted.
We used Dodd's criteria to identify (1) the outcome domains examined in music therapy for dementia, (2) the measures used, and (3) the measures capable of detecting significant intervention effects.
A search for reviews was conducted, and 7 systematic reviews (78 articles) were identified. Among them, 30 articles met the inclusion criteria. The 30 articles examined 18 of the 38 items in Dodd's outcome categories, while 20 items were not examined, and 78 different survey methods were used. The items most frequently surveyed in the studies were psychiatric outcomes, cognitive functioning, and global quality of life general outcomes.
We found that many studies investigated cognitive function, behavioral and psychological symptoms of dementia (BPSD), and quality of life; compared to BPSD, various types of rating scales were used for cognitive function. By standardizing the rating scales, we can contribute to the accumulation of evidence for music therapy for dementia.
针对痴呆症的音乐疗法研究采取了多种措施，且在整合证据方面进展缓慢。审视当前正在研究的结果以及所使用的测量方法，对于未来痴呆症音乐疗法的研究可能会有所帮助。
本研究使用Cochrane系统评价数据库中一篇综述所引用的原始论文，以确定在痴呆症音乐疗法研究中是否存在应测量的项目或应使用的量表。提取所使用的评定量表和所研究的结果。
我们使用多德的标准来确定（1）痴呆症音乐疗法中所研究的结果领域，（2）所使用的测量方法，以及（3）能够检测到显著干预效果的测量方法。
进行了综述检索，共识别出7篇系统评价（78篇文章）。其中，30篇文章符合纳入标准。这30篇文章研究了多德结果类别中38个项目中的18个，而20个项目未被研究，共使用了78种不同的调查方法。研究中最常调查的项目是精神科结果、认知功能和总体生活质量。
我们发现许多研究调查了认知功能、痴呆症的行为和心理症状（BPSD）以及生活质量；与BPSD相比，认知功能使用了各种类型的评定量表。通过规范评定量表，我们可以为痴呆症音乐疗法证据的积累做出贡献。
