Wong Alwin Ru Kiet, Ng Li Ting Eileen, Lee Ming Hao, Yeow James Lai Hock, Lim Yong Jia, Yap Kah Hui
School Of Applied Psychology, Social Work & Policy Universiti Utara Malaysia Kedah Malaysia.
School of Psychology, Counselling, and Family Therapy, Wheaton College Wheaton Illinois USA.
Aging Med (Milton). 2024 Aug 17;7(4):528-534. doi: 10.1002/agm2.12344. eCollection 2024 Aug.
Dementia is characterized by a progressive decline in cognition, behavioral and psychological symptoms (BPSD), and quality of life (QoL). The lack of curative therapies has led to a psychosocial discourse prioritizing QoL of people thriving with dementia (PTD). Group reminiscence therapy (RT) is a relatively inexpensive intervention, with music prompts being a preferred choice, owing to robust musical memory in the early disease stage. However, a synthesis of current evidence is needed to inform research and clinical use of group music RT in dementia care. Therefore, we conducted a systematic review on PubMed, Scopus, CINAHL, APA PsycInfo, and APA PsycArticles to critically appraise published randomized controlled trials examining group music RT to improve cognition, BPSD, and QoL in PTD. Of 14,725 articles, two RCTs involving 102 PTD were included. All studies used prerecorded music for group music RT. All studies were deemed of good quality, adhering to intention-to-treat analysis and assessor blinding. Based on the American Academy of Neurology guidelines, we assigned a Level C recommendation for group music RT for cognition and Level B recommendations for BPSD and QoL (ineffective). In conclusion, group music RT may be useful for symptomatic management in PTD. However, heterogeneous study designs, disease severity, dementia subtype, and outcome measures are likely barriers to meaningful clinical translation. Therefore, the rating of recommendations only serves as a point of reference. Future avenues include live performances as prompts for group music RT.
痴呆症的特征是认知、行为和心理症状（BPSD）以及生活质量（QoL）逐渐下降。由于缺乏治愈性疗法，导致了一种优先考虑痴呆症患者（PTD）生活质量的社会心理话语。团体回忆疗法（RT）是一种相对廉价的干预措施，由于在疾病早期阶段有强大的音乐记忆，音乐提示是一种首选。然而，需要综合当前证据，为团体音乐RT在痴呆症护理中的研究和临床应用提供信息。因此，我们在PubMed、Scopus、CINAHL、APA PsycInfo和APA PsycArticles上进行了系统综述，以批判性地评估已发表的随机对照试验，这些试验研究了团体音乐RT对改善PTD患者的认知、BPSD和QoL的效果。在14725篇文章中，纳入了两项涉及102名PTD患者的随机对照试验。所有研究都使用预先录制的音乐进行团体音乐RT。所有研究都被认为质量良好，遵循意向性分析和评估者盲法。根据美国神经病学学会的指南，我们对团体音乐RT改善认知给予C级推荐，对改善BPSD和QoL给予B级推荐（无效）。总之，团体音乐RT可能对PTD的症状管理有用。然而，异质性的研究设计、疾病严重程度、痴呆症亚型和结局测量可能是有意义的临床转化的障碍。因此，推荐等级仅作为一个参考点。未来的途径包括现场表演作为团体音乐RT的提示。
