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一项关于音乐疗法对患有痴呆症或认知障碍的成年人的抑郁、压力、焦虑和认知功能有效性的系统评价的元综述。

A meta-review of systematic reviews on the effectiveness of music therapy on depression, stress, anxiety and cognitive function in adult's with dementia or cognitive impairment.

作者信息

Salihu Dauda, Chutiyami Muhammad, Bello Umar Muhammad, Sulaiman Surajo Kamilu, Dawa Kabiru Kasamu, Hepworth Annie, Adeleye Khadijat Kofoworola, Alruwaili Mowanes Majed

机构信息

College of Nursing, Jouf University, Sakaka, Saudi Arabia.

School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Australia.

出版信息

Geriatr Nurs. 2024 Nov-Dec;60:348-360. doi: 10.1016/j.gerinurse.2024.09.014. Epub 2024 Oct 9.

DOI:10.1016/j.gerinurse.2024.09.014
PMID:39388962
Abstract

BACKGROUND

Subjective cognitive impairment has been reported to be associated with depressive symptoms, stress and anxiety in older people. This study examines the impact of music interventions on cognitive functioning, depression, anxiety, and stress for adults with dementia or cognitive impairment.

METHOD

We searched Academic Search Complete, CINAHL, Medline, and PsycINFO without restriction to date. Systematic reviews with or without meta-analysis of music interventions were included. Effect sizes were estimated using standardized mean difference (SMD), weighted mean difference (WMD), mean difference (MD), and Hedges g, as reported. Effect sizes were reported as 〈 0.1 = small effect to 〉 0.5 as large effect.

RESULTS

Twenty systematic reviews were included. There is evidence that music interventions can have effects on cognitive abilities compared to standard care, with a small to large decrease in anxiety.

CONCLUSION

Music interventions might have variable effects on improved cognitive functioning, depression, anxiety and stress.

摘要

背景

据报道,主观认知障碍与老年人的抑郁症状、压力和焦虑有关。本研究探讨音乐干预对患有痴呆症或认知障碍的成年人的认知功能、抑郁、焦虑和压力的影响。

方法

我们对学术搜索完整版、护理学与健康领域数据库、医学期刊数据库和心理学文摘数据库进行了不限日期的检索。纳入了对音乐干预进行或未进行荟萃分析的系统评价。按照报告,使用标准化均数差(SMD)、加权均数差(WMD)、均数差(MD)和Hedges g估计效应量。效应量报告为〈0.1 = 小效应至〉0.5 = 大效应。

结果

纳入了20项系统评价。有证据表明,与标准护理相比,音乐干预对认知能力有影响,焦虑有小到大幅的降低。

结论

音乐干预可能对改善认知功能、抑郁、焦虑和压力有不同的效果。

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