音乐干预可以改善痴呆症患者的焦虑吗? 随机对照试验的系统审查和元分析
Berne Ting1,2, Daniel Tzu-Li Chen2,3,4,5, Wei-Ti Hsu5,6
1Ph.D. Program for Aging, College of Medicine, China Medical University, Taichung 40402, Taiwan.
Journal of clinical medicine
|September 9, 2023
概括
音乐干预显著减少痴呆症患者的焦虑,特别是那些患有阿尔茨海默病的人. 这一元分析证实了音乐在管理焦虑和改善痴呆症护理中的情绪方面的有效性.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 音乐干预 (MI) 已被认可为其在临床环境中减轻痴呆患者焦虑的潜力.
- 在对随机对照试验 (RCT) 的综合元分析中存在一个差距,评估MI对痴呆中的焦虑.
研究的目的:
- 系统地评估音乐干预措施在减轻痴呆症患者焦虑的有效性.
- 分析MI对痴呆症患者激动和抑郁症的影响.
主要方法:
- 在PubMed,EMBASE,Web of Science和Cochrane图书馆进行了系统的文献搜索,直到2023年2月.
- 包括13个RCT,包括827名参与者,分析了关于"焦虑和音乐和痴呆或阿尔茨海默病"的数据.
主要成果:
- 在痴呆症患者中,音乐干预显示了焦虑症状的显著减少 (SMD = -0.67,p < 0.001).
- 对阿尔茨海默病和混合型痴呆症而言,MIs特别有效.
- 在激动 (p = 0.021) 和抑郁 (p < 0.001) 中也观察到显著改善.
结论:
- 这些发现为音乐干预在减轻痴呆症患者焦虑的有效性提供了强有力的支持.
- 音乐干预显示出作为一种治疗方法来管理与痴呆症相关的多种症状的承诺.
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