在老年痴呆症患者的焦虑和抑郁症的基于音乐的干预:随机对照试验的系统审查

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Zhengyang Mei¹, Yuanzhuo Zhang¹, Wen Zhao²

¹School of Physical Education, Southwest University, Chongqing, China.

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概括

基于音乐的干预措施在减轻老年痴呆症患者的焦虑和抑郁症方面显示出有限但有希望的效果. 由于样本规模较小和干预方法多样化,需要进一步研究来证实这些发现.

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:

痴呆症显著影响老年人,经常伴随着焦虑和抑郁.
寻求非药物干预来管理这些情绪障碍.
基于音乐的干预措施 (MBI) 正在探索其在痴呆症护理中的治疗潜力.

研究的目的:

对基于音乐的干预措施 (MBI) 的有效性进行随机对照试验 (RCT) 的系统审查.
评估MBI对老年痴呆症患者焦虑和抑郁症状的影响.

主要方法:

在多个电子数据库中进行了全面的文献搜索.
该审查包括了9个涉及496名参与者的相关RCT.
偏差风险使用修订后的Cochrane风险偏差工具 (RoB 2) 进行评估.
使用叙事合成方法来分析数据.

主要成果:

在五项关于焦虑的试验中,有两项显示MBI显著改善 (科恩d = -1.71到 -2.48).
六个抑郁症试验中的一项报告说,MBI对抑郁症有显著的益处 (科恩的d = -0.66).
总的来说,在九个RCT中,只有三项表明MBIs对负面情绪有积极影响.

结论:

目前的证据表明,MBI在减轻老年痴呆症患者的焦虑和抑郁症方面具有有限但潜在的有效性.
样本大小小,痴呆类型,阶段和干预方案的异质性限制了得出最终结论的能力.
需要进一步进行高质量的研究来验证这些发现,并支持将MBI纳入痴呆症护理策略.

关键词:

阿尔茨海默病的疾病阿尔茨海默病的疾病.焦虑焦虑是一种焦虑.痴呆症是一种痴呆症.抑郁症抑郁症抑郁症基于音乐的干预措施年龄较大的成年人.

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