Effects of One-to-One Music Therapy in Older Adults With Cognitive Impairment: A Randomized Controlled Trial
This study investigated the effects of music therapy (MT), a nonpharmacological therapy, on cognitive, behavioral, and physiological outcomes in older adults with mild-to-moderate cognitive decline residing in care home settings. A randomized controlled trial design was employed, with 42 care home r...
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| Veröffentlicht in: | Psychology and aging 2024-12, Vol.39 (8), p.960-982 |
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| creator | Mangiacotti, Anthony M. A. Hsu, Ming Hung Barone, Clare Van Puyvelde, Martine Zandonà, Alessandro Gabai, Gianfranco Biasutti, Michele Franco, Fabia |
| description | This study investigated the effects of music therapy (MT), a nonpharmacological therapy, on cognitive, behavioral, and physiological outcomes in older adults with mild-to-moderate cognitive decline residing in care home settings. A randomized controlled trial design was employed, with 42 care home residents (Mage = 86.25 years) randomly assigned to either a one-to-one 16-week MT intervention or an active control group receiving storytelling. Experimental and control activities were matched on key aspects, and groups were equivalent at baseline concerning demographic factors, general health, cognitive-behavioral characteristics, and cognitive reserve levels. Pre/postintervention neuropsychological and behavioral measures were collected, alongside saliva samples for cortisol/dehydroepiandrosterone ratio and respiratory sinus arrhythmia analysis as indicators of overall stress and autonomic regulation. The MT group exhibited benefits in cognitive, behavioral, and physiological domains, suggesting potential advantages in maintaining cognitive functioning and reducing neuropsychiatric symptoms. Biomarkers indicated possible mechanisms underlying the effectiveness of MT. The 16 one-to-one interactive MT sessions-delivered over 5 months-had a positive impact on older adults with mild-to-moderate cognitive decline living in care home settings. The implications of these findings for healthy aging and suggestions for future research are discussed.
Public Significance Statement
Music therapy demonstrated positive effects on cognitive, behavioral, and mood symptoms in older adults with cognitive decline. Music therapy showed potential in reducing stress-related biomarkers, such as salivary cortisol/dehydroepiandrosterone, and improving cardiorespiratory frequency. Although the findings suggest promising outcomes, further research is needed to explore the role of music therapy in the broader context of cognitive health. |
| doi_str_mv | 10.1037/pag0000861 |
| format | Article |
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Public Significance Statement
Music therapy demonstrated positive effects on cognitive, behavioral, and mood symptoms in older adults with cognitive decline. Music therapy showed potential in reducing stress-related biomarkers, such as salivary cortisol/dehydroepiandrosterone, and improving cardiorespiratory frequency. Although the findings suggest promising outcomes, further research is needed to explore the role of music therapy in the broader context of cognitive health.</description><identifier>ISSN: 0882-7974</identifier><identifier>ISSN: 1939-1498</identifier><identifier>EISSN: 1939-1498</identifier><identifier>DOI: 10.1037/pag0000861</identifier><identifier>PMID: 39666490</identifier><language>eng</language><publisher>United States: American Psychological Association</publisher><subject>Aged ; Aged, 80 and over ; Biological markers ; Cardiac arrhythmia ; Clinical trials ; Cognitive Dysfunction - therapy ; Cognitive functioning ; Cognitive Impairment ; Cognitive-behavioral factors ; Cortisol ; Dehydroepiandrosterone - metabolism ; Demography ; Female ; Health behavior ; Homes for the Aged ; Human ; Humans ; Hydrocortisone - analysis ; Hydrocortisone - metabolism ; Male ; Music Therapy ; Music Therapy - methods ; Neuropsychiatric symptoms ; Neuropsychological Tests ; Nursing Homes ; Older Adulthood ; Older people ; Physiology ; Psychiatric Symptoms ; Residential care ; Saliva ; Saliva - metabolism ; Storytelling ; Treatment Outcome</subject><ispartof>Psychology and aging, 2024-12, Vol.39 (8), p.960-982</ispartof><rights>2024 American Psychological Association</rights><rights>2024, American Psychological Association</rights><rights>Copyright American Psychological Association Dec 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0003-2406-5389 ; 0000-0002-6595-7597 ; 0000-0002-1933-3150 ; 0000-0001-9172-5127 ; 0000-0002-7784-4258 ; 0000-0002-1535-4974 ; 0000-0003-1327-1080</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902,30976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39666490$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Zacher, Hannes</contributor><contributor>Stine-Morrow, Elizabeth A. L</contributor><creatorcontrib>Mangiacotti, Anthony M. A.</creatorcontrib><creatorcontrib>Hsu, Ming Hung</creatorcontrib><creatorcontrib>Barone, Clare</creatorcontrib><creatorcontrib>Van Puyvelde, Martine</creatorcontrib><creatorcontrib>Zandonà, Alessandro</creatorcontrib><creatorcontrib>Gabai, Gianfranco</creatorcontrib><creatorcontrib>Biasutti, Michele</creatorcontrib><creatorcontrib>Franco, Fabia</creatorcontrib><title>Effects of One-to-One Music Therapy in Older Adults With Cognitive Impairment: A Randomized Controlled Trial</title><title>Psychology and aging</title><addtitle>Psychol Aging</addtitle><description>This study investigated the effects of music therapy (MT), a nonpharmacological therapy, on cognitive, behavioral, and physiological outcomes in older adults with mild-to-moderate cognitive decline residing in care home settings. A randomized controlled trial design was employed, with 42 care home residents (Mage = 86.25 years) randomly assigned to either a one-to-one 16-week MT intervention or an active control group receiving storytelling. Experimental and control activities were matched on key aspects, and groups were equivalent at baseline concerning demographic factors, general health, cognitive-behavioral characteristics, and cognitive reserve levels. Pre/postintervention neuropsychological and behavioral measures were collected, alongside saliva samples for cortisol/dehydroepiandrosterone ratio and respiratory sinus arrhythmia analysis as indicators of overall stress and autonomic regulation. The MT group exhibited benefits in cognitive, behavioral, and physiological domains, suggesting potential advantages in maintaining cognitive functioning and reducing neuropsychiatric symptoms. Biomarkers indicated possible mechanisms underlying the effectiveness of MT. The 16 one-to-one interactive MT sessions-delivered over 5 months-had a positive impact on older adults with mild-to-moderate cognitive decline living in care home settings. The implications of these findings for healthy aging and suggestions for future research are discussed.
Public Significance Statement
Music therapy demonstrated positive effects on cognitive, behavioral, and mood symptoms in older adults with cognitive decline. Music therapy showed potential in reducing stress-related biomarkers, such as salivary cortisol/dehydroepiandrosterone, and improving cardiorespiratory frequency. Although the findings suggest promising outcomes, further research is needed to explore the role of music therapy in the broader context of cognitive health.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological markers</subject><subject>Cardiac arrhythmia</subject><subject>Clinical trials</subject><subject>Cognitive Dysfunction - therapy</subject><subject>Cognitive functioning</subject><subject>Cognitive Impairment</subject><subject>Cognitive-behavioral factors</subject><subject>Cortisol</subject><subject>Dehydroepiandrosterone - metabolism</subject><subject>Demography</subject><subject>Female</subject><subject>Health behavior</subject><subject>Homes for the Aged</subject><subject>Human</subject><subject>Humans</subject><subject>Hydrocortisone - analysis</subject><subject>Hydrocortisone - metabolism</subject><subject>Male</subject><subject>Music Therapy</subject><subject>Music Therapy - methods</subject><subject>Neuropsychiatric symptoms</subject><subject>Neuropsychological Tests</subject><subject>Nursing Homes</subject><subject>Older Adulthood</subject><subject>Older people</subject><subject>Physiology</subject><subject>Psychiatric Symptoms</subject><subject>Residential care</subject><subject>Saliva</subject><subject>Saliva - metabolism</subject><subject>Storytelling</subject><subject>Treatment Outcome</subject><issn>0882-7974</issn><issn>1939-1498</issn><issn>1939-1498</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp90U2LFDEQBuAgijuuXvwBEvAiSmvSSefD2zCsurAyICMeQzofu1nSnTZJC-OvN8usCh6sS-Xw8FKpAuA5Rm8xIvzdoq9RK8HwA7DBksgOUykegg0Sou-45PQMPCnlthmOJX8MzohkjFGJNiBeeO9MLTB5uJ9dV1PXGvy8lmDg4cZlvRxhmOE-Wpfh1q6x2W-h3sBdup5DDT8cvJwWHfLk5voebuEXPds0hZ_ONjLXnGJsz0MOOj4Fj7yOxT277-fg64eLw-5Td7X_eLnbXnW6Z6J2biCIGDZq3kvGGUFIa4uRF5IhZLnggxV-MP3gETVmtByNA2eDGDHn1ltJzsGrU-6S0_fVlaqmUIyLUc8urUURTNv_e0FRoy__obdpzXObrqkBC9mTVv9VlBBBB0Sben1SJqdSsvNqyWHS-agwUneXUn8v1fCL-8h1nJz9Q3-fpoE3J6AXrZZyNDrXYKIrZs257fourGklVFsL-QVCDJts</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Mangiacotti, Anthony M. A.</creator><creator>Hsu, Ming Hung</creator><creator>Barone, Clare</creator><creator>Van Puyvelde, Martine</creator><creator>Zandonà, Alessandro</creator><creator>Gabai, Gianfranco</creator><creator>Biasutti, Michele</creator><creator>Franco, Fabia</creator><general>American Psychological Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7QJ</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2406-5389</orcidid><orcidid>https://orcid.org/0000-0002-6595-7597</orcidid><orcidid>https://orcid.org/0000-0002-1933-3150</orcidid><orcidid>https://orcid.org/0000-0001-9172-5127</orcidid><orcidid>https://orcid.org/0000-0002-7784-4258</orcidid><orcidid>https://orcid.org/0000-0002-1535-4974</orcidid><orcidid>https://orcid.org/0000-0003-1327-1080</orcidid></search><sort><creationdate>202412</creationdate><title>Effects of One-to-One Music Therapy in Older Adults With Cognitive Impairment: A Randomized Controlled Trial</title><author>Mangiacotti, Anthony M. A. ; Hsu, Ming Hung ; Barone, Clare ; Van Puyvelde, Martine ; Zandonà, Alessandro ; Gabai, Gianfranco ; Biasutti, Michele ; Franco, Fabia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a268t-e5303c6ba729676300aad10f89600d7875d8f5c25f04ccbd70b57658b177dfd93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological markers</topic><topic>Cardiac arrhythmia</topic><topic>Clinical trials</topic><topic>Cognitive Dysfunction - therapy</topic><topic>Cognitive functioning</topic><topic>Cognitive Impairment</topic><topic>Cognitive-behavioral factors</topic><topic>Cortisol</topic><topic>Dehydroepiandrosterone - metabolism</topic><topic>Demography</topic><topic>Female</topic><topic>Health behavior</topic><topic>Homes for the Aged</topic><topic>Human</topic><topic>Humans</topic><topic>Hydrocortisone - analysis</topic><topic>Hydrocortisone - metabolism</topic><topic>Male</topic><topic>Music Therapy</topic><topic>Music Therapy - methods</topic><topic>Neuropsychiatric symptoms</topic><topic>Neuropsychological Tests</topic><topic>Nursing Homes</topic><topic>Older Adulthood</topic><topic>Older people</topic><topic>Physiology</topic><topic>Psychiatric Symptoms</topic><topic>Residential care</topic><topic>Saliva</topic><topic>Saliva - metabolism</topic><topic>Storytelling</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mangiacotti, Anthony M. A.</creatorcontrib><creatorcontrib>Hsu, Ming Hung</creatorcontrib><creatorcontrib>Barone, Clare</creatorcontrib><creatorcontrib>Van Puyvelde, Martine</creatorcontrib><creatorcontrib>Zandonà, Alessandro</creatorcontrib><creatorcontrib>Gabai, Gianfranco</creatorcontrib><creatorcontrib>Biasutti, Michele</creatorcontrib><creatorcontrib>Franco, Fabia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psychology and aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mangiacotti, Anthony M. A.</au><au>Hsu, Ming Hung</au><au>Barone, Clare</au><au>Van Puyvelde, Martine</au><au>Zandonà, Alessandro</au><au>Gabai, Gianfranco</au><au>Biasutti, Michele</au><au>Franco, Fabia</au><au>Zacher, Hannes</au><au>Stine-Morrow, Elizabeth A. L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of One-to-One Music Therapy in Older Adults With Cognitive Impairment: A Randomized Controlled Trial</atitle><jtitle>Psychology and aging</jtitle><addtitle>Psychol Aging</addtitle><date>2024-12</date><risdate>2024</risdate><volume>39</volume><issue>8</issue><spage>960</spage><epage>982</epage><pages>960-982</pages><issn>0882-7974</issn><issn>1939-1498</issn><eissn>1939-1498</eissn><abstract>This study investigated the effects of music therapy (MT), a nonpharmacological therapy, on cognitive, behavioral, and physiological outcomes in older adults with mild-to-moderate cognitive decline residing in care home settings. A randomized controlled trial design was employed, with 42 care home residents (Mage = 86.25 years) randomly assigned to either a one-to-one 16-week MT intervention or an active control group receiving storytelling. Experimental and control activities were matched on key aspects, and groups were equivalent at baseline concerning demographic factors, general health, cognitive-behavioral characteristics, and cognitive reserve levels. Pre/postintervention neuropsychological and behavioral measures were collected, alongside saliva samples for cortisol/dehydroepiandrosterone ratio and respiratory sinus arrhythmia analysis as indicators of overall stress and autonomic regulation. The MT group exhibited benefits in cognitive, behavioral, and physiological domains, suggesting potential advantages in maintaining cognitive functioning and reducing neuropsychiatric symptoms. Biomarkers indicated possible mechanisms underlying the effectiveness of MT. The 16 one-to-one interactive MT sessions-delivered over 5 months-had a positive impact on older adults with mild-to-moderate cognitive decline living in care home settings. The implications of these findings for healthy aging and suggestions for future research are discussed.
Public Significance Statement
Music therapy demonstrated positive effects on cognitive, behavioral, and mood symptoms in older adults with cognitive decline. Music therapy showed potential in reducing stress-related biomarkers, such as salivary cortisol/dehydroepiandrosterone, and improving cardiorespiratory frequency. Although the findings suggest promising outcomes, further research is needed to explore the role of music therapy in the broader context of cognitive health.</abstract><cop>United States</cop><pub>American Psychological Association</pub><pmid>39666490</pmid><doi>10.1037/pag0000861</doi><tpages>23</tpages><orcidid>https://orcid.org/0000-0003-2406-5389</orcidid><orcidid>https://orcid.org/0000-0002-6595-7597</orcidid><orcidid>https://orcid.org/0000-0002-1933-3150</orcidid><orcidid>https://orcid.org/0000-0001-9172-5127</orcidid><orcidid>https://orcid.org/0000-0002-7784-4258</orcidid><orcidid>https://orcid.org/0000-0002-1535-4974</orcidid><orcidid>https://orcid.org/0000-0003-1327-1080</orcidid></addata></record> |
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| subjects | Aged Aged, 80 and over Biological markers Cardiac arrhythmia Clinical trials Cognitive Dysfunction - therapy Cognitive functioning Cognitive Impairment Cognitive-behavioral factors Cortisol Dehydroepiandrosterone - metabolism Demography Female Health behavior Homes for the Aged Human Humans Hydrocortisone - analysis Hydrocortisone - metabolism Male Music Therapy Music Therapy - methods Neuropsychiatric symptoms Neuropsychological Tests Nursing Homes Older Adulthood Older people Physiology Psychiatric Symptoms Residential care Saliva Saliva - metabolism Storytelling Treatment Outcome |
| title | Effects of One-to-One Music Therapy in Older Adults With Cognitive Impairment: A Randomized Controlled Trial |
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