Adjunct effect of music therapy on cognition in Alzheimer’s disease in Taiwan: a pilot study
Identifieur interne : 000086 ( Main/Exploration ); précédent : 000085; suivant : 000087Adjunct effect of music therapy on cognition in Alzheimer’s disease in Taiwan: a pilot study
Auteurs : Chien-Hsun Li [Taïwan] ; Ching-Kuan Liu [Taïwan] ; Yuan-Han Yang [Taïwan] ; Mei-Chuan Chou [Taïwan] ; Chun-Hung Chen [Taïwan] ; Chiou-Lian Lai [Taïwan]Source :
- Neuropsychiatric Disease and Treatment [ 1176-6328 ] ; 2015.
Abstract
Music therapy (MT) reviews have found beneficial effects on behaviors and social interaction in Alzheimer’s disease (AD) but inconsistent effects on cognition. The purpose of the study was to evaluate the adjunct effect of long-term and home-based MT in AD patients under pharmacological treatment.
Mild AD cases (clinical dementia rating =0.5~1) were consecutively recruited and voluntarily separated into an MT group or control group (CG) for 6 months. Outcome assessments included Cognitive Abilities Screening Instrument (CASI), CASI-estimated mini-mental state examination, clinical dementia rating with sum of box scores, and neuropsychiatric inventory. The MT interventions were Mozart’s Sonata (KV 448) and Pachelbel’s Canon, listening with headphones for 30 minutes daily in the morning and before sleep, respectively.
Forty-one cases (MT versus CG number =20 versus 21) were analyzed. Adjusted differences of CASI-estimated mini-mental state examination and CASI after 6 months in the MT group were slightly less decreased than the CG without statistical significance. In further analysis of cognitive domains of CASI, the adjusted difference of abstraction domain in the MT group was significantly better than the CG.
Although there were no apparent additional benefits of this MT on the global cognition and daily functioning in mild AD patients, it confirms the adjunct cognition effect on the abstraction. This MT contributes to the supplementary treatment of AD.
Url:
DOI: 10.2147/NDT.S73928
PubMed: 25678794
PubMed Central: 4322884
Affiliations:
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University Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Lai, Chiou Lian" sort="Lai, Chiou Lian" uniqKey="Lai C" first="Chiou-Lian" last="Lai">Chiou-Lian Lai</name><affiliation wicri:level="1"><nlm:aff id="af2-ndt-11-291">Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-ndt-11-291">Department of and Master’s Program in Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of and Master’s Program in Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25678794</idno><idno type="pmc">4322884</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322884</idno><idno type="RBID">PMC:4322884</idno><idno type="doi">10.2147/NDT.S73928</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000763</idno><idno type="wicri:Area/Pmc/Curation">000763</idno><idno type="wicri:Area/Pmc/Checkpoint">000070</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000019</idno><idno type="wicri:Area/PubMed/Curation">000019</idno><idno type="wicri:Area/PubMed/Checkpoint">000023</idno><idno type="wicri:Area/Ncbi/Merge">000786</idno><idno 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Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-ndt-11-291">Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-ndt-11-291">Department of and Master’s Program in Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of and Master’s Program in Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Ching Kuan" sort="Liu, Ching Kuan" uniqKey="Liu C" first="Ching-Kuan" last="Liu">Ching-Kuan Liu</name><affiliation wicri:level="1"><nlm:aff id="af2-ndt-11-291">Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-ndt-11-291">Department of and Master’s Program in Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of and Master’s Program in Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Yang, Yuan Han" sort="Yang, Yuan Han" uniqKey="Yang Y" first="Yuan-Han" last="Yang">Yuan-Han Yang</name><affiliation wicri:level="1"><nlm:aff id="af2-ndt-11-291">Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-ndt-11-291">Department of and Master’s Program in Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of and Master’s Program in Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af4-ndt-11-291">Department of Neurology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Chou, Mei Chuan" sort="Chou, Mei Chuan" uniqKey="Chou M" first="Mei-Chuan" last="Chou">Mei-Chuan Chou</name><affiliation wicri:level="1"><nlm:aff id="af2-ndt-11-291">Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af4-ndt-11-291">Department of Neurology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Chun Hung" sort="Chen, Chun Hung" uniqKey="Chen C" first="Chun-Hung" last="Chen">Chun-Hung Chen</name><affiliation wicri:level="1"><nlm:aff id="af2-ndt-11-291">Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Lai, Chiou Lian" sort="Lai, Chiou Lian" uniqKey="Lai C" first="Chiou-Lian" last="Lai">Chiou-Lian Lai</name><affiliation wicri:level="1"><nlm:aff id="af2-ndt-11-291">Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-ndt-11-291">Department of and Master’s Program in Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of and Master’s Program in Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author></analytic><series><title level="j">Neuropsychiatric Disease and Treatment</title><idno type="ISSN">1176-6328</idno><idno type="e-ISSN">1178-2021</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>Music therapy (MT) reviews have found beneficial effects on behaviors and social interaction in Alzheimer’s disease (AD) but inconsistent effects on cognition. The purpose of the study was to evaluate the adjunct effect of long-term and home-based MT in AD patients under pharmacological treatment.</p></sec><sec><title>Patients and methods</title><p>Mild AD cases (clinical dementia rating =0.5~1) were consecutively recruited and voluntarily separated into an MT group or control group (CG) for 6 months. Outcome assessments included Cognitive Abilities Screening Instrument (CASI), CASI-estimated mini-mental state examination, clinical dementia rating with sum of box scores, and neuropsychiatric inventory. The MT interventions were Mozart’s Sonata (KV 448) and Pachelbel’s Canon, listening with headphones for 30 minutes daily in the morning and before sleep, respectively.</p></sec><sec><title>Results</title><p>Forty-one cases (MT versus CG number =20 versus 21) were analyzed. Adjusted differences of CASI-estimated mini-mental state examination and CASI after 6 months in the MT group were slightly less decreased than the CG without statistical significance. In further analysis of cognitive domains of CASI, the adjusted difference of abstraction domain in the MT group was significantly better than the CG.</p></sec><sec><title>Conclusion</title><p>Although there were no apparent additional benefits of this MT on the global cognition and daily functioning in mild AD patients, it confirms the adjunct cognition effect on the abstraction. This MT contributes to the supplementary treatment of AD.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Vink, Ac" uniqKey="Vink A">AC Vink</name></author><author><name sortKey="Bruinsma, Ms" uniqKey="Bruinsma M">MS Bruinsma</name></author><author><name sortKey="Scholten, Rj" uniqKey="Scholten R">RJ Scholten</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Tabloski, Pa" uniqKey="Tabloski P">PA Tabloski</name></author><author><name sortKey="Mckinnon Howe, L" uniqKey="Mckinnon Howe L">L Mckinnon-Howe</name></author><author><name sortKey="Remington, R" uniqKey="Remington R">R Remington</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Johnson, Jk" uniqKey="Johnson J">JK Johnson</name></author><author><name sortKey="Cotman, Cw" uniqKey="Cotman C">CW Cotman</name></author><author><name sortKey="Tasaki, Cs" uniqKey="Tasaki C">CS 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sortKey="Teng, El" uniqKey="Teng E">EL Teng</name></author><author><name sortKey="Lin, Kn" uniqKey="Lin K">KN Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liu, Hc" uniqKey="Liu H">HC Liu</name></author><author><name sortKey="Teng, El" uniqKey="Teng E">EL Teng</name></author><author><name sortKey="Chuang, Yy" uniqKey="Chuang Y">YY Chuang</name></author><author><name sortKey="Lin, Kn" uniqKey="Lin K">KN Lin</name></author><author><name sortKey="Fuh, Jl" uniqKey="Fuh J">JL Fuh</name></author><author><name sortKey="Wang, Pn" uniqKey="Wang P">PN Wang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Taïwan</li></country></list><tree><country name="Taïwan"><noRegion><name sortKey="Li, Chien Hsun" sort="Li, Chien Hsun" uniqKey="Li C" first="Chien-Hsun" last="Li">Chien-Hsun Li</name></noRegion><name sortKey="Chen, Chun Hung" sort="Chen, Chun Hung" uniqKey="Chen C" first="Chun-Hung" last="Chen">Chun-Hung Chen</name><name sortKey="Chou, Mei Chuan" sort="Chou, Mei Chuan" uniqKey="Chou M" first="Mei-Chuan" last="Chou">Mei-Chuan Chou</name><name sortKey="Chou, Mei Chuan" sort="Chou, Mei Chuan" uniqKey="Chou M" first="Mei-Chuan" last="Chou">Mei-Chuan Chou</name><name sortKey="Lai, Chiou Lian" sort="Lai, Chiou Lian" uniqKey="Lai C" first="Chiou-Lian" last="Lai">Chiou-Lian Lai</name><name sortKey="Lai, Chiou Lian" sort="Lai, Chiou Lian" uniqKey="Lai C" first="Chiou-Lian" last="Lai">Chiou-Lian Lai</name><name sortKey="Li, Chien Hsun" sort="Li, Chien Hsun" uniqKey="Li C" first="Chien-Hsun" last="Li">Chien-Hsun Li</name><name sortKey="Li, Chien Hsun" sort="Li, Chien Hsun" uniqKey="Li C" first="Chien-Hsun" last="Li">Chien-Hsun Li</name><name sortKey="Liu, Ching Kuan" sort="Liu, Ching Kuan" uniqKey="Liu C" first="Ching-Kuan" last="Liu">Ching-Kuan Liu</name><name sortKey="Liu, Ching Kuan" sort="Liu, Ching Kuan" uniqKey="Liu C" first="Ching-Kuan" last="Liu">Ching-Kuan Liu</name><name sortKey="Yang, Yuan Han" sort="Yang, Yuan Han" uniqKey="Yang Y" first="Yuan-Han" last="Yang">Yuan-Han Yang</name><name sortKey="Yang, Yuan Han" sort="Yang, Yuan Han" uniqKey="Yang Y" first="Yuan-Han" last="Yang">Yuan-Han Yang</name><name sortKey="Yang, Yuan Han" sort="Yang, Yuan Han" uniqKey="Yang Y" first="Yuan-Han" last="Yang">Yuan-Han Yang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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