Communication improvement reduces BPSD: a music therapy study based on artificial neural networks.
Identifieur interne : 000062 ( Main/Exploration ); précédent : 000061; suivant : 000063Communication improvement reduces BPSD: a music therapy study based on artificial neural networks.
Auteurs : Alfredo Raglio [Italie] ; Daniele Bellandi [Italie] ; Luca Manzoni [Italie] ; Enzo Grossi [Italie]Source :
- Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology [ 1590-3478 ] ; 2021.
Abstract
BACKGROUND
Literature showed the effects of music therapy on behavioral disturbances, cognitive functions, and on quality of life in people with dementia. Especially, relational active music therapy approach is oriented to reduce behavioral disturbances increasing communication, especially non-verbal communication.
OBJECTIVE
This study aimed at exploring the connection between the baseline characteristics of responders and the positive outcome of the intervention, but also the close relationship between the behavioral disturbances and the core of the therapeutic intervention (the relationship/communication improvement).
METHOD
Linear correlation index between input variables and the presence of a critical improvement of behavioral symptoms according Neuropsychiatric Inventory and a semantic connectivity map were used to determine, respectively, variables predictive of the response and complex connections between clinical variables and the relational nature of active music therapy intervention. The dataset was composed of 27 variables and 70 patients with a moderate-severe stage of dementia and behavioral disturbances.
RESULTS
The main predictive factor is the Barthel Index, followed by NPI and some of its sub-items (mainly, Disinhibition, Depression, Hallucinations, Irritability, Aberrant Motor Activity, and Agitation). Moreover, the semantic map underlines how the improvement in communication/relationship is directly linked to "responder" variable. "Responder" variable is also connected to "age," "Mini Mental State Examination," and sex ("female").
CONCLUSIONS
The study confirms the appropriateness of active music therapy in the reduction of behavioral disturbances and also highlights how unsupervised artificial neural networks models can support clinical practice in defining predictive factors and exploring the correlation between characteristics of therapeutic-rehabilitative interventions and related outcomes.
DOI: 10.1007/s10072-020-04986-2
PubMed: 33428051
Affiliations:
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first="Alfredo" last="Raglio">Alfredo Raglio</name><affiliation wicri:level="1"><nlm:affiliation>Music Therapy Research Laboratory, Istituti Clinici Scientifici Maugeri IRCCS, Via Maugeri, 27100, Pavia, Italy. alfredo.raglio@icsmaugeri.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Music Therapy Research Laboratory, Istituti Clinici Scientifici Maugeri IRCCS, Via Maugeri, 27100, Pavia</wicri:regionArea><wicri:noRegion>Pavia</wicri:noRegion></affiliation></author><author><name sortKey="Bellandi, Daniele" sort="Bellandi, Daniele" uniqKey="Bellandi D" first="Daniele" last="Bellandi">Daniele Bellandi</name><affiliation wicri:level="1"><nlm:affiliation>Geriatric Department, Fondazione Istituto Ospedaliero di Sospiro, Sospiro, CR, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Geriatric Department, Fondazione Istituto Ospedaliero di Sospiro, Sospiro, CR</wicri:regionArea><wicri:noRegion>CR</wicri:noRegion></affiliation></author><author><name sortKey="Manzoni, Luca" sort="Manzoni, Luca" uniqKey="Manzoni L" first="Luca" last="Manzoni">Luca Manzoni</name><affiliation wicri:level="1"><nlm:affiliation>Department of Mathematics and Geosciences, University of Trieste, Trieste, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Mathematics and Geosciences, University of Trieste, Trieste</wicri:regionArea><wicri:noRegion>Trieste</wicri:noRegion></affiliation></author><author><name sortKey="Grossi, Enzo" sort="Grossi, Enzo" uniqKey="Grossi E" first="Enzo" last="Grossi">Enzo Grossi</name><affiliation wicri:level="1"><nlm:affiliation>Villa Santa Maria Foundation, Tavernerio, CO, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Villa Santa Maria Foundation, Tavernerio, CO</wicri:regionArea><wicri:noRegion>CO</wicri:noRegion></affiliation></author></analytic><series><title level="j">Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology</title><idno type="eISSN">1590-3478</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Literature showed the effects of music therapy on behavioral disturbances, cognitive functions, and on quality of life in people with dementia. Especially, relational active music therapy approach is oriented to reduce behavioral disturbances increasing communication, especially non-verbal communication.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>This study aimed at exploring the connection between the baseline characteristics of responders and the positive outcome of the intervention, but also the close relationship between the behavioral disturbances and the core of the therapeutic intervention (the relationship/communication improvement).</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>Linear correlation index between input variables and the presence of a critical improvement of behavioral symptoms according Neuropsychiatric Inventory and a semantic connectivity map were used to determine, respectively, variables predictive of the response and complex connections between clinical variables and the relational nature of active music therapy intervention. The dataset was composed of 27 variables and 70 patients with a moderate-severe stage of dementia and behavioral disturbances.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The main predictive factor is the Barthel Index, followed by NPI and some of its sub-items (mainly, Disinhibition, Depression, Hallucinations, Irritability, Aberrant Motor Activity, and Agitation). Moreover, the semantic map underlines how the improvement in communication/relationship is directly linked to "responder" variable. "Responder" variable is also connected to "age," "Mini Mental State Examination," and sex ("female").</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The study confirms the appropriateness of active music therapy in the reduction of behavioral disturbances and also highlights how unsupervised artificial neural networks models can support clinical practice in defining predictive factors and exploring the correlation between characteristics of therapeutic-rehabilitative interventions and related outcomes.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33428051</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>11</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1590-3478</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2021</Year><Month>Jan</Month><Day>11</Day></PubDate></JournalIssue><Title>Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology</Title><ISOAbbreviation>Neurol Sci</ISOAbbreviation></Journal><ArticleTitle>Communication improvement reduces BPSD: a music therapy study based on artificial neural networks.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10072-020-04986-2</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Literature showed the effects of music therapy on behavioral disturbances, cognitive functions, and on quality of life in people with dementia. Especially, relational active music therapy approach is oriented to reduce behavioral disturbances increasing communication, especially non-verbal communication.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This study aimed at exploring the connection between the baseline characteristics of responders and the positive outcome of the intervention, but also the close relationship between the behavioral disturbances and the core of the therapeutic intervention (the relationship/communication improvement).</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">Linear correlation index between input variables and the presence of a critical improvement of behavioral symptoms according Neuropsychiatric Inventory and a semantic connectivity map were used to determine, respectively, variables predictive of the response and complex connections between clinical variables and the relational nature of active music therapy intervention. The dataset was composed of 27 variables and 70 patients with a moderate-severe stage of dementia and behavioral disturbances.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The main predictive factor is the Barthel Index, followed by NPI and some of its sub-items (mainly, Disinhibition, Depression, Hallucinations, Irritability, Aberrant Motor Activity, and Agitation). Moreover, the semantic map underlines how the improvement in communication/relationship is directly linked to "responder" variable. 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Proc Am Math Soc 7:48–50</Citation><ArticleIdList><ArticleId IdType="doi">10.1090/S0002-9939-1956-0078686-7</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Raglio, Alfredo" sort="Raglio, Alfredo" uniqKey="Raglio A" first="Alfredo" last="Raglio">Alfredo Raglio</name></noRegion><name sortKey="Bellandi, Daniele" sort="Bellandi, Daniele" uniqKey="Bellandi D" first="Daniele" last="Bellandi">Daniele Bellandi</name><name sortKey="Grossi, Enzo" sort="Grossi, Enzo" uniqKey="Grossi E" first="Enzo" last="Grossi">Enzo Grossi</name><name sortKey="Manzoni, Luca" sort="Manzoni, Luca" uniqKey="Manzoni L" first="Luca" last="Manzoni">Luca Manzoni</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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