Listening to pleasurable music is known to engage the brain's reward system, but little is known about how this engagement develops over time. Here we show for the first time that brain network connectivity can change longitudinally as a result of a personalized receptive music-based intervention (MBI) in cognitively unimpaired older adults. Using a combination of whole-brain regression, seed-based connectivity analysis, and representational similarity analysis (RSA), we compared fMRI responses during a simple music listening task in older adults before and after an eight-week personalized music listening program. Participants rated self-selected and researcher-selected musical excerpts on liking and familiarity. Parametric effects of liking, familiarity, and selection showed significant activation of auditory, reward, default mode, and sensorimotor areas both pre- and post-intervention. Seed-based connectivity comparing pre- and post-intervention showed a significant increase in functional connectivity between auditory regions and the medial prefrontal cortex (mPFC), and this auditory-mPFC connectivity was modulated by participant liking and familiarity ratings. RSA showed significant representations of selection and novelty in auditory regions at both time-points, and an increase in striatal representation of musical stimuli following intervention. Taken together, results show a sensitivity of auditory, reward, default, and sensorimotor regions to individual differences in music familiarity and liking, as well as a shift in brain network dynamics following the personalized MBI. Results show how regular music listening can provide an auditory channel towards the mPFC, thus offering a potential neural mechanism supporting healthy brain aging.
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