Effect of music intervention on apathy in nursing home residents with dementia

Tang, Qiubi; Zhou, Ying; Yang, Shuixian; Thomas, Wong Kwok Shing; Smith, Graeme D; Zhi, Yang; Yuan, Lexin; Chung, Joanne W. Y.

doi:10.1016/j.gerinurse.2018.02.003

Cited by 33 publications

(39 citation statements)

References 38 publications

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“…Our results showed that the children’s mean salivary OT concentrations increased to various degrees after the recital but not much rehearsals. Group musical instrumental playing and choir singing are also reported to improve cognitive function, communication, impaired behavior, and mood [ 40 , 41 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 ], although the effects are not always consistent [ 59 ]. Therefore, we need to re-ask the question how group activity is simply comfortable to people by monitoring biomarkers, from the view of stress produced by group activity.…”

Section: Introductionmentioning

confidence: 99%

Sex Differences in Salivary Oxytocin and Cortisol Concentration Changes during Cooking in a Small Group

Yuhi

Ise

Iwashina

et al. 2018

Behavioral Sciences

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Background: Oxytocin (OT), a neuropeptide, has positive effects on social and emotional processes during group activities. Because cooking is an integrated process in the cognitive, physical, and socio-emotional areas, cooking in a group is reported to improve emotion and cognition. However, evidence for efficacy in group cooking has not been well established at the biological level. Methods: To address this shortcoming, we first measured salivary levels of OT and cortisol (CORT), a biomarker of psychological stress, before and after group cooking for approximately 1 h by people who know each other in healthy married or unmarried men and women. We then compared the initial OT and CORT concentrations with those during individual non-cooking activities in isolation. Results: Baseline OT concentrations before group and non-group sessions did not significantly differ and OT levels increased after both types of activity in men and women. In men, however, the percentage changes of OT levels in the first over the second saliva samples were significantly small during cooking compared with those in individual activities. In women, however, such a difference was not observed. In contrast, the mean salivary CORT concentrations after group cooking were significantly decreased from the baseline level in both sexes, though such decreases were not significant after individual activity sessions. The sex-specific differences were marital-status independent. Conclusion: These results indicate that OT and CORT concentrations after two activity sessions by a familiar group changed in opposite directions in a sex-specific manner. This suggests that, because cooking is experience-based, we need to consider the sex-specific features of group cooking if we apply it for intervention.

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Section: Introductionmentioning

confidence: 99%

Sex Differences in Salivary Oxytocin and Cortisol Concentration Changes during Cooking in a Small Group

Yuhi

Ise

Iwashina

et al. 2018

Behavioral Sciences

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“…We identi ed music as a paired tool of person-centred care plan, in Harmony in the Bush study, for residents with advanced dementia who showed moderate to severe pain, aggression, agitation, anxiety, and depression. Previously, music has been investigated for residents with dementia in nonpharmacological clinical trials (Murphy et al, 2018;Tang et al, 2018;Cohen et al, 2020;Hamiduzzaman et al 2020). Our ndings ll a gap in advanced dementia treatment with an integration of cultural and emotional care [i.e.…”

Section: Discussionmentioning

confidence: 80%

The Nexus of ‘Music, Mind, and Well-being’: Effects of Harmony in the Bush Music Intervention for Residents with Advanced Dementia in Australian Rural Nursing Homes

Hamiduzzaman¹,

Kuot²,

Greenhill³

et al. 2020

Preprint

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BackgroundPersons with dementia often show aggression, depression, and anxiety and these symptoms and behaviours escalate overtime without treatment. Music has been found to be useful for managing these symptoms and behaviours and can significantly improve well-being. This paper reports the effect of music on residents with advanced dementia in rural nursing homes, as a key part of the Harmony in the Bush study.MethodsWe conducted a quasi-experimental research in five Australian rural nursing homes. Managers of nursing homes were contacted to select residents with advanced dementia, resulted in 74 residents who participated in person-centred music and culturally-appropriate group music sessions. Staff (104) and musicians (6) participated in 65 interviews and 20 focus groups. One-Way ANOVA and paired-samples t-test were performed to understand Music in Dementia Assessment Scale (MiDAS) scores. Qualitative data were thematically analysed.ResultsSeventy-four residents participated in an average of 9.5 [SD 4.73] person-centred music sessions and most of them were female (n = 52/70%). Analysis revealed the overall mean effect of the person-centred music at two-time points as 67% [during-70% {351.22 (SD:93.51)}; and after-63% {315.09 (SD:98.52)}]. The residents with (moderate to severe) pain, anxiety, sadness, and agitation at pre-intervention, presented an improvement in their levels of interest, response, initiation, involvement, and enjoyment at different time-points. The t-test showed that the MiDAS sub-categories’ mean scores differed significantly between the time-points: interest [t = 2.75, p = 0.001]; response [t = 2.94, p = 0.005]; initiation [t = 2.41, p = 0.019]; and involvement [t = 2.78, p = 0.007]. Additionally, the residents were observed at post-intervention with a reduction of agitation (87.5%), low in mood (87.5%), and anxiousness (70.3%); and an improvement in relaxation (75.5%), attentiveness (56.5%), and smiling (56.9%). Themes from qualitative data were behavioural change, meaningful interaction, being initiative, increased participation, and contentment.ConclusionFindings suggest the music intervention probably reduce the residents’ psychiatric symptoms and behaviours and improve well-being.Clinical RegistrationThe study is registered with the Australian and New Zealand Clinical. Trials Registry (ANZCTR) on 20/2/2018 (Registration No: ACTRN12618000263291p; http://www.ANZCTR.org.au/ACTRN12618000263291p.aspx).

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“…Nonetheless, interviews with care recipients in both studies revealed that they enjoyed the group activities, felt more mentally engaged, relaxed, and rejuvenated. Together, these findings overlap with a recent surge in music-making research that also identified psychosocial, as well as biological, benefits for care recipients (Elliot & Gardner, 2018;Fu, Belza, Nguyen, Logsdon, & Demorest, 2018;Gomez, 2017;Maseda et al, 2018;Schneider, Hunter, & Bardach, 2018;Tang et al, 2018). For example, a thirty-minute individualized music session for people with dementia carried out twice a week for twelve weeks resulted in greater happiness, enjoyment, relaxation, sociability, attention to immediate environment, as well as decreased heart rate and increased oxygen saturation compared to before the intervention (Maseda et al, 2018).…”

Section: Music and The Arts: Does Group Type Matter?mentioning

confidence: 52%

“…For example, a thirty-minute individualized music session for people with dementia carried out twice a week for twelve weeks resulted in greater happiness, enjoyment, relaxation, sociability, attention to immediate environment, as well as decreased heart rate and increased oxygen saturation compared to before the intervention (Maseda et al, 2018). Following a separate program involving music listening and playing that also lasted twelve weeks, participants reported lower apathy and their cognition scores remained stable compared to controls, whose cognition worsened with time (Tang et al, 2018). Group singing also improved verbal fluency, word recall and lung functioning among communitydwelling older adults (Fu et al, 2018).…”

Section: Music and The Arts: Does Group Type Matter?mentioning

confidence: 99%

Biopsychological Effects of Social Participation on Aging: The Role of Identity-Affirming Music and the Arts

Paric¹

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It is well-known that social participation contributes to health. Emerging evidence also suggests that musical and artistic groups uniquely promote emotional well-being, socialization, and engage multiple cognitive functions. In this regard, the intervening and preventative capacities of artistic social groups ought to be considered to a greater extent, especially in light of increased population aging. The present research examined three artistic interventions among complex-care patients, individuals with dementia, and their caregivers. Three larger studies were also conducted to determine associations among different social groups, social identities (e.g. artistic, sport, religious), and various well-being outcomes, and to explore the potential moderating role of genetic polymorphisms in the relationships between groups and health. In Study 1, complex-care patients who listened to personalized music playlists reported fewer negative emotions, increased life satisfaction, and greater self-esteem over time compared to controls. Among people living with dementia and their caregivers in Studies 2 and 3, an artistic reminiscence program and music-making intervention strengthened relationships between carers and their care recipients, encouraged socialization between group members, and supported wellbeing. Studies 4 and 5 further investigated differences across social group types and revealed that artistic and educational social groups explained the greatest amount of variation in depression, memory, and executive functioning compared to other social groups. Yet, in Study 6, for retirement home residents and students, social identification was more strongly correlated with well-being than social participation alone. Moreover, overall group identity was positively correlated with telomere length among older adults. Interestingly, there was a positive association between group memberships and perceived social status for homozygous carriers of an IGF-1 SNP (rs7136446). Among older and younger adults, there was also a positive BIOPSYCHOLOGICAL EFFECTS OF SOCIAL PARTICIPATION ON AGING III correlation between group identification and health among carriers of the BDNF Met allele (rs6265), and an inverse relationship between group identification and depressive symptoms among carriers of an FGF-2 SNP (rs1048201). Taken together, participating in social groups, notably those involving music or the arts, appeared to confer health benefits among older adults. Knowledge of these associations can be used to help personalize future social interventions for older adults with the aim of maximizing their benefits. Behind every study presented here is a story of new friendships, challenges, triumphs, and inspiration, backed by a large team of individuals without whom this research would not have been possible. At the forefront are my supervisors, Dr. Renate Ysseldyk and Dr. Hymie Anisman. They meticulously combed through every research proposal and study design that amounted to this body of work, of which I am very proud. Renate's comp...

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Effect of music intervention on apathy in nursing home residents with dementia

Cited by 33 publications

References 38 publications

Sex Differences in Salivary Oxytocin and Cortisol Concentration Changes during Cooking in a Small Group

Sex Differences in Salivary Oxytocin and Cortisol Concentration Changes during Cooking in a Small Group

The Nexus of ‘Music, Mind, and Well-being’: Effects of Harmony in the Bush Music Intervention for Residents with Advanced Dementia in Australian Rural Nursing Homes

Biopsychological Effects of Social Participation on Aging: The Role of Identity-Affirming Music and the Arts

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