Page 91 - Petelin, Ana, ur. 2021. Zdravje starostnikov / Health of the Elderly. Zbornik povzetkov z recenzijo / Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
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ects of music therapy on patients with dementia: psihologija / sociala in zdravje starejših odraslih | psychology / social and health of the elderly
A systematic review
Liridon Avdylaj, Ines Dujc
Izola General Hospital, Izola, Slovenia
Introduction. A high percentage (20 % to 40 %) of residents in nursing homes
care and patients in acute hospitals suffering from dementia develop neuropsy-
chiatric symptoms such as anxiety, depression, agitation, apathy and delusions.
Neuropsychiatric symptoms are complex, stressful and challenging to manage,
which increase caregiver’s burden and the cost associated with dementia care.
This systematic literature review aims to investigate the effects of music thera-
py on neuropsychiatric symptoms of patients with dementia.
Methods. A literature search was performed in databases: MEDLINE, Wiley
Online Library, CINHAL and ScienceDirect. The search keywords included
dementia, music therapy, neuropsychiatric symptoms, anxiety, depression.
The search was limited to scientific articles; only articles in English language; on-
ly systematic reviews; articles published from January 2011 to January 2021; ar-
ticles with full text available; articles about residents, who were clinically diag-
nosed with dementia; articles on study intervention: music therapy; outcomes
of study: reported at least one effect of music therapy on neuropsychiatric
symptoms; reviews were required to have an AMSTAR rating of five points or
greater.
Results. We screened 3257 titles, only 12 articles, involving in total 5.978 pa-
tients, met the inclusion criteria for review. Overall, the studies showed that
music therapy has a significant impact on decreasing neuropsychiatric symp-
toms of people with dementia. Some of studies found out that there were no
significant improvements on cognition or daily functioning and the results on
quality of life were ambiguous.
Discussion and conclusions. Music therapy is beneficial and improves neuropsy-
chiatric symptoms of people with dementia, therefore it could be a powerful
treatment strategy in the future. However further randomized studies are still
needed.
Keywords: dementia, music therapy, neuropsychiatric symptoms, depression,
anxiety

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