Effectiveness of group music intervention against agitated behavior in elderly persons with dementia
Abstract
Objectives: This study explored the effectiveness of group music intervention against agitated behavior in elderly persons with dementia. Methods: This was an experimental study using repeated measurements. Subjects were elderly persons who suffered from dementia and resided in nursing facilities. In total, 104 participants were recruited by permuted block randomization and of the 100 subjects who completed this study, 49 were in the experimental group and 51 were in the control group. The experimental group received a total of twelve 30‐min group music intervention sessions, conducted twice a week for six consecutive weeks, while the control group participated in normal daily activities. In order to measure the effectiveness of the therapeutic sessions, assessments were conducted before the intervention, at the 6th and 12th group sessions, and at 1 month after cessation of the intervention. Longitudinal effects were analyzed by means of generalized estimating equations (GEEs). Results: After the group music therapy intervention, the experimental group showed better performance at the 6th and 12th sessions, and at 1 month after cessation of the intervention based on reductions in agitated behavior in general, physically non‐aggressive behavior, verbally non‐aggressive behavior, and physically aggressive behavior, while a reduction in verbally aggressive behavior was shown only at the 6th session. Conclusions: Group music intervention alleviated agitated behavior in elderly persons with dementia. We suggest that nursing facilities for demented elderly persons incorporate group music intervention in routine activities in order to enhance emotional relaxation, create inter‐personal interactions, and reduce future agitated behaviors. Copyright © 2010 John Wiley & Sons, Ltd.
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One RCT (not placebo-controlled) found analgesics improved agitation in people with dementia, with an effect size comparable to antipsychotics.
“One RCT (not placebo-controlled) found analgesics improved agitation in people with dementia, with an effect size comparable to antipsychotics. 16”
From Non-pharmacological interventions for agitation in dementia: systematic review of randomised controlled trials (2014) · cites this paper as [16]
Several studies reported the efficacy of music to treat BPSD.
“Several studies reported the efficacy of music to treat BPSD (208–213), to enhance communications, relational processes and participation (199, 214–216), and to maintain or increase cognitive functions (217–222).”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [209]
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References 27 · Cited by 157
- Authors
- Lin, Y., Chu, H., Yang, C., Chen, C., Chen, S., Chang, H., Hsieh, C., & Chou, K.
- Affiliations
- Kang-Ning Junior College of Medical Care and Management (TW)
- Tri-Service General Hospital (TW)
- Taipei Medical University Hospital (TW)
- Meiho University (TW)
- Taipei Medical University (TW)
- Corresponding author
- Chou, Kuei‐Ru
- Venue
- International Journal of Geriatric Psychiatry
- Publisher
- Wiley
- Published
- 2011-04-13
- Volume
- 26
- Issue
- 7
- Pages
- 670-678
- ISSN
- 0885-6230 (ISSN-L)
- 1099-1166
- OpenAlex
- W2070366022
- Cited by
- 157
- References
- 27
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 13 · 2023: 9 · 2022: 6 · 2021: 10 · 2020: 7 · 2019: 17 · 2018: 14 · 2017: 8 · 2016: 20 · 2015: 10 · 2014: 17 · 2013: 10 · 2012: 5
- FWCI
- 7.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Music Therapy and Health
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Education › Music Education and Analysis
- Keywords
- music therapy, agitation, dementia, older adults, nursing homes, aggression, verbal aggression, physical aggression, long-term effects
- MeSH terms
- Aged, Aged, 80 and over, Aggression, Dementia, Female, Humans, Longitudinal Studies, Male, Music Therapy, Nursing Homes, Psychomotor Agitation, Taiwan
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