Keep music live: music and the alleviation of apathy in dementia subjects
Open accessAbstract
BACKGROUND: A recent Cochrane report concluded that more and better quality research is required to investigate the effectiveness of music therapy in reducing problems in behavioral, social, emotional and cognitive domains in patients with dementia. This randomized placebo-controlled trial with blinded observer rater aimed to explore whether music, live or pre-recorded, is effective in the treatment of apathy in subjects with moderate to severe dementia. METHODS: Thirty-two subjects meeting ICD-10 diagnostic criteria for moderate to severe dementia and fulfilling diagnostic criteria for apathy were exposed to live interactive music, passive pre-recorded music or silence for 30 minutes. Each subject was randomized to 30-minute music or silent periods and was video recorded and the muted recording analyzed every 3 minutes using dementia care mapping to assess the quality of engagement to the blinded music intervention. RESULTS: Compared to low baseline levels of positive engagement (12.5%) in the silent placebo period, the majority of subjects (69%), regardless of dementia severity, showed a significant and positive engagement to live music. Engagement to pre-recorded music was non-significant, with just 25% of all subjects showing positive engagement. No subjects showed any evidence of experiencing a state of ill-being during either the live or pre-recorded music sessions. CONCLUSIONS: During the intervention, live interactive music has immediate and positive engagement effects in dementia subjects with apathy, regardless of the severity of their dementia. Pre-recorded music is non-harmful but less clearly beneficial.
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Prerecorded music did not show any efficacy in improving apathy.
“Prerecorded music did not show any efficacy in improving apathy.”
From Nonpharmacological Interventions to Reduce Behavioral and Psychological Symptoms of Dementia: A Systematic Review (2015) · cites this paper as [24]
Live interactive music proved to be more effective than prerecorded music in reducing apathy in moderate and severe dementia in the short term (p < 0.0001).
“Live interactive music proved to be more effective than prerecorded music in reducing apathy in moderate and severe dementia in the short term (p < 0.0001).”
From Nonpharmacological Interventions to Reduce Behavioral and Psychological Symptoms of Dementia: A Systematic Review (2015) · cites this paper as [24]
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Taylor, J. R., Milne, A. J., & MacRitchie, J. (2021) · Disability and Rehabilitation Assistive Technology · doi:10.1080/17483107.2021.1881172 · Cited by 11 · see citing works
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Is Music Special for People With Dementia?
Ghilain, M., Schiaratura, L., Singh, A., Lesaffre, M., & Samson, S. (2019) · doi:10.1093/oso/9780190075934.003.0002 · Cited by 10 · see citing works
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- Authors
- Holmes, C., Knights, A., Dean, C., Hodkinson, S., & Hopkins, V.
- Affiliations
- University of Southampton (GB)
- Venue
- International Psychogeriatrics
- Publisher
- Elsevier BV
- Published
- 2006-12
- Volume
- 18
- Issue
- 4
- Pages
- 623-630
- ISSN
- 1041-6102 (ISSN-L)
- OpenAlex
- W2097631717
- Cited by
- 180
- References
- 8
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 3 · 2023: 7 · 2022: 6 · 2021: 11 · 2020: 8 · 2019: 15 · 2018: 15 · 2017: 5 · 2016: 6 · 2015: 9 · 2014: 9 · 2013: 12 · 2012: 16
- FWCI
- 9.34
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Psychogeriatrics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Music Therapy and Health
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neuroscience and Music Perception
- Keywords
- music therapy, dementia, apathy, patient engagement, Dementia Care Mapping, behavioral and psychological symptoms of dementia, music intervention
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, England, Female, Homes for the Aged, Humans, Male, Motivation, Music Therapy, Nursing Homes, Social Behavior Disorders, Social Environment
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