Music therapy in dementia: A narrative synthesis systematic review

Orii McDermott, Nadia Crellin, Hanne Mette Ochsner Ridder, Martin Orrell

Research output: Contribution to journalJournal articleResearchpeer-review

115 Citations (Scopus)

Abstract

Objective
Recent reviews on music therapy for people with dementia have been limited to attempting to evaluate whether it is effective, but there is a need for a critical assessment of the literature to provide insight into the possible mechanisms of actions of music therapy. This systematic review uses a narrative synthesis format to determine evidence for effectiveness and provide insight into a model of action.

Method
The narrative synthesis framework consists of four elements: (i) theory development; (ii) preliminary synthesis of findings; (iii) exploration of relationships between studies; and (iv) assessment of the robustness of the synthesis.

Results
Electronic and hand searches identified 263 potentially relevant studies. Eighteen studies met the full inclusion criteria. Three distinctive strands of investigations emerged: eight studies explored behavioural and psychological aspects, five studies investigated hormonal and physiological changes, and five studies focused on social and relational aspects of music therapy. The musical interventions in the studies were diverse, but singing featured as an important medium for change.

Conclusions
Evidence for short-term improvement in mood and reduction in behavioural disturbance was consistent, but there were no high-quality longitudinal studies that demonstrated long-term benefits of music therapy. Future music therapy studies need to define a theoretical model, include better-focused outcome measures, and discuss how the findings may improve the well-being of people with dementia.
Original languageEnglish
JournalInternational Journal of Geriatric Psychiatry
Volume28
Issue number8
Pages (from-to)781–794
Number of pages14
ISSN0885-6230
DOIs
Publication statusPublished - 2013

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