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MusictherapyinmoderateandseveredementiaofAlzheimer’s…
Music therapy in moderate and severe dementia of Alzheimer’s type: a case-control study H.B. Svansdottir and J. Snaedal Geriatric Department, Landspitali University Hospital, Reykjavik, Iceland Introduction Some key terms! Music therapy Alzheimer’s disease OR Senile Dementia of the Alzheimer’s type BEHAVE-AD = Behaviour Pathology in Alzheimer’s Disease Rating Scale BPSD = Behavioural and Psychological Symptoms of Dementia ICD-10 = International Classification of Diseases Global Deterioration Scale Case-control study Methods Initial (n = 47) ? Music therapy group (n = 20) ? Control group (n = 18) Control Group No change in care, evaluated at same time as MT group Music Therapy Group 30 minute sessions: 3x/week for 6 weeks Evaluation of symptoms via BEHAVE-AD scale Following 4 weeks – NO therapy Evaluation of symptoms via BEHAVE-AD scale Results Combined symptoms Aggressiveness, *activity disturbance + anxiety Activity disturbance alone Discussion Strengths Comparability of groups Limitations Qualitative benefits of music therapy Patient Nursing home staff Other studies Other factors Conclusion Music therapy is a safe and effective method for treating agitation and anxiety in moderately severe and severe AD Thoughts... Combination of music and drug therapy... Different types of music? Music therapy? Longer research period... Longer music therapy sessions More frequent music therapy sessions MT have stronger effects in certain cultures? Thanks for listening! Questions/comments welcome. Please see: http://www.musictherapy.ca/musictherapy.htm for more information on this topic and what music therapy is being used for! Abstract Background: Music therapy is a potential non-pharmacological treatment for the behavioral and psychological symptoms of dementia, but although some studies have found it to be helpful, most are small and uncontrolled. Methods: This case–control study was carried out by qualified music therapists in two nursing homes a
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