The impact of group music therapy in ameliorating the depression among patients with dementia in care homes: A randomized control trial

Geriatr Nurs. 2024 Mar-Apr:56:304-311. doi: 10.1016/j.gerinurse.2024.02.021. Epub 2024 Feb 27.

Abstract

Despite the increasing use of music therapy to treat patients with dementia, studies focused on developing nations are still in their embryonic stages. In this view, this study examined the impact of group music therapy intervention in ameliorating depression levels among older people in two care homes. A randomized control trial (RCT) was carried out in which a total of 121 patients were randomly divided into control 61 and experimental group 60. After 6 weeks, 12-session experiment which involved passive and active music therapy, it was found that music group therapy intervention reduced the depression level of older persons in the experimental group, compared to those who were not exposed to the music therapy; control group. The music therapy session also influenced the salivary cortisol of the patients as it was shown to reduce their salivary cortisol levels. It was also observed that after three months of follow-up, participants in the experimental group still maintained a low level of depression and salivary cortisol level, but the control group's level was still high, thus, substantiating the effect of music in reducing depression among older people. We encouraged clinicians, nursing practitioners and care homes in Nigeria to incorporate music therapy as part of the treatment offered to patients with dementia.

Keywords: Care home; Dementia; Group music; Music; Nigeria; Therapy.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Aged, 80 and over
  • Dementia* / complications
  • Dementia* / therapy
  • Depression / therapy
  • Humans
  • Hydrocortisone
  • Music Therapy*
  • Music*
  • Nursing Homes
  • Psychotherapy, Group*

Substances

  • Hydrocortisone