Music Therapy for Dementia and Delirium in General Hospitals: A Narrative Review
This study aimed to investigate the potential of music therapy in reducing neuropsychiatric symptoms in patients with dementia and delirium in general hospital settings. However, after a systematic literature review, no published evidence supporting the efficacy of music therapy for these conditions was found. The study discussed methodological issues, strengths, limitations, and emphasized the need for future research in this area.
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Presentation Transcript
Dr Carol-Anne Sherriff ST5 Old Age Psychiatry
Acknowledgements Edinburgh Royal Infirmary: Jillian Mathews, Emma L Reynish & Susan D Shenkin Sheila Fisken (University of Edinburgh) Prof Hanne Mette Ridder (Aalborg University, Denmark) Prof Helen Odell Miller (Anglia Ruskin University, UK) Dr James Robertson (Edinburgh) No funding, no competing interests, completed in own time.
Background Dementia and delirium increasingly seen in the general hospital Neuropsychiatric symptoms (NPS) common Distressing for families and challenging to manage Non pharmacological interventions preferred over medication Music therapy is a potential intervention
Aim Can music therapy reduce NPS in patients with dementia and/or delirium in general hospitals?
Methods Systematic literature review Protocol registered with PROSPERO Inclusion & exclusion criteria Data extraction planned Reference list reviewed Experts contacted
Results: Narrative review Not music therapy Effects of music in reducing disruptive behaviour in a general hospital Not including dementia/delirium Music therapy for patients receiving spine surgery Not in a general hospital Efficacy of music therapy in the treatment of behavioural and psychiatric symptoms of dementia Not a primary study Music therapy for people with dementia
Discussion Findings No studies met our search criteria Methodological issues Strengths Utilised published guidance Comprehensive search Limitations No yield! May have missed some foreign language articles
Conclusion No published evidence for the use of music therapy for the treatment of dementia and delirium in the general hospital Music is feasible in this environment Music may have a positive effect on NPS & reducing pain & anxiety in surgical patients Well designed RCTs required
