Background and objective <p>Individualized music listening, linked to personal memories has been suggested as a&#xa0;supportive nonpharmacological approach but its effects in advanced-stage patients are not well-established. This study aimed to investigate the effects of individualized music listening on cognitive and functional status in individuals with advanced-stage Alzheimer’s disease.</p> Intervention and methods <p>In this study 54&#xa0;patients were randomly assigned to an individualized music listening intervention group (IMLIG) or a&#xa0;control group (CG). The IMLIG listened to personally meaningful music, while the CG listened to Shostakovich’s <i>Jazz Suite No.&#xa0;2</i>, 3&#xa0;times per week for 12&#xa0;weeks. Cognitive and functional outcomes were assessed using the mini-mental state examination (MMSE), functional independence measure (FIM), clock drawing test (CDT) and frontal assessment battery (FAB) at baseline, week&#xa0;6 and week&#xa0;12.</p> Results <p>The results showed significant improvements in mental status and cognitive functions in the IMLIG (<i>p</i> &lt; 0.05), while functional independence declined despite the intervention (<i>p</i> &lt; 0.05). The CG demonstrated only limited cognitive changes and no improvement in functional independence.</p> Discussion <p>These findings suggest that individualized music listening provides short-term benefits for cognitive awareness and visuomotor skills but could be insufficient to counter the progressive functional decline of Alzheimer’s disease.</p>

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Effectiveness of individualized music listening on functional and cognitive status in advanced Alzheimer’s disease

  • Zeynep Gülnur Ünlütürk,
  • Naci Madanoğlu,
  • Emine Atıcı

摘要

Background and objective

Individualized music listening, linked to personal memories has been suggested as a supportive nonpharmacological approach but its effects in advanced-stage patients are not well-established. This study aimed to investigate the effects of individualized music listening on cognitive and functional status in individuals with advanced-stage Alzheimer’s disease.

Intervention and methods

In this study 54 patients were randomly assigned to an individualized music listening intervention group (IMLIG) or a control group (CG). The IMLIG listened to personally meaningful music, while the CG listened to Shostakovich’s Jazz Suite No. 2, 3 times per week for 12 weeks. Cognitive and functional outcomes were assessed using the mini-mental state examination (MMSE), functional independence measure (FIM), clock drawing test (CDT) and frontal assessment battery (FAB) at baseline, week 6 and week 12.

Results

The results showed significant improvements in mental status and cognitive functions in the IMLIG (p < 0.05), while functional independence declined despite the intervention (p < 0.05). The CG demonstrated only limited cognitive changes and no improvement in functional independence.

Discussion

These findings suggest that individualized music listening provides short-term benefits for cognitive awareness and visuomotor skills but could be insufficient to counter the progressive functional decline of Alzheimer’s disease.