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The Effect of Music Therapy on Apathy in Parkinson's Disease.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The Effect of Music Therapy on Apathy in Parkinson's Disease./
作者:	Shah-Zamora, Deepal.
面頁冊數:	1 online resource (64 pages)
附註:	Source: Masters Abstracts International, Volume: 84-04.
Contained By:	Masters Abstracts International84-04.
標題:	Neurosciences. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29063258click for full text (PQDT)
ISBN:	9798352698075

The Effect of Music Therapy on Apathy in Parkinson's Disease.
Shah-Zamora, Deepal.

The Effect of Music Therapy on Apathy in Parkinson's Disease. - 1 online resource (64 pages)

Source: Masters Abstracts International, Volume: 84-04.

Thesis (M.S.)--Rush University, 2022.

Includes bibliographical references

OBJECTIVE: To evaluate the effect of music therapy on apathy in people with Parkinson's disease (PD) and on PD caregiver strain and burden.BACKGROUND: Apathy, or a lack of motivation to perform goal-oriented behaviors, is reported in 40% of people with PD. Apathy in PD is associated with more severe disability, greater levels of caregiver burden, and independently predicts poorer quality of life. There are currently no effective pharmacologic treatments available for apathy in PD, and studies on non-pharmacologic approaches are limited. Music therapy is the clinical application of music to address a person's physical or emotional needs. Music therapy has been consistently shown to be effective in treating apathy in dementia, including Dementia with Lewy Bodies, which shares underlying pathophysiology and prominent neuropsychiatric symptoms with PD. METHODS: People with idiopathic PD and apathy (Movement Disorders Society-Unified Parkinson's Disease Rating Scale, apathy item >= 2) were recruited with their caregivers to participate in hour-long virtual group music therapy sessions once weekly for 12 weeks. Demographic and clinical history were collected by chart review. Participants completed assessments of several domains: apathy (Apathy Scale (AS)), quality of life (Parkinson's Disease Questionnaire-short form (PDQ-8)), functional ability (Schwab & England Activities of Daily Living Scale), depression (Beck Depression Inventory (BDI-II)), and cognition (Montreal Cognitive Assessment-Blind). Caregivers completed questionnaires on burden (Zarit Burden Interview-short form) and caregiver strain (Multidimensional Caregiver Strain Index). All assessments were completed before and after participating in the music therapy intervention. Music therapy sessions included vocal and rhythmic motor exercises, group singing, and therapeutic conversation led by a board-certified music therapist. Participants also completed a satisfaction survey at the end of the study. Nonparametric Wilcoxon signed-rank test was used to compare changes in assessments post-intervention from baseline. Categorical variables were summarized as frequencies, and continuous variables were reported as median and interquartile range.RESULTS: Sixteen PD participants (n=15 male) and their caregivers (n=1 male) were enrolled and completed the study. There were improvements in apathy post-intervention (AS, effect size=0.767, p=0.002) and depression (BDI-II, effect size=0.542, p=0.03) only. There were no changes in caregiver measures. All PD participants and 88% (n=14) of the caregivers were >=70% adherent. Most participants reported high levels of satisfaction with the music therapy program and virtual platform. Suggestions for improvement included adding in-person sessions and improving the music selection. CONCLUSION: Music therapy is an effective treatment for apathy in PD and may improve mood. Virtual group music therapy is a feasible alternative to in-person sessions with high levels of participant adherence and overall satisfaction with the virtual platform. Further studies that include a music therapy curriculum optimized to aid caregivers and an appropriate control group are warranted.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798352698075Subjects--Topical Terms:

588700
Neurosciences.
Subjects--Index Terms:

ApathyIndex Terms--Genre/Form:

542853
Electronic books.

The Effect of Music Therapy on Apathy in Parkinson's Disease.
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520 $a OBJECTIVE: To evaluate the effect of music therapy on apathy in people with Parkinson's disease (PD) and on PD caregiver strain and burden.BACKGROUND: Apathy, or a lack of motivation to perform goal-oriented behaviors, is reported in 40% of people with PD. Apathy in PD is associated with more severe disability, greater levels of caregiver burden, and independently predicts poorer quality of life. There are currently no effective pharmacologic treatments available for apathy in PD, and studies on non-pharmacologic approaches are limited. Music therapy is the clinical application of music to address a person's physical or emotional needs. Music therapy has been consistently shown to be effective in treating apathy in dementia, including Dementia with Lewy Bodies, which shares underlying pathophysiology and prominent neuropsychiatric symptoms with PD. METHODS: People with idiopathic PD and apathy (Movement Disorders Society-Unified Parkinson's Disease Rating Scale, apathy item >= 2) were recruited with their caregivers to participate in hour-long virtual group music therapy sessions once weekly for 12 weeks. Demographic and clinical history were collected by chart review. Participants completed assessments of several domains: apathy (Apathy Scale (AS)), quality of life (Parkinson's Disease Questionnaire-short form (PDQ-8)), functional ability (Schwab & England Activities of Daily Living Scale), depression (Beck Depression Inventory (BDI-II)), and cognition (Montreal Cognitive Assessment-Blind). Caregivers completed questionnaires on burden (Zarit Burden Interview-short form) and caregiver strain (Multidimensional Caregiver Strain Index). All assessments were completed before and after participating in the music therapy intervention. Music therapy sessions included vocal and rhythmic motor exercises, group singing, and therapeutic conversation led by a board-certified music therapist. Participants also completed a satisfaction survey at the end of the study. Nonparametric Wilcoxon signed-rank test was used to compare changes in assessments post-intervention from baseline. Categorical variables were summarized as frequencies, and continuous variables were reported as median and interquartile range.RESULTS: Sixteen PD participants (n=15 male) and their caregivers (n=1 male) were enrolled and completed the study. There were improvements in apathy post-intervention (AS, effect size=0.767, p=0.002) and depression (BDI-II, effect size=0.542, p=0.03) only. There were no changes in caregiver measures. All PD participants and 88% (n=14) of the caregivers were >=70% adherent. Most participants reported high levels of satisfaction with the music therapy program and virtual platform. Suggestions for improvement included adding in-person sessions and improving the music selection. CONCLUSION: Music therapy is an effective treatment for apathy in PD and may improve mood. Virtual group music therapy is a feasible alternative to in-person sessions with high levels of participant adherence and overall satisfaction with the virtual platform. Further studies that include a music therapy curriculum optimized to aid caregivers and an appropriate control group are warranted.
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