Sunday, January 5, 2025

MECHANISMS OF MUSIC THERAPY IN ALLEVIATING STRESS AND ENHANCING WELL-BEING IN HOSPITALIZED PATIENTS WITH ADVANCED DEMENTI

by Ketut Sumerjana

Individuals with severe dementia often endure considerable stress, which might exacerbate their health issues and elevate the likelihood of hospitalization. Studies indicate that music therapy may serve as an effective strategy for alleviating stress and enhancing well-being in patients with dementia. Music therapy functions as a mechanism to alleviate anxiety and tension while also enhancing communication and social interaction among patients, staff, and families (Drewitt et al., 2022; Witte et al., 2020). In this context, it is essential to comprehend the processes that contribute to the efficacy of music therapy in alleviating stress in dementia patients.



A comprehensive evaluation indicates that music therapy may significantly decrease stress and anxiety levels, hence enhancing patients' quality of life (Witte et al., 2020; González-Ojea et al., 2022). Effectively structured music therapy may meet the emotional needs of people with dementia that aren't being met and help family members and healthcare professionals better understand and talk about these treatments (Odell‐Miller et al., 2022). Research indicates that music may elicit a favorable emotional reaction, which is crucial in dementia care, as patients often struggle to articulate their wants and emotions (Stedje et al., 2023). 

According to Chen et al. (2021), the limbic system, which handles emotions and memories, may be activated by music therapy, which makes seniors with dementia feel less stressed. Music therapy can foster a supportive and comfortable environment for patients, thereby reducing anxiety and enhancing feelings of security (Siregar et al., 2023). Studies indicate that music interventions enhance the quality of relationships between patients and caregivers, which is crucial for fostering a positive and supportive care environment (Stedje et al., 2023). 



Even though there is evidence that music therapy can help, we still don't fully understand the infrastructure issues that make it hard to use with dementia patients in hospitals (Witte et al., 2020). Further research is essential to evaluate the developed program's theory and to enhance clinical practices and policies regarding music therapy in healthcare settings.


Reference:

Chen, W., Zheng, J., Shen, G., X, J., Sun, L., Li, X., … & Gu, J. (2021). Music therapy alleviates motor dysfunction in rats with focal cerebral ischemia–reperfusion injury by regulating bdnf expression. Frontiers in Neurology, 12.

Drewitt et al. "Providing music therapy for people with dementia in an acute mental health setting" Nursing standard (2022) doi:10.7748/ns.2022.e11796

Witte et al. "Music therapy for stress reduction: a systematic review and meta-analysis" Health psychology review (2020) doi:10.1080/17437199.2020.1846580

González-Ojea et al. "Can Music Therapy Improve the Quality of Life of Institutionalized Elderly People?" Healthcare (2022) doi:10.3390/healthcare10020310

Odell‐Miller et al. "The HOMESIDE Music Intervention: A Training Protocol for Family Carers of People Living with Dementia" European journal of investigation in health psychology and education (2022) doi:10.3390/ejihpe12120127

Stedje et al. "The Influence of Home-Based Music Therapy Interventions on Relationship Quality in Couples Living with Dementia—An Adapted Convergent Mixed Methods Study" International journal of environmental research and public health (2023) doi:10.3390/ijerph20042863

Chen et al. "Music Therapy Alleviates Motor Dysfunction in Rats With Focal Cerebral Ischemia–Reperfusion Injury by Regulating BDNF Expression" Frontiers in neurology (2021) doi:10.3389/fneur.2021.666311

Siregar et al. "The Effect of Onang-Onang Instrumental Music Therapy on Elderly With Insomnia" Kne social sciences (2023) doi:10.18502/kss.v8i4.12973

Witte, M., Pinho, A., Stams, G., Moonen, X., Bos, A., & Hooren, S. (2020). Music therapy for stress reduction: a systematic review and meta-analysis. Health Psychology Review, 16(1), 134-159.



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