Abstract：
Background and Aims: Music-based interventions have been found to benefit people living with dementia and have positive impacts on cognition and well-being. Most people with dementia live in the community and compared to people with dementia in residential care often have less access to music-based interventions. There are many forms of music interventions and singing has shown particular promise; in the realm of music interventions. It is important to determine what aspects of music interventions yield the most benefits for people with dementia. This review aimed to synthesise evidence on the impacts of singing interventions on quality of life, mood and neuropsychiatric symptoms for community-dwelling people with dementia. Methods: We systematically searched three electronic databases (PsycINFO, MEDLINE and Web of Science) for studies reporting on singing interventions with community-dwelling people with dementia. Studies were eligible for inclusion if they reported on a singing intervention with people living with dementia that included an outcome measure of quality of life, mood or agitation. Fourteen publications were identified and included in this review, with a total of n = 361 people with dementia. Results: Despite some inconsistencies across the literature, evidence suggests that singing interventions led to an improvement in mood and a reduction in agitation levels in people living with dementia. There was no strong evidence to suggest that singing interventions led to significant improvements in quality of life. Conclusions: This review highlights the potential of singing interventions as an effective psychosocial intervention for community-dwelling people with dementia. For key developments in this area, we urge that future studies include a control group where possible which will allow for more robust examinations of singing interventions and allow intervention effects to be distinguished from general deterioration in dementia symptoms over time.
摘要：
背景和目的：已经发现基于音乐的干预措施有益于痴呆症患者，并对认知和幸福感产生积极影响。大多数痴呆症患者生活在社区中，与居住护理中的痴呆症患者相比，通常很少获得基于音乐的干预措施。音乐干预有多种形式，唱歌显示出特别的希望；在音乐干预领域。重要的是要确定音乐干预的哪些方面对痴呆症患者产生最大的益处。这篇综述旨在综合歌唱干预对生活质量影响的证据。社区居住的痴呆症患者的情绪和神经精神症状。方法：我们系统地搜索了三个电子数据库(PsycINFO，MEDLINE和WebofScience）的研究报告了对社区居住的痴呆症患者的歌唱干预措施。如果研究报告了对痴呆症患者的歌唱干预措施，其中包括生活质量的结果指标，情绪或激动。14种出版物被确定并包括在这篇综述中，共有n=361名痴呆症患者。结果：尽管文献中存在一些不一致之处，有证据表明，唱歌干预可以改善痴呆症患者的情绪并降低躁动水平。没有强有力的证据表明唱歌干预可以显着改善生活质量。结论：这篇综述强调了歌唱干预作为社区居住的痴呆症患者的有效心理社会干预的潜力。对于这一领域的关键发展，我们敦促未来的研究在可能的情况下包括一个对照组,这将允许对歌唱干预进行更有力的检查,并允许将干预效果与痴呆症状随时间的总体恶化区分开来.
