Background: Alzheimer’s disease is a progressive and
neurodegenerative disorder characterized by deterioration of brain
functions. Psychosocial interventions such as music and photographic stimuli
may contribute to cognitive and sensory exercise or rehabilitation. Objective: Evaluate musical and photographic stimuli in elderly people with Alzheimer’s
disease. Methods: It is an uncontrolled clinical trial, before-after
type, eleven subjects composing the sample. Participants were submitted to Katz
Index, Autobiographical Memory Test, GDS-15, Mini-Mental State Examination. The
collection instruments were used on the first and last day of intervention,
individually. There were 2 sessions in the week with duration of 50 minutes
totaling 20 sessions. Data were analyzed by
descriptive and inferential statistics and as variables expressed as
mean standard deviation. Results: There was a significant effect of
cognitive activity (P < 0.01), it was
observed that a small advance (P = 0.05) of the daily life activities. With the
analysis of GDS-15, it is verified that they are more effective for the
increase of the previous self-estimation of the therapy (P = 0.94). In the
application of the AMT, it is observed that there was a better
recruitment of the memory for the neutral words. Conclusion: Musical and
photographic stimuli had a positive effect on the cognitive level, daily life
activities and autobiographical memory in seniors with Alzheimer’s disease.
References
[1]
Brazilian Alzheimer’s Association. About Alzheimer. http://www.abraz.org.br/index.php?page=alzheimer
[2]
Nelson, P.T., Alafuzoff, I., Bigio, E.H., Bouras, C., Braak, H., Cairns, N.J., et al. (2012) Correlation of Alzheimer Disease Neuropathologic Changes with Cognitive Status: A Review of the Literature. Journal of Neuropathology & Experimental Neurology, 71, 362-381. https://doi.org/10.1097/NEN.0b013e31825018f7
[3]
Prince, M., Herrera, A.C., Knapp, M., Guerchet, M. and Karagiannidou, M. (2016) Alzheimer’s Disease International: World Alzheimer Report. https://www.alz.co.uk/research/WorldAlzheimerReport2016.pdf
[4]
World Health Organization. Dementia 2017. http://www.who.int/news-room/fact-sheets/detail/dementia
[5]
Silva, R.H.C., Alencar, L.B.L., Alencar, E.T.L., Oliveira, G.F., Silva, R.A.C. and Alen- car, A.B.L. (2012) Relationship between Depression and Dementia: A Focus on Alzheimer’s Disease. Magazine of Psychology.
[6]
Draper, B., Peisah, C., Snowdon, J. and Brodaty, H. (2010) Early Dementia Diagnosis and the Risk of Suicide and Euthanasia. Journal Alzheimer’s & Dementia, 6, 75-82. https://doi.org/10.1016/j.jalz.2009.04.1229
[7]
Guetin, S., Charras, K., Berard, A., Arbus, C., Berthelon, P., Blanc, F., et al. (2013) An Overview of the Use of Music Therapy in the Context of Alzheimer’s Disease: A Report of a French Expert Group. Dementia, 12, 619-634. https://doi.org/10.1177/1471301212438290
[8]
Steck, N., Cooper, C. and Orgeta, V. (2018) Investigation of Possible Risk Factors for Depression in Alzheimer’s Disease: A Systematic Review of the Evidence. Journal of Affective Disorders, 236, 149-156. https://doi.org/10.1016/j.jad.2018.04.034
[9]
Peck, K.J., Girard, T.A., Russo, F.A. and Fiocco, A.J. (2016) Music and Memory in Alzheimer’s Disease and the Potential Underlying Mechanisms. Journal of Alzheimer’s Disease, 51, 949-959. https://doi.org/10.3233/JAD-150998
[10]
Chevreau, P., Nizard, I. and Allain, P. (2017) Retrieval of Memories with the Help of Music in Alzheimer’s Disease. Geriatrie et Psychologie Neuropsychiatrie du Vieillis- sement, 15, 309-318. https://doi.org/10.1684/pnv.2017.0689
[11]
Ortí, J.E.R., García-Pardo, M.P., Iranzo, C.C., Madrigal, J.J.C., Castillo, S.S., Rochina, M.J. and Gascó, V.J.P. (2018) Does Music Therapy Improve Anxiety and Depression in Alzheimer’s Patients? Journal of Alternative and Complementary Medicine, 24, 33-36. https://doi.org/10.1089/acm.2016.0346
[12]
Gil, C.A. and Late, L.S.P.C. (2011) The Letter, Photo and Souvenir Workshop as a Group Psychotherapeutic Intervention with the Elderly. Changes—Health Psychology, 19, 19-27.
[13]
Sheikh, J.I. and Yesavage, J.A. (1986) Geriatric Depression Scale (GDS): Recent Evidence and Development of a Shorter Version. Clinical Gerontologist: The Journal of Aging and Mental Health, 5, 165-173. https://doi.org/10.1300/J018v05n01_09
[14]
Paradela, E.M.P., Lourenço, R.A. and Veras, R.P. (2005) Validação da escala de depressão geriátrica em um ambulatório geral. Revista de Saúde Pública, 39, 918- 923. https://doi.org/10.1590/S0034-89102005000600008
[15]
Folstein, M.F., Folstein, S.E. and Mchugh, P.R. (1975) “Mini-Mental State”: A Practical Method for Grading the Cognitive State of Patients for the Clinician. Journal of Psychiatric Research, 12, 189-198. https://doi.org/10.1016/0022-3956(75)90026-6
[16]
Pergher, G.K. (2005) Avaliando a especificidade da memória autobiográfica: O teste de memória autobiográfica. Dissertation, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre.
[17]
Katz, S., Ford, A.B., Moskowitz, R.W., Jackson, B.A. and Jaffe, M.W. (1963) Studies of Illness in the Aged. The Index of ADL: A Standardized Measure of Biological and Psychosocial Function. JAMA, 185, 914-919. https://doi.org/10.1001/jama.1963.03060120024016
[18]
Malta, T.M.X. (2012) Depressive Symptoms and Autobiographical Memory in Elderly People with Alzheimer’s Dementia in the Mild and Moderate Stages. Doctoral Thesis, University of Beira Interior, Covilhã.
[19]
Talmelli, L.F.D.S., Vale, F.D.A.C.D., Gratão, A.C.M., Kusumota, L. and Rodrigues, R.A.P. (2013) Alzheimer’s Disease: Functional Decline and Stage of Dementia. Acta Paulista de Enfermagem, 26, 219-225. https://doi.org/10.1590/S0103-21002013000300003
[20]
Thies, W. and Bleiler, L. (2011) Alzheimer’s Association Report: 2011 Alzheimer’s Disease Facts and Figures. Alzheimer’s & Dementia, 7, 208-244. https://doi.org/10.1016/j.jalz.2011.02.004
[21]
Soares, N.M., Pereira, G.M., Figueiredo, R.I.D.N., Soares, N.M., Almeida, R.M.M.D. and Portela, A.D.S. (2017) Economic Impact and Prevalence of Alzheimer’s Disease in a Brazilian Capital. Science & Health, 10, 133-138. https://doi.org/10.15448/1983-652X.2017.3.25036
[22]
Voos, M.C., Mansur, L.L., Caromano, F.A., Brucki, S.M.D. and Valle, L.E.R. (2014) The Influence of Schooling on the Performance and Learning of Motor Tasks: A Literature Review. Physiotherapy and Research, 21, 297-304.
[23]
Guetin, S., Portet, F., Picot, M.C., Pommié, C., Messaoudi, M., Djabelkir, L., et al. (2009) Effect of Music Therapy on Anxiety and Depression in Patients with Alzheimer’s Type Dementia: Randomised, Controlled Study. Dementia and Geriatric Cognitive Disorders, 28, 36-46. https://doi.org/10.1159/000229024
[24]
Cuddy, L.L., Sikka, R. and Vanstone, A. (2015) Preservation of Musical Memory and Engagement in Healthy Aging and Alzheimer’s Disease. Annals of the New York Academy of Sciences, 1337, 223-231. https://doi.org/10.1111/nyas.12617
[25]
Särkämö, T. (2017) Cognitive, Emotional, and Neural Benefits of Musical Leisure Activities in Aging and Neurological Rehabilitation: A Critical Review. Annals of Physical and Rehabilitation Medicine, 61, 414-418. https://doi.org/10.1016/j.rehab.2017.03.006
[26]
Kerer, M., Marksteiner, J., Hinterhuber, H., Mazzola, G., Kemmler, G., Bliem, H.R., et al. (2013) Explicit (Semantic) Memory for Music in Patients with Mild Cognitive Impairment and Early-Stage Alzheimer’s Disease. Experimental Aging Research, 39, 536-564. https://doi.org/10.1080/0361073X.2013.839298
[27]
Anthony, J.C., LeResche, L., Niaz, U., Von Korff, M.R. and Folstein, M.F. (1982) Limits of the “Mini-Mental State” as a Screening Test for Dementia and Delirium among Hospital Patients. Psychological Medicine, 12, 397-408. https://doi.org/10.1017/S0033291700046730
[28]
Nitrini, R., Caramelli, P., Bottino, C.M.D.C., Damasceno, B.P., Brucki, S.M.D. and Anghinah, R. (2005) Diagnosis of Alzheimer’s Disease in Brazil: Cognitive and Functional Evaluation. Recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology. Neuro-Psychiatry Archives, 63, 720-727. https://doi.org/10.1590/S0004-282X2005000400034
[29]
Light Ltd. (2015) Music Therapy in the Quality of Life of Institutionalized Elderly. Master’s Dissertation, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre.
[30]
Cruz, T.J.P., Sá, S.P.C., Lindolpho, M.C. and Caldas, C.P. (2015) Cognitive Stimulation for Elderly People with Alzheimer’s Disease Performed by the Caregiver. Revista Brasileira de Enfermagem, 68, 510-516. https://doi.org/10.1590/0034-7167.2015680319i
[31]
Guetin, S., Portet, F., Picot, M.C., Pommié, C., Messaoudi, M., Djabelkir, L., et al. (2009) Effect of Music Therapy on Anxiety and Depression in Patients with Alzheimer’s Type Dementia: Randomised, Controlled Study. Dementia and Geriatric Cognitive Disorders, 28, 36-46. https://doi.org/10.1159/000229024
[32]
Duarte, Y.A.O., Andrade, C.L. and Lebrão, M.L. (2007) The Katz Index in Assessing the Functionality of the Elderly. USP School of Nursing Magazine, 41, 317-325. https://doi.org/10.1590/S0080-62342007000200021
[33]
Taylor, L.O. and Dellaroza, M.S.G. (2010) The Reality of Care for the Elderly with Alzheimer’s Disease: An Analysis from the Elderly Treated in Public Services. Seminar: Biological and Health Sciences, 31, 71-82.
[34]
Zildan, M., Arcoverde, C., Araújo, N.B., Vasques, P., Rios, A., Iaks, J. and Deslandes, A. (2012) Motor and Functional Changes at Different Stages of Alzheimer’s Disease. Magazine of Clinical Psychiatry, 39, 161-165. https://doi.org/10.1590/S0101-60832012000500003
[35]
Camacho, A.C.L.F. and Coelho, M.J. (2010) Identification of Clinical of Alzheimer’s Disease to the Development in Nursing Care. Journal of Nursing UFPE Online, 4, 517-523. https://doi.org/10.5205/reuol.647-7353-1-LE.0402201010
[36]
Monaci, L. and Morris, R.G. (2012) Neuropsychological Screening Performance and the Association with Activities of Daily Living and Instrumental Activities of Daily Living in Dementia: Baseline and 18- to 24-Month Follow-Up. International Journal of Geriatric Psychiatry, 27, 197-204. https://doi.org/10.1002/gps.2709
[37]
Pergher, G. and Stein, L.M. (2008) Recovering Autobiographical Memories: Evaluation of the Brazilian Version of the Autobiographical Memory Test. Psycho, 39, 6.
[38]
Lopes, C.D.J., André, R., Sousa, L.M.M., Oliveira, I. and Silveira, T. (2019) Benefits of Music Therapy in the Elderly with Dementia: An Integrative Literature Review. Journal of Nursing Research, 45-59.
[39]
Gallego, M.G. and García, G.J. (2017) Music Therapy and Alzheimer’s Disease. Cognitive, Psychological and Behavioral Effects. Neurology (English Edition), 32, 300-308. https://doi.org/10.1016/j.nrleng.2015.12.001
[40]
Basaglia-Pappas, S., Laterza, M., Borg, C., Richard-Mornas, A., Favre, E. and Thomas-Antérion, C. (2013) Exploration of Verbal and Non-Verbal Semantic Knowledge and Autobiographical Memories Starting from Popular Songs in Alzheimer’s Disease. International Psychogeriatrics, 25, 785-795. https://doi.org/10.1017/S1041610212002359
