Affiliation:
1. Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA
2. Rush University Medical Center, Chicago, IL, USA
3. Jesse Brown VA Medical Center, Chicago, IL, USA
Abstract
Objective To evaluate the effect of virtual group music therapy on apathy in people with Parkinson’s disease (PD). Introduction Apathy affects 40% of people with PD, lacks effective therapies, and independently predicts poorer quality of life and greater caregiver burden. Music therapy is the clinical application of music to address a person’s physical or emotional needs and is effective in treating apathy in dementia. Methods People with idiopathic PD and apathy (Movement Disorders Society-Unified Parkinson’s Disease Rating Scale, apathy item ≥ 2) and their caregivers participated in twelve, weekly virtual group music therapy sessions, with session attendance signifying adherence. Participants completed pre- and post-intervention assessments of apathy (Apathy Scale (AS)), quality of life (Parkinson’s Disease Questionnaire-short form), functional ability (Schwab & England Activities of Daily Living Scale), depression (Beck Depression Inventory (BDI-II)), and cognition (Montreal Cognitive Assessment-Blind). Among secondary outcomes, we assessed caregiver burden (Zarit Burden Interview-short form) and strain (Multidimensional Caregiver Strain Index). Results Sixteen PD participants (93.8% men, mean age 68.3 ± 8.4 years, median 6 years PD duration) and their caregivers (93.8% women, mean age 62.6 ± 11 years) completed the study. All PD participants and 88% of caregivers were >70% adherent to the intervention. Apathy (AS, effect size = 0.767, P = 0.002) and depression (BDI-II, effect size = 0.542, P = 0.03) improved, with no change in caregiver measures. Conclusion Group music therapy is an effective treatment for apathy in PD and may improve mood. The virtual format is a feasible alternative to in-person sessions with high adherence and satisfaction.
Funder
Postma Family Research Program
National Institute Of Neurological Disorders And Stroke
Subject
Psychiatry and Mental health,Geriatrics and Gerontology,Neurology (clinical)
Cited by
1 articles.
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