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      ‘Singing for the Brain’: A qualitative study exploring the health and well-being benefits of singing for people with dementia and their carers

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          Abstract

          Dementia has detrimental effects on cognitive, psychological and behavioural functioning, as well as significant impact on those who provide care. There is a need to find suitable psychosocial interventions to help manage the condition, enhance well-being, and to provide support for caregivers. This study explored the impact of Singing for the Brain™, an intervention based on group singing activities developed by The Alzheimer’s Society for people with dementia and their carers. This qualitative study used semi-structured interviews with people with dementia and their carers. Ten interviews involving 20 participants were analysed thematically. Social inclusiveness and improvements in relationships, memory and mood were found to be especially important to participants. As well as enjoying the sessions, participants found that attending Singing for the Brain™ helped in accepting and coping with dementia.

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          Most cited references30

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          Rigour and qualitative research.

          N Mays, C Pope (1995)
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            Nonpharmacologic management of behavioral symptoms in dementia.

            Behavioral symptoms such as repetitive speech, wandering, and sleep disturbances are a core clinical feature of Alzheimer disease and related dementias. If untreated, these behaviors can accelerate disease progression, worsen functional decline and quality of life, cause significant caregiver distress, and result in earlier nursing home placement. Systematic screening for behavioral symptoms in dementia is an important prevention strategy that facilitates early treatment of behavioral symptoms by identifying underlying causes and tailoring a treatment plan. First-line nonpharmacologic treatments are recommended because available pharmacologic treatments are only modestly effective, have notable risks, and do not effectively treat some of the behaviors that family members and caregivers find most distressing. Examples of nonpharmacologic treatments include provision of caregiver education and support, training in problem solving, and targeted therapy directed at the underlying causes for specific behaviors (eg, implementing nighttime routines to address sleep disturbances). Based on an actual case, we characterize common behavioral symptoms and describe a strategy for selecting evidence-based nonpharmacologic dementia treatments. Nonpharmacologic management of behavioral symptoms in dementia can significantly improve quality of life and patient-caregiver satisfaction.
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              Effects of relaxing music on salivary cortisol level after psychological stress.

              The goal of the present study was to determine whether relaxing music (as compared to silence) might facilitate recovery from a psychologically stressful task. To this aim, changes in salivary cortisol levels were regularly monitored in 24 students before and after the Trier Social Stress Test. The data show that in the presence of music, the salivary cortisol level ceased to increase after the stressor, whereas in silence it continued to increase for 30 minutes.
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                Author and article information

                Journal
                Dementia (London)
                Dementia (London)
                DEM
                spdem
                Dementia (London, England)
                SAGE Publications (Sage UK: London, England )
                1471-3012
                1741-2684
                24 November 2014
                November 2016
                : 15
                : 6
                : 1326-1339
                Affiliations
                [1-1471301214556291]The Institute of Mental Health, University of Nottingham, Nottingham, UK
                [2-1471301214556291]University of the Arts, London College of Fashion, London UK
                [3-1471301214556291]The Institute of Mental Health, University of Nottingham, Nottingham, UK
                Author notes
                [*]Victoria Tischler, London College of Fashion University of the Arts London 20 John Prince’s St, W1G 0BJ London, UK. Email: v.tischler@ 123456arts.ac.uk
                Article
                10.1177_1471301214556291
                10.1177/1471301214556291
                5089222
                25425445
                84a212c6-22ae-46b1-8cf9-cb7fc8fd0221
                © The Author(s) 2014

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License ( http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page( https://us.sagepub.com/en-us/nam/open-access-at-sage).

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                dementia,music therapy,singing for the brain,psychosocial care

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