1
|
Moisseinen N, Ahveninen L, Martínez‐Molina N, Sairanen V, Melkas S, Kleber B, Sihvonen AJ, Särkämö T. Choir singing is associated with enhanced structural connectivity across the adult lifespan. Hum Brain Mapp 2024; 45:e26705. [PMID: 38716698 PMCID: PMC11077432 DOI: 10.1002/hbm.26705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Revised: 03/06/2024] [Accepted: 04/21/2024] [Indexed: 05/12/2024] Open
Abstract
The global ageing of populations calls for effective, ecologically valid methods to support brain health across adult life. Previous evidence suggests that music can promote white matter (WM) microstructure and grey matter (GM) volume while supporting auditory and cognitive functioning and emotional well-being as well as counteracting age-related cognitive decline. Adding a social component to music training, choir singing is a popular leisure activity among older adults, but a systematic account of its potential to support healthy brain structure, especially with regard to ageing, is currently missing. The present study used quantitative anisotropy (QA)-based diffusion MRI connectometry and voxel-based morphometry to explore the relationship of lifetime choir singing experience and brain structure at the whole-brain level. Cross-sectional multiple regression analyses were carried out in a large, balanced sample (N = 95; age range 21-88) of healthy adults with varying levels of choir singing experience across the whole age range and within subgroups defined by age (young, middle-aged, and older adults). Independent of age, choir singing experience was associated with extensive increases in WM QA in commissural, association, and projection tracts across the brain. Corroborating previous work, these overlapped with language and limbic networks. Enhanced corpus callosum microstructure was associated with choir singing experience across all subgroups. In addition, choir singing experience was selectively associated with enhanced QA in the fornix in older participants. No associations between GM volume and choir singing were found. The present study offers the first systematic account of amateur-level choir singing on brain structure. While no evidence for counteracting GM atrophy was found, the present evidence of enhanced structural connectivity coheres well with age-typical structural changes. Corroborating previous behavioural studies, the present results suggest that regular choir singing holds great promise for supporting brain health across the adult life span.
Collapse
Affiliation(s)
- Nella Moisseinen
- Cognitive Brain Research Unit, Centre of Excellence in Music, Mind, Body and the Brain, Department of Psychology and Logopedics, Faculty of MedicineUniversity of HelsinkiHelsinkiFinland
| | - Lotta Ahveninen
- Cognitive Brain Research Unit, Centre of Excellence in Music, Mind, Body and the Brain, Department of Psychology and Logopedics, Faculty of MedicineUniversity of HelsinkiHelsinkiFinland
| | - Noelia Martínez‐Molina
- Cognitive Brain Research Unit, Centre of Excellence in Music, Mind, Body and the Brain, Department of Psychology and Logopedics, Faculty of MedicineUniversity of HelsinkiHelsinkiFinland
- Center for Brain and Cognition, Department of Information and Communication TechnologiesUniversity Pompeu FabraBarcelonaSpain
| | - Viljami Sairanen
- Department of RadiologyKanta‐Häme Central HospitalHämeenlinnaFinland
- Baby Brain Activity Center, Children's HospitalHelsinki University Hospital and University of HelsinkiHelsinkiFinland
| | - Susanna Melkas
- Clinical Neurosciences, NeurologyUniversity of HelsinkiHelsinkiFinland
| | - Boris Kleber
- Center for Music in the Brain, Department of Clinical MedicineAarhus University and The Royal Academy of Music Aarhus/AalborgAarhusDenmark
| | - Aleksi J. Sihvonen
- Cognitive Brain Research Unit, Centre of Excellence in Music, Mind, Body and the Brain, Department of Psychology and Logopedics, Faculty of MedicineUniversity of HelsinkiHelsinkiFinland
- Centre for Clinical Research, School of Health and Rehabilitation SciencesUniversity of QueenslandBrisbaneAustralia
- Department of NeurologyHelsinki University HospitalHelsinkiFinland
| | - Teppo Särkämö
- Cognitive Brain Research Unit, Centre of Excellence in Music, Mind, Body and the Brain, Department of Psychology and Logopedics, Faculty of MedicineUniversity of HelsinkiHelsinkiFinland
| |
Collapse
|
2
|
Bains KK, Jennings S, Bull C, Tilley L, Montgomery L, Lee AL. A systematic review of change in symptoms, well-being and quality of life with group singing in people with cancer and their caregivers. Support Care Cancer 2024; 32:246. [PMID: 38520544 DOI: 10.1007/s00520-024-08449-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 03/19/2024] [Indexed: 03/25/2024]
Abstract
PURPOSE This systematic review aimed to assess the impact of group singing on physical function, cancer-related symptoms, well-being (emotional, physical, social, spiritual), and health-related quality of life in individuals with cancer and their caregivers. METHODS A search was performed using Ovid MEDLINE, Embase, Scopus and Web of Science from inception to April 2023; key words included cancer, choir, and group singing. Observational cohort, prospective or retrospective studies, randomized controlled studies, and crossover studies were included. Two teams of independent reviewers extracted data and assessed the risk of bias using the Downs and Black Tool. RESULTS A total of 6 studies (6 reports) met the inclusion criteria for this review, with a mix of study designs. The overall quality of the studies was poor. Group singing significantly reduced anxiety levels in those with cancer and their caregivers, while the effects on depression were variable and there was no impact on fatigue. Caregivers reported improved well-being, self-efficacy and self-esteem. Both those with cancer and their caregivers had reductions in fear, anger, confusion; and reported improvement in energy, relaxation and connectedness at longer term follow-up compared to no treatment. Those with cancer reported improvements in health-related quality of life domains of bodily pain, vitality and mental health with group singing, though the effects on caregivers were mixed. CONCLUSIONS Group singing may have favourable effects on selected symptoms, aspects of well-being, and domains of health-related quality of life specific to vitality, bodily pain, and mental health in individuals with cancer and their caregivers.
Collapse
Affiliation(s)
- Kuljit Kaur Bains
- Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, 47-49 Moorooduc Hwy, Frankston, VIC, 3199, Australia
- Department of Integrated Community Health Services, Western Health, 29 - 35 Grant Street, Bacchus Marsh, VIC, 3340, Australia
| | - Sophie Jennings
- Allied Health and Ambulatory Services, Cabrini Health, 181 Wattletree Road, Malvern, VIC, 3144, Australia
| | - Caitlin Bull
- Palliative and Supportive Care Services, Cabrini Health, 181 Wattletree Road, Malvern, VIC, 3144, Australia
| | - Louise Tilley
- Allied Health and Ambulatory Services, Cabrini Health, 181 Wattletree Road, Malvern, VIC, 3144, Australia
| | - Laura Montgomery
- Department of Physiotherapy, Monash Health, 246 Clayton Road, Clayton, VIC, 3168, Australia
| | - Annemarie L Lee
- Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, 47-49 Moorooduc Hwy, Frankston, VIC, 3199, Australia.
- Institute for Breathing and Sleep, 145 Studley Road, Heidelberg, VIC, 3084, Australia.
| |
Collapse
|
3
|
Yi SY, Kim AJ. Implementation and Strategies of Community Music Activities for Well-Being: A Scoping Review of the Literature. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2606. [PMID: 36767969 PMCID: PMC9914998 DOI: 10.3390/ijerph20032606] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Revised: 01/29/2023] [Accepted: 01/30/2023] [Indexed: 06/18/2023]
Abstract
The benefits of community music activities for promoting well-being have been well recognized in previous literature. However, due to their wide variability and flexible approaches, a comprehensive understanding of the research and practice of community music activities for well-being promotion is sparse. The purpose of this scoping review was to synthesize published literature pertaining to community music activities for well-being promotion and identify key implementation characteristics and strategies to inform future practice and research. Studies of community music activities that investigated well-being outcomes in participants of all ages and conditions were eligible for inclusion. Through electronic database and manual searches, a total of 45 studies were identified and included in the analysis. The main findings showed that community music activities for well-being were characterized by a wide range of populations and applications, collaborative work, an emphasis on social components, and musical accomplishments. However, this variability also revealed a lack of consistent and thorough information as well as diversity in well-being conception across studies. The review offers practical recommendations for future research and practice based on the current findings.
Collapse
Affiliation(s)
- Soo Yon Yi
- Department of Music Education, Graduate School of Education, Gachon University, Seongnam 1342, Republic of Korea
| | - Aimee Jeehae Kim
- Department of Musicology and Culture, Music Therapy Major, Graduate School, Dong-A University, Busan 49315, Republic of Korea
| |
Collapse
|
4
|
Tremblay P, Perron M. Auditory cognitive aging in amateur singers and non-singers. Cognition 2023; 230:105311. [PMID: 36332309 DOI: 10.1016/j.cognition.2022.105311] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Revised: 10/02/2022] [Accepted: 10/17/2022] [Indexed: 11/06/2022]
Abstract
The notion that lifestyle factors, such as music-making activities, can affect cognitive functioning and reduce cognitive decline in aging is often referred to as the mental exercise hypothesis. One ubiquitous musical activity is choir singing. Like other musical activities, singing is hypothesized to impact cognitive and especially executive functions. Despite the commonness of choir singing, little is known about the extent to which singing can affect cognition in adulthood. In this cross-sectional group study, we examined the relationship between age and four auditory executive functions to test hypotheses about the relationship between the level of mental activity and cognitive functioning. We also examined pitch discrimination capabilities. A non-probabilistic sample of 147 cognitively healthy adults was recruited, which included 75 non-singers (mean age 52.5 ± 20.3; 20-98 years) and 72 singers (mean age 55.5 ± 19.2; 21-87 years). Tests of selective attention, processing speed, inhibitory control, and working memory were administered to all participants. Our main hypothesis was that executive functions and age would be negatively correlated, and that this relationship would be stronger in non-singers than singers, consistent with the differential preservation hypothesis. The alternative hypothesis - preserved differentiation - predicts that the difference between singers and non-singers in executive functions is unaffected by age. Our results reveal a detrimental effect of age on processing speed, selective attention, inhibitory control and working memory. The effect of singing was comparatively more limited, being positively associated only with frequency discrimination, processing speed, and, to some extent, inhibitory control. Evidence of differential preservation was limited to processing speed. We also found a circumscribed positive impact of age of onset and a negative impact of singing experience on cognitive functioning in singers. Together, these findings were interpreted as reflecting an age-related decline in executive function in cognitively healthy adults, with specific and limited positive impacts of singing, consistent with the preserved differentiation hypothesis, but not with the differential preservation hypothesis.
Collapse
Affiliation(s)
- Pascale Tremblay
- CERVO Brain Research Center, Quebec City G1J 2G3, Canada; Université Laval, Faculté de Médecine, Département de Réadaptation, Quebec City G1V 0A6, Canada.
| | - Maxime Perron
- Rotman Research Institute, Baycrest, North York, Ontario M6A 2E1, Canada; University of Toronto, Faculty of Arts and Science, Department of Psychology, Toronto, Ontario M5S 3G3, Canada
| |
Collapse
|
5
|
Bone JK, Fancourt D, Fluharty ME, Paul E, Sonke JK, Bu F. Cross-sectional and longitudinal associations between arts engagement, loneliness, and social support in adolescence. Soc Psychiatry Psychiatr Epidemiol 2022:10.1007/s00127-022-02379-8. [PMID: 36342533 DOI: 10.1007/s00127-022-02379-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Accepted: 10/28/2022] [Indexed: 11/09/2022]
Abstract
PURPOSE Although arts engagement holds promise for reducing loneliness and enhancing social support, previous research has focussed on older adults. We investigated whether arts engagement was associated with loneliness and social support during adolescence. METHODS We included 11,780 adolescents aged 11-21 years from the National Longitudinal Study of Adolescent to Adult Health, a nationally representative cohort study. We measured whether adolescents engaged in school-based arts activities (band, book club, chorus, choir, cheerleading, dance, drama club, newspaper, orchestra) at wave one (1994-1995). Loneliness and perceived social support from peers were measured at waves one and two (1996). We used logistic regression to test whether arts engagement was associated with concurrent and subsequent loneliness and social support. RESULTS Arts engagement was not associated with concurrent or subsequent loneliness. Compared to not engaging, doing one or more school-based arts activities was associated with 59% higher odds of high social support concurrently (odds ratio [OR] = 1.59, 95% CI = 1.32-1.91). However, this cross-sectional association was attenuated after adjusting for demographic, socioeconomic, and health-related covariates (adjusted OR [AOR] = 1.16, 95% CI = 0.95-1.42). In contrast, doing arts activities was associated with 28% higher odds of reporting high social support one year later (AOR = 1.28, 95% CI = 1.03-1.59), independent of covariates and previous social support. CONCLUSIONS Extracurricular arts activities are associated with increased odds of reporting good subsequent social support from peers. This may be because they provide opportunities for social engagement, developing friendships, and building a sense of community. Exploring these associations in more detail should be a priority, enabling better understanding of this strategy for enhancing social ties during adolescence.
Collapse
Affiliation(s)
- Jessica K Bone
- Research Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
| | - Daisy Fancourt
- Research Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK
| | - Meg E Fluharty
- Research Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK
| | - Elise Paul
- Research Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK
| | - Jill K Sonke
- Center for Arts in Medicine, University of Florida, Gainesville, FL, USA
| | - Feifei Bu
- Research Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK
| |
Collapse
|
6
|
Ngamaba KH, Heap C. Benefits of Running a Multicultural Singing Project Among Older Adults in a Naturalistic Residential Environment: Case Studies of Four Residential Care Homes in England. J Gerontol Nurs 2022; 48:52-53. [PMID: 36007212 DOI: 10.3928/00989134-20220808-04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
| | - Cheyann Heap
- International Centre for Mental Health Social Research, Department of Social Policy and Social Work, University of York, Heslington, York, United Kingdom
| |
Collapse
|
7
|
The health impacts of place-based creative programmes on older adults' health: A critical realist review. Health Place 2022; 76:102839. [PMID: 35691142 DOI: 10.1016/j.healthplace.2022.102839] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 05/09/2022] [Accepted: 05/25/2022] [Indexed: 11/22/2022]
Abstract
Place-based creative programmes can help alleviate the structural and place-related problems that affect older adults' health. However, it is unclear why these programmes achieve positive outcomes, and how these may vary across contexts. This critical realist review aimed to address these gaps. We were able to evidence why these programmes may work for older people's mental, social and physical health. Place-based creative programmes impact on health because they support social relatedness, motivation, self-continuity and self-efficacy. However, the circumstances under which and for whom these programmes work remain hidden since existing studies do not report sufficiently on context. We set out some of the general aspects of context that could form the basis of minimum standards for reporting.
Collapse
|
8
|
Helitzer E, Moss H. Group singing for health and wellbeing in the Republic of Ireland: the first national map. Perspect Public Health 2022; 142:102-116. [PMID: 35274554 PMCID: PMC8918881 DOI: 10.1177/17579139221081400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Aims: (1) To catalogue and map all singing for health and wellbeing groups in the Republic of Ireland (ROI); (2) determine how they prioritise health outcomes; (3) understand what they consider success; and (4) identify gaps in provision. Methods: A novel mixed-methods survey was distributed electronically through SING Ireland (the Choir Association of Ireland), artsandhealth.ie, and to 2736 potential stakeholders with links to singing for health and wellbeing and singing on social prescription (SSP) from October 2020 to April 2021. Thematic analysis was used to analyse four open-ended survey questions. Results: A total of 185 singing for health and wellbeing groups were identified, with varied representation in each of the ROI’s 26 counties. 35 groups were noted to have links to SSP. Gaps in provision for clinical and individual populations and for SSP were identified. Six themes related to the success of group singing for health and wellbeing programmes were determined: fostering and funding social and community connections; the people and the approach; enjoyment and atmosphere; musical and personal growth, programmatic structure and musical content; and the impact of Covid. Conclusion: The first-ever national mapping of group singing for health and wellbeing in the ROI, and one of few internationally, this study may serve as a roadmap for gathering information about existing singing for health and wellbeing provision and identifying geographical and clinical gaps internationally. Recommendations are included for future research to address gaps in provision, explore the feasibility of integrating SSP more widely and for further public health investment.
Collapse
Affiliation(s)
- E Helitzer
- Master of Arts in Music Therapy, Irish World Academy of Music and Dance, University of Limerick, Limerick, Ireland
| | - H Moss
- Senior Lecturer in Music Therapy, Irish World Academy of Music and Dance, University of Limerick, Limerick, Ireland
| |
Collapse
|
9
|
Moss H, Lee S, Clifford AM, Ní Bhriain O, O’Neill D. Together in song: Designing a singing for health group intervention for older people living in the community. NORDIC JOURNAL OF MUSIC THERAPY 2021. [DOI: 10.1080/08098131.2021.2004613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Hilary Moss
- Health Research Institute, Ageing Research Centre, Irish World Academy of Music and Dance, University of Limerick, Ireland
| | - Sophie Lee
- Health Research Institute, Ageing Research Centre, Irish World Academy of Music and Dance, University of Limerick, Ireland
| | - Amanda M. Clifford
- Health Research Institute, Ageing Research Centre, School of Allied Health, University of Limerick, Ireland
| | - Orfhlaith Ní Bhriain
- Health Research Institute, Ageing Research Centre, Irish World Academy of Music and Dance, University of Limerick, Ireland
| | - Desmond O’Neill
- Centre for Ageing, Neurosciences and the Humanities, Trinity College Dublin, Ireland
| |
Collapse
|
10
|
Johnson JK, Carpenter T, Goodhart N, Stewart AL, du Plessis L, Coaston A, Clark K, Lazar A, Chapline J. Exploring the effects of visual and literary arts interventions on psychosocial well-being of diverse older adults: a mixed methods pilot study. Arts Health 2021; 13:263-277. [PMID: 32744951 PMCID: PMC7856091 DOI: 10.1080/17533015.2020.1802603] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 06/14/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Engagement in the arts may have health benefits for older adults. Most research has focused on music and dance; less is known about the benefits of other arts interventions. The purpose of this study was to examine the effects of visual (ceramics and collage) and literary arts (storytelling and writing) on well-being. METHODS We used mixed methods to examine the effects of a 12-week visual or literary arts intervention on well-being. Adults age 55 and over from four housing sites were assigned to start an intervention immediately (intervention) or wait 12 weeks (controls). The study included pre/post-test measures of well-being and focus groups about perceived benefits. RESULTS Compared to controls, participants in the ceramics intervention had significant improvements in interest in life and mastery, while no changes were observed after the storytelling intervention. Seven psychosocial benefits were identified . CONCLUSIONS Participation in visual and literary arts for older adults was associated with well-being media.
Collapse
Affiliation(s)
- Julene K Johnson
- Institute for Health & Aging, University of California, San Francisco, CA
- Center for Aging in Diverse Communities, University of California, San Francisco, CA
- School of Nursing, University of California, San Francisco, CA
| | | | | | - Anita L Stewart
- Institute for Health & Aging, University of California, San Francisco, CA
- Center for Aging in Diverse Communities, University of California, San Francisco, CA
| | - Lindsay du Plessis
- Institute for Health & Aging, University of California, San Francisco, CA
| | - Angela Coaston
- School of Nursing, University of California, San Francisco, CA
| | - Kristen Clark
- School of Nursing, University of California, San Francisco, CA
| | - Ann Lazar
- Department of Epidemiology and Biostatistics, University of California, San Francisco, CA
| | | |
Collapse
|
11
|
Tymoszuk U, Spiro N, Perkins R, Mason-Bertrand A, Gee K, Williamon A. Arts engagement trends in the United Kingdom and their mental and social wellbeing implications: HEartS Survey. PLoS One 2021; 16:e0246078. [PMID: 33711028 PMCID: PMC7954337 DOI: 10.1371/journal.pone.0246078] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Accepted: 01/13/2021] [Indexed: 12/20/2022] Open
Abstract
Evidence on the role of the arts in promoting health and wellbeing has grown over the last two decades. In the United Kingdom, studies using secondary data sources have documented temporal variations in levels of arts engagement in the population, its determinants and its mental wellbeing implications. However, arts engagement is often characterized by prioritizing "high-brow" art forms. In this article, we introduce the HEartS Survey, a tool that aims to increase the balance between inclusivity and brevity of existing arts engagement measures and to focus specifically on the connection between arts engagement and social wellbeing. We explore trends in participatory and receptive engagement with literary, visual, performing, crafts and decorative arts among 5,338 adults in the UK in 2018-2019 using summative engagement scores and cluster analysis. Regression models, adjusted for demographic, socioeconomic, health, and social covariates, examine correlations between arts engagement and psychological and social wellbeing measures. Over 97% of respondents reported engagement in one or more arts activities at least once during 2018-2019, with reading and listening to music being the most popular activities. Arts engagement grouped into three distinct clusters: 19.8% constituted "low engagers" whose main source of engagement was occasional reading; 44.4% constituted "receptive consumers" who read and listened to music frequently and engaged with popular receptive arts activities such as cinema, live music, theater, exhibitions, and museums; and 35.8% constituted "omnivores" who frequently engaged in almost all arts activities. In agreement with existing studies, more arts engagement was associated with higher levels of wellbeing, social connectedness, and lower odds of intense social loneliness. In contrast, we found a positive association between more arts engagement, depression, and intense emotional loneliness for the most highly engaged omnivores. We conclude that arts engagement in the population forms specific profiles with distinct characteristics and consider implications for mental and social wellbeing.
Collapse
Affiliation(s)
- Urszula Tymoszuk
- Centre for Performance Science, Royal College of Music, London, United Kingdom
- Faculty of Medicine, Imperial College London, London, United Kingdom
| | - Neta Spiro
- Centre for Performance Science, Royal College of Music, London, United Kingdom
- Faculty of Medicine, Imperial College London, London, United Kingdom
| | - Rosie Perkins
- Centre for Performance Science, Royal College of Music, London, United Kingdom
- Faculty of Medicine, Imperial College London, London, United Kingdom
| | - Adele Mason-Bertrand
- Centre for Performance Science, Royal College of Music, London, United Kingdom
- Faculty of Medicine, Imperial College London, London, United Kingdom
| | - Kate Gee
- Centre for Performance Science, Royal College of Music, London, United Kingdom
| | - Aaron Williamon
- Centre for Performance Science, Royal College of Music, London, United Kingdom
- Faculty of Medicine, Imperial College London, London, United Kingdom
| |
Collapse
|
12
|
Tymoszuk U, Perkins R, Spiro N, Williamon A, Fancourt D. Longitudinal Associations Between Short-Term, Repeated, and Sustained Arts Engagement and Well-Being Outcomes in Older Adults. J Gerontol B Psychol Sci Soc Sci 2021; 75:1609-1619. [PMID: 31287550 PMCID: PMC7424284 DOI: 10.1093/geronb/gbz085] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Indexed: 01/07/2023] Open
Abstract
OBJECTIVES This study investigated whether frequency of receptive arts engagement over 10 years contributes to experienced, evaluative, and eudaimonic well-being in older adults. METHODS We used repeated data of 3,188 respondents from Waves 2-7 (2004/2005-2014/2015) of the English Longitudinal Study of Ageing. We examined longitudinal associations between short-term (frequent engagement at one wave), repeated (frequent engagement at 2-3 waves), and sustained (frequent engagement at 4-6 waves) arts engagement and experienced, evaluative and eudaimonic well-being. We fitted linear and logistic regression models adjusted for baseline well-being and a number of sociodemographic, economic, health, and social engagement factors. RESULTS In the fully adjusted models, short-term engagement was not longitudinally associated with well-being, but repeated engagement with the theater/concerts/opera and museums/galleries/exhibitions was associated with enhanced eudaimonic well-being, and sustained engagement with these activities was associated with greater experienced, evaluative, and eudaimonic well-being. DISCUSSION Long-term frequent engagement with certain arts activities is associated with higher levels of happiness, life satisfaction, self-realization, and control/autonomy in older adults. These findings suggest that policies that facilitate older adults' access to arts venues and activities, and support their continued engagement with them, may help to promote happy, fulfilling lives of an increasing segment of the population.
Collapse
Affiliation(s)
- Urszula Tymoszuk
- Centre for Performance Science, Royal College of Music, London.,Faculty of Medicine, Imperial College London, UK
| | - Rosie Perkins
- Centre for Performance Science, Royal College of Music, London.,Faculty of Medicine, Imperial College London, UK
| | - Neta Spiro
- Centre for Performance Science, Royal College of Music, London.,Faculty of Medicine, Imperial College London, UK
| | - Aaron Williamon
- Centre for Performance Science, Royal College of Music, London.,Faculty of Medicine, Imperial College London, UK
| | - Daisy Fancourt
- Department of Behavioural Science and Health, University College London, UK
| |
Collapse
|
13
|
Giebel C, Pulford D, Cooper C, Lord K, Shenton J, Cannon J, Shaw L, Tetlow H, Limbert S, Callaghan S, Whittington R, Rogers C, Komuravelli A, Rajagopal M, Eley R, Downs M, Reilly S, Ward K, Gaughan A, Butchard S, Beresford J, Watkins C, Bennett K, Gabbay M. COVID-19-related social support service closures and mental well-being in older adults and those affected by dementia: a UK longitudinal survey. BMJ Open 2021; 11:e045889. [PMID: 33455941 PMCID: PMC7813330 DOI: 10.1136/bmjopen-2020-045889] [Citation(s) in RCA: 54] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic has had a major impact on delivery of social support services. This might be expected to particularly affect older adults and people living with dementia (PLWD), and to reduce their well-being. AIMS To explore how social support service use by older adults, carers and PLWD, and their mental well-being changed over the first 3 months since the pandemic outbreak. METHODS Unpaid dementia carers, PLWD and older adults took part in a longitudinal online or telephone survey collected between April and May 2020, and at two subsequent timepoints 6 and 12 weeks after baseline. Participants were asked about their social support service usage in a typical week prior to the pandemic (at baseline), and in the past week at each of the three timepoints. They also completed measures of levels of depression, anxiety and mental well-being. RESULTS 377 participants had complete data at all three timepoints. Social support service usage dropped shortly after lockdown measures were imposed at timepoint 1 (T1), to then increase again by T3. The access to paid care was least affected by COVID-19. Cases of anxiety dropped significantly across the study period, while cases of depression rose. Well-being increased significantly for older adults and PLWD from T1 to T3. CONCLUSIONS Access to social support services has been significantly affected by the pandemic, which is starting to recover slowly. With mental well-being differently affected across groups, support needs to be put in place to maintain better well-being across those vulnerable groups during the ongoing pandemic.
Collapse
Affiliation(s)
- Clarissa Giebel
- Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK
- NIHR ARC NWC, Liverpool, UK
| | - Daniel Pulford
- Lancashire Care NHS Foundation Trust, Preston, Lancashire, UK
| | | | - Kathryn Lord
- University of Bradford, Bradford, West Yorkshire, UK
| | | | | | - Lisa Shaw
- Department of Modern Languages and Cultures, University of Liverpool, Liverpool, UK
| | | | | | | | | | | | | | - Manoj Rajagopal
- Lancashire Care NHS Foundation Trust, Preston, Lancashire, UK
| | | | - Murna Downs
- Bradford Dementia Group, University of Bradford, Bradford, UK
| | - Siobhan Reilly
- Division of Health Research, Lancaster University, Lancaster, UK
| | - Kym Ward
- The Brain Charity, Liverpool, UK
| | | | - Sarah Butchard
- Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK
| | | | - Caroline Watkins
- Faculty of Health and Wellbeing, University of Central Lancashire, Preston, UK
| | - Kate Bennett
- Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK
| | - Mark Gabbay
- Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK
- NIHR ARC NWC, Liverpool, UK
| |
Collapse
|
14
|
SANTOS MRD, KRUG MS, BRANDÃO MR, LEON VSD, MARTINOTTO JC, FONSECA JDD, BRASIL AC, MACHADO AG, OLIVEIRA AAD. Effects of musical improvisation as a cognitive and motor intervention for the elderly. ESTUDOS DE PSICOLOGIA (CAMPINAS) 2021. [DOI: 10.1590/1982-0275202138e190132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Music has been debated as a positive factor for the health of elderly people. In a randomized study, the researchers compared an intervention based on percussion and musical improvisation with a choir activity. The objective was to investigate whether improvisation would influence the executive functioning and motor skills of healthy elderly people. A set of instruments for psychological and motor assessment was used before and after the procedure. Differences were found in the performance of the participants of the improvisation group in the Clock Drawing Test suggesting possible gains in executive function. There were gains, regardless of the group, in part A of the Trail Making Test, which indicates a sustained attention. No evidence of motor effects was found in this study. The results suggest that musical activities can contribute to the prevention of cognitive decline caused by aging.
Collapse
|
15
|
Allison TA, Nápoles AM, Johnson JK, Stewart AL, Rodriguez-Salazar M, Peringer J, Sherman S, Ortez-Alfaro J, Villero O, Portacolone E. Multi-cultural perspectives on group singing among diverse older adults. Geriatr Nurs 2020; 41:1006-1012. [PMID: 32778434 PMCID: PMC7738424 DOI: 10.1016/j.gerinurse.2020.07.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 07/17/2020] [Accepted: 07/21/2020] [Indexed: 11/28/2022]
Abstract
Group choir singing has been shown to have health benefits for older adults. However, because most studies have included predominantly white participants, it is unknown whether findings generalize to older adults from more diverse backgrounds. This multi-site qualitative study assessed perceived benefits of group singing for socioeconomically and racially/ethnically diverse older adults. We interviewed 31 choir participants, 6 music professionals and 6 administrators involved in a large, cluster-randomized trial. We used content analysis to identify themes. Psychosocial engagement was most commonly reported, with six components: emotional well-being, self-esteem, self-confidence, social connection and support, decreased loneliness, and cultural identity and multi-cultural appreciation. A few reported cognitive and physical benefits. They also suggest that group singing among ethnically diverse older adults can have multiple psychosocial benefits and enhance a sense of cultural identity and appreciation of other cultures. These findings can help in selecting structured outcome measures for choir interventions.
Collapse
Affiliation(s)
- Theresa A Allison
- Division of Geriatrics, Department of Medicine and Department of Family & Community Medicine, University of California, 4150 Clement Street, Box 181-G, San Francisco, CA 94121, United States.
| | - Anna M Nápoles
- Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, 9000 Rockville Pike, Building 3, Floor 5, Room E08, Bethesda, MD 20892, United States
| | - Julene K Johnson
- Institute for Health & Aging, School of Nursing, University of California San Francisco, 3333 California Street, Suite 340, San Francisco, CA 94118, United States
| | - Anita L Stewart
- Institute for Health & Aging, School of Nursing, University of California San Francisco, 3333 California Street, Suite 340, San Francisco, CA 94118, United States
| | | | - Jennifer Peringer
- San Francisco Community Music Center, 544 Capp Street, San Francisco, CA 94110, United States
| | - Sylvia Sherman
- San Francisco Community Music Center, 544 Capp Street, San Francisco, CA 94110, United States
| | - Jessica Ortez-Alfaro
- Institute for Health & Aging, School of Nursing, University of California San Francisco, 3333 California Street, Suite 340, San Francisco, CA 94118, United States
| | - Ofelia Villero
- Institute for Health & Aging, School of Nursing, University of California San Francisco, 3333 California Street, Suite 340, San Francisco, CA 94118, United States
| | - Elena Portacolone
- Institute for Health & Aging, School of Nursing, University of California San Francisco, 3333 California Street, Suite 340, San Francisco, CA 94118, United States
| |
Collapse
|
16
|
Galinha IC, Farinha M, Lima ML, Palmeira AL. Sing4Health: protocol of a randomized controlled trial of the effects of a singing group intervention on the well-being, cognitive function and health of older adults. BMC Geriatr 2020; 20:354. [PMID: 32948120 PMCID: PMC7501704 DOI: 10.1186/s12877-020-01686-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Accepted: 08/03/2020] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Singing is a multimodal activity that requires physical, cognitive and psychosocial performance, with benefits to various domains of well-being and health in older adults. In recent years, research has increasingly studied group singing as an important cost-effective intervention to promote active and healthy aging. However, the specific factors responsible for these benefits need further experimental support, as most studies do not allow for causal inferences. This study responds to the need for further randomized controlled trials (RCT), with follow-up measurement, on the benefits of group singing in older adults from a low socioeconomic background. Also, while most studies often focus on specific outcome measure dimensions, in this study, the conjoint effect of several physical, psychosocial, psychoemotional and cognitive dimensions are analyzed, testing mediation effects of psychosocial and psychoemotional variables on the well-being and health of the participants. METHODS We implement and measure the effects of a singing group program for older adults, with an RCT crossover design study, in a natural context, before and after the intervention and in a follow-up, 6 months after the intervention. PARTICIPANTS 140 retired older adults (> 60 years) users of a social support institution, will be invited to participate in a singing group program and randomly allocated to an experimental (n = 70) and a control (n = 70) group, which will enroll in the regular activities proposed by the institution. The intervention consists of 34 bi-weekly group singing sessions, of 2 h each, for 4 months. Measures on social and emotional well-being, cognitive function, and health indicators (e.g., blood pressure, glycemia, cholesterol, c-reactive protein, sedimentation rate, respiratory function, body balance, sleep quality, medication intake, and health services attendance) will be collected. Interviews will be conducted on the motivation and perceived benefits of participation. DISCUSSION Significant improvements are expected in the outcome measures in the experimental group after the intervention, validating singing groups as a cost-effective intervention for healthy aging. Psychosocial and psychoemotional variables are expected to be mediators of the effects of the program in the cognitive function, well-being and health of the participants. TRIAL REGISTRATION NCT03985917 . Registered 14th June 2019 (retrospectively registered).
Collapse
Affiliation(s)
- Iolanda Costa Galinha
- Centro de Investigação em Psicologia (CIP), da Universidade Autónoma de Lisboa / Universidade do Algarve, CIS-ISTE-IUL; APPSYCI, Rua de Santa Marta, 47, 3° (Room, 304), 1169-023 Lisbon, Portugal
| | - Manuel Farinha
- Centro de Investigação em Psicologia (CIP), da Universidade Autónoma de Lisboa / Universidade do Algarve from Rua de Santa Marta, 47, 3° (Room, 304), 1169-023 Lisbon, Portugal
| | - Maria Luísa Lima
- ISCTE CIS IUL, Av. das Forças Armadas, ISCTE-IUL building, 2w17 Room, 1649-026 Lisbon, Portugal
| | - António Labisa Palmeira
- Universidade de Lisboa & Universidade Lusófona de Humanidades e Tecnologias, Campo Grande, 376, 1749-024 Lisbon, Portugal
| |
Collapse
|
17
|
Tymoszuk U, Perkins R, Fancourt D, Williamon A. Cross-sectional and longitudinal associations between receptive arts engagement and loneliness among older adults. Soc Psychiatry Psychiatr Epidemiol 2020; 55:891-900. [PMID: 31511928 PMCID: PMC7303087 DOI: 10.1007/s00127-019-01764-0] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Accepted: 08/20/2019] [Indexed: 10/31/2022]
Abstract
PURPOSE Loneliness in older adulthood is a societal and public health challenge warranting identification of sustainable and community-based protective factors. This study investigated whether frequency of receptive arts engagement is associated with lower odds of loneliness in older adults. METHODS We used data of respondents from waves 2 (2004-2005) and 7 (2014-2015) of the English Longitudinal Study of Ageing (ELSA) and examined cross-sectional (n = 6222) and longitudinal (n = 3127) associations between frequency of receptive arts engagement (including visits to the cinema, museums/galleries/exhibitions, theatre/concerts/opera) and odds of loneliness (cut-off ≥ 6 on three-item short form of the Revised UCLA Loneliness Scale). We fitted logistic regression models adjusted for a range of sociodemographic, economic, health and social, community and civic engagement factors. RESULTS Cross-sectionally, we found dose-response negative associations between engagement with all receptive arts activities and odds of loneliness. Prospectively, in the fully-adjusted models we found most robust evidence for the negative association between engagement with museums/galleries/exhibitions and odds of loneliness (OR = 0.68, 95% CI 0.48-0.95) for those who engaged every few months or more often compared with those who never engaged. We found weaker evidence for lower odds of loneliness for more frequent engagement with theatre/concerts/opera. CONCLUSIONS Frequent engagement with certain receptive arts activities and venues, particularly museums, galleries and exhibitions, may be a protective factor against loneliness in older adults. Future research is needed to identify the mechanisms through which this process may occur, leading to better understanding of how arts activities and venues can reduce loneliness among older adults.
Collapse
Affiliation(s)
- Urszula Tymoszuk
- Centre for Performance Science, Royal College of Music, London, UK
- Faculty of Medicine, Imperial College London, London, UK
| | - Rosie Perkins
- Centre for Performance Science, Royal College of Music, London, UK
- Faculty of Medicine, Imperial College London, London, UK
| | - Daisy Fancourt
- Department of Behavioural Science and Health, University College London, London, UK
| | - Aaron Williamon
- Centre for Performance Science, Royal College of Music, London, UK
- Faculty of Medicine, Imperial College London, London, UK
| |
Collapse
|
18
|
Irons JY, Sheffield D, Ballington F, Stewart DE. A systematic review on the effects of group singing on persistent pain in people with long-term health conditions. Eur J Pain 2019; 24:71-90. [PMID: 31549451 PMCID: PMC6972717 DOI: 10.1002/ejp.1485] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Revised: 09/16/2019] [Accepted: 09/19/2019] [Indexed: 01/08/2023]
Abstract
Background and Objectives Singing can have a range of health benefits; this paper reviews the evidence of the effects of group singing for chronic pain in people with long‐term health conditions. Database and Data Treatment We searched for published peer‐reviewed singing studies reporting pain measures (intensity, interference and depression) using major electronic databases (last search date 31 July 2018). After screening 123 full texts, 13 studies met the inclusion criteria: five randomized controlled trials (RCTs), seven non‐RCTs and one qualitative study. Included studies were appraised using Downs and Black and the Critical Appraisals Skills Programme quality assessments. Results Included studies reported differences in the type of singing intervention, long‐term condition and pain measures. Due to the high heterogeneity, we conducted a narrative review. Singing interventions were found to reduce pain intensity in most studies, but there was more equivocal support for reducing pain interference and depression. Additionally, qualitative data synthesis identified three key linked and complementary themes: physical, psychological and social benefits. Conclusion Group singing appears to have the potential to reduce pain intensity, pain interference and depression; however, we conclude that there is only partial support for singing on some pain outcomes based on the limited available evidence of varied quality. Given the positive findings of qualitative studies, this review recommends that practitioners are encouraged to continue this work. More studies of better quality are needed. Future studies should adopt more robust methodology and report their singing intervention in details. Group singing may be an effective and safe approach for reducing persistent pain and depression in people with long‐term health conditions. Significance This systematic review assesses research evidence for the effectiveness of group singing on chronic pain in people with long‐term health conditions. Narrative syntheses revealed that there is partial support for singing effects on some pain outcomes based on the limited available evidence of varied quality. Qualitative data provided additional support of physical, psychological and social benefits. The review highlights implications for practice and future studies.
Collapse
Affiliation(s)
- J Yoon Irons
- Health and Social Care Research Centre, University of Derby, Derby, UK.,Queensland Conservatorium Research Centre, Griffith University, Brisbane, Australia
| | | | | | | |
Collapse
|
19
|
Lindblad K, de Boise S. Musical engagement and subjective wellbeing amongst men in the third age. NORDIC JOURNAL OF MUSIC THERAPY 2019. [DOI: 10.1080/08098131.2019.1646791] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Katarina Lindblad
- School of Music, Theatre and Art - Örebro University, Örebro, Sweden
| | - Sam de Boise
- School of Music, Theatre and Art - Örebro University, Örebro, Sweden
| |
Collapse
|
20
|
Queiroz MRG, Gomes ADOC, Lucena JA. Vocal range profile in elderly women with and without voice symptom. REVISTA CEFAC 2019. [DOI: 10.1590/1982-0216/201921418218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Purpose: to characterize and compare the vocal range profile in elderly women with and without voice symptoms. Methods: a total of 23 elderly women attending an elderly care public service participated in the study. They were divided into groups - with and without voice symptoms, according to the results of the Voice Symptom Scale (VoiSS). All participants were submitted to a vocal range profile analysis, by means of the Vocalgrama software. Appropriate statistical tests were applied, by adopting a significance level lower than 0.05. Results: the values for vocal range profile were 3.74% (±1.56) and 3.62% (±1.95) in the groups with and without symptoms, respectively. There were no differences between the groups in the various parameters of the vocal range profile. Conclusion: in the elderly women studied, the vocal range profile showed to be reduced, regardless of having or not voice symptoms. The importance of the elderly investing in the possibilities of vocal training is highlighted, with emphasis on vocal flexibility, aiming at increasing vocal range in this population.
Collapse
|
21
|
Tan J, Tsakok FHM, Ow EK, Lanskey B, Lim KSD, Goh LG, Tan CH, Cheah IKM, Larbi A, Foo R, Loh M, Wong CKY, Suckling J, Li J, Mahendran R, Kua EH, Feng L. Study Protocol for a Randomized Controlled Trial of Choral Singing Intervention to Prevent Cognitive Decline in At-Risk Older Adults Living in the Community. Front Aging Neurosci 2018; 10:195. [PMID: 30042673 PMCID: PMC6048740 DOI: 10.3389/fnagi.2018.00195] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Accepted: 06/11/2018] [Indexed: 12/18/2022] Open
Abstract
Introduction: This study is a parallel-arm randomized controlled trial evaluating choral singing’s efficacy and underlying mechanisms in preventing cognitive decline in at-risk older participants. Methods: Three-hundred and sixty community-dwelling, non-demented older participants are recruited for a 2-year intervention. Inclusion criteria are self-reported cognitive complaints, early cognitive impairment based on neuropsychological test scores or multiple risk factors of dementia. Participants are randomized to either weekly choral singing sessions or general health education. The primary outcome is cognitive performance, measured by a composite cognitive test score (CCTS). Secondary outcomes include depression, anxiety and neuropsychiatric symptoms; perceived stress; sleep quality and severity of dementia symptoms. Underlying mechanisms are examined using blood- and urine-based biomarkers and neuroimaging. Results: Screening began in July 2016. The first group of participants (n = 93) have been recruited. Intervention and control treatments are ongoing and will end in December 2019. Discussion: An evidence-based singing intervention for dementia prevention holds potential for healthcare savings and societal welfare. Trial Registration: NCT02919748, IRB Approval Number: NUS 2508.
Collapse
Affiliation(s)
- Jasmine Tan
- Department of Psychology, Goldsmiths, University of London, London, United Kingdom
| | | | - Elisabeth K Ow
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Bernard Lanskey
- Yong Siew Toh Conservatory of Music, National University of Singapore, Singapore, Singapore
| | | | - Lee Gan Goh
- Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Chay-Hoon Tan
- Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Irwin Kee-Mun Cheah
- Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Anis Larbi
- Singapore Immunology Network (SIgN), Agency for Science, Technology and Research (ASTAR), Singapore, Singapore
| | - Roger Foo
- Genome Institue of Singapore (GIS), Agency for Science, Technology and Research (ASTAR), Singapore, Singapore
| | - Marie Loh
- Translational Laboratory in Genetic Medicine, Agency for Science, Technology and Research (ASTAR), Singapore, Singapore
| | | | - John Suckling
- Department of Psychiatry, University of Cambridge and Cambridge and Peterborough NHS Foundation Trust, Cambridge, United Kingdom
| | - Jialiang Li
- Department of Statistics & Applied Probability, Faculty of Science, National University of Singapore, Singapore, Singapore
| | - Rathi Mahendran
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Ee-Heok Kua
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Lei Feng
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| |
Collapse
|
22
|
Skingley A, Ross L. Effects of singing groups on staff well-being: a feasibility study. Nurs Stand 2018; 33:58-63. [PMID: 29808970 DOI: 10.7748/ns.2018.e11024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/30/2018] [Indexed: 11/09/2022]
Abstract
AIMS To determine the feasibility of recruiting and retaining staff 'singing for well-being' groups over three months and the acceptability of the proposed intervention and data collection methods, and to explore the potential effects of singing groups on staff well-being. METHOD This was a feasibility study that used a two-group wait-list crossover design. Standardised measures of well-being, engagement, burnout and organisational commitment were used, alongside participant feedback. Questionnaires were given to participants at baseline, three months and six months, with the mean group scores for the measures used calculated at each point. FINDINGS Participant recruitment did not meet the target set, and only half of the participants returned pre-intervention and post-intervention questionnaires. Acceptability of the programme was high and, despite limited data, positive effects emerged in relation to emotional and work-related well-being. Participant comments about the singing programme and facilitator were universally favourable. CONCLUSION This feasibility study suggests there may be several benefits of staff singing groups, in terms of improving the well-being of participants. However, proceeding to a full research trial would require additional time and resources to maximise recruitment.
Collapse
Affiliation(s)
- Ann Skingley
- Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University, Canterbury, England
| | - Louise Ross
- Queen Elizabeth the Queen Mother Hospital, East Kent Hospitals University NHS Foundation Trust, Kent, England
| |
Collapse
|
23
|
Stegemöller EL, Hurt TR, O'Connor MC, Camp RD, Green CW, Pattee JC, Williams EK. Experiences of Persons With Parkinson's Disease Engaged in Group Therapeutic Singing. J Music Ther 2018; 54:405-431. [PMID: 29182746 DOI: 10.1093/jmt/thx012] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2017] [Accepted: 11/13/2017] [Indexed: 11/12/2022]
Abstract
Background Parkinson's disease (PD) is a progressive neurodegenerative disorder that leads to altered neural control of movement, including the control of voice, respiration, and swallowing. There is a prevalent need to provide therapy for voice, respiration, and swallowing difficulties because current pharmacological and surgical treatments do not effectively treat these impairments. Previous research has demonstrated that singing may be a treatment option to target voice, respiratory, and swallowing impairments, as well as quality of life. However, participants' perspectives related to reasons for enrolling and engaging in programs as well as evaluation of singing programs have been neglected. Objective The purpose of this descriptive study was thus to solicit participants' views of their involvement in a group singing intervention (GSI) led by credentialed music therapists. Methods Twenty persons with PD were interviewed 4 to 6 months after completing the singing intervention. Participants were asked about 1) why they chose to participate, 2) what were the beneficial and non-beneficial aspects of participating, and 3) how to improve overall design and delivery of the GSI. Results Using content analysis procedures, we learned that participants regarded their involvement in the study as mutually beneficial, fun, and engaging. Participants appreciated the fellowship with other persons with PD and offered minimal constructive criticism. Conclusions This study provided greater insight into how a therapeutic singing program may benefit participants and positively impact their lives.
Collapse
|
24
|
Särkämö T. Music for the ageing brain: Cognitive, emotional, social, and neural benefits of musical leisure activities in stroke and dementia. DEMENTIA 2017; 17:670-685. [DOI: 10.1177/1471301217729237] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Music engages an extensive network of auditory, cognitive, motor, and emotional processing regions in the brain. Coupled with the fact that the emotional and cognitive impact of music is often well preserved in ageing and dementia, music is a powerful tool in the care and rehabilitation of many ageing-related neurological diseases. In addition to formal music therapy, there has been a growing interest in self- or caregiver-implemented musical leisure activities or hobbies as a widely applicable means to support psychological wellbeing in ageing and in neurological rehabilitation. This article reviews the currently existing evidence on the cognitive, emotional, and neural benefits of musical leisure activities in normal ageing as well as in the rehabilitation and care of two of the most common and ageing-related neurological diseases: stroke and dementia.
Collapse
|
25
|
Särkämö T. Cognitive, emotional, and neural benefits of musical leisure activities in aging and neurological rehabilitation: A critical review. Ann Phys Rehabil Med 2017; 61:414-418. [PMID: 28461128 DOI: 10.1016/j.rehab.2017.03.006] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2016] [Revised: 03/01/2017] [Accepted: 03/22/2017] [Indexed: 12/17/2022]
Abstract
Music has the capacity to engage auditory, cognitive, motor, and emotional functions across cortical and subcortical brain regions and is relatively preserved in aging and dementia. Thus, music is a promising tool in the rehabilitation of aging-related neurological illnesses, such as stroke and Alzheimer disease. As the population ages and the incidence and prevalence of these illnesses rapidly increases, music-based interventions that are enjoyable and effective in the everyday care of the patients are needed. In addition to formal music therapy, musical leisure activities, such as music listening and singing, which patients can do on their own or with a caregiver, are a promising way to support psychological well-being during aging and in neurological rehabilitation. This review article provides an overview of current evidence on the cognitive, emotional, and neural effects of musical leisure activities both during normal aging and in the rehabilitation and care of stroke patients and people with dementia.
Collapse
Affiliation(s)
- Teppo Särkämö
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Siltavuorenpenger 1B, PO Box 9, 00014 Helsinki, Finland.
| |
Collapse
|
26
|
Stickley T, Parr H, Atkinson S, Daykin N, Clift S, De Nora T, Hacking S, Camic PM, Joss T, White M, Hogan SJ. Arts, health & wellbeing: reflections on a national seminar series and building a UK research network. Arts Health 2017; 9:14-25. [PMID: 28163778 PMCID: PMC5215041 DOI: 10.1080/17533015.2016.1166142] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2016] [Accepted: 03/10/2016] [Indexed: 12/03/2022]
Abstract
An account is provided of a UK national seminar series on Arts, Health and Wellbeing funded by the Economic and Social Research Council during 2012–13. Four seminars were organised addressing current issues and challenges facing the field. Details of the programme and its outputs are available online. A central concern of the seminar programme was to provide a foundation for creating a UK national network for researchers in the field to help promote evidence-based policy and practice. With funding from Lankelly Chase Foundation, and the support of the Royal Society for Public Health, a Special interest Group for Arts, Health and Wellbeing was launched in 2015.
Collapse
Affiliation(s)
- Theo Stickley
- Faculty of Medicine & Health Sciences, University of Nottingham , Nottingham , UK
| | - Hester Parr
- School of Geographical and Earth Sciences, University of Glasgow , Glasgow , UK
| | - Sarah Atkinson
- Department of Geography, Durham University , Durham , UK
| | - Norma Daykin
- Centre for Arts as Wellbeing, University of Winchester , Winchester , UK
| | - Stephen Clift
- Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University , Folkestone , UK
| | - Tia De Nora
- SocArts Research Group, University of Exeter , Exeter , UK
| | - Sue Hacking
- School of Nursing and Caring Sciences, University of Central Lancashire , Preston , UK
| | - Paul M Camic
- Applied Psychology, Canterbury Christ Church University , Tunbridge Wells , UK
| | | | - Mike White
- Centre for Medical Humanities, Durham University , Durham , UK
| | - Susan J Hogan
- College of Health and Social Care, University of Derby , Derby , UK
| |
Collapse
|