全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Efficacy of Music Therapy in Treatment for the Patients with Alzheimer’s Disease

DOI: 10.1155/2012/531646

Full-Text   Cite this paper   Add to My Lib

Abstract:

We report that music therapy is effective in the treatment of Alzheimer’s disease. We found that the secretion of 17 -estradiol and testosterone, hormones that are supposed to have preventive effects on Alzheimer’s disease, is significantly increased by music therapy. During the sessions, patients with Alzheimer’s disease were allowed to listen to music and songs with verbal contact from the therapist. It was found that problematic behaviors such as poriomania (fugue) had decreased. Music therapy has the potential as an alternative treatment for adverse hormone replacement therapy. 1. Introduction In both sexes, sex hormone levels decrease with aging. These reductions have been correlated to various symptoms in the elderly including diminished cognitive function, disturbance of memory, mind and mood, depression, and climacteric disturbance [1]. In an attempt to mitigate these symptoms, hormone replacement therapies are administered, for example, estrogen in females and androgen in males [2–4] and females [5, 6]. Even within the elderly population, sex hormone levels are lower in Alzheimer patients than in healthy counterparts [4, 7]. In Alzheimer’s disease, the aging-related reductions in sex hormones, especially estrogen, represent a critical risk factor [8–10]. This is because estrogen protects the nerves and acts to control cell proliferation. Moreover, estrogen decreases the β amyloid peptide content in the neurons which is a typical pathologic finding in Alzheimer’s disease [11, 12] and protects the body from neurotoxicity from β peptide [13, 14]. Estrogen has also shown to suppress the increase and deposition of β-amyloid and to prevent nerve cell damage [12, 15, 16]. In addition to these effects on amyloid metabolism, estrogen improves cognitive function and delays the onset of dementia by increasing cholinergic activity in the brain, stimulating axonal budding and dendrite formation and retarding cerebral arteriosclerosis [9]. Hence, estrogen replacement therapy has been recommended as a prophylaxis of Alzheimer’s disease in particular for the elderly female patients with decreased estrogen levels [8, 17]. In actual clinical settings, estrogen is used to treat postmenopausal women with Alzheimer’s disease and has shown its effect to improve their verbal memory and attention remarkably [18–20]. It has also shown that the onset of dementia is delayed significantly in elderly women who had been receiving estrogen for long periods than those who had not [21–23]. Another report shows that the incidence of Alzheimer’s disease was significantly lower

References

[1]  J. M. Daniel, “Estrogens, estrogen receptors, and female cognitive aging: the impact of timing,” Hormones and Behavior. In press.
[2]  H. Sternbach, “Age-associated testosterone decline in men: clinical issues for psychiatry,” American Journal of Psychiatry, vol. 155, no. 10, pp. 1310–1318, 1998.
[3]  S. W. J. Lamberts, A. W. Van Den Beld, and A. J. Van Der Lely, “The endocrinology of aging,” Science, vol. 278, no. 5337, pp. 419–424, 1997.
[4]  J. Holland, S. Bandelow, and E. Hogervorst, “Testosterone levels and cognition in elderly men: a review,” Maturitas, vol. 69, no. 4, pp. 322–327, 2011.
[5]  S. Rako, “Testosterone deficiency: a key factor in the increased cardiovascular risk to women following hysterectomy or with natural aging?” Journal of Women's Health, vol. 7, no. 7, pp. 825–829, 1998.
[6]  E. Hogervorst, C. De Jager, M. Budge, and A. D. Smith, “Serum levels of estradiol and testosterone and performance in different cognitive domains in healthy elderly men and women,” Psychoneuroendocrinology, vol. 29, no. 3, pp. 405–421, 2004.
[7]  R. S. Vest and C. J. Pike, “Gender, sex steroid hormones, and Alzheimer's disease,” Hormones and Behavior. In press.
[8]  J. Hammond, Q. Le, C. Goodyer, M. Gelfand, M. Trifiro, and A. LeBlanc, “Testosterone-mediated neuroprotection through the androgen receptor in human primary neurons,” Journal of Neurochemistry, vol. 77, no. 5, pp. 1319–1326, 2001.
[9]  J. J. Manly, C. A. Merchant, D. M. Jacobs et al., “Endogenous estrogen levels and Alzheimer's disease among postmenopausal women,” Neurology, vol. 54, no. 4, pp. 833–837, 2000.
[10]  A. M. Barron and C. J. Pike, “Sex hormones, aging, and Alzheimer's disease,” Frontiers in Bioscience (Elite Edition), vol. 4, pp. 976–997, 2012.
[11]  H. Xu, G. K. Gouras, J. P. Greenfield et al., “Estrogen reduces neuronal generation of Alzheimer β-amyloid peptides,” Nature Medicine, vol. 4, no. 4, pp. 447–451, 1998.
[12]  L. Mateos, T. Persson, S. Katoozi, et al., “Estrogen protects against amyloid-β toxicity by estrogenreceptor α-mediated inhibition of Daxx translocation,” Neuroscience Letters, vol. 506, no. 2, pp. 245–250, 2012.
[13]  C. Behl, T. Skutella, F. Lezoualc'h et al., “Neuroprotection against oxidative stress by estrogens: Structure- activity relationship,” Molecular Pharmacology, vol. 51, no. 4, pp. 535–541, 1997.
[14]  Y. Goodman and M. P. Mattson, “Ceramide protects hippocampal neurons against excitotoxic and oxidative insults, and amyloid β-peptide toxicity,” Journal of Neurochemistry, vol. 66, no. 2, pp. 869–872, 1996.
[15]  S. Gandy, O. P. Almeida, J. Fonte et al., “Chemical andropause and amyloid-β peptide,” Journal of the American Medical Association, vol. 285, no. 17, pp. 2195–2196, 2001.
[16]  V. Kumar, U. N. B. Durai, and T. Jobe, “Pharmacologic management of Alzheimer's disease,” Clinics in Geriatric Medicine, vol. 14, no. 1, pp. 129–146, 1998.
[17]  A. Markou, T. Duka, and G. M. Prelevic, “Estrogens and brain function,” Hormones (Athens, Greece), vol. 4, no. 1, pp. 9–17, 2005.
[18]  S. Asthana, L. D. Baker, S. Craft et al., “High-dose estradiol improves cognition for women with ad results of a randomized study,” Neurology, vol. 57, no. 4, pp. 605–612, 2001.
[19]  I. Wickelgren, “Estrogen stakes claim to cognition,” Science, vol. 276, no. 5313, pp. 675–678, 1997.
[20]  D. H. S. Silverman, C. L. Geist, H. A. Kenna et al., “Differences in regional brain metabolism associated with specific formulations of hormone therapy in postmenopausal women at risk for AD,” Psychoneuroendocrinology, vol. 36, no. 4, pp. 502–513, 2011.
[21]  M. X. Tang, D. Jacobs, Y. Stern et al., “Effect of oestrogen during menopause on risk and age at onset of Alzheimer's disease,” Lancet, vol. 348, no. 9025, pp. 429–432, 1996.
[22]  A. Paganini-Hill and V. W. Henderson, “Estrogen replacement therapy and risk of Alzheimer disease,” Archives of Internal Medicine, vol. 156, no. 19, pp. 2213–2217, 1996.
[23]  H. M. Fillit, “The role of hormone replacement therapy in the prevention of Alzheimer disease,” Archives of Internal Medicine, vol. 162, no. 17, pp. 1934–1942, 2002.
[24]  S. A. Shumaker, B. A. Reboussin, M. A. Espeland et al., “The Women's Health Initiative Memory Study (WHIMS): a trial of the effect of estrogen therapy in preventing and slowing the progression of dementia,” Controlled Clinical Trials, vol. 19, no. 6, pp. 604–621, 1998.
[25]  G. K. Gouras, H. Xu, R. S. Gross et al., “Testosterone reduces neuronal secretion of Alzheimer's β-amyloid peptides,” Proceedings of the National Academy of Sciences of the United States of America, vol. 97, no. 3, pp. 1202–1205, 2000.
[26]  E. R. Rosario, J. Carroll, and C. J. Pike, “Testosterone regulation of Alzheimer-like neuropathology in male 3xTg-AD mice involves both estrogen and androgen pathways,” Brain Research, vol. 1359, pp. 281–290, 2010.
[27]  K. Yaffe, L. Y. Lui, J. Zmuda, and J. Cauley, “Sex hormones and cognitive function in older men,” Journal of the American Geriatrics Society, vol. 50, no. 4, pp. 707–712, 2002.
[28]  M. Hassler, “Creative musical behavior and sex hormones: musical talent and spatial ability in the two sexes,” Psychoneuroendocrinology, vol. 17, no. 1, pp. 55–70, 1992.
[29]  H. Fukui, “Music and testosterone: a new hypothesis for the origin and function of music,” Annals of the New York Academy of Sciences, vol. 930, pp. 448–451, 2001.
[30]  H. Fukui and M. Yamashita, “The effects of music and visual stress on testosterone and cortisol in men and women,” Neuroendocrinology Letters, vol. 24, no. 3-4, pp. 173–180, 2003.
[31]  H. Fukui and K. Toyoshima, “Music facilitate the neurogenesis, regeneration and repair of neurons,” Medical Hypotheses, vol. 71, no. 5, pp. 765–769, 2008.
[32]  M. Hassler and N. Birbaumer, “Musical talent and spatial ability,” Archiv fur Psychologie, vol. 136, no. 3, pp. 235–248, 1984.
[33]  M. Hassler, “Creative musical behavior and sex hormones: musical talent and spatial ability in the two sexes,” Psychoneuroendocrinology, vol. 17, no. 1, pp. 55–70, 1992.
[34]  G. C. Cupchik, K. Phillips, and D. S. Hill, “Shared processes in spatial rotation and musical permutation,” Brain and Cognition, vol. 46, no. 3, pp. 373–382, 2001.
[35]  M. Hassler, “Testosterone and artistic talents,” International Journal of Neuroscience, vol. 56, no. 1–4, pp. 25–38, 1991.
[36]  M. Hassler, D. Gupta, and H. Wollmann, “Testosterone, estradiol, ACTH and musical, spatial and verbal performance,” International Journal of Neuroscience, vol. 65, no. 1–4, pp. 45–60, 1992.
[37]  S. D. VanderArk and D. Ely, “Cortisol, biochemical, and galvanic skin responses to music stimuli of different preference values by college students in biology and music,” Perceptual and Motor Skills, vol. 77, no. 1, pp. 227–234, 1993.
[38]  G. Kreutz, S. Bongard, S. Rohrmann, V. Hodapp, and D. Grebe, “Effects of choir singing or listening on secretory immunoglobulin A, cortisol, and emotional state,” Journal of Behavioral Medicine, vol. 27, no. 6, pp. 623–635, 2004.
[39]  S. Khalfa, S. Dalla Bella, M. Roy, I. Peretz, and S. J. Lupien, “Effects of relaxing music on salivary cortisol level after psychological stress,” Annals of the New York Academy of Sciences, vol. 999, pp. 374–376, 2003.
[40]  U. M. Nater, E. Abbruzzese, M. Krebs, and U. Ehlert, “Sex differences in emotional and psychophysiological responses to musical stimuli,” International Journal of Psychophysiology, vol. 62, no. 2, pp. 300–308, 2006.
[41]  H. Fukui, “Music and testosterone: a new hypothesis for the origin and function of music,” Annals of the New York Academy of Sciences, vol. 930, pp. 448–451, 2001.
[42]  H. Fukui and M. Yamashita, “The effects of music and visual stress on testosterone and cortisol in men and women,” Neuroendocrinology Letters, vol. 24, no. 3-4, pp. 173–180, 2003.
[43]  H. Fukui, K. Toyoshima, K. Kuda, et al., “The effect of music to sex hormones of elderly person,” Neuroscience Research Supplements, vol. 55, p. S58, 2006.
[44]  T. S?rk?m?, M. Tervaniemi, S. Laitinen et al., “Music listening enhances cognitive recovery and mood after middle cerebral artery stroke,” Brain, vol. 131, no. 3, pp. 866–876, 2008.
[45]  L. A. Gerdner, “Effects of individualized versus classical 'relaxation' music on the frequency of agitation in elderly persons with Alzheimer's disease and related disorders,” International Psychogeriatrics, vol. 12, no. 1, pp. 49–65, 2000.
[46]  S. B. Hanser and L. W. Thompson, “Effects of a music therapy strategy on depressed older adults,” Journals of Gerontology, vol. 49, no. 6, pp. P265–P269, 1994.
[47]  T. R. Lord and J. E. Garner, “Effects of music on Alzheimer patients,” Perceptual and Motor Skills, vol. 76, no. 2, pp. 451–455, 1993.
[48]  R. W. Groene, “Effectiveness of music therapy 1?:?1 intervention with individuals having senile dementia of the Alzheimer's type,” Journal of Music Therapy, vol. 30, no. 3, pp. 138–157, 1993.
[49]  M. Barinaga, “Alzheimer's treatments that work now,” Science, vol. 282, no. 5391, pp. 1030–1032, 1998.
[50]  A. M. Kumar, F. Tims, D. G. Cruess et al., “Music therapy increases serum melatonin levels in patients with Alzheimer's disease,” Alternative Therapies in Health and Medicine, vol. 5, no. 6, pp. 49–57, 1999.
[51]  A. M. Cevasco, “Effects of the therapist's nonverbal behavior on participation and affect of individuals with alzheimer's disease during group music therapy sessions,” Journal of Music Therapy, vol. 47, no. 3, pp. 282–299, 2010.
[52]  H. B. Svansdottir and J. Snaedal, “Music therapy in moderate and severe dementia of Alzheimer's type: a case-control study,” International Psychogeriatrics, vol. 18, no. 4, pp. 613–621, 2006.
[53]  J. Cohen-Mansfield and P. Werner, “Management of verbally disruptive behaviors in nursing home residents,” Journals of Gerontology A, vol. 52, no. 6, pp. M369–M377, 1997.
[54]  M. Enserink, “The vanishing promises of hormone replacement,” Science, vol. 297, no. 5580, pp. 325–326, 2002.
[55]  N. Nigro and M. Christ-Crain, “Testosterone treatment in the aging male: myth or reality?” Swiss Medical Weekly, p. 142, 2012.
[56]  J. Compton, T. Van Amelsvoort, and D. Murphy, “Mood, cognition and Alzheimer's disease,” Best Practice and Research: Clinical Obstetrics and Gynaecology, vol. 16, no. 3, pp. 357–370, 2002.
[57]  J. C. M. Brust, “Music and the neurologist: a historical perspective,” Annals of the New York Academy of Sciences, vol. 930, pp. 143–152, 2001.

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133

WeChat 1538708413