How Music Intervention Lowered Participants’ Morning Cortisol—Qualitative Case Stories  

作　　者：Töres Theorell Gabriella Engstrom Azita Emami Töres Theorell;Gabriella Engstrom;Azita Emami(Division of Global Health, Karolinska Institutet, Stockholm, Sweden;Stress Research Institute, Department of Psychology, Stockholm University, Stockholm, Sweden;School of Health and Welfare, Dalarna University, Falun, Sweden;Division of Occupational Therapy, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Stockholm, Sweden;Yale School of Nursing, Yale University, New Haven, CT, USA)

机构地区：[1]Division of Global Health, Karolinska Institutet, Stockholm, Sweden [2]Stress Research Institute, Department of Psychology, Stockholm University, Stockholm, Sweden [3]School of Health and Welfare, Dalarna University, Falun, Sweden [4]Division of Occupational Therapy, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Stockholm, Sweden [5]Yale School of Nursing, Yale University, New Haven, CT, USA

出　　处：《Case Reports in Clinical Medicine》2024年第6期193-206,共14页临床医学病理报告（英文）

摘　　要：Non-pharmacological interventions for improved home care of persons with dementia and their family caregiver are and will be increasingly important for society. A music intervention study was performed on persons with persons with dementia and family caregiver. The persons with dementia and family caregiver were instructed to choose a daily routine for joint listening to recorded music. They selected the music they were interested in from a menu. The intervention period lasted for two months. Both persons with dementia and family caregiver provided daily saliva samples for the assessment of stress-related steroid hormones. In previous reports we have reported that the morning cortisol levels decreased significantly among the family caregiver when the intervention group was compared to a control group. In the present study we report narratives from four dyads, two of whom with beneficial effects of the music intervention, one dyad with no clear beneficial effects and one dyad with mixed results. The narratives illustrate the strong cohesive effect that the joint music listening could have, leading to improved social functioning paralleled by decreased morning cortisol levels particularly in the family caregiver. The narratives also illustrate reasons for failed effects.Non-pharmacological interventions for improved home care of persons with dementia and their family caregiver are and will be increasingly important for society. A music intervention study was performed on persons with persons with dementia and family caregiver. The persons with dementia and family caregiver were instructed to choose a daily routine for joint listening to recorded music. They selected the music they were interested in from a menu. The intervention period lasted for two months. Both persons with dementia and family caregiver provided daily saliva samples for the assessment of stress-related steroid hormones. In previous reports we have reported that the morning cortisol levels decreased significantly among the family caregiver when the intervention group was compared to a control group. In the present study we report narratives from four dyads, two of whom with beneficial effects of the music intervention, one dyad with no clear beneficial effects and one dyad with mixed results. The narratives illustrate the strong cohesive effect that the joint music listening could have, leading to improved social functioning paralleled by decreased morning cortisol levels particularly in the family caregiver. The narratives also illustrate reasons for failed effects.

关 键 词：DEMENTIA Family Caregivers Music Stress Saliva Morning Cortisol 

分 类 号：R74[医药卫生—神经病学与精神病学]