钢琴训练增强老年人的执行功能和心理社会结局:一项随机对照试验的结果。

Jennifer A Bugos, Yan Wang
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引用次数: 4

摘要

目的:初步证据表明,钢琴训练可以增强老年人的执行功能和社会心理结果。然而,对于特定的认知结果的影响以及增强是否可持续,我们知之甚少。我们进行了一项随机对照试验,以评估钢琴训练对老年人认知能力、心理社会健康、生理压力和免疫功能的影响。方法:老年人(N = 155, 60-80岁)完成了最初的3小时标准化认知和心理社会测量评估。参与者被随机分配到三组中的一组:钢琴训练组、计算机辅助认知训练组和无治疗对照组。训练组完成了为期16周的训练计划,每周2次,每次90分钟。所有参与者在测试前、测试后和3个月的随访时间点完成了一系列标准的执行功能(工作记忆、处理速度、语言流畅性)、社会心理测量(音乐和一般自我效能、情绪)和生理测量(皮质醇和免疫功能)。结果:与对照组相比,钢琴训练和计算机辅助认知训练增强了工作记忆和处理速度。与计算机辅助认知训练和无治疗对照相比,钢琴训练显著提高了类别转换的语言流畅性技能。钢琴训练的参与者在训练后表现出一般自我效能和音乐自我效能的增强;然而,在生理指标上没有发现显著差异。讨论:与计算机辅助认知训练和无治疗控制相比,钢琴训练在类别转换方面具有独特的优势。音乐训练项目可以减轻或预防语言技能方面的认知缺陷。临床试验注册:NCT02564601。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Piano Training Enhances Executive Functions and Psychosocial Outcomes in Aging: Results of a Randomized Controlled Trial.

Objectives: Preliminary evidence suggests that piano training may enhance areas of executive functions and psychosocial outcomes in aging adults. However, little is known regarding specific cognitive outcomes affected and whether or not enhancements are sustainable. We conducted a randomized controlled trial to evaluate the effects of piano training on cognitive performance, psychosocial well-being, and physiological stress and immune function in older adults.

Methods: Older adults (N = 155, 60-80 years) completed an initial 3-h assessment of standardized cognitive and psychosocial measures. Participants were randomly assigned to one of the 3 groups: piano training, computer-assisted cognitive training, or a no-treatment control group. Training groups completed a 16-week program with 2 group training sessions per week for 90 min each session. All participants completed a standard battery of executive functions (working memory, processing speed, verbal fluency), psychosocial measures (musical and general self-efficacy, mood), and physiological measures (cortisol and immune function) at pretesting, posttesting, and at a 3-month follow-up time point.

Results: The results showed that piano training and computer-assisted cognitive training enhanced working memory and processing speed as compared to controls. Piano training significantly increased verbal fluency skills in category switching, as compared to computer-assisted cognitive training and no-treatment controls. Participants in piano training demonstrated enhanced general and musical self-efficacy posttraining; however, no significant differences were found for physiological measures.

Discussion: Piano training resulted in a unique advantage in category switching as compared to computer-assisted cognitive training and no-treatment controls. Music training programs may mitigate or prevent cognitive deficits in verbal skills.

Clinical trial registration: NCT02564601.

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