Valutazione tramite studio di un caso di gruppo di terapia della reminiscenza, assistita da musica dal vivo, per persone con lieve decadimento cognitivo e demenza lieve tra i cinesi malesi

Autori

  • Yong Jia Lim Faculty of Communication and Creative Industries, Tunku Abdul Rahman University of Management and Technology, Kuala Lumpur, Malaysia.
  • Justine Jian Ai Thong Department of Psychology, Monash University Malaysia, Selangor, Malaysia. Department of Psychology, Faculty of Behavioural Sciences, HELP University, Selangor, Malaysia.
  • Shu Yi Chung Department of Psychology, Faculty of Behavioural Sciences, HELP University, Selangor, Malaysia.
  • Zi Bin Teoh Department of Psychology, Faculty of Behavioural Sciences, HELP University, Selangor, Malaysia.
  • Xin Yi Lee Department of Psychology, Faculty of Behavioural Sciences, HELP University, Selangor, Malaysia.
  • Yoong Yiin Choy Department of Psychology, Faculty of Behavioural Sciences, HELP University, Selangor, Malaysia.
  • Alwin Ru Kiet Wong Department of Educational Studies and Behavioural Sciences, Faculty of Educational Sciences and Technology, Universiti Teknologi Malaysia, Johor Bahru, Malaysia.
  • Shean Yih Soh Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.
  • Jane Tze Yn Lim Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
  • Norfazilah Ahmad Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
  • Donald Hong Huang Yeo Department of Psychology, Faculty of Arts & Social Science, National University of Singapore, Singapore, Singapore.
  • Kah Hui Yap Department of Psychological Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

DOI:

https://doi.org/10.47513/mmd.v18i3.1088

Parole chiave:

Alzheimer's, dementia, music, reminiscence therapy, social prescribing

Abstract

La Malesia, con la sua popolazione multietnica in rapido invecchiamento, avverte una crescente necessità di servizi di assistenza per la demenza, culturalmente adeguati. Questo studio ha esaminato la fattibilità di un gruppo di terapia della reminiscenza, assistita da musica dal vivo — basato su musica cinese culturalmente significativa del periodo compreso tra gli anni '40 e gli anni '80 — rivolto a tre diadi cinesi-malesi composte da persone con lieve decadimento cognitivo (lieve compromissione cognitiva e demenza lieve) e dai loro caregiver. L'intervento ha previsto un'unica seduta di 60 minuti eseguita da un quartetto di clarinetti, composto da professionisti. I dati sono stati raccolti al momento del reclutamento (baseline) e a distanza di una e quattro settimane dal termine del programma. Le misure di esito hanno incluso il *Neuropsychiatric Inventory Questionnaire*, la *Zarit Burden Interview-Short* e il *Gain in Alzheimer Care Instrument*, utilizzati rispettivamente per valutare i sintomi neuropsichiatrici, il carico del caregiver e i benefici percepiti nell'attività di assistenza. I dati quantitativi sono stati analizzati utilizzando indici di cambiamento affidabile, mentre i dati qualitativi provenienti da interviste semistrutturate sono stati esaminati mediante analisi tematica induttiva. Due diadi hanno riportato un miglioramento dei sintomi neuropsichiatrici, mentre una diade ha segnalato una riduzione del carico del caregiver e un'altra un incremento dei benefici percepiti nell'assistenza. Sono emersi quattro temi relativi all'impatto del programma: (1) miglioramento dell'umore e ricordi felici, (2) miglioramento della qualità della vita, (3) considerazioni culturali e (4) modifiche alla struttura del programma. Questo studio getta le basi per l'implementazione di gruppi di terapia della reminiscenza assistita da musica dal vivo in Malesia e indica prospettive per la ricerca futura.

Parole chiave: compromissione cognitiva, demenza, musica, terapia della reminiscenza, prescrizione sociale

Biografie autore

Yong Jia Lim, Faculty of Communication and Creative Industries, Tunku Abdul Rahman University of Management and Technology, Kuala Lumpur, Malaysia.

Yong Jia Lim is a clarinettist, performer-researcher, and Lecturer in Music at Tunku Abdul Rahman University of Management and Technology. His research primarily focuses on practice-led music performance research and historically informed performance practice, while also contributing to interdisciplinary research on music interventions and reminiscence studies.

Justine Jian Ai Thong, Department of Psychology, Monash University Malaysia, Selangor, Malaysia. Department of Psychology, Faculty of Behavioural Sciences, HELP University, Selangor, Malaysia.

Justine Jian Ai Thong is a Senior Lecturer and Clinical Psychologist at Monash University Malaysia. Her research focuses on the intersections of culture, religion, and indigenous psychology, with an emphasis on their applications to mental health and psychological well-being across diverse populations.

Shu Yi Chung, Department of Psychology, Faculty of Behavioural Sciences, HELP University, Selangor, Malaysia.

Shu Yi Chung holds a Bachelor of Science (Honours) in Psychology from the Department of Psychology at HELP University, Kuala Lumpur, Malaysia. She is currently pursuing a Master's degree in Cognitive Science at the University of Trento, Italy. Her research interests lie in cognitive neuroscience, with a particular focus on motor cognition.

Zi Bin Teoh, Department of Psychology, Faculty of Behavioural Sciences, HELP University, Selangor, Malaysia.

Zi Bin Teoh is a PhD student in Psychology at Sunway University. She holds a Bachelor's degree in Psychology from HELP University. Her research interests focus on infant development, particularly the role of early social interactions in shaping later developmental outcomes.

Xin Yi Lee, Department of Psychology, Faculty of Behavioural Sciences, HELP University, Selangor, Malaysia.

Xin Yi Lee holds a Bachelor's degree in Psychology from HELP University and is currently pursuing a Master's degree in Clinical Psychology at Universiti Kebangsaan Malaysia. Her research interests focus on psychological interventions to promote mental well-being and youth mental health

Yoong Yiin Choy, Department of Psychology, Faculty of Behavioural Sciences, HELP University, Selangor, Malaysia.

Yoong Yiin Choy is currently pursuing a Master's degree in Clinical Psychology at HELP University, Malaysia. She holds a Bachelor's degree in Psychology from HELP University. Her research interests focus on self-compassion and psychological well-being.

Alwin Ru Kiet Wong, Department of Educational Studies and Behavioural Sciences, Faculty of Educational Sciences and Technology, Universiti Teknologi Malaysia, Johor Bahru, Malaysia.

Alwin Ru Kiet Wong is a registered counsellor, music educator, and flutist. He is currently pursuing a doctoral degree in Guidance and Counselling.

Shean Yih Soh, Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.

Shean Yih Soh is a medical lecturer and psychiatrist at Universiti Putra Malaysia. His clinical and research interests focus on neuropsychiatry and neurocognitive disorders.

Jane Tze Yn Lim, Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Jane Lim Tze Yn is a medical lecturer and psychiatrist at Universiti Kebangsaan Malaysia. She is actively involved in preventive medicine and has a special interest in adolescent mental health and the use of digital health interventions.

Norfazilah Ahmad, Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Norfazilah Ahmad is an Associate Professor in the Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia. She specializes in epidemiology and medical statistics, with research focusing on the epidemiology of lifestyle diseases, including the health impacts of climate change, to advance public health outcomes.

Donald Hong Huang Yeo, Department of Psychology, Faculty of Arts & Social Science, National University of Singapore, Singapore, Singapore.

Donald Hong Huang Yeo is a Consultant Clinical Neuropsychologist and Senior Lecturer at the National University of Singapore. His research and professional interests focus on dementia care, ageing, and creative arts and health innovation. As a certified supervisor and registered psychologist, he has contributed to the development of national programmes integrating arts and psychology, with a focus on evidence-based models that support community well-being and the implementation of creative arts and health interventions.

Kah Hui Yap, Department of Psychological Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Kah Hui Yap is a Senior Lecturer and Clinical Neuropsychologist at the University of Malaya. His research focuses on cognitive impairment across a range of neurodegenerative disorders.

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Pubblicato

2026-07-26

Fascicolo

V. 18 N. 3 (2026): July

Sezione

Full Length Articles