軽度認知障害・軽度認知症を有する中国系マレーシア人を対象とした生演奏併用回想療法グループの事例研究評価

##article.authors##

  • 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.

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

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Alzheimer's##common.commaListSeparator## dementia##common.commaListSeparator## music##common.commaListSeparator## reminiscence therapy##common.commaListSeparator## social prescribing

##article.abstract##

急速に高齢化が進む多民族国家マレーシアでは、文化的背景に配慮した認知症ケアの必要性が高まっている。本研究では、1940年代から1980年代の文化的に馴染みのある中国音楽を用いた、生演奏を取り入れた回想療法グループの実施可能性について検討した。対象は、軽度の認知機能低下〔軽度認知障害(MCI)および軽度認知症〕を有する中国系マレーシア人とその介護者からなる3組のペアであった。介入は、プロのクラリネット四重奏団による60分間の単回セッションとして実施された。データは、介入前、介入1週間後、および4週間後に収集された。評価尺度として、神経精神症状、介護者負担、介護によって得られる肯定的な経験をそれぞれ評価する、Neuropsychiatric Inventory Questionnaire(NPI-Q)、Zarit Burden Interview-Short(ZBI短縮版)、Gain in Alzheimer Care Instrument(GAIN)が用いられた。量的データはReliable Change Index(信頼性変化指数)を用いて分析し、半構造化インタビューから得られた質的データについては、帰納的テーマ分析を行った。その結果、2組のペアで神経精神症状の改善が報告された。また、1組では介護者負担の軽減がみられ、別の1組では介護によって得られる肯定的な経験の増加が報告された。プログラムの影響に関して、以下の4つのテーマが抽出された。(1)気分の改善と楽しい記憶の想起(2)生活の質(QOL)の向上(3)文化的配慮(4)プログラム構成の変更。本研究は、マレーシアにおける生演奏を取り入れた回想療法グループの今後の展開に向けた基礎を築くものであり、今後の研究の方向性を示唆している。

キーワード: 認知機能障害、認知症、音楽、回想療法、社会的処方

##submission.authorBiographies##

##submission.authorWithAffiliation##

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.

##submission.authorWithAffiliation##

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.

##submission.authorWithAffiliation##

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.

##submission.authorWithAffiliation##

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.

##submission.authorWithAffiliation##

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

##submission.authorWithAffiliation##

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.

##submission.authorWithAffiliation##

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

##submission.authorWithAffiliation##

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

##submission.authorWithAffiliation##

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.

##submission.authorWithAffiliation##

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.

##submission.authorWithAffiliation##

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.

##submission.authorWithAffiliation##

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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2026-07-26

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