1. Dr Carol-Anne Sherriff ST5 Old Age Psychiatry
Music Therapy for Neuropsychiatric Symptoms in the General Hospital: a systematic literature review
Dr Carol-Anne Sherriff
ST5 Old Age Psychiatry

2. Acknowledgements Edinburgh Royal Infirmary:
Jillian Mathews, Emma L Reynish & Susan D Shenkin
Sheila Fisken (University of Edinburgh)
Prof Hanne Mette Ridder (Aalborg University, Denmark)
Prof Helen Odell Miller (Anglia Ruskin University, UK)
Dr James Robertson (Edinburgh)
No funding, no competing interests, completed in own time.

3. Background
Dementia and delirium increasingly seen in the general hospital
Neuropsychiatric symptoms (NPS) common
Distressing for families and challenging to manage
Non pharmacological interventions preferred over medication
Music therapy is a potential intervention
Depresssion, apathy, delusions, hallucinations, agitation

4. Aim
Can music therapy reduce NPS in patients with dementia and/or delirium in general hospitals?

5. Methods Systematic literature review Protocol registered with PROSPERO
Inclusion & exclusion criteria
Data extraction planned
Reference list reviewed
Experts contacted

8. Results: Narrative review
Not music therapy
Effects of music in reducing disruptive behaviour in a general hospital
Not including dementia/delirium
Music therapy for patients receiving spine surgery
Not in a general hospital
Efficacy of music therapy in the treatment of behavioural and psychiatric symptoms of dementia
Not a primary study
Music therapy for people with dementia

9. Discussion Findings Strengths Limitations
No studies met our search criteria
Methodological issues
Strengths
Utilised published guidance
Comprehensive search
Limitations
No yield!
May have missed some foreign language articles
Cochrane Collaboration and Centre for Dissemination in York

10. Conclusion
No published evidence for the use of music therapy for the treatment of dementia and delirium in the general hospital
Music is feasible in this environment
Music may have a positive effect on NPS & reducing pain & anxiety in surgical patients
Well designed RCTs required

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