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Narrative review suggests music therapy may improve cognition and neuropsychiatric symptoms in cognitive impairment

Narrative review suggests music therapy may improve cognition and neuropsychiatric symptoms in…
Photo by Lucas Alexander / Unsplash
Key Takeaway
Consider music therapy as a potentially safe, well-tolerated non-pharmacological option that may improve cognition and neuropsychiatric symptoms.

This narrative review evaluates the potential benefits of music therapy as a non-pharmacological intervention for cognitive impairment. The scope includes conditions such as Alzheimer's disease, vascular cognitive impairment, Parkinson's disease-related cognitive impairment, mild cognitive impairment, and traumatic brain injury. The authors synthesize existing literature to provide a theoretical foundation and practical guidance for clinicians considering this approach.

The main synthesized finding indicates that music therapy may improve cognition and neuropsychiatric symptoms. The review does not report specific effect sizes, absolute numbers, or p-values for these outcomes. Safety data suggest the intervention is safe and well-tolerated, with no adverse events, serious adverse events, or discontinuations reported in the source material.

The authors acknowledge that specific details regarding the population, setting, and follow-up duration were not reported. Consequently, the certainty of the findings is limited by the lack of quantitative data and the observational nature of the included evidence. This review serves to highlight potential benefits while cautioning against overstatement of efficacy.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
As global population aging accelerates, preventing and treating cognitive impairment has become a major public health priority. Music therapy is a safe, well-tolerated non-pharmacological intervention with substantial potential to improve cognitive function. This review synthesizes the neurologic music therapy (NMT) framework, encompassing techniques targeting attention, memory, and executive function, delivered through both active and receptive approaches. Clinical investigations indicate that music therapy may improve cognition and neuropsychiatric symptoms in Alzheimer’s disease (AD), vascular cognitive impairment (VCI), Parkinson’s disease–related cognitive impairment, mild cognitive impairment (MCI), and traumatic brain injury (TBI); however, effects appear to vary by intervention duration and disease stage. This narrative review aims to provide a theoretical foundation and practical guidance for the non-pharmacological intervention of cognitive impairment by collating evidence on the neuroplasticity theoretical foundations, technical systems, and clinical applications of music therapy.
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