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Effective Adaptation of Music Intervention in the Psychological Management of Late Life Depression in Nigerian Communities
Clinical Medicine Research
Volume 9, Issue 5, September 2020, Pages: 103-113
Received: Aug. 22, 2020; Accepted: Sep. 1, 2020; Published: Sep. 28, 2020
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Osimade Olabisi Modupe, Department of Guidance and Counselling, Faculty of Education, University of Ibadan, Ibadan, Nigeria
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Depressive symptoms in late life has been a global phenomenon affecting older adults mental health stability and general well-being. Studies on the psychological management of the disorder in Nigeria have variously adopted therapies that exerts cognitive, sensory and motor abilities of the elderly thereby generating very minimal results. The pre-test, post-test, control group quasi experimental design with a 3x5x3 factorial matrix was adopted for the study. A total of sixty-four (64) participants were purposively selected from two randomly selected local government areas in Ibadan. Participants were further randomly assigned into an experimental group-Music Intervention Group (34) and the Control Group (30). Data was subjected to Analysis of covariance (ANCOVA). There was a significant main effect of treatment on late life depression (F=17.554, p<.05, η2=.290). Music Intervention (x̃=20.17) effectively managed late life depression vis-a-vis those in the control group (x̃=7.832). There was no significant main effect of personality traits and health locus of control on late life depression. The study ascertained the effective adaptation of music intervention in the psychological management of late life depression of community dwelling older adults, thereby adding to existing literature on music intervention for future research. This contribution is an advancement to late life depression study and management in Nigeria. Findings from the study can be adopted in both community and clinical studies of depression.
Music Intervention, Health Locus of Control, Late Life Depression, Community Dwelling Older Adults
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Osimade Olabisi Modupe, Effective Adaptation of Music Intervention in the Psychological Management of Late Life Depression in Nigerian Communities, Clinical Medicine Research. Vol. 9, No. 5, 2020, pp. 103-113. doi: 10.11648/j.cmr.20200905.12
Copyright © 2020 Authors retain the copyright of this article.
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A. Afflakseir, and M. Abadi. The role of Health Locus of Control in Predicting Depressive Symptoms in a sample of Iranian Older Adults with Chronic Diseases. Iranian Journal of Psychiatry. 2016. 11: 2: 82-86.
M. J. Akomolafe, and O. G. Popoola. Emotional Intelligence and Locus of Control as Predictors of Burnout among Secondary School Teachers in Ondo State, Nigerian European Journal of Social Sciences, 2011. 20, (3), 369-378.
C. O. Aluede. Music Therapy in Traditional African Societies. Origin, basis and Application in Nigeria. Journal of Human, Ecol, 2006 20 (1): 31-35.
O. Amoran, T. Lawoyin, and V. Laosebikan. The Prevalence of Depression among adults in Oyo State, Nigeria: A Comparative Study of Rural and Urban Communities. Australian Journal of Rural Health. 2007. Vol. 15 (3). 211-215; doi: 10.1111/j.1440-2006.00794.
D. Blazer and C. Hybels. Origins of Depression in Later Life, Journal of Psychological Medicine, 2005. Vol. 35, 1-12; doi: 10.1017/S0033291705004411
A. M Cevasco, R. Kennedy and N. R. Generally, N. R. Comparison of Movement-to-Music, Rhythm Activities, and Competitive Games on Depression, Stress, Anxiety, and Anger of Females in Substance Abuse Rehabilitation. Journal of Music Therapy, 2005 42 (1), 64-80; doi: 10.1093/jmt/42.1.64
P. Blackburn, H. M. Wikins, and B. Wiese. Depression in Older Adults: Diagnosis and Management, BCMJ, 2017 Vol. 59, No. 3.
A. AChan, O. Mok and B. Tse. A comparison of Singing, Vibrotactile, and non-vibrotactile instrumental playing responses in severely regressed persons with dementia of the Alzheimer’s type. Journal of Music Therapy, 2009. 27, 119-125.
L. Costa. Interpersonal Psychotherapy for Depression and Other Disorders in D. Barlow (Ed.), Clinical Handbook of Psychological Disorders 309-331. 1991. New York, NY: The Guilford Press.
P. Dines, W. H. and C. Sajatovic. Depression in Later Life: An Overview of Assessment and Management. Psychiatria Danubina. 2014 Vol. 26, Supp 1, pp 78-84. Zagreb Croatia.
C. A. Ekeopara and A. M. Ugoha. The Contributions of African Traditional Medicine to Nigeria’s Health Care Delivery System. IOSR Journal of Humanities and Social Science (IOSR-JHSS) 2001. Volume 22, Issue 5. P. 32-43.
R. Evans and A. Cox. The Use of Music Therapy and Activities with Demented Patients who are Deemed Difficult to Manage.” Special: The Elderly Uncooperative Patient. Clinical Gerontologist, 1997. Vol. 62, 131-144.
L. Fanous and A. Gardner. Neuroticism and Major Depression in Late Life: A Population Based Twin Study. Social Indicators Research, 2012. Vol. 40, 285-298.
C. Frazer, H. Christenssen and K. M. Griffiths. Effectiveness of Treatments for Depression in Older people. Medical Journal. 2001. Vol. 13: 127-138.
O. Gureje, L. Kola & E. Afolabi. Epidemiology of Major Depressive Disorder in Elderly Nigerians in the Ibadan Study of Ageing: A community-based survey. Lancet 2007. 370: 957-64.
M. Hamilton. Development of a Rating Scale for Primary Depressive Illness. British Journal of Social and Clinical Psychology 1967. Vol. 6: 278-96.
W. Han, A. Kwan, Chen., O. Yusof, K. Chonh, O. Goh and H. Yap. Effects of Music on Major Depression in Psychiatric Patients. Archives of Psychiatric Nursing, 2010. Vol. 18, 193–199.
S. B. Hanser. The New Music Therapist’s Handbook (2nd ed.). Boston, MA: 2013. Berklee Press.
B. Heady and A. Wearing Personality, Life Event and Subjective. Well-Being; Toward a Dynamic Equilibrium Model. Journal of Personality and Social Psychology. 2009. Vol. 57, 731-739.
O. Idowu, O. Yusuf, O. Akpa, and O. Gureje. A Random Effect of Logistic Regression Model of Major Depressive Disorder among Ageing Nigerians. American Journal of Mathematis and Statistics 2017. Vol. 62: 71-78.
O. John, E. Donahue and R. Kentle. The “Big Five” Inventory Versions 4c and 54. Berkeley. University of California Berkeley Institute of Personality and Social Research 1991.
H. L. Lai and M. Good. Music Improves Sleep Quality in Older Adults. Journal of Advance Nursing 2005 Vol. 49, 234–244.
J. Madineh, A. Sanaz and F. Roghareli. The Effects of Music Therapy on Anxiety and Depression of Cancer Patients Indian Journal of Palliative Care, 2016. Vol. 22. 112-120.
A. Morse and Lynch. Exploring the Influence of Personality on Depressive Symptoms and Self Esteem across a Significant Life Transition. Journal of Personality and Social Psychology. 2004. Vol. 85, 922-932. Memorial Fund Quarterly. Health and Society.
National Council on Aging 2016. Falls Prevention: Fact Sheet. Retrieved from
National Population Commission (NPC) and ICF International. Nigerian Demographic and Health Survey, 2013. Abuja, Nigeria and Rockville, Maryland, USA and ICF International.
O. M. Osimade. Effectiveness of Laughter Therapy and Music Intervention in the Psychological Management of Geriatric Depression among Rural Community Dwelling Older Adults in Oyo State, Southwest Nigeria. Journal of Psychology and Psychotherapy, 2020 Vol 10. Iss 4 No. 376.
R. Palmer. The Science of Laughter. Psychology Today, 2010. Vol. 33, 58-63.
A. Richard, G. Jenkins and G. B. Thomas. Health Locus of Control, Chemotherapy-related Distress, and Response to Behavioural Interventions in Cancer Patients. Psychology and Health, 2013. Vol. 10, 463-475.
T. T. Salami. Chronological Definitions and Expectations of Old Age among Young Adults in Nigeria. Journal of Aging Studies. 2010 Vol. 1: 113-124.
T. Salami. Expression and the Nature of Emotion. Approaches to Emotion, 1999. Vol. 3, 19-344.
A, Shah and R. Harris. Growing Old in Modern Society. Charles C. Thomas Publishers Ltd. Springfield. Illionis 2013. USA.
P. Strauss and L. Solomon. Screenings for Depression Across the Lifespan: A Review of Measures for Use in Primary Care Settings. American Family Physician, 2010 Vol. 66, 6.
P. L. Tanyi, P. Andre and P. Mbah. Care of the Elderly in Nigeria: Implications for policy. Cogent Social Sciences, 2018. 4: 1, 1555201 DOI
United Nations. World Population Ageing 2015.
S. Unutzer, W. Katon. Collaborative Management of Late Life Depression in the Primary Care Settings: A Randomized Controlled Trial, JAMA. 2013. Vol. 12: 2836-2845.
N. N Umeaku, O. N. Harry and C. C. Anolue. Assessing the Effectiveness of Cognitive Behavioural Therapy on Depressive Symptoms among Polycystic Ovary Syndrome Patients Receiving Fertility Treatment International Journal of Research and Innovation in Social Science (IJRISS). 2020. Vol. IV, Issue 1, ISSN 2454-6186.
B. S. Wallston, K. A. Wallston, G. D. Kaplan and S. A. Maides. 1970. Development of and Validation of the Health Locus of Control Scale. Journal of Counseling and Clinical Psychology, Vol. 44 (4), 580-585.
WHO 2017. Depression and other common mental disorders: Global Health Estimates. World Health Organization, Geneva-2. Available at
J. Yesavage, T. Brink, T. Rose, O. Lum, V.Huang, M. Adey and V. Leirer. Development and Validation of a Geriatric Depression Screening Scale: A Preliminary Report. Journal of Psychiatric Research, 1983. 17, 37-49.
A. Zimmerman, 2011. Ethnic Variation in Depressive Symptoms in Community Sample. Cultural Diversity and Ethnic Minority Psychology. 13 (1), 35-44.
N. Gaines, 2020. Music Therapy Techniques, Exercises and Outcomes. Article published at http://www.regainus. Accessed: August, 2020).
P. Costa and R. McCrae, R. 1992 Revised NEO Personality Inventory (NEO-Pi R) and NEO Five Factor Inventory (NEO-FFI) Professional Manual Odessa, FI: Psychological Assessment Resources Inc.
L. Golberg, 1993. An Alternative “Description of Personality”: The Big-Five Factor Structure Journal of Social and Clinical Psychology, Vol. 6: 278-96.
D. P Crown and D. Marlowe. 1964. The Approval Motive. New York: Wiley.
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