《中国康复理论与实践》

《中国康复理论与实践》 ›› 2025, Vol. 31 ›› Issue (2): 165-171.doi: 10.3969/j.issn.1006-9771.2025.02.006

• 循证研究 • 上一篇    下一篇

轻度认知障碍老年人参与艺术治疗心理健康效益的系统综述

徐晓红1, 钟晓珂2, 孙思怡1, 张祁3, 程怀春4()   

  1. 1.首都体育学院运动科学与健康学院，北京市 100191
    2.福建师范大学体育科学学院，福建福州市 350108
    3.中国音乐学院，北京市 100101
    4.莆田学院体育学院，福建莆田市 351100
  • 收稿日期:2024-12-04 出版日期:2025-02-25 发布日期:2025-02-25
  • 通讯作者: 程怀春(1981-)，男，汉族，江苏连云港市人，博士，副教授，主要研究方向：运动心理及健康促进，E-mail： 84837704@qq.com。
  • 作者简介:徐晓红(1977-)，女，汉族，甘肃平凉市人，硕士，讲师，主要研究方向：艺术教育、音乐心理治疗。
  • 基金资助:
    1.国家自然科学基金项目(32371132);2.福建省社会科学基金项目(FJ2022BF014);3.首都体育学院体育医学工程学新兴交叉学科平台研究项目(20230929)

Psychological benefits of art therapy for older adults with mild cognitive impairment: a systematic review

XU Xiaohong1, ZHONG Xiaoke2, SUN Siyi1, ZHANG Qi3, CHENG Huaichun4()   

  1. 1. School of Kinesiology and Health, Capital University of Physical Education and Sports, Beijing 100191, China
    2. School of Physical Education and Sport Science, Fujian Normal University, Fuzhou, Fujian 350108, China
    3. China Conservatory of Music, Beijing 100101, China
    4. School of Physical Education, Putian University, Putian, Fujian 351100, China
  • Received:2024-12-04 Published:2025-02-25 Online:2025-02-25
  • Contact: CHENG Huaichun, E-mail: 84837704@qq.com
  • Supported by:
    National Natural Science Foundation of China(32371132);Fujian Provincial Social Science Fund(FJ2022BF014);Capital University of Physical Education and Sports Emerging Interdisciplinary Platform for Medicine and Engineering in Sports(20230929)

RichHTML

PDF (PC)

摘要：

目的 根据《国际功能、残疾和健康分类》的理论与方法，系统评价艺术治疗对轻度认知障碍(MCI)老年人心理健康的干预效果。

方法 检索中国知网、维普、万方数据库、PubMed、ProQuest和Web of Science数据库，检索2014年至2024年间发表的艺术治疗干预MCI老年群体心理健康的文献。根据纳入和排除标准对文献进行筛选，采用PEDro量表进行方法学质量评价，遵循PRISMA指南进行系统综述。

结果 最终纳入9篇文献，来自中国、坦桑尼亚、西班牙、马来西亚和新加坡5个国家，共763例60岁以上MCI老年人，平均年龄71.23岁。艺术治疗形式主要包括视觉艺术疗法(绘画、拼贴、剪纸、雕塑和建模等)、表达性艺术疗法(舞蹈和音乐)，以及创造性艺术疗法(故事创作)。每次30~120 min，以每次60 min居多；每周1~4次，以每周2~4次居多；共干预6~36周，以6~12周居多。健康结局集中于改善焦虑、抑郁等心理健康。

结论 多数研究证实，艺术治疗对MCI老年人的心理健康具有积极影响，但个别研究存在分歧，尚待进一步深入研究。

关键词: 轻度认知障碍, 老年人, 艺术治疗, 心理健康, 系统综述

Abstract:

Objective To systematically evaluate the effect of art therapy on the mental health of older adults with mild cognitive impairment (MCI), based on International Classification of Functioning, Disability and Health.

Methods Literature on art therapy for mental health of MCI older adults was retrieved from databases of CNKI, VIP, Wanfang Data, PubMed, ProQuest and Web of Science, between 2014 and 2024, and selected according to inclusion and exclusion criteria. The quality of the literature was assessed using PEDro scale, and a systematic review was conducted following the PRISMA guideline.

Results A total of nine researches were included from China, Tanzania, Spain, Malaysia and Singapore, involving 763 individuals with MCI aged 60 or more (average 71.23). The types of art therapy interventions were visual arts therapy (painting, collage, paper-cutting, sculpture and modeling, etc.), expressive arts therapy (encompassing dance and music) and creative arts therapy (narrative creation), 30 to 120 minutes a time (majority of 60 minutes), one to four times a week (majority of two to four times), for six to 36 weeks (majority of six to twelve weeks). Health outcomes predominantly focused on mental health, such as anxiety and depression.

Conclusion Most researches support that art therapy is effective on mental health of older adults with MCI, but there are disagreements in some researches, and more researches are needed.

Key words: mild cognitive impairment, older adults, art therapy, mental health, systematic review

中图分类号: