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

doi:10.3969/j.issn.1006-9771.2025.02.006

Abstract

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

CLC Number:

R749.1

XU Xiaohong, ZHONG Xiaoke, SUN Siyi, ZHANG Qi, CHENG Huaichun. Psychological benefits of art therapy for older adults with mild cognitive impairment: a systematic review[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(2): 165-171.

Figures/Tables 4

Table 1

Figure 1

Table 2

Table 3

References 34

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纳入文献	资格标准	随机分配	分配隐藏	基线相似	被试施盲	评估者施盲	被试流失率≤15%	意向性分析	组间统计比较	变异性测量	总分
Xue等^[16] (2023)	√	√	√	√		√	√	√	√	√	8
Masika等^[17] (2022)	√	√	√	√		√	√	√	√	√	8
Yan等^[18] (2021)	√			√			√	√	√	√	5
Masika等^[19] (2021)	√	√		√	√	√	√	√	√	√	8
Sánchez-Alcalá等^[20] (2024)	√	√	√	√	√		√	√	√	√	8
Adam等^[21] (2016)	√			√			√	√	√	√	5
Lin等^[22] (2022)	√	√		√	√		√	√	√	√	7
Yao^[23](2024)	√	√	√	√			√	√	√	√	7
Mahendran等^[24] (2018)	√	√		√		√	√	√	√	√	7

纳入文献	国家	样本量	平均年龄/岁	设计	干预方式	干预剂量	诊断/筛查工具	测量工具	结局
Xue等^[16] (2023)	中国	试验组(n = 40) 对照组(n = 40)	74.9	RCT	音乐	每次40~50 min，每周4次，共8周	MoCA	GDS-15	抑郁(+)
Masika等^[17] (2022)	坦桑尼亚	试验组(n = 62) 对照组(n = 65)	73.6	RCT	绘画、拼贴、建模	每次120 min，每周2次，共6周	DSM-5	GDS-SF	抑郁(-)
Yan等^[18] (2021)	中国	试验组(n = 24) 对照组(n = 24)	63.5	前后测试	绘画、剪纸、拼贴、故事创作	每次60~90 min，每周2次，共6周	参考已有标准(不具体)	SAS GDS	焦虑(+) 抑郁(+)
Masika等^[19] (2021)	中国	试验组(n = 21) 对照组(n = 18)	72.7	RCT	绘画、拼图、音乐	每次60 min，每周2次，共6周	DSM-5	GDS-SF	抑郁(+)
Sánchez-Alcalá等^[20] (2024)	西班牙	试验组(n = 47) 对照组(n = 45)	71.8	RCT	舞蹈	每次60 min，每周2次，共12周	MMSE	GDS SF-36	抑郁(+) 生活质量(+)
Adam等^[21] (2016)	马来西亚	试验组(n = 44) 对照组(n = 40)	70.9	前后测试	舞蹈	每次30~40 min，每周3~4次，共8周	MMSE	HADS BDI QOL	焦虑(+) 抑郁(+) 生活质量(+)
Lin等^[22] (2022)	中国	试验组(n = 45) 常规组(n = 45) 对照组(n = 45)	70.9	RCT	绘画、拼贴、雕塑、故事创作	每次90 min，每周2次，共8周	MoCA MMSE	GDS SAS QOL-AD	抑郁(+) 焦虑(-) 生活质量(+)
Yao^[23](2024)	中国	试验组(n = 45) 对照组(n = 45)	76.1	RCT	绘画、雕塑、拼贴、故事创作	每次120 min，每周1次，共12周	MoCA DSM-5	GDS-SF	抑郁(+)
Mahendran等^[24] (2018)	新加坡	艺术试验组(n = 22) 音乐试验组(n = 24) 对照组(n = 22)	71.1	RCT	参观艺术品、绘画等; 音乐	每次60 min，前12周每周1次，后24周每2周1次，共36周	Petersen标准	GDS GAI	抑郁(-) 焦虑(-)

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

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