Department of Neurology, The First Affiliated Hospital of Jiamusi University, Jiamusi, China.
Department of Fine Arts Education, College of Fine Arts, Jiamusi University, Jiamusi, China.
J Palliat Med. 2021 Mar;24(3):443-452. doi: 10.1089/jpm.2020.0468. Epub 2021 Jan 27.
Women with breast and gynecological cancers often experience adverse symptoms such as anxiety, depression, pain, and fatigue. The purpose of this meta-analysis was to clarify the role of arts therapy (based on music, painting, and dance) in quality of life and reported symptoms among women with breast and gynecological cancers. Articles on arts therapy were retrieved from relevant electronic databases through to May 2020. The outcomes (quality of life and symptoms such as anxiety, depression, pain, and fatigue) were estimated according to standard or validated scales that assessed psychological status and activities of daily living. The effect sizes for arts therapy were combined to show the standardized mean difference (SMD) and corresponding confidence interval (CI), and a random-effects model was used for computation. In total, 19 randomized controlled studies were included in this meta-analysis. The pooled SMDs for arts therapy were statistically significant for quality of life (0.58; 95% CI: 0.02-1.13; = 0.04), anxiety (-1.10; 95% CI: -1.88 to -0.32), depression (-0.71; 95% CI: -1.19 to -0.23), pain (-1.01; 95% CI; -1.97 to -0.08), and fatigue (-0.59; 95% CI: -1.18 to -0.00). However, the summary SMDs for arts therapy was not significant for sleep disturbance, anger, vigor, tension, confusion, and stress. This meta-analysis shows that arts therapy has favorable effects on improving quality of life and depression among patients with breast and gynecological cancers. Arts therapy also has positive effects on improving anxiety, pain, and fatigue symptoms among patients with breast cancer. Further studies are required to confirm the effect of arts therapy on anxiety, pain, and fatigue in patients with gynecological cancer.
患有乳腺和妇科癌症的女性经常会出现焦虑、抑郁、疼痛和疲劳等不良症状。本荟萃分析的目的是明确艺术疗法（基于音乐、绘画和舞蹈）在改善乳腺和妇科癌症女性生活质量和报告症状方面的作用。通过相关电子数据库检索到艺术疗法的文章，检索时间截至 2020 年 5 月。根据评估心理状态和日常生活活动的标准或验证量表来评估结局（生活质量以及焦虑、抑郁、疼痛和疲劳等症状）。采用随机效应模型对艺术疗法的效应大小进行合并，以显示标准化均数差（SMD）和相应的置信区间（CI）。本荟萃分析共纳入 19 项随机对照研究。艺术疗法对生活质量的汇总 SMD 具有统计学意义（0.58；95%CI：0.02-1.13； = 0.04）、焦虑（-1.10；95%CI：-1.88 至 -0.32）、抑郁（-0.71；95%CI：-1.19 至 -0.23）、疼痛（-1.01；95%CI；-1.97 至 -0.08）和疲劳（-0.59；95%CI：-1.18 至 -0.00）。然而，艺术疗法对睡眠障碍、愤怒、活力、紧张、困惑和压力的汇总 SMD 没有统计学意义。本荟萃分析表明，艺术疗法对改善乳腺和妇科癌症患者的生活质量和抑郁有良好的效果。艺术疗法对改善乳腺癌患者的焦虑、疼痛和疲劳症状也有积极的影响。需要进一步的研究来确认艺术疗法对妇科癌症患者焦虑、疼痛和疲劳的影响。
