Reitere Ērika, Duhovska Jana, Karkou Vicky, Mārtinsone Kristīne
Department of Health Psychology and Paedagogy, Rīga Stradiņš University, Riga, Latvia.
Research Centre for Arts and Wellbeing, Edge Hill University, Ormskirk, United Kingdom.
Front Psychol. 2024 Dec 18;15:1484726. doi: 10.3389/fpsyg.2024.1484726. eCollection 2024.
Arts therapies, encompassing art therapy, music therapy, drama therapy, and dance movement therapy with the broader practice of expressive arts therapies, have demonstrated positive outcomes in the treatment of neurodevelopmental and neurological disorders (NNDs). Integrating arts therapies into telehealth has become increasingly important to improve accessibility for people with mobility impairments or those living in remote areas. This study aims to map the existing body of literature to provide an in-depth overview of telehealth in arts therapies for individuals with NNDs.
This scoping review followed the PRISMA guidelines. Six databases were systematically searched, with 2,888 articles screened for eligibility. Inclusion criteria focused on primary research peer-reviewed articles in English that addressed telehealth arts therapies for NNDs.
Seventeen telehealth studies published between 2009 and March 2024 were included, with a notable increase in publications after 2020. The studies covered various neurodevelopmental disorders, including autism spectrum disorders, attention deficit hyperactivity disorder (ADHD), Rett syndrome, and neurological disorders such as stroke, epilepsy, cerebral palsy, central nervous system (CNS) tumors, dementia, Alzheimer's disease, Parkinson's disease, spinal cord injuries, and mild cognitive impairment. Music therapy was the most widely studied modality. Interventions ranged from therapeutic singing and songwriting to virtual reality experiences. Different platforms and specialized virtual environments were used alongside pre-recorded sessions. Positive benefits included psychological enrichment, social connectivity, cognitive improvements, and brain changes, although some studies reported mixed or no significant effects in certain areas.
Telehealth in arts therapies significantly benefits individuals with NNDs, improving accessibility and providing psychological, emotional, social, and cognitive benefits. The positive benefits observed highlight the potential of these interventions to improve overall well-being and daily functioning. Future research may focus on high-quality qualitative studies and neuroimaging assessments to further validate the impact of telehealth arts therapies.
艺术疗法包括艺术治疗、音乐治疗、戏剧治疗和舞蹈动作治疗以及更广泛的表达性艺术治疗实践，已在神经发育和神经系统疾病（NND）的治疗中显示出积极效果。将艺术疗法整合到远程医疗中对于改善行动不便者或偏远地区居民的可及性变得越来越重要。本研究旨在梳理现有文献，以深入概述针对患有NND的个体的远程医疗艺术疗法。
本范围综述遵循PRISMA指南。系统检索了六个数据库，筛选了2888篇文章以确定其是否符合资格。纳入标准侧重于以英文发表的、针对患有NND的个体的远程医疗艺术疗法的同行评审的原创研究文章。
纳入了2009年至2024年3月期间发表的17项远程医疗研究，2020年之后的出版物数量显著增加。这些研究涵盖了各种神经发育障碍，包括自闭症谱系障碍、注意力缺陷多动障碍（ADHD）、雷特综合征，以及神经系统疾病，如中风、癫痫、脑瘫、中枢神经系统（CNS）肿瘤、痴呆、阿尔茨海默病、帕金森病、脊髓损伤和轻度认知障碍。音乐治疗是研究最广泛的方式。干预措施包括治疗性演唱和歌曲创作到虚拟现实体验。除了预先录制的课程外，还使用了不同的平台和专门的虚拟环境。积极益处包括心理丰富、社交联系、认知改善和大脑变化，尽管一些研究报告在某些方面有混合或无显著效果。
艺术疗法中的远程医疗对患有NND的个体有显著益处，提高了可及性，并提供心理、情感、社交和认知益处。观察到的积极益处突出了这些干预措施改善整体幸福感和日常功能的潜力。未来的研究可能侧重于高质量的定性研究和神经影像学评估，以进一步验证远程医疗艺术疗法的影响。
