Gao Xiuyan, Xu Guangjun, Fu Ningning, Ben Qi, Wang Lin, Bu Xiumei
School of Nursing, Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, China.
School of Health Management, Liaoyang Vocational College of Technology, Liaoyang, Liaoning, China.
Front Psychiatry. 2025 Jan 14;15:1511920. doi: 10.3389/fpsyt.2024.1511920. eCollection 2024.
This comprehensive review and meta-analysis aimed to thoroughly identify the effectiveness of music therapy (MT) in improving behavioral symptoms in children with autism spectrum disorders (ASD) by analyzing the data from all relevant randomized controlled trials (RCTs) related to this field.
From inception until September 18, 2024, PubMed, Web of Science, the Cochrane Library, SinoMed, and Embase were searched. Two reviewers extracted the data separately, and any controversies between the authors' assessments were resolved by conversation or speaking with another author. The behavioral symptoms scale score before and after the intervention was taken from the included trials and used to reflect the therapeutic effect of music therapy in children with autism.
2607 records across all retrieved databases were discovered, thirteen of which were included in a meta-analysis with 1160 participants. According to the meta-analysis, children with autism showed a substantial improvement in their behavior symptoms when receiving music treatment (standardized mean difference [SMD] = -0.66, 95% confidence interval [CI]: -0.93 to -0.39, < 0.001). With = 78% and < 0.001, we did discover a medium level of heterogeneity among the included studies.
MT has a positive impact on improving behavioral symptoms in children with autism. However, given the significant heterogeneity and limitations in this study, RCTs with rigorous methodological quality are still required to confirm the curative benefits of MT in autistic children precisely.
https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42024597939.
本系统综述和荟萃分析旨在通过分析该领域所有相关随机对照试验（RCT）的数据，全面确定音乐疗法（MT）对改善自闭症谱系障碍（ASD）儿童行为症状的有效性。
从数据库建立至2024年9月18日，检索了PubMed、科学网、考克兰图书馆、中国生物医学文献数据库和Embase。两名评审员分别提取数据，作者评估之间的任何争议通过讨论或与另一位作者沟通解决。从纳入的试验中获取干预前后的行为症状量表评分，以反映音乐疗法对自闭症儿童的治疗效果。
在所有检索到的数据库中发现了2607条记录，其中13项被纳入荟萃分析，共1160名参与者。根据荟萃分析，自闭症儿童接受音乐治疗后行为症状有显著改善（标准化均差[SMD]=-0.66，95%置信区间[CI]：-0.93至-0.39，P<0.001）。I²=78%，P<0.001，我们确实发现纳入研究之间存在中等程度的异质性。
音乐疗法对改善自闭症儿童的行为症状有积极影响。然而，鉴于本研究存在显著的异质性和局限性，仍需要方法学质量严格的随机对照试验来准确证实音乐疗法对自闭症儿童的治疗益处。
