Zhang Bo, Yang Lifang, Sun Wen, Xu Peng, Ma Hui, Abdullah Azizah Binti
Guizhou Equipment Manufacturing Polytechnic, Guiyang, PR China; Universiti Utara Malaysia, Kedah, Malaysia.
Guizhou Equipment Manufacturing Polytechnic, Guiyang, PR China.
Clinics (Sao Paulo). 2025 May 13;80:100683. doi: 10.1016/j.clinsp.2025.100683. eCollection 2025.
Existing systematic reviews provide evidence that art therapy is an effective intervention for reducing symptoms of depression in children and adolescents. This study aims to systematically review and quantify the impact of art-based interventions on depressive symptoms in this demographic through meta-analysis.
A systematic search of databases and journals identified eligible studies for inclusion in a meta-analysis examining the efficacy of art therapy interventions on depressive symptom reduction. A random-effects meta-analysis was conducted using the Standardized Mean Difference (SMD).
The meta-analysis of twelve (randomized) controlled trials revealed a significant effect (SMD = -0.72; 95 % CI [-1.28, -0.16], p = 0.01), indicating that children and adolescents (n = 333) who received art therapy experienced a more significant reduction in depressive symptoms compared to those (n = 344) in the control groups.
The existing evidence is limited to studies with low statistical power and methodological quality. Furthermore, the included studies were highly heterogeneous in terms of the intervention type, measurement tools, participant samples, and study designs.
The findings suggest that art-based interventions can be effective in reducing depressive symptoms in children and adolescents. However, future research requires more methodologically rigorous and well-controlled studies to strengthen the evidence base.
现有系统评价表明，艺术疗法是减轻儿童和青少年抑郁症状的有效干预措施。本研究旨在通过荟萃分析，系统评价并量化基于艺术的干预措施对该人群抑郁症状的影响。
对数据库和期刊进行系统检索，以确定纳入荟萃分析的合格研究，该分析旨在检验艺术疗法干预措施在减轻抑郁症状方面的疗效。使用标准化均数差（SMD）进行随机效应荟萃分析。
对12项（随机）对照试验的荟萃分析显示出显著效果（SMD = -0.72；95%可信区间[-1.28, -0.16]，p = 0.01），表明接受艺术疗法的儿童和青少年（n = 333）与对照组（n = 344）相比，抑郁症状减轻更为显著。
现有证据仅限于统计效力和方法学质量较低的研究。此外，纳入的研究在干预类型、测量工具、参与者样本和研究设计方面存在高度异质性。
研究结果表明，基于艺术的干预措施可有效减轻儿童和青少年的抑郁症状。然而，未来的研究需要更具方法学严谨性和良好对照的研究，以加强证据基础。
