Evidence map›Paper›PMID 40269834›Full record

SynthesisBMC complementary medicine and therapies2025

Effects of art therapy on psychological outcomes among children and adolescents with cancer: a systematic review and meta-analysis.

Shishuang Zhou, Huiyuan Li, Yuan Yang, YiShu Qi, Weiwei Liu, Lin Mo, Cho Lee Wong

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC complementary medicine and therapies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shishuang ZhouThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Huiyuan LiThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Yuan YangThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
YiShu QiThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Weiwei LiuSchool of Nursing, Army Medical University, Chongqing, China.
Lin MoDepartment of Outpatient Children's Hospital, Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Medical University, National Clinical, Chongqing, China. molin999@126.com.
Cho Lee WongThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China. jojowong@cuhk.edu.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increasingly rising incidence of cancer among children and adolescents has led to notable psychological challenges for this population. Art therapy, classified within the realm of complementary and alternative medicine interventions and psychotherapy, demonstrates promising potential psychological benefits for children and adolescents. Therefore, a systematic review was conducted to determine the effects of art therapy on improving psychological outcomes among patients with pediatric cancer and identify the details of art therapy.

methodA systematic review and meta-analysis was conducted. Ten English language databases, two Chinese databases, and grey literature were searched. Two researchers independently conducted study selection, quality assessment and data extraction. The Generic inverse variance method with random-effects models was applied to do meta-analysis.

resultsThree randomized controlled trials (RCTs) and five quasi-experimental studies with acceptable quality involving 452 participants from five countries were included. Our meta-analysis revealed statistically significant improvement in anxiety, depression among pediatric cancer patients. Narrative findings suggested art therapy could improve the overall psychological symptoms, stress, and anger.

conclusionArt therapy can positively improve psychological outcomes, particularly anxiety and depression. However, the evidence is weakened by limited studies and methodological heterogeneity. Additional high-quality RCTs with large samples are warranted to confirm and supplement the existing evidence.

trial registrationThis review was registered in PROSPERO with ID CRD42023477700 on 11 November 2023.

Indexed as

AnxietyArt TherapyDepressionNeoplasmsStress, PsychologicalAdolescentChildHumansRandomized Controlled Trials as TopicArt therapyChildren and adolescents with cancerPediatric cancerPsychological outcomesSystematic review

Identifiers

PMID40269834
PMCPMC12016200

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.