Evidence map›Paper›PMID 42688254›Full record

SynthesisFrontiers in psychiatry2026

Effects of visual art therapy on cognitive function in older adults: a systematic review and meta-analysis.

Zhenhua Guo, Yingcong Liu, Shan Zhu, Yupeng He

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Zhenhua GuoDepartment of Design, Dong-A University, Busan, Republic of Korea.
Yingcong LiuSchool of Music Education, Wuhan Conservatory of Music, Wuhan, Hubei, China.
Shan ZhuSchool of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yupeng HeSchool of Music Education, Wuhan Conservatory of Music, Wuhan, Hubei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To systematically review the evidence on the effects of visual art therapy on global cognitive function in older adults, and to examine its impact on verbal fluency, naming ability, and activities of daily living. Methods: A systematic search was conducted in PubMed, Web of Science, Embase, the Cochrane Library, China National Knowledge Infrastructure (CNKI), the Chinese Biomedical Literature Database, Wanfang Database, and VIP Database for randomized controlled trials (RCTs) published from database inception to July 2026. Meta-analysis was performed using RevMan 5.4 and Stata 15.0. The primary outcome was global cognitive function, and secondary outcomes included the Verbal Fluency Test (VFT), the Boston Naming Test (BNT), and activities of daily living. Fixed-effects or random-effects models were used according to heterogeneity, and subgroup analyses were conducted. Results: A total of 10 randomized controlled trials involving 628 older participants were included, of whom 318 were allocated to visual art therapy and 310 to control conditions. Meta-analysis showed that visual art therapy significantly improved global cognitive function in older adults (SMD = 0.39, 95% CI: 0.23-0.54, P < 0.00001). For secondary outcomes, compared with control groups, statistically significant improvements were observed in verbal fluency (MD = 1.21, 95% CI: 0.12-2.29, P = 0.03), naming ability (MD = 1.74, 95% CI: 0.20-3.28, P = 0.03), and activities of daily living (SMD = -0.36, 95% CI: -0.62 to -0.10, P = 0.006) in the visual art therapy group. However, the evidence is based on only two or three studies and was rated as low or very low certainty. Subgroup analyses indicated larger effect sizes for interventions delivered 13-24 times, with 30-40 minutes per session, and among older adults with mild cognitive impairment, given the limited number of studies per subgroup, these findings are exploratory and should be interpreted with caution. Conclusion: Visual art therapy can significantly enhance global cognitive function in older adults and confers additional benefits on language functions and activities of daily living. As a safe, non-invasive, non-pharmacological intervention, visual art therapy may serve as an effective adjunctive approach for managing cognitive decline and daily functioning in the older population. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420261337553, identifier CRD420261337553.

Indexed as

activities of daily livingcognitive functionlanguage functionmeta-analysisolder adultssystematic reviewvisual art therapy

Identifiers

PMID42688254
PMCPMC13534113

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.