Visual art therapy and its effects in older people with mild cognitive impairment: A systematic review

被引:5
作者
Chiang, Lynn [1 ,5 ]
Cheong, David [1 ]
Cordato, Nicholas J. [1 ,2 ,3 ]
Smerdely, Peter [1 ,4 ]
机构
[1] St George Hosp, Dept Aged Care, Kogarah, NSW, Australia
[2] Calvary Hlth Care Sydney, Kogarah, NSW, Australia
[3] Univ New South Wales, Sch Clin Med, St George & Sutherland Clin Campuses, Sydney, NSW, Australia
[4] Univ New South Wales, UNSW Med & Hlth, Sch Populat Hlth, Sydney, NSW, Australia
[5] St George Hosp, Dept Aged Care, 3 Chapel St, Kogarah, NSW 2217, Australia
关键词
mild cognitive impairment (MCI); older people; systematic review; visual art therapy; QUALITY-OF-LIFE; INTERVENTIONS; DEMENTIA;
D O I
10.1002/gps.6053
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
IntroductionMild cognitive impairment (MCI) is a known risk factor for the development of dementia. The potential benefits on cognition from non-pharmacological measures such as art-based interventions are of increasing interest. This systematic review examines the evidence for the impact of one form of art-based intervention, visual art therapy (VAT), on the cognition and psychological wellbeing of older people with MCI.MethodsRandomised controlled and quasi-experimental trials evaluating the efficacy of VAT in older persons aged over 60 years with MCI were included. A search was performed on electronic databases: MEDLINE, CINAHL, Embase and PsycINFO. Joanna Briggs Institute critical appraisal and extraction tools were utilised for risk of bias assessment and data extraction, respectively. A narrative descriptive approach was used to outline the findings.ResultsSeven studies were identified from 4311 articles screened. Improvement in cognition was reported in five studies, with two of these reporting sustained improvement at 6-9 months, while the remaining three studies showed improvement only at the immediate post-intervention period. A positive impact was reported in four of six studies that examined the effect of VAT on participant psychological wellbeing. The overall methodological quality of the studies ranged from moderate in four of five RCTs, to high in the quasi-experimental studies and one RCT. However, the low study power in the context of small sample sizes limits the applicability of these studies to the population of interest.ConclusionsVAT is potentially an effective non-pharmacological intervention that may enhance cognition and provide benefits for psychological wellbeing in older persons with MCI. Given the limited studies available, with the majority emerging over the last 5 years, further research is required to confirm these reported benefits, as well as to determine whether VAT impacts on the progression of cognitive decline in MCI. Visual art therapy (VAT) may help to prevent or slow cognitive decline in people with Mild cognitive impairment (MCI).VAT may provide psychological benefits in people with MCI.Further larger and more rigorously conducted research studies are needed to confirm the effects of VAT on cognition and psychological well-being in MCI.
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