視覺藝術治療改善輕度認知障礙病人認知功能及憂鬱之成效

Effects of Visual Art Therapy on Improving Cognitive Function and Depression in Patients with Mild Cognitive Impairment

背景：輕度認知障礙是一種神經認知障礙，病人常合併神經精神症狀，例如憂鬱。非藥物治療可能改善輕度認知障礙病人之認知功能及憂鬱。
目的：本文旨在檢測視覺藝術治療是否可以改善輕度認知障礙病人認知功能及憂鬱。
方法：在PubMed、Embase、Medline、Cochrane Library、CINAHL及CEPS華藝線上圖書館等六個電子資料庫搜尋2019年1月至2024年10月之中文及英文發表文章。檢索使用關鍵字包括「認知障礙」、「視覺藝術治療」、「認知功能」和「憂鬱」。納入條件包括輕度認知障礙病人接受視覺藝術治療、測量結果是認知功能及憂鬱、隨機控制試驗及隨機控制試驗之系統性文獻回顧及統合分析。排除條件包括認知障礙合併失智或思覺失調、視覺藝術治療同時合併其他治療。共搜尋545篇相關文獻，刪除重複文章207篇後，基於納入及排除條件刪除336篇文章，以及刪除來自同一研究數據之前驅研究文章1篇，最後，納入1篇隨機控制試驗進行評讀，共127位長者參與此隨機控制試驗研究。
結果：視覺藝術治療可能有益於改善認知功能及憂鬱，且對認知功能的成效可持續至介入措施結束後的3個月及6個月。然而，隱匿偏差、執行偏差、流失偏差及報告內容不夠詳實，可能衝擊研究效度。
結論：視覺藝術治療是一種安全及可行的輔助療法，可用以改善輕度認知障礙病人之認知功能及憂鬱。建議未來能整合個人創意、生活經驗及其文化脈絡，深化視覺藝術治療的涵養與效益。

Background: Mild cognitive impairment is a neurocognitive disorder in which patients often experience a combination of neuropsychiatric symptoms, such as depression. Non-pharmacological therapies may improve cognitive function and depression in patients with mild cognitive impairment.
Purpose: This article aims to determine whether visual art therapy can improve cognitive function and depression in patients with mild cognitive impairment.
Methods: A literature search of articles published in Chinese and English between January 2019 and October 2024 was conducted in six electronic databases, including PubMed, Embase, Medline, Cochrane Library, CINAHL, and Airiti Library. Keywords used in the search included“cognitive impairment”,“visual art therapy”,“cognitive function”and“depression”. Inclusion criteria included patients with mild cognitive impairment receiving visual arts therapy, outcome measures of cognitive function and depression, and randomized controlled trials (RCTs) and systematic reviews and meta-analyses of RCTs. A total of 545 relevant articles were identified. After removing 207 articles as duplicates, 336 articles were removed based on the inclusion and exclusion criteria and 1 pilot study article was removed due to repeated data from the same study. Finally, one RCT was included for critical appraisal. A total of 127 elders participated in this RCT study.
Results: Visual art therapy may be beneficial in improving cognitive function and depression, and the effect on cognitive function was sustained up to 3 and 6 months after the end of the intervention. However, concealment bias, performance bias, attrition bias, and lack of clarity and detail in reporting, may negatively impact the research validity.
Conclusion: Visual art therapy, which is a safe and feasible complementary therapy for improving cognitive function and depression in patients with mild cognitive impairment. To integrate personal creativity, life experience and cultural context to deepen the meaning and benefits of visual art therapy is suggested in the future.