The effects of art therapy on anxiety and depression in breast cancer patients: An updated meta‐analysis

European Journal of Cancer CareVolume 29, Issue 5 e13266 ORIGINAL ARTICLE The effects of art therapy on anxiety and depression in breast cancer patients: An updated meta-analysis Linlin Xu, Linlin Xu Department of Fine Arts Education, College of Fine Arts, Jiamusi University, Jiamusi, ChinaSearch for more papers by this authorPengfei Cheng, Corresponding Author Pengfei Cheng chpfwy@163.com orcid.org/0000-0002-9108-3897 Department of Neurology, The First Affiliated Hospital of Jiamusi University, Jiamusi, China Correspondence Pengfei Cheng, Department of Neurology, The First Affiliated Hospital of Jiamusi University, 348 Xuefu Street, Xiangyang District, Jiamusi 154002, China. Email: chpfwy@163.comSearch for more papers by this authorYu Wu, Yu Wu Institute of Clinical Research and Translational Medicine, Lanzhou, ChinaSearch for more papers by this authorJunxiang Zhang, Junxiang Zhang Department of Neurology, The First Affiliated Hospital of Jiamusi University, Jiamusi, ChinaSearch for more papers by this authorJiaying Zhu, Jiaying Zhu Department of Neurology, The First Affiliated Hospital of Jiamusi University, Jiamusi, ChinaSearch for more papers by this authorJiwen Cui, Jiwen Cui School of Pharmacy, Jiamusi University, Jiamusi, ChinaSearch for more papers by this authorRuixia Yu, Ruixia Yu School of Pharmacy, Jiamusi University, Jiamusi, ChinaSearch for more papers by this author Linlin Xu, Linlin Xu Department of Fine Arts Education, College of Fine Arts, Jiamusi University, Jiamusi, ChinaSearch for more papers by this authorPengfei Cheng, Corresponding Author Pengfei Cheng chpfwy@163.com orcid.org/0000-0002-9108-3897 Department of Neurology, The First Affiliated Hospital of Jiamusi University, Jiamusi, China Correspondence Pengfei Cheng, Department of Neurology, The First Affiliated Hospital of Jiamusi University, 348 Xuefu Street, Xiangyang District, Jiamusi 154002, China. Email: chpfwy@163.comSearch for more papers by this authorYu Wu, Yu Wu Institute of Clinical Research and Translational Medicine, Lanzhou, ChinaSearch for more papers by this authorJunxiang Zhang, Junxiang Zhang Department of Neurology, The First Affiliated Hospital of Jiamusi University, Jiamusi, ChinaSearch for more papers by this authorJiaying Zhu, Jiaying Zhu Department of Neurology, The First Affiliated Hospital of Jiamusi University, Jiamusi, ChinaSearch for more papers by this authorJiwen Cui, Jiwen Cui School of Pharmacy, Jiamusi University, Jiamusi, ChinaSearch for more papers by this authorRuixia Yu, Ruixia Yu School of Pharmacy, Jiamusi University, Jiamusi, ChinaSearch for more papers by this author First published: 25 May 2020 https://doi.org/10.1111/ecc.13266 Xu and Cheng equally contributed to this work and should be regarded as co-first authors. Funding information: This work was supported by research grants from the National Natural Science Foundation of China (Grant No. 81871034), the Natural Science Foundation of Heilongjiang Province (Grant No. H2016087), the Natural Science Program of Health and Family Planning Commission of Heilongjiang Province (Grant No. 2016-280), and the Natural Science Program of Jiamusi University (Grant No. JMSURCGG2016-004). Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Objective In this meta-analysis, we aimed to investigate the effects of art therapy on anxiety and depression in patients with breast cancer. Methods Electronic databases were searched for relevant studies through December 2019. Standardised mean differences (SMDs) were calculated as the effects of art therapy on improvement of anxiety and depression in women with breast cancer. The meta-analysis included nine studies involving a total of 446 participants. Results The summary SMD of art therapy for anxiety was −1.02 (95% confidence interval (CI), −2.08 to 0.04; p = .06). The pooled SMD of art therapy for depression was −0.73 (95% CI, −1.45 to −0.01; p = .046). In the age subgroup analysis, the summary SMD of art therapy for anxiety was −1.30 (95% CI, −2.45 to −0.14; p = .03) for a mean age of more than 55 years. The summary SMD of art therapy for depression was −1.01 (95% CI, −1.95 to −0.05; p = .04) for a mean age of less than 55 years. Conclusion This meta-analysis revealed that art therapy demonstrates positive effects on depression but not anxiety in patients with breast cancer. There appears to be a critical age period for art therapy to alleviate anxiety or depression in these patients. Supporting Information Filename Description ecc13266-sup-0001-SupInfo.docWord document, 84.5 KB Supplemental File 1 Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article. Volume29, Issue5September 2020e13266 RelatedInformation