音乐治疗对孤独症谱系障碍儿童干预效果的Meta分析  

Effect of music therapy on children with autism spectrum disorder:a meta-analysis

作　　者：张勇[1] 蔡增 徐凤萍 刘丹[3] 常红娟 ZHANG Yong;CAI Zeng;XU Fengping;LIU Dan;CHANG Hongjuan(Art Therapy and Mental Health Research Center,Wuhan University of Science and Technology,Wuhan,Hubei 430065,China;School of Music Education,Wuhan Conservatory of Music,Wuhan,Hubei 430060,China;Advanced Technology Research Institute of Neuroscience,Wuhan University of Science and Technology,Wuhan,Hubei 430065,China)

机构地区：[1]武汉科技大学艺术治疗与心理健康研究中心,湖北武汉市430065 [2]武汉音乐学院音乐教育学院,湖北武汉市430060 [3]武汉科技大学脑科学先进技术研究院,湖北武汉市430065

出　　处：《中国康复理论与实践》2025年第4期423-430,共8页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家自然科学基金面上项目(No.71774127);教育部人文社科规划基金项目(No.23YJA760097);湖北省高等学校人文社科重点研究基地-湖北非营利组织研究中心重点项目(No.HBNPO202302)。

摘　　要：目的探讨音乐治疗对孤独症谱系障碍(ASD)儿童的干预效果。方法系统检索中国知网、万方数据库、维普数据库、PubMed、Elsevier Science Direct、Google Scholar等数据库中关于音乐治疗对ASD儿童干预效果的随机对照试验。检索期限从建库至2024年4月。对照组采用非音乐治疗手段进行干预,包括药物治疗、教育治疗、认知行为治疗、结构化治疗等常规干预模式,观察组采用音乐治疗方法。按照Cochrane系统评价手册对纳入研究进行系统评价,由2名研究人员独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用Review Manager 5.4进行统计学分析。结果共纳入9篇文献,涉及828例患者,来自法国、中国、挪威、伊朗、美国和澳大利亚,干预类型主要涉及音乐治疗、亲子合作式音乐治疗、奥尔夫音乐治疗、组内音乐治疗、即兴音乐治疗、基于Orff-Schulwerk的音乐治疗、音乐干预和以家庭为中心的音乐治疗。Meta分析显示,观察组的总体治疗结果(SMD=-0.30,95%CI-0.55~-0.04,P=0.02)、语言功能(MD=-2.09,95%CI-2.89~-1.30,P<0.001)和躯体行为改善(SMD=-0.27,95%CI-0.53~-0.01,P=0.040)更优。结论音乐治疗能够提升ASD儿童的总体治疗效果,有效改善患儿的语言功能和躯体行为。Objective To explore the effect of music therapy on children with autism spectrum disorder(ASD).Methods A systematic search was conducted in databases including CNKI,Wanfang data,VIP,PubMed,Elsevier Science Direct and Google Scholar for randomized controlled trials(RCT)on the effect of music therapy on children with ASD.The search period was from database inception to April,2024.The control group received non-music therapy interventions,including medication,educational therapy,cognitive-behavioral therapy,and structured treatment.The observation group received music therapy.Studies were systematically reviewed following the Cochrane Handbook for Systematic Reviews,with two researchers independently screening literatures,extracting data,and assessing the risk of bias in the included studies.Statistic analysis was performed using Review Manager 5.4.Results Nine RCTs were included,involving 828 patients from France,China,Norway,Iran,the United States and Australia.The intervention types mainly included music therapy,parent-child cooperative music therapy,Orff music therapy,group music therapy,improvisational music therapy,Orff-Schulwerk-based music therapy,music intervention and family-centered music therapy.The overall outcomes(SMD=-0.30,95%CI-0.55 to-0.04,P=0.02),language function(MD=-2.09,95%CI-2.89 to-1.30,P<0.001)and physical behavior(SMD=-0.27,95%CI-0.53 to-0.01,P=0.040)improved better in the observation group.Conclusion Music therapy can improve the overall outcome of children with ASD,especially in language function and physical behavior.

关 键 词：孤独症谱系障碍 儿童 音乐治疗 META分析 

分 类 号：R749.94[医药卫生—神经病学与精神病学]