中国康复理论与实践2025,Vol.31Issue(4):423-430,8.DOI:10.3969/j.issn.1006-9771.2025.04.007
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
摘要
Abstract
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 Sci-ence 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 Co-chrane 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 Manag-er 5.4. Results Nine RCTs were included,involving 828 patients from France,China,Norway,Iran,the United States and Aus-tralia.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 inter-vention 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Key words
autism spectrum disorder/children/music therapy/meta analysis分类
临床医学引用本文复制引用
张勇,蔡增,徐凤萍,刘丹,常红娟..音乐治疗对孤独症谱系障碍儿童干预效果的Meta分析[J].中国康复理论与实践,2025,31(4):423-430,8.基金项目
1.国家自然科学基金面上项目(No.71774127) (No.71774127)
2.教育部人文社科规划基金项目(No.23YJA760097) (No.23YJA760097)
3.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) Supported by National Natural Science Foundation of China(General)(No.71774127),Humanities and Social Sciences Planning Fund Project of Ministry of Education(No.23YJA760097),and Key Research Base of Humanities and Social Sciences in Higher Education Institutions in Hubei Province-Key Project of Hubei Non-profit Organization Research Center(No.HBNPO202302) (No.HBNPO202302)