{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T17:10:15Z","timestamp":1784740215490,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of art therapy in improving depressive and anxiety symptoms among adults with depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A systematic review and meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seven databases were searched from inception to November 14, 2025. Randomized controlled trials (RCTs) and quasi\u2010experimental studies evaluating art therapy for adults with clinically diagnosed or screened depression were included. Two reviewers independently performed study selection, data extraction and quality assessment using Cochrane Risk of Bias 2.0 (RoB 2.0) and the Joanna Briggs Institute (JBI) checklist. Standardized mean differences (SMDs) were pooled using random\u2010effects models, with subgroup and sensitivity analyses conducted to explore heterogeneity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fourteen studies (861 participants) were included in the systematic review, and 13 contributed data to the meta\u2010analysis. Art therapy produced a significant reduction in depressive symptoms compared with control conditions (SMD\u2009=\u2009\u22120.69, 95% CI: \u22121.04 to \u22120.35;\n                      <jats:italic>z<\/jats:italic>\n                      \u2009=\u20093.92,\n                      <jats:italic>p<\/jats:italic>\n                      &lt;\u20090.001). Effects on anxiety symptoms were small and not statistically significant. Exploratory subgroup analyses suggested larger effects in older adults, interventions lasting &gt;\u20096\u2009weeks, story therapy, individual formats and community settings. However, substantial heterogeneity and the inclusion of trials at risk of bias warrant cautious interpretation. Sensitivity analyses indicated stable results across model specifications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Art therapy appears to be a promising intervention for improving depressive symptoms among adults with depression. In contrast, the result regarding anxiety outcomes is limited, with only three studies contributing data. High\u2010quality studies with large samples, multiple centres and long follow\u2010up durations should be performed to further reliably assess the treatment effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>PROSPERO registration number: CRD420251229306<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpm.70127","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T08:15:32Z","timestamp":1775463332000},"page":"545-560","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Effectiveness of Art Therapy on Adults With Depression: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8191-9885","authenticated-orcid":false,"given":"Lijie","family":"Qiao","sequence":"first","affiliation":[{"name":"Nursing Department, Sir Run Run Shaw Hospital Zhejiang University School of Medicine  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bingyan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Nursing Department, Sir Run Run Shaw Hospital Zhejiang University School of Medicine  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peiqi","family":"Liu","sequence":"additional","affiliation":[{"name":"Nursing Department, Sir Run Run Shaw Hospital Zhejiang University School of Medicine  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5170-5002","authenticated-orcid":false,"given":"Xiangping","family":"Chen","sequence":"additional","affiliation":[{"name":"Nursing Department, Sir Run Run Shaw Hospital Zhejiang University School of Medicine  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2021.40.168.30040"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed\u20102020\u2010209567"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102022\u2010069310"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/07421656.2021.1922328"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.12"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010020\u201005869\u20100"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2013.10.011"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12043"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2019.1704219"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/00981389.2018.1564108"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aip.2020.101689"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/1516\u20104446\u20102017\u20102250"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2021.102765"},{"key":"e_1_2_13_15_1","first-page":"591","article-title":"Diagnostic and Statistical Manual of Mental Disorders","volume":"21","author":"Edition F.","year":"2013","journal-title":"American Psychiatric Association"},{"key":"e_1_2_13_16_1","volume-title":"The Life Cycle Completed (Extended Version)","author":"Erikson E. H.","year":"1998"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2025.01.011"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(20)30925\u20109"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.13331"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470712184"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.01687"},{"key":"e_1_2_13_23_1","unstructured":"Institute for Health Metrics and Evaluation.2019.\u201cGlobal Burden of Disease Study 2019 Results.\u201dhttp:\/\/ghdx.healthdata.org\/gbd\u2010results\u2010tool?params=gbd\u2010api\u20102019\u2010permalink\/d780dffbe8a381b25e1416884959e88b."},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/08919887221130264"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.13277"},{"key":"e_1_2_13_26_1","unstructured":"Joanna Briggs Institute.2020.\u201cCritical Appraisal Checklist for Quasi\u2010Experimental Studies (Non\u2010Randomized Experimental Studies).\u201d JBI."},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.28709"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2024.56"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20010091"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0254\u20106272(17)30322\u20109"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0254\u20106272(14)60071\u20106"},{"key":"e_1_2_13_32_1","volume-title":"Handbook of Art Therapy","author":"Malchiodi C. A.","year":"2011"},{"key":"e_1_2_13_33_1","volume-title":"Handbook of Expressive Arts Therapy","author":"Malchiodi C. A.","year":"2022"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.32598\/ijpcp.28.4.4340.1"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(07)61415\u20109"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201300059"},{"issue":"1","key":"e_1_2_13_37_1","first-page":"119","article-title":"Art Therapy: A Therapeutic Technique","volume":"11","author":"Naumburg M.","year":"1973","journal-title":"International Journal of Psychiatry"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2011.651434"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.28026"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2025.1570798"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aip.2024.102147"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12906\u2010023\u201004258\u20104"}],"container-title":["Journal of Psychiatric and Mental Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpm.70127","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpm.70127","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpm.70127","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T08:18:51Z","timestamp":1777969131000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpm.70127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,6]]},"references-count":42,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/jpm.70127"],"URL":"https:\/\/doi.org\/10.1111\/jpm.70127","archive":["Portico"],"relation":{},"ISSN":["1351-0126","1365-2850"],"issn-type":[{"value":"1351-0126","type":"print"},{"value":"1365-2850","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,6]]},"assertion":[{"value":"2025-12-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}