{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T14:25:54Z","timestamp":1783347954109,"version":"3.54.6"},"reference-count":68,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Art therapy has gained increasing attention as an adjunctive intervention for cancer patients. This study sought to conduct the first network meta-analysis (NMA) to evaluate the effects of various art therapies on the psychological well-being and quality of life in cancer survivors, rank various interventions by efficacy, and provide evidence-based guidance for clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Web of Science, PubMed, Embase, and the Cochrane Library, were systematically searched for studies published up to September 3, 2025. Eligible studies were selected according to predefined criteria, and data were independently extracted by two researchers. Heterogeneity was assessed using the I\u00b2 statistic, and fixed- or random-effects models were applied accordingly. A Bayesian NMA was conducted to compare interventions and rank their efficacy using the surface under the cumulative ranking curve (SUCRA). Publication bias was assessed using comparison-adjusted funnel plots and Egger\u2019s test. Network meta-regression was performed for outcomes with high heterogeneity. Analyses were conducted using R Studio v4.5.2 and STATA v15.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-eight studies involving 2,542 cancer survivors were included. The NMA demonstrated that mandala painting therapy exhibited statistically significant efficacy in alleviating depression and enhancing quality of life. Regarding fatigue reduction, music therapy was superior to routine care (standardized mean difference [SMD] = -5.83, 95% credible interval [CrI]: -6.65, -5.02) and had the highest SUCRA ranking (96.4%). In terms of anxiety and pain relief, although music therapy had high SUCRA rankings (67.4% and 69.0%, respectively), pairwise comparisons did not show statistically significant differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mandala art therapy and music therapy may improve psychological well-being and quality of life among cancer survivors. However, because of the absence of closed loops in the evidence network, substantial clinical heterogeneity, and potential publication bias, SUCRA-based rankings should be interpreted cautiously. Further high-quality, multi-arm, standardized randomized controlled trials with lower risk of bias are needed to confirm these findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic Review Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/www.crd.york.ac.uk\/PROSPERO\/<\/jats:ext-link>\n                      , identifier CRD420251149102\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1817092","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T14:01:20Z","timestamp":1783346480000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of different art therapies on the psychological well-being and quality of life in cancer survivors: a systematic review and network meta-analysis"],"prefix":"10.3389","volume":"17","author":[{"given":"Qianlu","family":"Wang","sequence":"first","affiliation":[{"name":"Nursing Department, Huashan Hospital Affiliated to Fudan University","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Tao","sequence":"additional","affiliation":[{"name":"Nursing Department, Huashan Hospital Affiliated to Fudan University","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Huang","sequence":"additional","affiliation":[{"name":"Nursing Department, Huashan Hospital Affiliated to Fudan University","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bihong","family":"Huang","sequence":"additional","affiliation":[{"name":"Nursing Department, Huashan Hospital Affiliated to Fudan University","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-024-01581-8","article-title":"The association between a patient-centered quality of care index and self-efficacy among cancer survivors","volume":"19","author":"Engelman","year":"2025","journal-title":"J Cancer Surviv"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/s1470-2045(16)30573-3","article-title":"Defining cancer survivors, their needs, and perspectives on survivorship health care in the USA","volume":"18","author":"Mayer","year":"2017","journal-title":"Lancet Oncol"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1002\/pon.6205","article-title":"Fear of cancer recurrence and mental health: A comprehensive meta-analysis","volume":"32","author":"Podina","year":"2023","journal-title":"Psychooncology"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1002\/pon.70077","article-title":"Global prevalence of mental health problems among cancer survivors: A meta-analysis from 31 countries","volume":"34","author":"Ge","year":"2025","journal-title":"Psychooncology"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2024.1408762","article-title":"Research progress on the psychological burden and intervention measures in cancer patients","volume":"15","author":"Wang","year":"2024","journal-title":"Front Psychiatry"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdz275.003","article-title":"CN48 - 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