{"title":"Effects of music therapy on mood, language, behavior, and social skills in children with autism: A meta-analysis","authors":"Zhi-Min Shi , Gui-Hong Lin , Qing Xie","doi":"10.1016/j.cnre.2016.06.018","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the effects of music therapy on mood, language, behavior, and social skills in children with autism.</p></div><div><h3>Methods</h3><p>A literature search was conducted using the following Chinese databases: the China National Knowledge Infrastructure (CNKI), Wanfang Data, the Chinese Biomedical Literature (CBM) Database, and the VIP Chinese Science and Technology Periodicals Database. The search terms were “autistic children” or “children with autism” and “music therapy” or “music treatment.” Studies of randomized controlled trials (RCTs) were included, and each publication included was assessed for quality. A meta-analysis was conducted using RevMan 5.1.</p></div><div><h3>Results</h3><p>Publications were selected based on the inclusion and exclusion criteria. Six research articles describing RCTs were included; the total sample size was 300 patients. The results of meta-analysis showed that music therapy improved mood [Risk ratio (<em>RR</em>) = 3.02, 95% confidence interval (<em>CI</em>) = 1.93–4.11, <em>Z</em> = 5.45, <em>P</em> < 0.000 01] and behavior (<em>RR</em> = 7.36, 95% <em>CI</em> = 4.28–10.44, <em>Z</em> = 4.69, <em>P</em> = 0.000 01) in children with autism. Additionally, music therapy improved language (<em>RR</em> = 4.05, 95% <em>CI</em> = 3.38–4.73, <em>Z</em> = 11.71, <em>P</em> = 0.000 01), sensory perception (<em>RR</em> = 4.62, 95% <em>CI</em> = 1.55–7.69, <em>Z</em> = 2.95, <em>P</em> = 0.003), and social skills (<em>RR</em> = 4.66, 95% <em>CI</em> = 1.90–7.42, <em>Z</em> = 3.31, <em>P</em> = 0.000 9) in children with autism.</p></div><div><h3>Conclusions</h3><p>Music therapy can improve mood, language, sensory perception, behavior, and social skills in children with autism.</p></div>","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2016.06.018","citationCount":"25","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers of Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2095771816300822","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 25
Abstract
Objective
To investigate the effects of music therapy on mood, language, behavior, and social skills in children with autism.
Methods
A literature search was conducted using the following Chinese databases: the China National Knowledge Infrastructure (CNKI), Wanfang Data, the Chinese Biomedical Literature (CBM) Database, and the VIP Chinese Science and Technology Periodicals Database. The search terms were “autistic children” or “children with autism” and “music therapy” or “music treatment.” Studies of randomized controlled trials (RCTs) were included, and each publication included was assessed for quality. A meta-analysis was conducted using RevMan 5.1.
Results
Publications were selected based on the inclusion and exclusion criteria. Six research articles describing RCTs were included; the total sample size was 300 patients. The results of meta-analysis showed that music therapy improved mood [Risk ratio (RR) = 3.02, 95% confidence interval (CI) = 1.93–4.11, Z = 5.45, P < 0.000 01] and behavior (RR = 7.36, 95% CI = 4.28–10.44, Z = 4.69, P = 0.000 01) in children with autism. Additionally, music therapy improved language (RR = 4.05, 95% CI = 3.38–4.73, Z = 11.71, P = 0.000 01), sensory perception (RR = 4.62, 95% CI = 1.55–7.69, Z = 2.95, P = 0.003), and social skills (RR = 4.66, 95% CI = 1.90–7.42, Z = 3.31, P = 0.000 9) in children with autism.
Conclusions
Music therapy can improve mood, language, sensory perception, behavior, and social skills in children with autism.
目的探讨音乐治疗对自闭症儿童情绪、语言、行为和社交技能的影响。方法采用中国知网(CNKI)、万方数据、中国生物医学文献数据库(CBM)和维普中国科技期刊数据库进行文献检索。搜索词是“自闭症儿童”或“自闭症儿童”和“音乐治疗”或“音乐治疗”。纳入随机对照试验(RCTs)的研究,并对纳入的每份出版物进行质量评估。采用RevMan 5.1进行meta分析。结果根据纳入标准和排除标准选择出版物。纳入6篇描述rct的研究文章;总样本量为300名患者。meta分析结果显示,音乐治疗改善情绪[风险比(RR) = 3.02, 95%可信区间(CI) = 1.93-4.11, Z = 5.45, P <[0.0001]和行为(RR = 7.36, 95% CI = 4.28-10.44, Z = 4.69, P = 0.0001)。此外,音乐治疗改善了自闭症儿童的语言(RR = 4.05, 95% CI = 3.38-4.73, Z = 11.71, P = 0.000 01)、感觉知觉(RR = 4.62, 95% CI = 1.55-7.69, Z = 2.95, P = 0.003)和社交技能(RR = 4.66, 95% CI = 1.90-7.42, Z = 3.31, P = 0.000 9)。结论音乐治疗可以改善自闭症儿童的情绪、语言、感觉知觉、行为和社交技能。