000166066 001__ 166066
000166066 005__ 20260119170325.0
000166066 0247_ $$2doi$$a10.1080/07317115.2025.2608767
000166066 0248_ $$2sideral$$a147488
000166066 037__ $$aART-2026-147488
000166066 041__ $$aeng
000166066 100__ $$0(orcid)0000-0002-0061-3312$$aGómez-Soria, Isabel$$uUniversidad de Zaragoza
000166066 245__ $$aThe Effects of Art Therapy on Executive Functions and Attention in Parkinson’s Disease: Systematic Review and Meta-Analysis
000166066 260__ $$c2026
000166066 5060_ $$aAccess copy available to the general public$$fUnrestricted
000166066 5203_ $$aObjectives
Art therapies are emerging non-pharmacological complementary treatments for Parkinson’s disease (PD). This systematic review and meta-analysis aimed to evaluate their effects on non-motor symptoms, motor symptoms, quality of life (QoL), and activities of daily living (ADLs) in adults aged 50 years and older with PD.
Methods
PubMed, Scopus, Cochrane, and Web of Science databases were searched from 2014 to 2025. Of 40 initially identified studies, 33 met inclusion criteria and were included in the review; 24 were incorporated in the meta-analysis using a robust variance estimator to address repeated measurements.
Results
Art therapy was associated with significant improvements in both executive functions [RVE (Mean) = 0.971, 95% CI (0.951, 0.991), Z = 50.323, p < .001] and attention [RVE (Mean) = 0.854, 95% CI (0.834, 0.874), Z = 10.892, p < .001]compared with controls in the follow-up [RVE Mean) = 0.971 95%CI(0.951, 0.991), Z = 50.323, p < .001]. In single-group studies, depressive symptoms decreased post-intervention [RVE (Mean) = 6.289, 95% CI (1.101, 11.477), Z = 10.878, p = .049] but increased again at follow-up [RVE (Mean) = 12.094, 95% CI (0.318, 23.871), Z = 10.878, p = .049] Conversely, outcomes such as freezing of gait, QoL, and PD progression at follow-up favored the control groups rather than the treatment groups
Conclusions
Evidence suggests that Art therapy may enhance executive functioning – especially at follow-up – and attention in older adults with PD. However, current evidence does not demonstrate consistent benefits in other non-motor or motor outcomes and ADLs. Brief, structured interventions (e.g. 20 sessions of 60 min, twice weekly) administered by dance instructors appear most promising. The improvements observed in control groups further underscore the potential value of active, structured interventions such as exercise or rehabilitation.
000166066 536__ $$9info:eu-repo/grantAgreement/ES/DGA/B21-23R-GAIAP
000166066 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
000166066 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000166066 700__ $$0(orcid)0009-0004-1019-7174$$aAndrade Borja, Johanna Elizabeth
000166066 700__ $$0(orcid)0000-0003-2683-7346$$aAguilar-Latorre, Alejandra$$uUniversidad de Zaragoza
000166066 700__ $$0(orcid)0000-0002-4307-796X$$aCalatayud, Estela$$uUniversidad de Zaragoza
000166066 700__ $$aFerreira-Sánchez, María Del Rosario
000166066 700__ $$aCuenca-Zaldivar, Juan Nicolás
000166066 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000166066 7102_ $$14009$$2735$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicolog.Evolut.Educac
000166066 773__ $$g(2026), 1-28$$pCLINICAL GERONTOLOGIST$$tCLINICAL GERONTOLOGIST$$x0731-7115
000166066 8564_ $$s3098377$$uhttps://zaguan.unizar.es/record/166066/files/texto_completo.pdf$$yPostprint
000166066 8564_ $$s1557712$$uhttps://zaguan.unizar.es/record/166066/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000166066 909CO $$ooai:zaguan.unizar.es:166066$$particulos$$pdriver
000166066 951__ $$a2026-01-19-14:39:18
000166066 980__ $$aARTICLE