The role of arts therapies in mitigating Sleep Initiation and Maintenance Disorders: a systematic review

Author: Xuexing Luo#1, Aijia Zhang#1, Hong Li#1, Yu Li2,3, Fangtian Ying1,4,5, Xiaoli Wang6, Qianxu Yang7, Zheyu Zhang1, Guanghui Huang1
1 Faculty of Humanities and Arts, Macau University of Science and Technology, Macao, Macao SAR, China.
2 State Key Laboratory of Quality Research in Chinese Medicines, Macau University of Science and Technology, Macao, Macao SAR, China.
3 Faculty of Chinese Medicine, Macau University of Science and Technology, Macao, Macao SAR, China.
4 College of Computer Science and Technology Zhejiang University, Hangzhou, Zhejiang, China.
5 Operation Management Centre, Guangzhou Wanqu Cooperative Institute of Design, Guangzhou, Guangdong, China.
6 Qinghai Province Cardiovascular and Cerebrovascdular Disease Specialist Hospital, Xining, Qinghai, China.
7 Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Conference/Journal: Front Psychiatry
Date published: 2024 May 16
Other: Volume ID: 15 , Pages: 1386529 , Special Notes: doi: 10.3389/fpsyt.2024.1386529. , Word Count: 169

Arts therapies offer effective non-pharmacological intervention for Sleep Initiation and Maintenance Disorders (SIMDs), encompassing both passive and active modalities. This review assesses their effectiveness and ethical considerations, focusing on music therapy, meditation, and Tai Chi.

Following PRISMA guidelines, a detailed search across PubMed, the Cochrane Library, Web of Science, and CNKI identified 17 relevant RCTs. Utilizing the Joanna Briggs Institute (JBI) quality criteria and the PICO(S) framework for data extraction ensured methodological integrity.

Analysis shows arts therapies significantly improve sleep quality. Music therapy and meditation yield immediate benefits, while Tai Chi and Qigong require longer commitment for significant outcomes.

The link between SIMDs and mental health issues like anxiety, stress, and depression suggests arts therapies not only enhance sleep quality but also address underlying mental health conditions. The evidence supports a wider adoption of arts therapies in treating SIMDs due to their dual benefits.

Systematic review registration:
PROSPERO, ID: CRD42024506393.

Keywords: Arts Therapies; complementary interventions; mental health; psychotherapy; sleep disorders.

PMID: 38818021 PMCID: PMC11137235 DOI: 10.3389/fpsyt.2024.1386529