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Assessment of the effectiveness of art drawing for children with ASD and prediction of risk factors.

Medicine2026

Yao Jinghong, Wang Qiushi, Qiao Yang, Cai Ying, Shen Heyong

What this study means for families

Researchers studied whether art therapy helps reduce anxiety in children with autism aged 3-8. Children who did drawing activities showed less anxiety during medical visits and were better at following treatment plans compared to children who didn't do art therapy. One specific type of drawing (house-tree-person) was particularly helpful for reducing anxiety, while other drawing types offered different benefits for individual children.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This controlled study examined art therapy effectiveness for anxiety and behavioral issues in 131 children with ASD aged 3-8 years. Participants were divided into control and painting groups, with the painting group receiving three types of drawing therapy: house-tree-person, mandala, and group drawing. Results showed the painting group had significantly reduced anxiety during medical visits and better treatment adherence compared to controls. House-tree-person drawing therapy specifically correlated with anxiety reduction, while mandala and group therapies showed no significant anxiety correlation but offered personalized treatment benefits.

Group therapy effectiveness increased with participant numbers, suggesting social components may enhance outcomes.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Art therapy significantly reduced anxiety levels during medical preparation and pre-anesthetic visits in children with ASD

    Confidence: moderateRelevance: High - addresses common clinical challenge of medical anxiety in autism
  • 2

    House-tree-person drawing therapy specifically correlated with reduced anxiety levels

    Confidence: moderateRelevance: High - provides specific therapeutic technique for anxiety management
  • 3

    Art therapy group showed improved treatment adherence compared to control group

    Confidence: moderateRelevance: High - treatment adherence is crucial for therapeutic outcomes
  • 4

    Group therapy effectiveness increased with higher participant numbers

    Confidence: limitedRelevance: Moderate - informs optimal group size for interventions

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Art therapy, particularly house-tree-person drawing, may be valuable for managing medical anxiety in young children with ASD. Practitioners should consider group size optimization for group interventions. Art therapy could be integrated into pre-medical visit protocols to improve treatment adherence and reduce anxiety-related challenges.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Study design unclear from abstract. No sample size breakdown between groups reported. Limited demographic details provided. Unclear how anxiety was measured or what constituted 'poor treatment adherence'. Follow-up duration and long-term effects not specified.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Autism spectrum disorder (ASD) is a recognized public health issue with unknown origins. This study explored the use of art therapy to address anxiety and behavioral issues in ASD, focusing on individualized treatment and multi-method assessment. A total of 131 children with ASD, aged 3 to 8, were divided into a control and a painting group. Both received a drawing book for home use.

The painting group underwent 3 types of drawing therapy, and their effectiveness was analyzed using logistic regression, with anxiety levels as the dependent variable. The painting group showed reduced anxiety during preparation and pre-anesthetic visits compared to the control group. The control group had a higher rate of poor treatment adherence. House-tree-person drawing therapy was linked to reduced anxiety, while mandala and group drawing therapies showed no significant (P > .05) correlation with anxiety levels.

Group therapy effectiveness increased (P < .05) with participant numbers. Art drawing can significantly reduce anxiety in children with ASD and improve treatment adherence. House-tree-person drawing is useful for anxiety screening, while mandala and group therapies offer personalized treatment approaches.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Medicine
Year
2026
PMID
41496110
DOI
10.1097/MD.0000000000046881

MeSH Terms

HumansAutism Spectrum DisorderArt TherapyMaleFemaleChildAnxietyChild, PreschoolRisk FactorsTreatment Outcome