创意艺术治疗对癌症儿童心理结果和压力相关生理标志物的影响：系统评价

Children with cancer frequently experience psychological distress and symptom-related challenges during diagnosis, treatment, and hospitalization. Creative arts therapy (CAT) has been used as a complementary approach to support emotional expression, coping, and stress regulation; however, its effects on psychological outcomes and stress-related physiological markers remain unclear. This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The CINAHL, Cochrane, Embase, PubMed, Scopus, and Web of Sciences databases we