Systematic review and economic modelling of the clinical effectiveness and cost-effectiveness of art therapy among people with non-psychotic mental health disorders.
https://www.ncbi.nlm.nih.gov/books/NBK279641/
Uttley L, Scope A, Stevenson M, et al. Systematic review and economic modelling of the clinical effectiveness and cost-effectiveness of art therapy among people with non-psychotic mental health disorders. Southampton (UK): NIHR Journals Library; 2015 Mar. (Health Technology Assessment, No. 19.18.) Chapter 2, Clinical effectiveness of art therapy: quantitative systematic review. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279641/ DOI 10.3310/hta19180
• Trauma Study: Chapman et al. 2001[49]
This RCT of brief art therapy versus treatment as usual was carried out in children (n = 85) hospitalised with PTSD. A 1-hour individual session was provided but the number of sessions was not reported. Outcomes were measured at baseline and at 1 week, 1 month, and 6 and 12 months (in children who were still symptomatic). The targeted symptom was PTSD. The outcome measurement tool was Children’s Post Traumatic Stress Disorder Index (PTSD-I). The method of statistical analysis was not described. No significant differences were found between groups, but a non-significant trend towards greater reduction in PTSD-I scores was observed in the intervention group relative to the control group.
• Trauma Study: Lyshak-Stelzer et al. 2007[48]
This RCT in adolescents (n = 29) with PTSD compared art therapy with arts and crafts activities. Sixteen weekly group sessions were provided. The targeted symptom was PTSD. Outcome measurement tools were the University of California, Los Angeles (UCLA) PTSD Reaction Index (Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition, Child Version) (primary measure) and milieu behavioural measures (e.g. use of restraints). Measurement time points were not reported, but data at two years were provided. Pre- and post-test scores were compared between groups using repeated-measures ANOVA. The intervention was significantly better than control at reducing PTSD symptoms, according to the UCLA PTSD Reaction Index.
• Trauma Study: Thyme et al. 2007[47]
This was a RCT in depressed female adults (n = 39) of psychodynamic art therapy versus verbal dynamic psychotherapy. Ten 60-minute weekly sessions (individual/group not reported) were provided. Targeted symptoms were stress reactions after a range of traumatic events, mental health symptoms and depression. Outcome measurements were Impact of Event Scale, Symptom-Checklist-90 (SCL-90), Beck Depression Inventory (BDI) and Hamilton Rating Scale of Depression scores. Measurements were recorded at baseline, at 10 weeks and at a 3-month follow-up. All patients improved from baseline on all scales (p < 0.001). There were no significant differences between groups so art therapy was not significantly different to the comparator at either time point.
• Among the three studies examining trauma,47–49 art therapy resulted in significant reduction of symptoms of trauma in all studies. While trauma improved from baseline, there was no significant difference between the art therapy and control groups in any of the three studies.
• The limited available evidence showed that patients receiving art therapy had significant positive improvements in 14 out of 15 RCTs. In 10 of these studies, art therapy resulted in significantly more improved outcomes than the control, while in four studies art therapy resulted in an improvement from baseline but the improvement in the intervention group was not significantly greater than in the control group. In one study, outcomes were better in the control group than in the art therapy group. Relevant mental health outcome domains that were targeted in the included studies were depression, anxiety, mood, trauma, distress, QoL, coping, cognition and self-esteem.
No comments:
Post a Comment