A randomized trial to test the effectiveness of art therapy for children with asthma

Beebe, Anya; Gelfand, Erwin W.; Bender, Bruce G.

doi:10.1016/j.jaci.2010.03.019

Cited by 98 publications

(80 citation statements)

References 9 publications

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“…47 In the remaining 12 studies, the study population comprised individuals without a formal mental health diagnosis. [49][50][51][52][53][54][55][56][57][58][59]61,62 The populations in these studies are, therefore, mainly people with long-term medical conditions which are not reported to be accompanied by a mental health diagnosis; however, outcomes targeted in these studies were mental health symptoms.…”

Section: Included Studies: Quantitative Reviewmentioning

confidence: 99%

“…56 Two studies did not state explicitly if sessions were in a group or individual. 47,53 Three studies with no active control were group art therapy 58,59,61 and three studies were individual art therapy. 49,55,62 The symptoms or outcome domains under investigation and associated outcome measures are reported in Table 6.…”

Section: Included Studies: Quantitative Reviewmentioning

confidence: 99%

“…47 Four studies simply stated 'art therapist' without reference to accreditation. 49,52,58,59 One study stated that the sessions were run by one artist and two speech therapists. 51 One study stated that the sessions were run by two mental health counsellors.…”

Section: Data Synthesismentioning

confidence: 99%

“…49,55,56,62 Age Eleven RCTs are of adults and four RCTs are of children or adolescents. 48,49,50,58 Gender Five RCTs involved only women, 47,54,55,61,62 and one RCT only men. 59 In the remaining nine RCTs the subjects were of mixed gender.…”

Section: Individual Versus Group Art Therapymentioning

confidence: 99%

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Systematic review and economic modelling of the clinical effectiveness and cost-effectiveness of art therapy among people with non-psychotic mental health disorders

Uttley

Scope

Stevenson

et al. 2015

Health Technology Assessment

100

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BackgroundMental health problems account for almost half of all ill health in people under 65 years. The majority are non-psychotic (e.g. depression, anxiety and phobias). For some people, art therapy may provide more profound and long-lasting healing than more standard forms of treatment, perhaps because it can provide an alternative means of expression and release from trauma. As yet, no formal evaluation of art therapy for non-psychotic mental health disorders has been conducted.AimThis review aimed to evaluate evidence for the clinical effectiveness and cost-effectiveness of art therapy for non-psychotic mental health disorders.MethodsComprehensive literature searches for studies examining art therapy in populations with non-psychotic mental health disorders were performed in major health-related and social science bibliographic databases including MEDLINE, EMBASE, The Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Allied and Complementary Medicine Database (AMED) and Applied Social Sciences Index and Abstracts (ASSIA) from inception up to May 2013. A quantitative systematic review of clinical effectiveness, a qualitative review to explore the acceptability, relative benefits and potential harms, and a cost–utility analysis of studies evaluating cost-effectiveness of art therapy were conducted.ResultsIn the quantitative review, 15 randomised controlled trials (RCTs) were included (n = 777). Meta-analysis was not possible because of clinical heterogeneity and insufficient comparable data on outcome measures across studies. A narrative synthesis reports that art therapy was associated with significant positive changes relative to the control group in mental health symptoms in 10 out of the 15 studies. The control groups varied between studies but included wait-list/no treatment, attention placebo controls and psychological therapy comparators. Four studies reported improvement from baseline but no significant difference between groups. One study reported that outcomes were more favourable in the control group. The quality of included RCTs was generally low. In the qualitative review, 12 cohort studies were included (n = 188 service users;n = 16 service providers). Themes relating to benefits of art therapy for service users included the relationship with the therapist, personal achievement and distraction. Areas of potential harms were related to the activation of emotions that were then unresolved, lack of skill of the art therapist and sudden termination of art therapy. The quality of included qualitative studies was generally low to moderate. In the cost-effectiveness review, a de novo model was constructed and populated with data identified from the clinical review. Scenario analyses were conducted allowing comparisons of group art therapy with wait-list control, group art therapy with group verbal therapy, and individual art therapy versus control. Art therapy appeared cost-effective compared with wait-list control with high certainty, although generalisability to the target population was unclear. Verbal therapy appeared more cost-effective than art therapy but there was considerable uncertainty and a sizeable probability that art therapy was more clinically effective. The cost-effectiveness of individual art therapy was uncertain and dependent on assumptions regarding clinical benefit and duration of benefit.ConclusionsFrom the limited available evidence, art therapy was associated with positive effects when compared with a control in a number of studies in patients with different clinical profiles, and it was reported to be an acceptable treatment and was associated with a number of benefits. Art therapy appeared to be cost-effective compared with wait-list but further studies are needed to confirm this finding as well as evidence to inform future cost-effective analyses of art therapy versus other treatments.Study registrationThe study is registered as PROSPERO CRD42013003957.FundingThe National Institute for Health Research Health Technology Assessment programme.

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Section: Included Studies: Quantitative Reviewmentioning

confidence: 99%

Section: Included Studies: Quantitative Reviewmentioning

confidence: 99%

Section: Data Synthesismentioning

confidence: 99%

Section: Individual Versus Group Art Therapymentioning

confidence: 99%

See 2 more Smart Citations

Systematic review and economic modelling of the clinical effectiveness and cost-effectiveness of art therapy among people with non-psychotic mental health disorders

Uttley

Scope

Stevenson

et al. 2015

Health Technology Assessment

100

View full text Add to dashboard Cite

show abstract

“…Treatment techniques that focus on psychological interventions for asthma include cognitive behavioral therapy [14], art therapy to encourage expression, discussion and problem solving [15], music therapy in both passively listening to, and actively selecting music choices [16] and written emotional expression, or disclosure therapies [10,17].…”

Section: Psychologically Based Treatments For Asthmamentioning

confidence: 99%

Mindful Meditation for Individuals with Asthma and Anxiety: Promising Results from a Multiple Baseline Study

Cheryl¹,

Loc²,

Ls³

et al. 2017

J Yoga Phys Ther

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Asthma is a disease that affects the overall health and quality of life of millions of children and adults in the U.S. In addition to the physical symptoms and the limitations, many people with asthma also experience anxiety. Psychological interventions used in conjunction with standard treatment have successfully reduced anxiety, as well as improved lung functioning among people with asthma. Mindfulness techniques have been shown to reduce anxiety among children, adolescents and adults. This study sought to determine if mindfulness meditation might reduce anxiety and also improve lung functioning. It was found that lung functioning was moderately improved, especially on the day of the sessions, pre and post treatment. Anxiety was also substantially improved during the pre and post in-session treatment.

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Effects of Creative Arts Therapies on Psychological Symptoms and Quality of Life in Patients With Cancer

Puetz¹,

Morley²,

Herring³

2013

JAMA Intern Med

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Importance: Creative arts therapies (CATs) can reduce anxiety, depression, pain, and fatigue and increase quality of life (QOL) in patients with cancer. However, no systematic review of randomized clinical trials (RCTs) examining the effects of CAT on psychological symptoms among cancer patients has been conducted.Objectives: To estimate the effect of CAT on psychological symptoms and QOL in cancer patients during treatment and follow-up and to determine whether the effect varied according to patient, intervention, and design characteristics.Evidence Review: We searched ERIC, Google Scholar, MEDLINE, PsycInfo, PubMed, and Web of Science from database inception to January 2012. Studies included RCTs in which cancer patients were randomized to a CAT or control condition and anxiety, depression, pain, fatigue and/or QOL were measured pre-and post-intervention. Twenty-seven studies involving 1576 patients were included. We extracted data on effect sizes, moderators, and study quality. Hedges d effect sizes were computed, and random-effects models were used to estimate sampling error and population variance. Findings: During treatment, CAT significantly reduced anxiety (⌬ = 0.28 [95% CI, 0.11-0.44]), depression (⌬ = 0.23 [0.05-0.40]), and pain (⌬ = 0.54 [0.33-0.75]) and increased QOL (⌬ = 0.50 [0.25-0.74]). Pain was significantly reduced during follow-up (⌬ = 0.59 [95% CI, 0.42-0.77]). Anxiety reductions were strongest for studies in which ( 1) a non-CAT therapist administered the intervention compared with studies that used a creative arts therapist and (2) a waiting-list or usual-care comparison was used. Pain reductions were largest during inpatient treatment and for homogeneous cancer groups in outpatient settings; significantly smaller reductions occurred in heterogeneous groups in outpatient settings.Conclusions and Relevance: Exposure to CAT can improve anxiety, depression, and pain symptoms and QOL among cancer patients, but this effect is reduced during follow-up.

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A randomized trial to test the effectiveness of art therapy for children with asthma

Cited by 98 publications

References 9 publications

Systematic review and economic modelling of the clinical effectiveness and cost-effectiveness of art therapy among people with non-psychotic mental health disorders

Systematic review and economic modelling of the clinical effectiveness and cost-effectiveness of art therapy among people with non-psychotic mental health disorders

Mindful Meditation for Individuals with Asthma and Anxiety: Promising Results from a Multiple Baseline Study

Effects of Creative Arts Therapies on Psychological Symptoms and Quality of Life in Patients With Cancer

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