Art therapy as an adjuvant treatment for depression in elderly women: a randomized controlled trial

Ciasca, Eliana C.; Ferreira, Rita; Santana, Carmen; Forlenza, Orestes Vicente; Santos, Glenda Dias dos; Brum, Paula Schimidt; Nunes, Paula

doi:10.1590/1516-4446-2017-2250

Cited by 66 publications

(84 citation statements)

References 38 publications

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“…These therapies employ an intentional and systematic utilization of arts to foster psychological growth. A growing body of research has established the positive impact of creative arts therapies in terms of improving various aspects of older adults' mental health [11][12][13][14][15][16]. Visual arts, music, dance-movement, drama and theater provide additional means of self-exploration and expression within a therapeutic relationship [17].…”

Section: Introductionmentioning

confidence: 99%

Playback theatre in adult day centers: A creative group intervention for community-dwelling older adults

et al. 2020

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The literature indicates that theatre and drama-based interventions have the potential to improve older adults' well-being and health. The goal of the current study was to characterize the process of a creative group intervention in adult day centers (ADCs), which integrates playback theatre and life-review principles. Our objective was to provide an evidence-informed framework for drama therapy interventions, which would allow older adults to bring up and explore their life-stories in a dramatic creative process in their own community. A total of 27 participants ranging in age from 63 to 91, took part in one of three playback theatre groups. The playback theatre group intervention comprised 12 weekly sessions. All sessions were videotaped to capture the lived experience of the creative process and were analyzed in post-intervention interviews. In addition, focus group meetings were conducted with 13 ADC staff members to decipher further the effects of the participation as perceived by people outside the groups. Three types of potential transformation were identified in the qualitative analysis: the evolution of life stories, evolution of playfulness, and expansion of social engagement. The results indicate the potential of the integrative framework to serve as a creative intervention in ADC communities, as well as its potential to bring about a personal transformation and expand it to enable a person's social engagement in the community. The findings imply the potential benefits of using playback theatre groups to supplement the routine care provided in ADCs.

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Section: Introductionmentioning

confidence: 99%

Playback theatre in adult day centers: A creative group intervention for community-dwelling older adults

et al. 2020

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“…Although prior studies on health management programs for rural older adults focused on disease, loneliness, and poverty [2], they did not examine the multifaceted nature of the older adults and focused instead on single programs such as exercise [21][22][23], music [24,25], art [26], horticultural therapy [27], and laughter therapy [15]. Furthermore, although these programs may reduce cortisol [27] and improve physical function [21][22][23]27], cognitive function [23], and depressive disorders [21,26], they were restricted to analyzing the pre-and posttests of the experimental group [28], and did not investigate the subjects' needs [23,26,28] or develop a systematic program [10,27].…”

Section: Health Care Programs For Older Adultsmentioning

confidence: 99%

“…This result was contrary to Li et al's study [44] showing that close relationships with neighbors and friends within the community compensate for psychological maladaptation due to role loss, being a crucial factor for ego integration of older adults. In this study, the program was developed to include activities such as reminiscence about the past and picturing the future, and positive acceptance of past and future through candle ceremonies to increase ego integration suggested in the studies by Ciasca et al [26] and Jo and Song [38]. These results seem to be insufficient to improve the ego integration as our research deals with various programs.…”

Section: Effect Of the Integrated Healthcare Programmentioning

confidence: 99%

“…Integrated programs are needed to maintain physical and social health through active social participation and mental health that can reduce anxiety and fear of isolation or death, alienation, and helplessness [ 2 , 12 , 13 ]. To date, however, research on the physical, mental, and social aspects of older adults has been rare, with most involving single interventions such as exercise-oriented approaches, music, and art therapy [ 21 , 23 , 24 , 25 , 26 , 27 ]. In Korea, as the older adult population is growing faster than in any other country worldwide, development and objective evaluation of integrated healthcare programs are required to consider factors such as improving the cognitive and physical abilities, maintaining positive interpersonal relationships through collective activities and promoting happiness, establishing life goals, and expanding role functions through personal growth.…”

Section: Literature Reviewmentioning

confidence: 99%

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Effect of an Integrated Healthcare Program for Korean Rural Older Adults: A Quasi-Experimental Study

Kim

Yang

2020

Healthcare

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Studies have been conducted on the development of healthcare programs for older adults in rural areas, not only in Asia but also in Europe and the United States. However, these reports have been limited by largely non-comprehensive results, lack of demand surveys, or programs with no systematic development. The purpose of this study was to develop an integrated healthcare program for rural older adults and investigate the effects of the program. A nonequivalent control group pretest–posttest design was used. Subjects were aged over 65 and lived in the rural community. The integrated healthcare program involved 12 three-hour sessions over 12 weeks. Compared with the control group, the experimental group demonstrated significant differences in both upper extremities strengths (t = 2.74, p = 0.008; t = 2.03, p = 0.047), static balance (z = −2.38, p = 0.017), dynamic balance (t = −4.82, p < 0.001), loneliness (t = −3.02, p = 0.003), and role self-efficacy (t = 2.39, p = 0.020), but no differences for ego integration (t = 1.51, p = 0.137). To improve physical, mental, and social health of the rural older adults, we developed an integrated healthcare program. The program improved physical functions, loneliness, and role self-efficiency of the rural older adults. Therefore, it is recommended that healthcare professionals actively apply this program in primary healthcare institutes and elsewhere.

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“…Also, a case study reports fewer behavioral disturbances and reduced psychiatric medication after an art therapy program ( Mimica and Kalinić, 2011 ). Related activities, such as relaxation and guided imagery ( Ciasca et al, 2018 ), group discussion on emotional expression ( Ali et al, 2014 ), the enhancement of self-expression through different themes ( Hsu et al, 2017 ), and mandala drawing ( Kang et al, 2010 ), are described in art therapy trials. Finally, at the emotional/communicative level, several lines of evidence support the positive influence of art stimulation on emotion management, socialization, and communication ( Kang et al, 2010 ; Flatt et al, 2015 ; Young et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

“Art, Colors, and Emotions” Treatment (ACE-t): A Pilot Study on the Efficacy of an Art-Based Intervention for People With Alzheimer’s Disease

et al. 2020

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Increasing evidence suggests that non-pharmacological therapies impact on neuropsychiatric symptoms and quality of life in people with Alzheimer’s disease. Among these, art-based interventions seem particularly suitable for elders’ rehabilitation as they act both on cognitive functions and quality of life. However, their benefits are not yet appropriately explored. The main aim of this quasi-experimental study was to test the feasibility and the likely efficacy of a novel multi-dimensional visual art intervention for people with Alzheimer’s disease (PWAD), named Art, Colors, and Emotions treatment (ACE-t). A group of PWAD ( N = 10) was recruited from the Memory Clinic of Don Gnocchi Foundation to take part in the ACE-t. A historical control group that followed a usual care program ( N = 10) was used for comparison. We considered both feasibility output (adherence and acceptability) and efficacy outcome measures (neuropsychological and neurobehavioral scales). We observed a good adherence to and acceptability of the ACE-t. The following significant intervention-related changes were also observed in ACE-t with respect to usual care: improvement in general cognition, as assessed with the Alzheimer’s Disease Assessment Scale–Cognitive, amelioration in language, and in executive functions, and reduction in Neuropsychiatric Inventory Scale score. In conclusion, ACE-t could be considered as a suitable intervention for the rehabilitation of PWAD, with positive effects on the cognitive and the behavioral status. ACE is a promising new art-based intervention that merits further research, including confirmatory trials of our preliminary results.

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Art therapy as an adjuvant treatment for depression in elderly women: a randomized controlled trial

Cited by 66 publications

References 38 publications

Playback theatre in adult day centers: A creative group intervention for community-dwelling older adults

Playback theatre in adult day centers: A creative group intervention for community-dwelling older adults

Effect of an Integrated Healthcare Program for Korean Rural Older Adults: A Quasi-Experimental Study

“Art, Colors, and Emotions” Treatment (ACE-t): A Pilot Study on the Efficacy of an Art-Based Intervention for People With Alzheimer’s Disease

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