Creative Arts Interventions for Stress Management and Prevention—A Systematic Review

Martin, Lily; Oepen, Renate; Bauer, Katharina; Nottensteiner, Alina; Mergheim, Katja; Gruber, Harald; Koch, Sabine C.

doi:10.3390/bs8020028

Cited by 142 publications

(109 citation statements)

References 63 publications

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“…Accustomed to interacting with problems and suffering of various kinds, when having the opportunity to talk about his/her participation in the art therapy process, the health professional expresses how healthy and pleasant the experience was, permeated by moments of relaxation and lightness in the work environment. There is growing evidence of the effectiveness of art therapy in reducing stress, anxiety and mood improvement in different populations and contexts of applicability, from its different modalities such as dance, music and manual artistic interventions, 9,24 the latter being used in this study.…”

Section: Discussionmentioning

confidence: 99%

Health and well-being: art therapy for health professionals working in outpatient care settings

et al. 2020

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Objectives: To enable health professionals, in an outpatient care setting, to experience the group process of art therapy and to understand the meaning given by him/her to this experience. Method: A qualitative study, using Symbolic Interactionism and Qualitative Conventional Content Analysis as theoretical and methodological frameworks, respectively. Eight health professionals working in the outpatient clinic of a philanthropic institution participated in the art therapy process and later in semi-structured interviews. Results: For the professionals, art therapeutic workshop was an amazing and rewarding experience, a space of interaction that allowed them to know each other better, to respect and learn from their colleagues, to relax, relieve stress and express their emotions. It was defined as a therapeutic experience, promoter of health and well-being, prompting professionals to want the workshops to continue. Conclusions and implications for practice: The study contributes to the reflection and discussion about workers' health and to the need to create therapeutic resources, such as art therapy, as a support tool for their mental health and well-being. Innovative and creative interventions must be incorporated into health services to address the global clamor, emphasizing the need to promote mental health, especially for health professionals, which calls for urgent measures.

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Section: Discussionmentioning

confidence: 99%

Health and well-being: art therapy for health professionals working in outpatient care settings

et al. 2020

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“…In 3 out of 6 studies [23] Controlled trial Diagnosed with breast cancer Psychological well-being. Yes [24] Systematic review Healthy or at-risk individuals Stress.…”

Section: Referencementioning

confidence: 99%

“…In the present study, our goal was to determine if it is possible to maximize the cognitive outcomes of art therapy using guided methods and, in case this is possible, whether we lose or not the well-known psychosocial and affective impact of art therapy [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27]. We tested the hypotheses that (1) guided methods favor cognitive benefits, while (2) unguided therapeutic methods privilege affective and psychosocial ones, implying that the latter will decrease under guided methods.…”

Section: Mental Acuity Physical Competence Calmness and Sociabilitymentioning

confidence: 99%

“…In non-psychotic psychiatric patients, systematic reviewing has identified a positive impact of art therapy on depression, anxiety and quality of life in depressed, anxious and phobic patients [19], as well as on depression and trauma in traumatized adults [20]. Outside psychiatry, the effects of art therapy on well-being after cancer diagnosis [21], on anger and conflict management in offenders [22,23], as well as on stress prevention in healthy or at-risk individuals [24] are all well-established [10].In contrast, evidence for an impact of art therapy on the cognitive domain remains poor. Some studies with older adults-where concerns with cognitive preservation could be expected-did not even measure cognitive outcomes (see Table 1), focusing instead on emotion, self-esteem, anxiety [25], well-being [26] or depression [27].…”

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confidence: 99%

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Exploring the Effects of Guided vs. Unguided Art Therapy Methods

Costa

Alves

Castro

et al. 2020

Behavioral Sciences

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Art therapy has become known by its psychosocial and affective impact, but not so much by its effects on cognitive functioning. Based on a comparison between art therapy and music-making programs, we hypothesized that guided methods-dominant in music-making programs and characterized by an emphasis on execution (play the piece, produce the visual object) rather than ideation (conceive the visual object)-could boost the cognitive effects of art-making. We also hypothesized that removing ideation from the process with guided methods could decrease psychosocial/affective benefits. In order to test our hypotheses, we compared the effects of two art therapy methods on cognitive vs. psychosocial/affective domains. We implemented a short-term longitudinal study with patients with schizophrenia showing both psychosocial/affective and cognitive deficits. The sample was divided into two groups: unguided, instructed to ideate art pieces and execute them without external guidance, vs. guided, instructed to execute predefined art pieces following externally provided guidelines. There was no evidence that guided methods boost cognitive effects, since these were equivalent across groups. However, psychosocial/affective benefits were enhanced by unguided methods, suggesting that therapeutic methods can make a difference. Our study contributes to raising important new questions concerning the therapeutic mechanisms of art therapy.Behav. Sci. 2020, 10, 65 2 of 17 unguided methods could boost cognitive effects from art therapy. Please note that we do not assume that art making is necessarily a creative process. According to Schoop's definition [7], creation is an autonomous process of shaping in which all decisions are bound to the creating person, and this is not always so in artistic practice: for instance, a musician who plays a piece by following all indications from the score is not deciding anything, and the same goes for someone who copies a drawing-provided that s/he does not add anything to the drawing intentionally. Therefore, when comparing unguided with guided methods, we were contrasting creative practices (unguided method) with not-necessarily creative ones (guided).Since its beginnings, art therapy remained focused on psychosocial-e.g., improving well-being, quality of life and communication, as well as affective goals-e.g., reducing anxiety levels and enhancing positive mood [8]. Adrian Hill , the creator of the 'art therapy' designation, developed his first therapeutic experiments when trying to fight the affective and psychosocial consequences of tuberculosis [9]. Since then, empirical studies (see Table 1) have prioritized psychosocial and affective areas across various clinical and non-clinical groups [10]: In psychotic patients, case reports [11][12][13] and quantitative studies with control groups [14-18] reported decreased anxiety [11,16,17] and depression [17], reduction in negative symptoms such as apathy or anhedonia [14,17], as well as increased self-esteem [12,14,15], sense of self [12,13], socialization...

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Art and cultural activity engagement and depressive symptom onset among older adults: A longitudinal study from the Japanese Gerontological Evaluation Study

Noguchi

Ishihara

Murata

et al. 2022

Int J Geriat Psychiatry

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Objectives: Art and cultural activities can benefit mental health. However, there is insufficient evidence on active engagement in art and cultural activities for preventing depressive symptoms among older adults. Therefore, we examined the association of active engagement in art and cultural activities with depressive symptom onset among older adults using 3-year longitudinal data.Methods: This longitudinal study recruited non-institutionalised older adults independent in daily living from the Japan Gerontological Evaluation Study (JAGES) established in 2010, and those without depressive symptoms were followed for three years. Depressive symptoms were assessed using the 15-item Geriatric Depression Scale. Active engagement in nine art and cultural activities, including Japanese traditional cultural activities, were evaluated (musical performance, singing, dancing, handicrafts, painting, photography, poetry composition, calligraphy, and tea ceremony/flower arrangement).Results: Ultimately, 37,627 older adults without depressive symptoms at baseline were analysed. The participants' mean age (standard deviation) was 72.6 (5.5) years, and 51.5% were female. During the follow-up period, depressive symptoms occurred in 3844 participants (10.2%). Multivariable logistic regression analysis revealed that active engagement in art and cultural activities was inversely associated with depressive symptom onset (odds ratio = 0.80, 95% confidence interval = 0.73-0.87, p < 0.001). This association was confirmed regardless of age, gender, and socioeconomic status. Among the activities, especially dancing and photography were protective against depressive symptoms. Conclusion:Active engagement in art and cultural activities may contribute to preventing depressive symptoms among older adults. Promoting art and cultural engagement could be important to protect their mental health.

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Creative Arts Interventions for Stress Management and Prevention—A Systematic Review

Cited by 142 publications

References 63 publications

Health and well-being: art therapy for health professionals working in outpatient care settings

Health and well-being: art therapy for health professionals working in outpatient care settings

Exploring the Effects of Guided vs. Unguided Art Therapy Methods

Art and cultural activity engagement and depressive symptom onset among older adults: A longitudinal study from the Japanese Gerontological Evaluation Study

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