Outcome Studies on the Efficacy of Art Therapy: A Review of Findings

Slayton, Sarah C.; D’Archer, Jeanne; Kaplan, Frances F.

doi:10.1080/07421656.2010.10129660

Cited by 242 publications

(149 citation statements)

References 44 publications

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“…This included the article by Sacchett, Byng, Marshall, & Pound (1999) that was discussed in the review by Slayton et al (2010). Although concerned with stroke survivors, this study was ultimately excluded as it focused upon the benefits of a directed drawing technique on the comprehension and naming skills of people affected by severe aphasia following stroke, rather than documenting the benefits of using art as a form of psychotherapy.…”

Section: Art Therapy and Strokementioning

confidence: 99%

“…Although evidence has been collated about the benefits of art therapy (Slayton, D'Archer & Kaplan, 2010) and therapeutic art-making (Perruzza & Kinsella, 2010) for people living with many different health problems, stroke has been neglected. This review seeks evidence regarding the therapeutic benefits of visual art therapy for stroke survivors.…”

Section: Art Therapy and Strokementioning

confidence: 99%

See 1 more Smart Citation

Art therapy after stroke: Evidence and a need for further research

Reynolds

2012

The Arts in Psychotherapy

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Section: Art Therapy and Strokementioning

confidence: 99%

Section: Art Therapy and Strokementioning

confidence: 99%

Art therapy after stroke: Evidence and a need for further research

Reynolds

2012

The Arts in Psychotherapy

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“…Proponents of art therapy [17][18][19] and of the arts therapies 20,21 only relatively recently have come to realise that randomised controlled studies of art therapy are needed in order to create a pluralistic body of evidence. As a consequence there has been limited formal synthesis of evidence 16,22 for the clinical effectiveness and cost-effectiveness of art therapy in order to assess its relevance as a treatment for the most common mental disorders in the NHS.…”

Section: Description Of Interventionmentioning

confidence: 99%

“…There is a small body of evidence to support the claim that art therapy is effective in treating a variety of symptoms and disorders in patients of different ages. 16 However, to date a full systematic review of the clinical effectiveness and cost-effectiveness of art therapy for non-psychotic mental disorders has not been undertaken. This project aimed to evaluate the current evidence for art therapy for people with non-psychotic mental disorders in order to inform researchers and commissioners about the value of future use of art therapy in the NHS.…”

Section: Costs To the Nhsmentioning

confidence: 99%

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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“…Effectiveness of drama therapy (Kipper & Ritchie, 2003;Wieser, 2007), music therapy (Gold, Voracek, & Wigram, 2004), and dance-movement therapy (Ritter & Graff Low, 1996) have been analyzed by meta-analysis; and effectiveness of art therapy (Reynolds, Nabors, & Quinlan, 2000;Slayton, D'Archer, & Kaplan, 2010) by systematic reviews with all ages of clinical and nonclinical population. A mixed methods systematic review about the effectiveness of arts and arts therapies in offender settings (Meekums & Daniel, 2011) have found generally improved mental health, quality of life and increase of emotional literacy of adult and adolescent offenders.…”

Section: Introductionmentioning

confidence: 99%

Effects Of Integrated Arts Therapy Intervention In Youngsters At Risk For Delinquency

Kõiv¹,

Hannus²,

Kaudne³

2017

European Proceedings of Social and Behavioural Sciences

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The purpose of this study was to investigate the potential for an integrated arts therapy intervention to influence youth at risk for delinquent behavior. Toward this goal, we applied a one-group pre-post experimental design to assess the effect of an Integrated Arts Therapy Program on participants' selfreported life satisfaction, self-esteem (global and academic), mood (general and momentary), and emotional and behavioural problems (emotional, conduct, hyperactivity, peer, and prosocial behavior) in a sample of students with risk of delinquency. Teachers identified at risk youngsters and 95 students aged between 8 and 17 participated in 16 different gender-mixed groups for 16 sessions during eight-week program period. Results of within group comparisons indicated positive, statistically significant improvements from pre-to posttest on all of the measures: (1) increased global self-esteem (the Global Negative Self-Evaluations Scale), academic self-esteem (the Perceived Academic Competence Scale), and life satisfaction (the Students' Life Satisfaction Scale); (2) decreased total difficulties with conduct and hyperactivity problems, and improved prosocial behavior (the Strengths and Difficulties Questionnaire); and (3) improved momentary and general mood over time by intervention. These findings indicated that the multi-modal arts therapy group-based program for students with risk for delinquency may be an effective intervention and can lead to at least short-term positive changes by improving participants' self-esteem, wellbeing and behavioral problems.

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Outcome Studies on the Efficacy of Art Therapy: A Review of Findings

Cited by 242 publications

References 44 publications

Art therapy after stroke: Evidence and a need for further research

Art therapy after stroke: Evidence and a need for further research

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

Effects Of Integrated Arts Therapy Intervention In Youngsters At Risk For Delinquency

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