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| Id | 619 | |
| Author | Abbing A., Ponstein A., van Hooren S., de Sonneville L., Swaab H., Baars E. | |
| Title | The effectiveness of art therapy for anxiety in adults: A systematic review of randomised and non-randomised controlled trials | |
| Reference | Abbing A., Ponstein A., van Hooren S., de Sonneville L., Swaab H., Baars E.; The effectiveness of art therapy for anxiety in adults: A systematic review of randomised and non-randomised controlled trials ;PLoS ONE vol:13 issue: 12 page: |
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| Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058522486&doi=10.1371%2fjournal.pone.0208716&partnerID=40&md5=dc32bd53a9cc773d4c2908ec62d22c6f |
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| Abstract | Background Anxiety disorders are one of the most diagnosed mental health disorders. Common treatment consists of cognitive behavioral therapy and pharmacotherapy. In clinical practice, also art therapy is additionally provided to patients with anxiety (disorders), among others because treatment as usual is not sufficiently effective for a large group of patients. There is no clarity on the effectiveness of art therapy (AT) on the reduction of anxiety symptoms in adults and there is no overview of the intervention characteristics and working mechanisms. Methods A systematic review of (non-)randomised controlled trials on AT for anxiety in adults to evaluate the effects on anxiety symptom severity and to explore intervention characteristics, benefitting populations and working mechanisms. Thirteen databases and two journals were searched for the period 1997 –October 2017. The study was registered at PROSPERO (CRD42017080733) and performed according to the Cochrane recommendations. PRISMA Guidelines were used for reporting. Results Only three publications out of 776 hits from the search fulfilled the inclusion criteria: three RCTs with 162 patients in total. All studies have a high risk of bias. Study populations were: students with PTSD symptoms, students with exam anxiety and prisoners with prelease anxiety. Visual art techniques varied: trauma-related mandala design, collage making, free painting, clay work, still life drawing and house-tree-person drawing. There is some evidence of effectiveness of AT for pre-exam anxiety in undergraduate students. AT is possibly effective in reducing pre-release anxiety in prisoners. The AT characteristics varied and narrative synthesis led to hypothesized working mechanisms of AT: induce relaxation; gain access to unconscious traumatic memories, thereby creating possibilities to investigate cognitions; and improve emotion regulation. Conclusions Effectiveness of AT on anxiety has hardly been studied, so no strong conclusions can be drawn. This emphasizes the need for high quality trials studying the effectiveness of AT on anxiety. © 2018 Abbing et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
There is no clarity on the effectiveness of art therapy on the reduction of anxiety symptoms in adults and there is no overview of the intervention characteristics and working mechanisms. The provided AT varies considerably: mandala creation in which the trauma is represented or colouring a pre-designed mandala free clay work free form painting collage making still life drawing and house-tree-person drawings . AT seems to be effective in the treatment of pre-exam anxiety in adult liberal art students although the quality of evidence is low due to high RoB. gave students with pre-exam stress one choice out of five art-making activities: mandala design free painting collage making free clay work or still life drawing. The AT intervention focussed on the creative expression of traumatic memories which can been seen as an indirect approach to exposure with active engagement. By evaluating the changes that may occur in the different areas of self-regulation better hypotheses can be generated with respect to the working mechanisms of AT in the treatment of anxiety.
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