On the Effectiveness of Visual Arts Therapy for Traumatic Experiences: A Systematic Review and Meta-Analysis

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-08-09 DOI:10.1002/cpp.3041

Georgina A. Maddox, Glen E. Bodner, Matthew W. Christian, Paul Williamson

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Abstract

Arts therapy is a popular intervention used to work through the effects of traumatic experience. We evaluate previous reviews and report a meta-analysis of the effectiveness of arts therapy following trauma for reducing symptoms of PTSD, enhancing positive outcomes (e.g., quality of life) and decreasing negative outcomes (e.g., depression). Database searches identified 21 (N = 868) randomised controlled trials (RCTs). Outcomes were categorised as PTSD specific, positive non-PTSD specific and negative non-PTSD specific. Several moderators were tested: age, diagnosis type, trauma type, intervention instruction, control type, therapy mode and therapy duration. Overall, random-effects analysis indicated that arts therapy was favoured relative to control for positive non-PTSD-specific outcomes (g = 1.53, p < 0.001), but not for negative non-PTSD-specific (p = 0.069) or PTSD-specific outcomes (g = 0.89, p = 0.052). Regression analyses indicated that arts therapy was effective in reducing PTSD-specific outcomes in children (Z = 2.81, df = 1, p = 0.005), positive non-PTSD-specific outcomes in group-based arts therapy (Z = −2.40, df = 1, p = 0.016, I² = 57.33) and for reducing negative non-PTSD outcomes following acute traumas (e.g., combat-related trauma or sexual abuse) (Q = 10.70, df = 3, p = 0.013, I² = 77.09). We highlight the need for additional RCTs and standardised protocols to address heterogeneity. Our review provides an important benchmark for gauging the effectiveness of arts therapy in the treatment of trauma.

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视觉艺术疗法对创伤经历的疗效：系统回顾与元分析》。

艺术疗法是一种常用的干预方法，用于消除创伤经历的影响。我们对之前的综述进行了评估，并对创伤后艺术疗法在减轻创伤后应激障碍症状、提高积极效果（如生活质量）和减少消极效果（如抑郁）方面的有效性进行了荟萃分析。数据库搜索确定了 21 项（N = 868）随机对照试验（RCT）。研究结果分为创伤后应激障碍特异性结果、非创伤后应激障碍特异性积极结果和非创伤后应激障碍特异性消极结果。对几种调节因素进行了测试：年龄、诊断类型、创伤类型、干预指导、对照类型、治疗模式和治疗持续时间。总体而言，随机效应分析表明，相对于对照组，艺术疗法更有利于产生积极的非创伤后应激障碍特定结果（g = 1.53，p 2 = 57.33），也更有利于减少急性创伤（如与战斗有关的创伤或性虐待）后产生的消极的非创伤后应激障碍结果（Q = 10.70，df = 3，p = 0.013，I2 = 77.09）。我们强调需要更多的 RCT 和标准化方案来解决异质性问题。我们的综述为衡量艺术疗法治疗创伤的有效性提供了一个重要基准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.