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Assessing dance movement therapy in Chinese undergraduates with depression and anxiety: An initial randomized controlled trial 评估舞蹈运动疗法在患有抑郁症和焦虑症的中国大学生中的应用:初步随机对照试验
IF 1.8 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-31 DOI: 10.1016/j.aip.2024.102147
Qinglin Xu , Boya Xu , Danhua Lin

Mental health problems, especially depression and anxiety, are becoming increasingly prominent among college students, which negatively affects academic achievement and physical and mental health. To address this issue, this study introduced dance movement therapy (DMT) to a group of Chinese university students - a group never addressed in DMT research. Addressing the gap, this randomized controlled trial evaluates DMT's effectiveness in reducing depressive and anxious symptoms in thirty-six students. Over a concise three-day program, participants engaged in 18 h of structured DMT, exploring twelve themes, while counterparts in the control group awaited treatment. Outcomes were promising:students undergoing DMT showed marked improvements in mental health measures immediately following therapy, and these benefits for intervention group were maintained after three months. Significantly, the treatment's positive effects were consistent across genders, showcasing DMT's broad potential. This initial investigation suggests DMT is a promising avenue for mental health management in Chinese undergraduates, calling for further trials with larger cohorts and longer observation to confirm and extend these findings.

心理健康问题,尤其是抑郁和焦虑,在大学生中日益突出,对学业成绩和身心健康造成了负面影响。为了解决这一问题,本研究将舞蹈运动疗法(DMT)引入到中国大学生群体中--这是 DMT 研究中从未涉及过的一个群体。为了弥补这一空白,本随机对照试验评估了 DMT 在减少 36 名学生的抑郁和焦虑症状方面的效果。在为期三天的简短项目中,参与者参与了 18 个小时的结构化 DMT,探索了 12 个主题,而对照组的参与者则在等待治疗。结果令人欣喜:接受 DMT 治疗的学生在治疗后的第一时间,心理健康指标就有了明显改善,干预组的这些益处在三个月后得以保持。值得注意的是,治疗的积极效果在不同性别之间是一致的,这显示了 DMT 的广泛潜力。这项初步调查表明,DMT是中国大学生心理健康管理的一个很有前景的途径,因此需要进行更大规模的试验和更长时间的观察,以证实和扩展这些研究结果。
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引用次数: 0
A single case study of digital art therapy for a child with ADHD using the metaverse platform 使用 Metaverse 平台对患有多动症的儿童进行数字艺术治疗的单一案例研究
IF 1.8 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-28 DOI: 10.1016/j.aip.2024.102146
Jinkyung Kim , Yeo Ju Chung

This qualitative case study was conducted to explore experiences and meanings of a child with ADHD in digital art therapy utilizing the metaverse platform. The study participant was an 11-year-old boy living in S city of South Korea who was diagnosed with ADHD. The child participated in a digital art therapy program based on the metaverse platform once a week for 12 sessions from July to October 2022. Through continuous comparative analysis, the following five major themes were identified from collected data: ‘enjoyable and self-directed art activities through gamification of metaverse’, ‘enhanced presence and communication in the virtual environment’, ‘expanded experience and immersion through convergence of virtuality and reality in metaverse’, ‘emotional expression and emotional release through multisensory experiences in metaverse’, and 'personal growth and development through digital art therapy using metaverse’. By utilizing the metaverse platform as a space and tool for digital art therapy, this study’s findings support that factors such as gamification, presence, interactivity, scalability, and multisensory stimulation provided participant with an enhanced therapeutic experience. These findings reveal the potential of the metaverse as an art therapy environment and medium suitable for the digital age. They also provide important implications for the development of art therapy.

本定性案例研究旨在探讨一名患有多动症的儿童在利用元宇宙平台进行数字艺术治疗时的经历和意义。研究对象是一名居住在韩国 S 市的 11 岁男孩,他被诊断患有多动症。从 2022 年 7 月到 10 月,他参加了基于元数据平台的数字艺术治疗项目,每周一次,共 12 次。通过持续比较分析,从收集到的数据中确定了以下五大主题:通过元宇宙游戏化实现愉快的自主艺术活动"、"增强虚拟环境中的存在感和交流"、"通过元宇宙中虚拟和现实的融合扩大体验和沉浸感"、"通过元宇宙中的多感官体验实现情感表达和情绪释放 "以及 "通过使用元宇宙进行数字艺术治疗实现个人成长和发展"。通过利用元海外平台作为数字艺术治疗的空间和工具,本研究的结果证明,游戏化、临场感、互动性、可扩展性和多感官刺激等因素为参与者提供了更好的治疗体验。这些发现揭示了元宇宙作为适合数字时代的艺术治疗环境和媒介的潜力。它们还为艺术疗法的发展提供了重要启示。
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引用次数: 0
The effects of sandplay therapy on the limbic system and prefrontal cortex in women with generalized anxiety disorder 沙盘游戏疗法对广泛性焦虑症女性边缘系统和前额叶皮层的影响
IF 1.8 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-13 DOI: 10.1016/j.aip.2024.102145
Mariana Foo , Lorraine R. Freedle

Generalized Anxiety Disorder (GAD) is a common disorder characterized by psychological and neurophysiological impairments. Previous studies show that Jungian Sandplay Therapy (SPT) effectively improves anxiety symptoms in individuals with GAD. This study explores whether clinical symptom improvement from using SPT also involves changes in brain functioning. The study focused on the brain regions implicated in GAD, including the hippocampus, amygdala, thalamus, and prefrontal cortex (PFC). Magnetic resonance spectroscopy was used to target these brain regions to measure metabolite changes, specifically in the N-Acetylaspartate to creatine (NAA/Cr) ratio—a measure of neuronal viability. A within-subject pre-post design was utilized with adult females from Indonesia diagnosed with GAD (n = 6, ages 21 to 40). Thirty sessions of SPT were provided weekly. Results from both clinical measures of anxiety (HAM-A and GAD-7) indicated mean pretest scores in the clinical range, with average posttest scores below the clinical range for GAD. Likewise, the NAA/Cr ratio mean scores for the hippocampus, amygdala, and PFC were outside the healthy range before and trended toward or into the healthy range after treatment. The NAA/Cr ratio mean scores in the thalamus were in the healthy range before treatment and remained in the healthy range after treatment. This study concludes that SPT effectively improves clinical anxiety symptoms in individuals with GAD and may also improve metabolic brain functioning in the limbic system and PFC. Limitations, implications, and further research are discussed.

广泛性焦虑症(GAD)是一种以心理和神经生理障碍为特征的常见疾病。以往的研究表明,荣格沙盘游戏疗法(SPT)能有效改善 GAD 患者的焦虑症状。本研究探讨了使用 SPT 是否也能通过改变大脑功能来改善临床症状。研究重点关注与 GAD 有关的大脑区域,包括海马体、杏仁核、丘脑和前额叶皮质 (PFC)。研究人员利用磁共振波谱技术对这些脑区进行了靶向研究,以测量代谢物的变化,特别是N-乙酰天冬氨酸与肌酸(NAA/Cr)的比值--一种衡量神经元活力的指标。对印度尼西亚被诊断为 GAD 的成年女性(n = 6,年龄在 21-40 岁之间)进行了受试者内前-后设计。每周进行 30 次 SPT。临床焦虑测量(HAM-A 和 GAD-7)的结果表明,测试前的平均得分在临床范围内,测试后的平均得分低于 GAD 的临床范围。同样,海马体、杏仁核和前脑功能区的 NAA/Cr 比率平均分在治疗前超出了健康范围,而在治疗后则趋向于或进入了健康范围。丘脑的 NAA/Cr 比率平均值在治疗前处于健康范围,治疗后仍处于健康范围。本研究的结论是,SPT 能有效改善 GAD 患者的临床焦虑症状,还能改善边缘系统和前额叶功能区的大脑代谢功能。本文还讨论了研究的局限性、意义和进一步研究。
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引用次数: 0
Patterns in theory-based drama therapy publications: A snapshot of peer reviewed literature from 2000-2022 基于理论的戏剧治疗出版物模式:2000-2022 年同行评审文献快照
IF 1.8 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-11 DOI: 10.1016/j.aip.2024.102144
Angelle Cook , Julia Griffiths , Allyxandra Townend , Sarah Lilley

In recent years, the North American Drama Therapy Association (NADTA) has been working to establish and disseminate research to the drama therapy and wider creative arts therapies communities. Much of the research has focused on empirical studies within drama therapy. The NADTA Research Chair formed a subcommittee aimed at identifying, investigating, categorizing, and disseminating theoretical research articles in an effort to continue to grow the profession of drama therapy as well as to explore the question: what theories are present in current peer reviewed drama therapy scholarship? As there is already an NADTA empirical spreadsheet established, and following the research trajectory logic that theoretical scholarship precedes empirical research, an eventual aim of this research initiative is also to connect the theory publications to the empirical publications, leading toward a fuller understanding of the drama therapy field. The research study reported here is the initial step of this path. In this initiative, theoretical scholarship was defined and inclusion and exclusion criteria were established. After locating and investigating articles from the years 2000–2022, 121 articles were included. An analysis of year of publication, author, journal, and category were conducted. The categories identified were: 1) established and emerging theories and 2) integrated theories, with 24 identified subcategories within these two main categories. A discussion of the patterns is presented.

近年来,北美戏剧治疗协会(NADTA)一直致力于建立并向戏剧治疗界和更广泛的创意艺术治疗界传播研究成果。大部分研究都集中在戏剧治疗的实证研究上。NADTA 成立了一个小组委员会,旨在识别、调查、归类和传播理论研究文章,以继续发展戏剧治疗专业,并探讨以下问题:"戏剧治疗的理论与实践"?由于已经建立了 NADTA 经验电子表格,并遵循理论学术先于经验研究的研究轨迹逻辑,本研究计划的最终目标也是将理论出版物与经验出版物联系起来,从而更全面地了解戏剧治疗领域。本文所报告的研究就是这条道路的第一步。在这项行动中,对理论学术进行了定义,并制定了纳入和排除标准。在对 2000-2022 年间的文章进行查找和调查后,共纳入了 121 篇文章。对发表年份、作者、期刊和类别进行了分析。确定的类别有1) 既有理论和新兴理论;2) 综合理论,在这两大类中又确定了 24 个子类别。本文对这些模式进行了讨论。
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引用次数: 0
“Can I really be authentic?” A co-created critical autoethnography on whiteness in dance/movement therapy education "我真的能做到真实吗?关于舞蹈/运动疗法教育中的白人问题的共同创作批判性自述
IF 1.8 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-02-28 DOI: 10.1016/j.aip.2024.102127
Tomoyo Kawano , Koh Woon Kim

As a cultural force, Whiteness is insidious in dance/movement therapy (DMT) education. In the process of learning, East Asian international students and educators may aspire to White, middle-class, able-bodied, heteropatriarchal norms of what constitutes healthy movement and relational styles while excluding others, particularly within a group dynamic that privileges modern dance technique and overt emotional and verbal expression. The reach of educational neocolonialism in East Asian countries further perpetuates this force. As the foundational form of the discipline of DMT, “modern dance” is the standard of the expressive practice. And although “other” dance forms are starting to be welcomed, there is still a gap regarding how these are included into DMT education and applied in practice. This co-created critical autoethnography emerged from an embodied reflexive dialogue between two East Asian former international students on their experience of Whiteness in DMT education. Through counternarratives, we illustrate ways towards a decolonizing praxis of DMT that is situated within the educational environment and with the students with whom we work as educators and supervisors.

作为一种文化力量,白人在舞蹈/运动疗法(DMT)教育中具有隐蔽性。在学习过程中,东亚留学生和教育者可能会向往白人、中产阶级、健全人、异族父权制的标准,即健康的动作和关系风格,而排斥其他人,特别是在一个崇尚现代舞蹈技巧和公开的情感与语言表达的团体动态中。新殖民主义教育在东亚国家的影响进一步延续了这种力量。作为 DMT 学科的基础形式,"现代舞 "是表现实践的标准。尽管 "其他 "舞蹈形式开始受到欢迎,但在如何将这些形式纳入 DMT 教育并应用于实践方面仍存在差距。这篇共同创作的批判性自述产生于两位东亚裔前留学生就他们在 DMT 教育中的 "白人 "经历所进行的体现性反思对话。通过反叙述,我们说明了如何在教育环境中以及与作为教育者和督导者的学生一起开展非殖民化的 DMT 实践。
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引用次数: 0
Art therapy with adult refugees: A systematic review of qualitative research 针对成年难民的艺术疗法:定性研究的系统回顾
IF 1.8 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-02-27 DOI: 10.1016/j.aip.2024.102126
Katerina Scott, Elizabeth Nutt Williams

There are currently no systematic reviews that evaluate art therapy as a treatment for trauma in adult refugees. With over 32.5 million refugees worldwide as of mid-2022, many of them facing trauma, it’s crucial that access to proper therapeutic support be available. Art therapy de-emphasizes verbal communication, which may help refugees facing language barriers and difficulties talking about their experiences. Most of the research on this topic is qualitative, so a qualitative meta-analysis as outlined by Timulak (2009) was attempted. Inclusion and exclusion criteria were made based on date, publication type, sample size, data collection method, participant information, type of therapeutic intervention, and data analysis method. Out of 594 articles located, selection resulted in only N = 4 studies. Timulak recommends 8–16 articles for meta-analysis. Therefore, studies were instead summarized in a box score table. Results revealed that art therapy shows potential, but no reliable conclusions can be drawn because, despite a large body of literature, there are very few empirical studies in this field. Considering this, further primary empirical research must be done. Results suggest that building culturally significant art forms into therapy may be a particularly helpful avenue of exploration.

目前还没有系统性的综述对艺术疗法作为治疗成年难民创伤的方法进行评估。截至 2022 年年中,全球难民人数已超过 3250 万,其中许多人都面临着心理创伤,因此提供适当的治疗支持至关重要。艺术疗法不强调语言交流,这可能有助于面临语言障碍和难以启齿自己经历的难民。有关该主题的大部分研究都是定性研究,因此,我们尝试了 Timulak(2009 年)所概述的定性荟萃分析。根据日期、出版物类型、样本大小、数据收集方法、参与者信息、治疗干预类型和数据分析方法制定了纳入和排除标准。在找到的 594 篇文章中,仅筛选出 N=4 项研究。Timulak 建议进行 8-16 篇文章的荟萃分析。因此,研究结果被汇总到一个方框评分表中。结果显示,艺术疗法显示出了潜力,但无法得出可靠的结论,因为尽管有大量文献,但该领域的实证研究非常少。考虑到这一点,必须进一步开展初级实证研究。研究结果表明,在治疗中融入具有文化意义的艺术形式可能是一个特别有益的探索途径。
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引用次数: 0
From helplessness to a renewed sense of agency: The integration of puppets in the Art & Storytelling school-based creative expression program with immigrant and refugee children 从无助到重新获得代入感:将木偶融入针对移民和难民儿童的 "艺术与讲故事 "校本创意表达计划中
IF 1.8 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-02-01 DOI: 10.1016/j.aip.2024.102124
Caroline Beauregard , Garine Papazian-Zohrabian , Cécile Rousseau

The distress experienced during the COVID-19 pandemic can add to the already stressful experience of migration for children and their family, having serious short-term and long-term impact on their mental health and meaning-making processes. Since creativity acts as a protective buffer for children and support their adjustment, the implementation of school arts-based interventions can help support the recovery of children and promote their coping and adaptive strategies. Through the case study of a 7-year-old Syrian refugee, this article presents how a young girl invested the Art & Storytelling school-based creative expression program to regain a sense of agency and control in a (post-)crisis context. Based on the images she created during the workshops as well as on the individual and group observational field notes recorded by workshop facilitators, the case study highlights the child’s creative process and its relationship to the creation of meaning and her developing sense of agency. It focuses especially on how the girl integrated puppets into her own creative process to regain a sense of agency and control over her life.

在 COVID-19 大流行期间所经历的痛苦会增加儿童及其家人本已紧张的迁徙经历,对他们 的心理健康和意义建构过程造成严重的短期和长期影响。由于创造力对儿童起着缓冲和支持其适应的作用,因此实施以学校艺术为基础的干预措施有助于支持儿童的恢复,促进他们的应对和适应策略。本文通过对一名7岁叙利亚难民的案例研究,介绍了一名小女孩如何利用 "艺术与amp;讲故事 "校本创意表达项目,在(后)危机背景下重新获得代入感和控制感。根据她在工作坊期间创作的图像,以及工作坊主持人记录的个人和小组实地观察笔记,本案例研究重点介绍了该儿童的创作过程及其与意义创造的关系,以及她不断发展的代入感。研究特别关注女孩如何将木偶融入自己的创作过程,以重新获得对生活的主观能动性和控制感。
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引用次数: 0
The impact of group art therapy in post-acute cancer care: A longitudinal qualitative study 小组艺术疗法在癌症后期护理中的影响:纵向定性研究。
IF 1.8 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-02-01 DOI: 10.1016/j.aip.2024.102122
Patricia Fenner , Tess Crane , Libby Byrne , Fiona Scottney , Tammy Boatman , Margot J. Schofield

This qualitative study explored the impact of an eight session group art therapy programme on the lived experiences of adults in the post-acute treatment phase of cancer care. The longitudinal design involved data collection at three time points: pre, mid and post programme over a span of three months. In-depth individual art-based interviews, informed by Interpretive Phenomenological Analysis (IPA), were held with eight participants over the three time periods to explore their experiences of and reflections on the art therapy programme and its role in their post-cancer recovery. Thematic analysis of the interviews using the IPA method revealed five overarching themes: the dynamic function of visual metaphor in the image; how the process of art making and experiences with different art materials leads to personal insight and the re-invention of identity; how confrontation with uncertainty supports the development of a new version of the self; the role of the group in promoting personal change; and the role of the art therapist in supporting experiences of safety and the development of group rapport. These outcomes also extend how group art therapy in the post-acute cancer treatment phase may be able to contribute to post-traumatic growth in adult survivors of cancer.

这项定性研究探讨了八节小组艺术治疗课程对癌症治疗后阶段成人生活经历的影响。纵向设计包括三个时间点的数据收集:在三个月的时间里,项目前、项目中和项目后。在这三个时间段内,通过解释性现象学分析法(IPA)对八名参与者进行了深入的个人艺术访谈,以探讨他们对艺术治疗项目的体验和反思,以及该项目在他们癌症康复中的作用。利用解释性现象分析法(IPA)对访谈进行的主题分析揭示了五个重要主题:视觉隐喻在图像中的动态功能;艺术创作过程和使用不同艺术材料的体验如何导致个人洞察力和身份的重新塑造;面对不确定性如何支持新自我的发展;团体在促进个人改变中的作用;以及艺术治疗师在支持安全体验和团体默契发展中的作用。这些成果还扩展了癌症治疗后急性期的团体艺术疗法如何促进成年癌症幸存者的创伤后成长。
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引用次数: 0
Human rights education experience for human rights sensitivity among Korean creative arts therapists: A focus on art and music therapists 韩国创意艺术治疗师对人权敏感性的人权教育经验:以艺术和音乐治疗师为重点
IF 1.8 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-02-01 DOI: 10.1016/j.aip.2024.102125
Soyeon Kong , KyeongA Han

The purpose of this study is to provide direction and highlight implications for human rights education for creative arts therapists by exploring their experiences of human rights education designed to promote human rights sensitivity. Six creative arts therapists were recruited to participate in focus group interviews conducted online between August and September 2022. Additional interview data were collected until February 2023, and the data were transcribed afterward. This paper presents the qualitative part of a descriptive sequential mixed design. Qualitative analysis was performed to analyze the content, and a total of 5 main and 15 subthemes were identified. Taking the improvement in human rights sensitivity via education as the central phenomenon, we identified a pathway from expressing human rights sensitivity to directing human rights education for creative arts therapists. This pathway involved a factor that inhibited human rights sensitivity and a deficiency in human rights education. The results underscore the importance of supporting creative arts therapists in their occupational competencies by improving their sensitivity toward human rights and delivering human rights education that is aligned with their professional characteristics.

本研究的目的是通过探讨创意艺术治疗师对旨在提高人权敏感性的人权教育的体验,为创意艺术治疗师的人权教育提供方向并强调其意义。本研究招募了六名创意艺术治疗师参加 2022 年 8 月至 9 月期间在网上进行的焦点小组访谈。直到 2023 年 2 月,还收集了更多的访谈数据,之后对数据进行了转录。本文介绍了描述性顺序混合设计的定性部分。对内容进行了定性分析,共确定了 5 个主主题和 15 个次主题。以通过教育提高人权敏感性为中心现象,我们确定了创意艺术治疗师从表达人权敏感性到指导人权教育的途径。这一路径涉及抑制人权敏感性的因素和人权教育的不足。研究结果强调了通过提高创意艺术治疗师对人权的敏感性和提供符合其职业特点的人权教育来支持其职业能力的重要性。
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引用次数: 0
Art and emotion processing among arab breast cancer survivors: An exploratory study 阿拉伯乳腺癌幸存者的艺术与情感处理:探索性研究
IF 1.8 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-02-01 DOI: 10.1016/j.aip.2024.102123
Maimounah Hebi , Johanna Czamanski-Cohen , Faisal Azaiza , Karen L. Weihs

Art therapy (AT) has demonstrated potential for improving the well-being of breast cancer (BC) survivors, but limited research exists on emotion processing (EP) of Arab women in this context. Thus, this study delves into the relationship between EP and the art-making of Arab BC survivors in an AT group intervention to provide an in-depth understanding of their unique experience. We hypothesized that openly expressing emotions in the face of life-threatening events, such as BC, might be difficult for individuals from collective cultures with a strong emphasis on social harmony. We conducted a mixed-methods exploratory study (N = 62) with a visual analysis of 22 drawings and a textual analysis of reports from five art therapists. Positive correlations were observed between conservation values, acceptance of emotions, values, and artistic elements. Acceptance of emotions correlated negatively with space in drawing. Textual analysis of therapist reports revealed two themes—coping strategies and mixed emotions—corresponding to phenomena observed in the drawings. The women reported that art-making in a group facilitated access to their inner emotions, reinforced personal boundaries, and provided a safe space for addressing complex experiences. The AT group also offered socialization with women in similar circumstances. We conclude that AT provided these Arab BC survivors a culturally sensitive means of safely processing emotions through creative visual expression. Further research is needed to examine if AT is also helpful to BC survivors from other collectivist ethno-cultures.

艺术疗法(AT)已被证明具有改善乳腺癌(BC)幸存者福祉的潜力,但有关阿拉伯妇女在此背景下的情绪处理(EP)的研究却十分有限。因此,本研究深入探讨了阿拉伯裔乳腺癌幸存者在艺术治疗小组干预中的情绪处理与艺术创作之间的关系,以深入了解她们的独特经历。我们假设,面对危及生命的事件(如脑死亡),公开表达情感对于来自强调社会和谐的集体文化的个体来说可能是困难的。我们采用混合方法进行了一项探索性研究(N = 62),对 22 幅图画进行了视觉分析,并对五位艺术治疗师的报告进行了文本分析。研究发现,保护价值观、接受情绪、价值观和艺术元素之间存在正相关。接受情绪与绘画空间呈负相关。对治疗师报告的文本分析显示,有两个主题--应对策略和混合情绪--与绘画中观察到的现象相对应。妇女们报告说,在小组中进行艺术创作有利于她们接触内心情感,强化个人界限,并为解决复杂的经历提供了一个安全的空间。艺术创作小组还提供了与处境相似的妇女进行社交的机会。我们的结论是,AT 为这些阿拉伯裔卑斯省幸存者提供了一种文化上敏感的方式,通过创造性的视觉表达安全地处理情绪。我们还需要进一步的研究,以了解自闭症治疗是否也能帮助来自其他集体主义民族文化的卑诗幸存者。
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引用次数: 0
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Arts in Psychotherapy
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