Katarzyna Grebosz-Haring, Leonhard Thun-Hohenstein
{"title":"患有精神障碍的儿童和青少年对合唱团歌唱和创意艺术活动的心理生物反应：试点研究结果。","authors":"Katarzyna Grebosz-Haring, Leonhard Thun-Hohenstein","doi":"10.1007/s40211-024-00502-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Children and adolescents living with mental health problems often experience stress and poor mood states, which may influence their quality of life and well-being. Arts interventions may improve mood and well-being and reduce physiological stress in this vulnerable population.</p><p><strong>Methods: </strong>A cohort of patients in child and adolescent psychiatry (N = 42; age range: 12-18 years) participated in one of four arts activities including choir singing (n = 11), textile design (n = 9), drama (n = 16), and clownery (n = 6). They were led by professional artists and delivered through five consecutive 90-min daily afternoon sessions over the course of 1 week. Questionnaires of mood and saliva samples before and after each session served to assess short-term psychobiological changes. In addition, patients reported their quality of life and well-being at the beginning and at the end of the 1‑week program.</p><p><strong>Results: </strong>Results showed that alertness was significantly enhanced after textile design (∆post-pre = 4.08, 95% CI [0.77, 7.39]) and after singing (∆post-pre = 2.20, 95% CI [-0.55, 4.94]). Moreover, mood tended to be positively affected by textile design (∆post-pre = 2.89, 95% CI [-0.39, 6.18]). Quality of life increased significantly after singing (∆post-pre = 5.49, 95% CI [1.05, 9.92]). Arts participation except singing was associated with significant reductions in salivary cortisol (sCort) (textile design ∆post-pre = -0.81 ng/mL, 95% CI [-1.48, -0.14]; drama ∆post-pre = -0.76 ng/mL, 95% CI [-1.28, -0.24]; clownery ∆post-pre = -0.74 ng/mL, 95% CI [-1.47, -0.01]). No significant changes were observed for well-being over the whole program and salivary immunoglobulin A (sIgA) after any of the arts activities.</p><p><strong>Discussion: </strong>These results suggest that arts participation can improve mood state and reduce stress in young people with mental disorders, but there is a need for further studies.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11379771/pdf/","citationCount":"0","resultStr":"{\"title\":\"Psychobiological responses to choir singing and creative arts activities in children and adolescents with mental disorders: results of a pilot study.\",\"authors\":\"Katarzyna Grebosz-Haring, Leonhard Thun-Hohenstein\",\"doi\":\"10.1007/s40211-024-00502-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Children and adolescents living with mental health problems often experience stress and poor mood states, which may influence their quality of life and well-being. Arts interventions may improve mood and well-being and reduce physiological stress in this vulnerable population.</p><p><strong>Methods: </strong>A cohort of patients in child and adolescent psychiatry (N = 42; age range: 12-18 years) participated in one of four arts activities including choir singing (n = 11), textile design (n = 9), drama (n = 16), and clownery (n = 6). They were led by professional artists and delivered through five consecutive 90-min daily afternoon sessions over the course of 1 week. Questionnaires of mood and saliva samples before and after each session served to assess short-term psychobiological changes. In addition, patients reported their quality of life and well-being at the beginning and at the end of the 1‑week program.</p><p><strong>Results: </strong>Results showed that alertness was significantly enhanced after textile design (∆post-pre = 4.08, 95% CI [0.77, 7.39]) and after singing (∆post-pre = 2.20, 95% CI [-0.55, 4.94]). Moreover, mood tended to be positively affected by textile design (∆post-pre = 2.89, 95% CI [-0.39, 6.18]). Quality of life increased significantly after singing (∆post-pre = 5.49, 95% CI [1.05, 9.92]). Arts participation except singing was associated with significant reductions in salivary cortisol (sCort) (textile design ∆post-pre = -0.81 ng/mL, 95% CI [-1.48, -0.14]; drama ∆post-pre = -0.76 ng/mL, 95% CI [-1.28, -0.24]; clownery ∆post-pre = -0.74 ng/mL, 95% CI [-1.47, -0.01]). 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引用次数: 0
摘要
背景：有心理健康问题的儿童和青少年经常会经历压力和不良情绪状态，这可能会影响他们的生活质量和幸福感。艺术干预可以改善这一弱势群体的情绪和幸福感，减轻他们的生理压力：一组儿童和青少年精神病患者（42 人；年龄范围：12-18 岁）参加了四种艺术活动中的一种，包括合唱（11 人）、纺织品设计（9 人）、戏剧（16 人）和小丑表演（6 人）。这些活动由专业艺术家主持，每天下午连续进行五节，每节 90 分钟，为期一周。每次治疗前后的情绪问卷和唾液样本用于评估短期的心理生物学变化。此外，患者还报告了他们在一周课程开始和结束时的生活质量和幸福感：结果表明，纺织品设计后（Δ后-前 = 4.08，95% CI [0.77，7.39]）和唱歌后（Δ后-前 = 2.20，95% CI [-0.55，4.94]），警觉性明显提高。此外，纺织品设计对情绪也有积极影响（∆后-前 = 2.89，95% CI [-0.39，6.18]）。唱歌后，生活质量明显提高（∆post-pre = 5.49，95% CI [1.05，9.92]）。除歌唱外，艺术参与与唾液皮质醇（sCort）的显著降低有关（纺织品设计 ∆post-pre=-0.81纳克/毫升，95% CI [-1.48, -0.14]；戏剧 ∆post-pre=-0.76纳克/毫升，95% CI [-1.28, -0.24]；小丑表演 ∆post-pre=-0.74纳克/毫升，95% CI [-1.47, -0.01]）。在艺术活动后，整个活动期间的幸福感和唾液免疫球蛋白 A（sIgA）均未出现明显变化：讨论：这些结果表明，参与艺术活动可以改善患有精神障碍的青少年的情绪状态并减轻其压力，但仍需进一步研究。
Psychobiological responses to choir singing and creative arts activities in children and adolescents with mental disorders: results of a pilot study.
Background: Children and adolescents living with mental health problems often experience stress and poor mood states, which may influence their quality of life and well-being. Arts interventions may improve mood and well-being and reduce physiological stress in this vulnerable population.
Methods: A cohort of patients in child and adolescent psychiatry (N = 42; age range: 12-18 years) participated in one of four arts activities including choir singing (n = 11), textile design (n = 9), drama (n = 16), and clownery (n = 6). They were led by professional artists and delivered through five consecutive 90-min daily afternoon sessions over the course of 1 week. Questionnaires of mood and saliva samples before and after each session served to assess short-term psychobiological changes. In addition, patients reported their quality of life and well-being at the beginning and at the end of the 1‑week program.
Results: Results showed that alertness was significantly enhanced after textile design (∆post-pre = 4.08, 95% CI [0.77, 7.39]) and after singing (∆post-pre = 2.20, 95% CI [-0.55, 4.94]). Moreover, mood tended to be positively affected by textile design (∆post-pre = 2.89, 95% CI [-0.39, 6.18]). Quality of life increased significantly after singing (∆post-pre = 5.49, 95% CI [1.05, 9.92]). Arts participation except singing was associated with significant reductions in salivary cortisol (sCort) (textile design ∆post-pre = -0.81 ng/mL, 95% CI [-1.48, -0.14]; drama ∆post-pre = -0.76 ng/mL, 95% CI [-1.28, -0.24]; clownery ∆post-pre = -0.74 ng/mL, 95% CI [-1.47, -0.01]). No significant changes were observed for well-being over the whole program and salivary immunoglobulin A (sIgA) after any of the arts activities.
Discussion: These results suggest that arts participation can improve mood state and reduce stress in young people with mental disorders, but there is a need for further studies.
期刊介绍：
Die Zeitschrift ist das offizielle Organ der „Österreichischen Gesellschaft für Psychiatrie, Psychotherapie und Psychosomatik (ÖGPP)'', und wissenschaftliches Organ der Österreichischen Alzheimer Gesellschaft, der Österreichischen Gesellschaft für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, der Österreichischen Schizophreniegesellschaft, und der pro mente austria - Österreichischer Dachverband der Vereine und Gesellschaften für psychische und soziale Gesundheit.Sie veröffentlicht Übersichten zu relevanten Themen des Fachs, Originalarbeiten, Kasuistiken sowie Briefe an die Herausgeber. Zudem wird auch Buchbesprechungen sowie Neuigkeiten aus den Bereichen Personalia, Standes- und Berufspolitik sowie Kongressankündigungen Raum gewidmet.Thematisch ist das Fach Psychiatrie und die Methoden der Psychotherapie in allen ihren Facetten vertreten. Die Zeitschrift richtet sich somit an alle Berufsgruppen, die sich mit Ursachen, Erscheinungsformen und Behandlungsmöglichkeiten von psychischen Störungen beschäftigen. -----------------------------------------------------------------------------------------------------· The professional and educational journal of the Austrian Society of Psychiatry, Psychotherapy and Psychosomatics (Österreichische Gesellschaft für Psychiatrie, Psychotherapie und Psychosomatik; ÖGPP) and the Austrian Society of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy (Österreichische Gesellschaft für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie; ÖGKJP)· Overviews of all relevant topics pertaining to the discipline· Intended for all occupational groups committed to the causes and manifestations of, as well as therapy options for psychic disorders· All manuscripts principally pass through a double-blind peer review process involving at least two independent expertsThe official journal of the Austrian Societies of Psychiatry, Psychotherapy and Psychosomatics (ÖGPP) and Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy (ÖGKJP)The journal publishes overviews of relevant issues in the field, original work, case reports and letters to the editors. In addition, space is devoted to book reviews, news from the areas of personnel matters and professional policies, and conference announcements.Thematically, the discipline of psychiatry and the methods of psychotherapy are represented in all their facets. The journal is thus aimed at all professional groups committed to the causes and manifestations of, as well as therapy options for psychic disorders
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