Effects and working factors of arts therapies


 

Submission type

Symposium

Scheduled

Parallel Session V: Blauwe kamer, 09-06-2018, 09:00 - 10:30

Kernwoorden

arts therapies, effects

Onderzoeksgebied

Art & expressive therapies

Beknopte samenvatting van de totale bijdrage

Arts therapies are experiential therapies in which arts is applied to achieve therapeutic goals. It is often included in psychiatric treatment programs, because of its non-verbal focus and experience in the moment of action. State of the art on arts therapies research will be presented.

Auteurs

Susan van Hooren

EEG biomarkers of treatment response to music therapy of depressed clients

Fachner, J. (Jörg)

 

Abstract ID

1036

Submission type

Oral only

Introductie

EEG biomarkers are used to predict treatment response. Can we predict whether depressed clients respond to MT?

Materiaal en methodes

79 clients were compared standard care (SC) and MT added to SC at intake and after three months. Correlations between EEG (frontal alpha asymmetry [FAA]; Frontal midline theta [FMT], z-scores) and psychiatric tests (MADRS; HADS-A) were examined statistically. Response (MADRS score improvement of 50% or more) to MT and EEG changes (N=27) were explored utilising ROC curve and topographic mappings of coherence and power.

Resultaten

Pre/post MT FAA differed from SC significantly on F7/8 FAA. Pre/post MT change scores for FMT and HADS-A were significant (r = .42, p < .05). ROC change prediction (AUC for FAA at F3-F4 =.68 and FM theta =.64) was most useful for mid-frontal areas. FAA at other electrodes (Fp1-Fp2 and F7-F8) or psychiatric tests were not useful predictors (AUC around .50). Topographic analysis showed that responders to MT (N=14) differed to non-responders (N=13) on left fronto-temporal theta, frontal alpha coherence decreases and occipital alpha power.

Conclusie

Results are based on a small sample and FAA, FMT and occipital alpha power demonstrate some potential as biomarkers but should not replace psychiatric assessments in MT studies.

Auteurs

Jörg Fachner

Effects of Dance Movement Therapy: State-of-the art

Koch, S. (Sabine)

 

Abstract ID

1002

Submission type

Oral only

Introductie

Dance Movement Therapy (DMT) is part of the therapeutic setting in many psychosomatic, psychiatric and rehabilitation institutions worldwide. At present the field is working to broaden its evidence-base and professionalize itself in a differentiated manner in the health care field.

Materiaal en methodes

In this contribution, we present the state of the empirical evidence on the basis of an update of a recent meta-analysis and additional systematic reviews. Search terms were: “dance movement psychotherapy”, “dance movement therapy”, “dance therapy”, “therapeutic movement”, “dance effectiveness”, “dance”, “controlled trial”, and “random”. We employed two independent raters and computed standardized mean differences (SMD) with 95% confidence intervals, using post-treatment data.

Resultaten

Despite the clear need to improve primary studies, DMT had positive effects on 13 patient populations: on patients affected by schizophrenia, depression, anxiety, dementia, Parkinson’s disease, fibromyalgia/somatoform disorder, eating disorder, autism, cystic fibrosis, rheumatoid arthritis, as well as seniors and youth at risk.

Conclusie

DMT was found to have positive effects on health-related psychological outcomes among 13 patient populations. Future research needs to investigate effects of DMT on other populations and the quality of the primary studies needs to be improved. Next, the focus on therapeutic mechanisms and arts-based research methods need to be strengthened.

Auteurs

Sabine Koch

Promoting Mental Health versus Reducing Mental Illness in Art Therapy with Patients with Personality Disorders. A Quantitative Study

Haeyen, S. (Suzanne), Hooren, S. van (Susan), Veld, W. van der (William), Hutschemaekers, G. (Giel)

 

Abstract ID

1003

Submission type

Oral only

Introductie

In the last decade, there has been a shift in focus in mental health care from symptom reduction to the improvement of positive mental health. Art therapists have been influenced by this shift and the purpose of this study was to investigate whether art therapy improves mental health and/or reduces mental illness and what the relationship is between mental health and mental illness.

Materiaal en methodes

We used secondary data (n = 74) from patients diagnosed with personality disorders from a pretest-posttest art therapy intervention, with 10 weeks in between the repeated measures. The indicators in the domains of mental health and mental illness we used were: symptom distress, flexibility, well-being, mindfulness, and schema modes. We used repeated measures ANOVA and effect sizes and Pearson correlations.

Resultaten

Results indicated significant effects of art therapy in both domains. Furthermore, after creation of a single mental health and a mental illness score we found that the correlation between them was high.

Conclusie

We conclude that art therapy both promotes mental health and reduces mental illness. The large correlation between these domains in patients with personality disorders suggests that we might be dealing with two sides of the same coin.

Auteurs

Suzanne Haeyen

Susan van Hooren

William van der Veld

Giel Hutschemaekers

Effects of music therapy as a person centred care method to reduce neuropsychiatric symptoms among older residents with dementia

Hooren, S. van (Susan), Prick, A. (Anna-Eva)

 

Abstract ID

1004

Submission type

Oral only

Introductie

Neuropsychiatric symptoms, such as agitation, depression and aggression, are highly prevalent in dementia. It has a negative impact on quality of life of the patients and their caregivers and is difficult to manage in healthcare. Psychosocial interventions and person centered care methods, such as individual music therapy and passive music intervention, to reduce these symptoms are more preferred than medication.

Materiaal en methodes

Interviews and a focus group with music therapists to examine working factors of music therapy and music interventions to reduce neuropsychiatric symptoms in dementia. Next, a randomized controlled trial with three groups, i.e. individual music therapy, music intervention, and control group, was planned in order to examine effect on neuropsychiatric symptoms, (non-)verbal social behavior, and wellbeing.

Resultaten

A music therapy intervention and a passive music intervention were developed. The music therapy intervention was characterized by active use of music and constantly adapting to the needs of the resident. The music intervention was characterized by listening to the resident’s personal music preference. Preliminary results will be presented on the trial.

Conclusie

Music therapy and passive music intervention may be promising psychosocial interventions using person centered care characteristics to use among residents with dementia and neuropsychiatric problems.

Auteurs

Susan van Hooren

Anna-Eva Prick