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Haeyen S, Dimaggio G. Arts and psychomotor therapies in the treatment of personality disorders. J Clin Psychol 2024; 80:1717-1725. [PMID: 38662958 DOI: 10.1002/jclp.23693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 01/21/2024] [Accepted: 01/22/2024] [Indexed: 07/05/2024]
Affiliation(s)
- Suzanne Haeyen
- Department Health & Vitality, Research Group Arts & Psychomotor Therapies in Health Care, HAN University of Applied Sciences, Nijmegen, GL, The Netherlands
- GGNet, Centre for Mental Health, Scelta, Expert Centre for Personality Disorders Apeldoorn, Warnsveld, The Netherlands
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Cesari E. L’utilisation de l’art-thérapie dans le cadre d’une fugue dissociative. EUROPEAN JOURNAL OF TRAUMA & DISSOCIATION 2021. [DOI: 10.1016/j.ejtd.2019.100130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Kaimal G, Jones JP, Dieterich-Hartwell R, Wang X. Long-term art therapy clinical interventions with military service members with traumatic brain injury and post-traumatic stress: Findings from a mixed methods program evaluation study. MILITARY PSYCHOLOGY 2020. [DOI: 10.1080/08995605.2020.1842639] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
- Girija Kaimal
- Creative Arts Therapies Department, Drexel University, Philadelphia, Pennsylvania
| | - Jacqueline P. Jones
- Intrepid Spirit One, Fort Belvoir Community Hospital, Fort Belvoir, Virginia
- Invisible Wounds Center, 96th Medical Group US Air Force Regional Hospital, Eglin Air Force Base, Florida
| | | | - Xi Wang
- Creative Arts Therapies Department, Drexel University, Philadelphia, Pennsylvania
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Aktaş Özkafacı A, Eren N. Effect of art psychotherapy using marbling art on depression, anxiety, and hopelessness in female survivors of domestic violence with PTSD. ARTS IN PSYCHOTHERAPY 2020. [DOI: 10.1016/j.aip.2020.101703] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Haeyen S, Heijman J. Compassion Focused Art Therapy for people diagnosed with a cluster B/C personality disorder: An intervention mapping study. ARTS IN PSYCHOTHERAPY 2020. [DOI: 10.1016/j.aip.2020.101663] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Haeyen S, Chakhssi F, Van Hooren S. Benefits of Art Therapy in People Diagnosed With Personality Disorders: A Quantitative Survey. Front Psychol 2020; 11:686. [PMID: 32351431 PMCID: PMC7174707 DOI: 10.3389/fpsyg.2020.00686] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2020] [Accepted: 03/20/2020] [Indexed: 11/13/2022] Open
Abstract
Art therapy is widely used and effective in the treatment of patients diagnosed with Personality Disorders (PDs). Current psychotherapeutic approaches may benefit from this additional therapy to improve their efficacy. But what is the patient perspective upon this therapy? This study explored perceived benefits of art therapy for patients with PDs to let the valuable perspective of patients be taken into account. Using a quantitative survey study over 3 months (N = 528), GLM repeated measures and overall hierarchical regression analyses showed that the majority of the patients reported quite a lot of benefit from art therapy (mean 3.70 on a 5-point Likert scale), primarily in emotional and social functioning. The improvements are concentrated in specific target goals of which the five highest scoring goals affected were: expression of emotions, improved (more stable/positive) self-image, making own choices/autonomy, recognition of, insight in, and changing of personal patterns of feelings, behaviors and thoughts and dealing with own limitations and/or vulnerability. Patients made it clear that they perceived these target areas as having been affected by art therapy and said so at both moments in time, with a higher score after 3 months. The extent of the perceived benefits is highly dependent for patients on factors such as a non-judgmental attitude on the part of the therapist, feeling that they are taken seriously, being given sufficient freedom of expression but at the same time being offered sufficient structure and an adequate basis. Age, gender, and diagnosis cluster did not predict the magnitude of perceived benefits. Art therapy provides equal advantages to a broad target group, and so this form of therapy can be broadly indicated. The experienced benefits and the increase over time was primarily associated with the degree to which patients perceive that they can give meaningful expression to feelings in their artwork. This provides an indication for the extent of the benefits a person can experience and can also serve as a clear guiding principle for interventions by the art therapist.
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Affiliation(s)
- Suzanne Haeyen
- GGNet Centre of Mental Health, Apeldoorn, Netherlands.,KENVAK Research Centre for the Arts Therapies, Heerlen, Netherlands.,Department of the Arts & Psychomotor Therapies Education Programme, HAN University of Applied Sciences, Nijmegen, Netherlands
| | - Farid Chakhssi
- GGNet Centre of Mental Health, Apeldoorn, Netherlands.,Department of Psychology, Health and Technology, Faculty of Behavioural, Management and Social Sciences, University of Twente, Enschede, Netherlands
| | - Susan Van Hooren
- KENVAK Research Centre for the Arts Therapies, Heerlen, Netherlands.,Department of the Arts Therapies Education Programme, Zuyd University of Applied Sciences, Heerlen, Netherlands.,Faculty of Psychology, Open University of the Netherlands, Heerlen, Netherlands
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A thematic synthesis of therapeutic actions in arts therapies and their perceived effects in the treatment of people with a diagnosis of Cluster B personality disorder. ARTS IN PSYCHOTHERAPY 2019. [DOI: 10.1016/j.aip.2018.10.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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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 2018; 13:e0208716. [PMID: 30557381 PMCID: PMC6296656 DOI: 10.1371/journal.pone.0208716] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2018] [Accepted: 11/22/2018] [Indexed: 12/14/2022] Open
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.
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Affiliation(s)
- Annemarie Abbing
- Faculty of Health, University of Applied Sciences Leiden, Leiden, The Netherlands
- Clinical Neurodevelopmental Sciences, Faculty of Social Sciences, Leiden University, Leiden, The Netherlands
- * E-mail:
| | - Anne Ponstein
- Faculty of Health, University of Applied Sciences Leiden, Leiden, The Netherlands
- KenVak, Research Centre for the Arts Therapies, Heerlen, The Netherlands
| | - Susan van Hooren
- KenVak, Research Centre for the Arts Therapies, Heerlen, The Netherlands
- Centre for the Arts Therapies, Zuyd University of Applied Sciences, Heerlen, The Netherlands
- Faculty of Psychology and Educational Sciences, Open University, Heerlen, The Netherlands
| | - Leo de Sonneville
- Clinical Neurodevelopmental Sciences, Faculty of Social Sciences, Leiden University, Leiden, The Netherlands
| | - Hanna Swaab
- Clinical Neurodevelopmental Sciences, Faculty of Social Sciences, Leiden University, Leiden, The Netherlands
| | - Erik Baars
- Faculty of Health, University of Applied Sciences Leiden, Leiden, The Netherlands
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Haeyen S, van Hooren S, van der Veld W, Hutschemaekers G. Efficacy of Art Therapy in Individuals With Personality Disorders Cluster B/C: A Randomized Controlled Trial. J Pers Disord 2018; 32:527-542. [PMID: 28926306 DOI: 10.1521/pedi_2017_31_312] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Multidisciplinary treatment programs for patients with personality disorders (PDs) often include art therapy, but the efficacy of this intervention has hardly been evaluated. The objective of this study is to evaluate the effects of an art therapy intervention on psychological functioning of patients with a PD. In this randomized controlled trial, 57 adult participants diagnosed with a PD cluster B/C (SCID-II) were randomly assigned to either weekly group art therapy (1.5 hours, 10 weeks) or a waiting list group. Outcome measures OQ45, AAQ-II, and SMI were assessed at baseline, at post-test (10 weeks after baseline), and at follow-up (5 weeks after post-test). The results show that art therapy is an effective treatment for PD patients because it not only reduces PD pathology and maladaptive modes but it also helps patients to develop adaptive, positive modes that indicate better mental health and self-regulation.
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Affiliation(s)
- Suzanne Haeyen
- GGNet, Centre for Mental Health, Scelta, Expert Centre for Personality Disorders, Apeldoorn, Warnsveld, The Netherlands.,HAN University of Applied Sciences, Nijmegen, The Netherlands.,KenVaK, Research Centre for the Arts Therapies, Heerlen, The Netherlands
| | - Susan van Hooren
- KenVaK, Research Centre for the Arts Therapies, Heerlen, The Netherlands.,Zuyd University of Applied Sciences, Faculty of Healthcare, Heerlen, and Open University, Faculty of Psychology and Educational Sciences, Heerlen
| | | | - Giel Hutschemaekers
- Radboud University, Nijmegen.,Pro Persona, Centre for Mental Health, Renkum, The Netherlands
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Haeyen S, van Hooren S, van der Veld WM, Hutschemaekers G. Measuring the contribution of art therapy in multidisciplinary treatment of personality disorders: The construction of the Self-expression and Emotion Regulation in Art Therapy Scale (SERATS). Personal Ment Health 2018; 12:3-14. [PMID: 28730717 PMCID: PMC5836990 DOI: 10.1002/pmh.1379] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2016] [Revised: 03/14/2017] [Accepted: 04/23/2017] [Indexed: 11/15/2022]
Abstract
Despite the use of art therapy in clinical practice, its appreciation and reported beneficial results, no instruments are available to measure specific effects of art therapy among patients with personality disorders cluster B/C in multidisciplinary treatment. In the present study, we described the development and psychometric evaluation of the Self-expression and Emotion Regulation in Art Therapy Scale (SERATS). Structural validity (exploratory and confirmatory factor analysis), reliability, construct validity and sensitivity to change were examined using two independent databases (n = 335; n = 34) of patients diagnosed with personality disorders cluster B/C. This resulted in a nine-item effect scale with a single factor with a high internal reliability and high test-retest reliability; it demonstrated discriminant validity and sensitivity to change. In conclusion, the SERATS is brief and content-valid and offers objective and reliable information on self-expression and emotion regulation in art therapy among patients with personality disorders cluster B/C. Although more research on construct validity is needed, the SERATS is a promising tool to be applied as an effect scale and as a monitoring tool during art therapy treatment. © 2017 The Authors Personality and Mental Health Published by John Wiley & Sons Ltd.
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Affiliation(s)
- Suzanne Haeyen
- Centre for Mental Health, Expert Centre for Personality Disorders, GGNet Scelta, Apeldoorn PO Box 2003, 7230GC, Warnsveld, The Netherlands.,HAN University of Applied Sciences, PO Box 6960, 6503GL, Nijmegen, The Netherlands.,KenVaK, Research Centre for the Arts Therapies, PO Box 550, 6400AN, Heerlen, The Netherlands
| | - Susan van Hooren
- KenVaK, Research Centre for the Arts Therapies, PO Box 550, 6400AN, Heerlen, The Netherlands.,Faculty of Healthcare, Zuyd University of Applied Sciences, PO Box 550, 6400AN, Heerlen, The Netherlands.,Faculty of Psychology and Educational Sciences, Open University, PO Box 2960, 6401DL, Heerlen, The Netherlands
| | | | - Giel Hutschemaekers
- Radboud University, PO Box 9401, 6500HE, Nijmegen, The Netherlands.,Centre for Mental Health, Pro Persona, PO Box 27, 6870AA, Renkum, The Netherlands
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Haeyen S, van Hooren S, Dehue F, Hutschemaekers G. Development of an art-therapy intervention for patients with personality disorders: an intervention mapping study. INTERNATIONAL JOURNAL OF ART THERAPY 2017. [DOI: 10.1080/17454832.2017.1403458] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Perceived effects of art therapy in the treatment of personality disorders, cluster B/C: A qualitative study. ARTS IN PSYCHOTHERAPY 2015. [DOI: 10.1016/j.aip.2015.04.005] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Howie PC, Bagnall R. The transmogrification of warm-up: From drama to psychodrama. ARTS IN PSYCHOTHERAPY 2015. [DOI: 10.1016/j.aip.2014.11.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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