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Bosgraaf L, Spreen M, Pattiselanno K, van Hooren S. Measurement and development of art therapeutic actions in the treatment of children and adolescents with psychosocial problems. INTERNATIONAL JOURNAL OF ART THERAPY 2022. [DOI: 10.1080/17454832.2022.2127815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Liesbeth Bosgraaf
- Faculty of Healthcare and Social Work, NHLStenden, University of Applied Sciences, Leeuwarden, Netherlands
- Alliade, Care Group, Heerenveen, Netherlands
- KenVaK, Research Centre for Arts Therapies, Heerlen, Netherlands
- Faculty of Psychology, Open University, Heerlen, Netherlands
| | - Marinus Spreen
- Faculty of Healthcare and Social Work, NHLStenden, University of Applied Sciences, Leeuwarden, Netherlands
| | - Kim Pattiselanno
- Faculty of Healthcare and Social Work, NHLStenden, University of Applied Sciences, Leeuwarden, Netherlands
| | - Susan van Hooren
- KenVaK, Research Centre for Arts Therapies, Heerlen, Netherlands
- Faculty of Psychology, Open University, Heerlen, Netherlands
- Zuyd, Faculty of Healthcare, University of Applied Sciences, Heerlen, Netherlands
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Bosgraaf L, Spreen M, Pattiselanno K, van Hooren S. Art Therapy for Psychosocial Problems in Children and Adolescents: A Systematic Narrative Review on Art Therapeutic Means and Forms of Expression, Therapist Behavior, and Supposed Mechanisms of Change. Front Psychol 2020; 11:584685. [PMID: 33132993 PMCID: PMC7578380 DOI: 10.3389/fpsyg.2020.584685] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 08/24/2020] [Indexed: 01/03/2023] Open
Abstract
Background: Art therapy (AT) is frequently offered to children and adolescents with psychosocial problems. AT is an experiential form of treatment in which the use of art materials, the process of creation in the presence and guidance of an art therapist, and the resulting artwork are assumed to contribute to the reduction of psychosocial problems. Although previous research reports positive effects, there is a lack of knowledge on which (combination of) art therapeutic components contribute to the reduction of psychosocial problems in children and adolescents. Method: A systematic narrative review was conducted to give an overview of AT interventions for children and adolescents with psychosocial problems. Fourteen databases and four electronic journals up to January 2020 were systematically searched. The applied means and forms of expression, therapist behavior, supposed mechanisms of change, and effects were extracted and coded. Results: Thirty-seven studies out of 1,299 studies met the inclusion criteria. This concerned 16 randomized controlled trials, eight controlled trials, and 13 single-group pre-post design studies. AT interventions for children and adolescents are characterized by a variety of materials/techniques, forms of structure such as giving topics or assignments, and the use of language. Three forms of therapist behavior were seen: non-directive, directive, and eclectic. All three forms of therapist behavior, in combination with a variety of means and forms of expression, showed significant effects on psychosocial problems. Conclusions: The results showed that the use of means and forms of expression and therapist behavior is applied flexibly. This suggests the responsiveness of AT, in which means and forms of expression and therapist behavior are applied to respond to the client's needs and circumstances, thereby giving positive results for psychosocial outcomes. For future studies, presenting detailed information on the potential beneficial effects of used therapeutic perspectives, means, art techniques, and therapist behavior is recommended to get a better insight into (un)successful art therapeutic elements.
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Affiliation(s)
- Liesbeth Bosgraaf
- Faculty of Healthcare and Social Work, NHL Stenden University of Applied Sciences, Leeuwarden, Netherlands.,Alliade, Care Group, Heerenveen, Netherlands.,KenVaK, Research Center for Arts Therapies, Heerlen, Netherlands.,Faculty of Psychology, Open University, Heerlen, Netherlands
| | - Marinus Spreen
- Faculty of Healthcare and Social Work, NHL Stenden University of Applied Sciences, Leeuwarden, Netherlands
| | - Kim Pattiselanno
- Faculty of Healthcare and Social Work, NHL Stenden University of Applied Sciences, Leeuwarden, Netherlands
| | - Susan van Hooren
- KenVaK, Research Center for Arts Therapies, Heerlen, Netherlands.,Faculty of Psychology, Open University, Heerlen, Netherlands.,Faculty of Healthcare, Zuyd University of Applied Sciences, Heerlen, Netherlands
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Peris TS, Rozenman M, Bergman RL, Chang S, O'Neill J, Piacentini J. Developmental and clinical predictors of comorbidity for youth with obsessive compulsive disorder. J Psychiatr Res 2017; 93:72-78. [PMID: 28601668 DOI: 10.1016/j.jpsychires.2017.05.002] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2017] [Revised: 04/03/2017] [Accepted: 05/04/2017] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To date, few studies of childhood obsessive compulsive disorder (OCD) have been adequately powered to examine patterns and predictors of comorbidity, despite the frequency with which it occurs. We address this gap, drawing on a large sample of youth with OCD who were systematically assessed through research and clinical programs in a university-based specialty program for children and adolescents with OCD. We examine patterns of comorbidity across different epochs of development and predict specific classes of OCD (comorbidity internalizing/externalizing/both) from key demographic and clinical variables that may be useful in guiding individualized treatment. METHOD A total of 322 youths (mean age = 12.28, 53% male) were assessed using the Anxiety Disorders Interview Schedule (ADIS; Silverman and Albano, 1996), the Children's Yale Brown Obsessive Compulsive Scale (CYBOCS; Scahill et al., 1997) and other standardized measures. RESULTS Consistent with prior research, 50% of youth met criteria for a co-occurring anxiety or depressive disorder. Rates of externalizing disorders were lower (16%). Developmental differences emerged such that older youth met criteria for a higher number of co-occurring disorders. As expected, adolescents in particular were more likely to have a co-occurring internalizing disorder compared to early or pre-adolescent peers. Surprisingly, they were also more likely to have a comorbid externalizing disorder. Developmental trends were particularly striking with respect to depression, with adolescents with OCD demonstrating a six-fold greater likelihood of co-occurring depressive disorder compared to younger counterparts. DISCUSSION Clinical implications are discussed with eye toward tailoring interventions, particularly during the transition to adolescence when youth are at heightened risk for depression.
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Affiliation(s)
- Tara S Peris
- UCLA Semel Institute for Neuroscience and Human Behavior, USA.
| | | | | | - Susanna Chang
- UCLA Semel Institute for Neuroscience and Human Behavior, USA
| | - Joseph O'Neill
- UCLA Semel Institute for Neuroscience and Human Behavior, USA
| | - John Piacentini
- UCLA Semel Institute for Neuroscience and Human Behavior, USA
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Veldman K, Bültmann U, Stewart RE, Ormel J, Verhulst FC, Reijneveld SA. Mental health problems and educational attainment in adolescence: 9-year follow-up of the TRAILS study. PLoS One 2014; 9:e101751. [PMID: 25047692 PMCID: PMC4105412 DOI: 10.1371/journal.pone.0101751] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2014] [Accepted: 06/11/2014] [Indexed: 12/30/2022] Open
Abstract
Background This study examines if mental health problems at age 11 and changes in mental health problems between age 11 and 16 predict educational attainment of adolescents at age 19, overall and stratified by gender. Methods Data from 1711 adolescents (76.8% from initial cohort) of the Tracking Adolescents' Individual Lives Survey (TRAILS), a Dutch prospective cohort study with 9year follow-up, were used. Mental health problems (externalizing, internalizing and attention problems) were measured by the Youth Self Report and the Child Behavior Checklist at ages 11 and 16. Difference scores for mental health problems between age 11 and 16 were calculated. Educational attainment was assessed at age 19. Results Externalizing, internalizing and attention problems at age 11 were significantly associated with low educational attainment at age 19 (crude model). When adjusted for demographic variables and the other mental health problems, only the association for attention problems remained significant (odds ratio (OR), 95% confidence interval: 3.19, 2.11–4.83). Increasing externalizing problems between age 11 and 16 also predicted low educational attainment at age 19 (OR 3.12, 1.83–5.32). Among girls, increasing internalizing problems between age 11 and 16 predicted low educational attainment (OR 2.21, 1.25–3.94). For boys, no significant association was found for increasing internalizing problems and low educational attainment. For increasing attention problems between age 11 and 16 no significant association with low educational attainment was found. Conclusions Externalizing, internalizing and attention problems at age 11 and an increase of these problems during adolescence predicted low educational attainment at age 19. Early treatment of these mental health problems may improve educational attainment, and reduce socioeconomic health differences in adulthood.
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Affiliation(s)
- Karin Veldman
- University Medical Center Groningen, University of Groningen, Department of Health Sciences, Community & Occupational Medicine, Groningen, The Netherlands
- * E-mail:
| | - Ute Bültmann
- University Medical Center Groningen, University of Groningen, Department of Health Sciences, Community & Occupational Medicine, Groningen, The Netherlands
| | - Roy E. Stewart
- University Medical Center Groningen, University of Groningen, Department of Health Sciences, Community & Occupational Medicine, Groningen, The Netherlands
| | - Johan Ormel
- University Medical Center Groningen, University of Groningen, Interdisciplinary Center for Psychopathology and Emotion Regulation, Groningen, The Netherlands
| | - Frank C. Verhulst
- Erasmus Medical Center, Department of Child and Adolescent Psychiatry, Rotterdam, The Netherlands
| | - Sijmen A. Reijneveld
- University Medical Center Groningen, University of Groningen, Department of Health Sciences, Community & Occupational Medicine, Groningen, The Netherlands
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Unwin LM, Maybery MT, Wray JA, Whitehouse AJO. A "bottom-up" approach to aetiological research in autism spectrum disorders. Front Hum Neurosci 2013; 7:606. [PMID: 24065914 PMCID: PMC3777013 DOI: 10.3389/fnhum.2013.00606] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2013] [Accepted: 09/05/2013] [Indexed: 11/13/2022] Open
Abstract
Autism spectrum disorders (ASD) are currently diagnosed in the presence of impairments in social interaction and communication, and a restricted range of activities and interests. However, there is considerable variability in the behaviors of different individuals with an ASD diagnosis. The heterogeneity spans the entire range of IQ and language abilities, as well as other behavioral, communicative, and social functions. While any psychiatric condition is likely to incorporate a degree of heterogeneity, the variability in the nature and severity of behaviors observed in ASD is thought to exceed that of other disorders. The current paper aims to provide a model for future research into ASD subgroups. In doing so, we examined whether two proposed risk factors - low birth weight (LBW), and in utero exposure to selective serotonin reuptake inhibitors (SSRIs) - are associated with greater behavioral homogeneity. Using data from the Western Australian Autism Biological Registry, this study found that LBW and maternal SSRI use during pregnancy were associated with greater sleep disturbances and a greater number of gastrointestinal complaints in children with ASD, respectively. The findings from this "proof of principle" paper provide support for this "bottom-up" approach as a feasible method for creating homogenous groups.
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Affiliation(s)
- Lisa M Unwin
- School of Psychology, The University of Western Australia , Perth, WA , Australia ; Telethon Institute for Child Health Research, Centre for Child Health Research, The University of Western Australia , Perth, WA , Australia
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Payne S, Ward G, Turner A, Taylor MC, Bark C. The Social Impact of Living with Developmental Coordination Disorder as a 13-year-old. Br J Occup Ther 2013. [DOI: 10.4276/030802213x13757040168315] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Introduction: Children with developmental coordination disorder are frequently referred to an occupational therapist. However, while there is a growing body of research about developmental coordination disorder, there is a paucity of research from the perspective of adolescents living with the condition. Purpose: The purpose of this study was to investigate the experience of teenagers living with developmental coordination disorder from their own perspective. This article presents findings from interviews with teenagers aged 13 years. Method: The research adopted an interpretive phenomenological approach. Semi-structured interviews were carried out to examine the personal experiences of six individuals diagnosed with developmental coordination disorder. Interviews were audio-recorded, transcribed and analysed using in-depth ideographic, inductive and interrogative techniques. Findings: All participants felt that the visible and hidden effects of their condition had an impact on their relationships with peers and family members. Three sub-themes emerged: (1) relationships with peers; (2) relationships with parents and (3) relationships with siblings. Conclusion: Participants described how their personal attributes, shared interests and the attitudes of others affected their relationships and social participation at home, at school and in the community. Understanding the issues that matter to teenagers with developmental coordination disorder will help occupational therapists to offer advice and meaningful interventions that increase teenagers' social confidence and participation.
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Affiliation(s)
- Sally Payne
- Head Paediatric Occupational Therapist, Heart of England NHS Foundation Trust, Solihull and Postgraduate Student, Faculty of Health and Life Sciences, Coventry University, Coventry
| | - Gillian Ward
- Principal Lecturer in Assistive Technology, Faculty of Health and Life Sciences, Coventry University, Coventry
| | - Andrew Turner
- Senior Research Fellow, Applied Research Centre in Health and Lifestyle Interventions, Faculty of Health and Life Sciences, Coventry University
| | - M Clare Taylor
- Lead Therapist, Health and Social Care, Bournemouth University, Bournemouth
| | - Chris Bark
- Subject Librarian, Lanchester Library, Coventry University, Coventry
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