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Gonzalez AJ, Xavier T, Amarante N, Barros R, Amaral B, Bernardino M, Lima M. Playback Theatre Group, stories, and stage as elements of change. ARTS IN PSYCHOTHERAPY 2022. [DOI: 10.1016/j.aip.2022.101968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Munjuluri S, Bolin PK, Amy Lin YT, Garcia NL, Gauna L, Nguyen T, Salas R. A Pilot Study on Playback Theatre as a Therapeutic Aid after Natural Disasters: Brain Connectivity Mechanisms of Effects on Anxiety. CHRONIC STRESS 2020; 4:2470547020966561. [PMID: 33210057 PMCID: PMC7643224 DOI: 10.1177/2470547020966561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Accepted: 09/23/2020] [Indexed: 11/23/2022]
Abstract
Background Natural disasters can affect mental health and result in symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD). Playback Theatre (PT) is a form of improvisation where actors play-back personal stories told by audience members. Whether PT can be therapeutic in post-disaster settings is not known. Method We used a series of PT performances and studied levels of depression, anxiety, and PTSD symptoms in a sample of 13 people affected by Hurricane Harvey that happened in Houston, TX, August 2017. Brain imaging, specifically resting state functional connectivity of the amygdala was also studied before and after the PT performances. Results Both anxiety (p = .001, Cohen’s d = –1.25) and PTSD (p = .002, Cohen’s d = –1.0) symptoms significantly decreased after a series of 4 PT performances from January 2019 – February 2019. Depression reduction was not significant. We performed resting state functional connectivity (RSFC) MRI before and after the series of performances. We used the right and left amygdala as seeds for RSFC analysis and found that the connectivity between the left amygdala and the bilateral supramarginal gyri was increased after PT. The bilateral supramarginal connectivity with the default mode and the saliency networks increased too, which correlated with reduction in anxiety scores. Conclusions PT may offer a form of intervention for anxiety caused by disasters. An increase in left amygdala/supramarginal gyri connectivity may be the underlying mechanism.
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Affiliation(s)
- Sarat Munjuluri
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.,Houston Playback Theatre, Houston, TX, USA.,The first two authors contributed equally to this work
| | - Peter K Bolin
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.,Houston Baptist University, Houston, TX, USA.,The first two authors contributed equally to this work
| | | | | | - Leslie Gauna
- Houston Playback Theatre, Houston, TX, USA.,College of Education, University of Houston at Clear Lake, TX, USA
| | | | - Ramiro Salas
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.,Houston Playback Theatre, Houston, TX, USA.,Michael E DeBakey VA Medical Center, Houston, TX, USA.,The Menninger Clinic, Houston, TX, USA.,Department of Neuroscience, Baylor College of Medicine, Houston, TX, USA
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Keisari S, Gesser-Edelsburg A, Yaniv D, Palgi Y. Playback theatre in adult day centers: A creative group intervention for community-dwelling older adults. PLoS One 2020; 15:e0239812. [PMID: 33002024 PMCID: PMC7529427 DOI: 10.1371/journal.pone.0239812] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Accepted: 09/14/2020] [Indexed: 11/19/2022] Open
Abstract
The literature indicates that theatre and drama-based interventions have the potential to improve older adults' well-being and health. The goal of the current study was to characterize the process of a creative group intervention in adult day centers (ADCs), which integrates playback theatre and life-review principles. Our objective was to provide an evidence-informed framework for drama therapy interventions, which would allow older adults to bring up and explore their life-stories in a dramatic creative process in their own community. A total of 27 participants ranging in age from 63 to 91, took part in one of three playback theatre groups. The playback theatre group intervention comprised 12 weekly sessions. All sessions were videotaped to capture the lived experience of the creative process and were analyzed in post-intervention interviews. In addition, focus group meetings were conducted with 13 ADC staff members to decipher further the effects of the participation as perceived by people outside the groups. Three types of potential transformation were identified in the qualitative analysis: the evolution of life stories, evolution of playfulness, and expansion of social engagement. The results indicate the potential of the integrative framework to serve as a creative intervention in ADC communities, as well as its potential to bring about a personal transformation and expand it to enable a person's social engagement in the community. The findings imply the potential benefits of using playback theatre groups to supplement the routine care provided in ADCs.
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Affiliation(s)
- Shoshi Keisari
- Department of Gerontology, University of Haifa, Haifa, Israel
| | - Anat Gesser-Edelsburg
- School of Public Health and The Health and Risk Communication Research Centre, University of Haifa, Haifa, Israel
| | - Dani Yaniv
- School of Creative Arts Therapies, The Emili Sagol Creative Arts Therapies Research Centre, University of Haifa, Haifa, Israel
| | - Yuval Palgi
- Department of Gerontology, University of Haifa, Haifa, Israel
- The Centre for Research and Study of Aging, University of Haifa, Haifa, Israel
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Keisari S, Yaniv D, Palgi Y, Gesser-Edelsburg A. Conducting playback theatre with older adults—A therapist’s perspective. ARTS IN PSYCHOTHERAPY 2018. [DOI: 10.1016/j.aip.2018.07.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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