Künstlerische Therapien bei schweren psychischen Störungen

Gühne, Uta; Weinmann, Stefan; Arnold, Katrin; Ay, Esra; Becker, Thomas; Riedel‐Heller, Steffi G.

doi:10.1007/s00115-011-3472-7

Cited by 29 publications

(7 citation statements)

References 16 publications

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“…The recently issued guideline on psychosocial therapies in severe mental disorders of the German Society for Psychiatry, Psychotherapy and Neurology endorsed art therapy with a recommendation grade B [22]. However, compared to the wealth of clinical experience, naturalistic reports and subjective accounts of the healing properties of artmaking, the body of scientific evidence from controlled research is still small [23], [24]. Ruddy and Milnes' systematic review identified 61 studies, but reported only two randomised controlled trials (RCT; total n = 137) comparing art therapy plus treatment as usual (TAU) with standard care alone in outpatients with schizophrenia or schizophrenia-like illness [8], which tentatively indicated positive effects of art therapy on self-esteem [12] and negative symptoms [25], but did not show any impact on psychosocial functioning or quality of life.…”

Section: Introductionmentioning

confidence: 99%

A Pilot RCT of Psychodynamic Group Art Therapy for Patients in Acute Psychotic Episodes: Feasibility, Impact on Symptoms and Mentalising Capacity

et al. 2014

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This pilot study aimed to evaluate the feasibility of an assessor-blind, randomised controlled trial of psychodynamic art therapy for the treatment of patients with schizophrenia, and to generate preliminary data on the efficacy of this intervention during acute psychotic episodes. Fifty-eight inpatients with DSM-diagnoses of schizophrenia were randomised to either 12 twice-weekly sessions of psychodynamic group art therapy plus treatment as usual or to standard treatment alone. Primary outcome criteria were positive and negative psychotic and depressive symptoms as well as global assessment of functioning. Secondary outcomes were mentalising function, estimated with the Reading the mind in the eyes test and the Levels of emotional awareness scale, self-efficacy, locus of control, quality of life and satisfaction with care. Assessments were made at baseline, at post-treatment and at 12 weeks' follow-up. At 12 weeks, 55% of patients randomised to art therapy, and 66% of patients receiving treatment as usual were examined. In the per-protocol sample, art therapy was associated with a significantly greater mean reduction of positive symptoms and improved psychosocial functioning at post-treatment and follow-up, and with a greater mean reduction of negative symptoms at follow-up compared to standard treatment. The significant reduction of positive symptoms at post-treatment was maintained in an attempted intention-to-treat analysis. There were no group differences regarding depressive symptoms. Of secondary outcome parameters, patients in the art therapy group showed a significant improvement in levels of emotional awareness, and particularly in their ability to reflect about others' emotional mental states. This is one of the first randomised controlled trials on psychodynamic group art therapy for patients with acute psychotic episodes receiving hospital treatment. Results prove the feasibility of trials on art therapy during acute psychotic episodes and justify further research to substantiate preliminary positive results regarding symptom reduction and the recovery of mentalising function.Trial RegistrationClinicalTrials.gov NCT01622166

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Section: Introductionmentioning

confidence: 99%

A Pilot RCT of Psychodynamic Group Art Therapy for Patients in Acute Psychotic Episodes: Feasibility, Impact on Symptoms and Mentalising Capacity

et al. 2014

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“…durch künstlerisch-therapeutisch qualifizierte Therapeuten im Einzel-oder Gruppensetting angewendet werden [2,3], die Vorgehensweisen sind ressourcen-, beziehungs-, handlungs-und erlebnisorientiert [4]. Eine weitere Gemeinsamkeit in Deutschland stellt allerdings auch das Fehlen gesetzlicher Regelungen der Berufe dar.…”

Section: Introductionunclassified

Künstlerische Therapeuten im Gesundheitswesen

Oster

Melches²

2016

Gesundheitswesen

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The members of the Bundesarbeitsgemeinschaft Künstlerische Therapien (BAG KT - "Working Committee of Art Therapies of the Federal Republic of Germany") decided to carry out an analysis of the occupational group of art therapists, in the form of an online inquiry. For this purpose, a questionnaire covering all fields of art therapies was developed, recording socio-demographic and qualification data, data of different fields of activity, patient characteristics, institutional conditions and setting as well as data on reimbursement. 2303 evaluable data sets are available. Here, the main focus is on art therapists in the health care sector according to SGB (N=2134). 83% of them are female, 56% work in the field of emergency medicine and curative treatment, followed by rehabilitation and youth welfare. In all sectors, specialization in music and art therapy predominates. 57% of the therapists have a special graduate degree in art therapy methods, 83% have a graduate degree. 42% have a license to work as an alternative non-medical practitioner. Nearly all of them use methods of quality management. The results highlight the implementation of art therapies in health care.

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“…Auf der individuellen Ebene kommen v. a. folgende Interventionen zum Einsatz: Menschen mit Schizophrenie reduziert werden [31].…”

Section: Individuelle Interventionenunclassified