Psychodrama Group Therapy for Patients with Functional Gastrointestinal Disorders – a Controlled Long-Term Follow-Up Study

Arn, Ingemar; Theorell, Töres; Uvnäs‐Moberg, Kerstin; Jonsson, Carl‐Otto

doi:10.1159/000288144

Cited by 16 publications

(2 citation statements)

References 7 publications

(8 reference statements)

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“…After releasing some of the emotional inhibition and starting an active therapy of alexithymia, a decreased psychosomatic symptom level was expected but not observed although there was a tendency towards improvement after 2 years. Similar observations have been made in other studies of the effects of treatment of conditions with long-lasting somatic symptoms [14]. One interpretation is that the treatment periods may have been short.…”

Section: Discussionsupporting

confidence: 86%

“…The rationale is that art psychotherapy is effective in providing symbols for experiences of emotional significance. There are already several published articles regarding the possibility to use dance therapy and psychodrama in such a process [12, 13, 14, 15]. Painting and music psychotherapy are also used in the treatment of many different disorders but have so far not been used to any great extent to treat long-lasting conditions with somatic symptoms resulting in markedly impaired quality of life.…”

Section: Untitledmentioning

confidence: 99%

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Treatment of Patients with Chronic Somatic Symptoms by Means of Art Psychotherapy: A Process Description

Theorell

Konarski²,

Westerlund³

et al. 1998

Psychother Psychosom

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Background: Inability to express emotions is common in patients with long-lasting somatic symptoms associated with incapacitation and impaired quality of life. One method for treating this inability is art psychotherapy. In this study the typical course in such treatments is described. Patients were followed longitudinally before therapy and every 4th to 6th month during the treatment. Methods: Patients with long-lasting psychosomatic conditions resulting in partial or total loss of working capacity for at least 1 year have been treated in the programme. All of them had chronic pain. The majority of the patients that were referred to us were offered treatment. Three-fourths of those who started treatment stayed in treatment as long as the therapist considered it optimal. Twenty-four patients (22 women and 2 men) in the present study had their treatment started on average 2 years (range 13–42 months) before the end of the treatment period. In addition these 24 patients were contacted 6–48 months after the end of the therapy (average 23 months) and a short post-evaluation was made by telephone. Results: The first year of treatment was characterized by emotional turmoil paralleled by increased energy level reflected in temporary elevation of serum uric acid. Significant improvement was observed with regard to anxiety-depression after one year of treatment. A tendency towards decreased levels of psychosomatic symptoms in general was observed after two years of treatment. One-fourth of the 20 non-working or parttime working patients increased their working activity. Conclusions: A slow partial recovery was observed. Art psychotherapy may have contributed to this.

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Section: Discussionsupporting

confidence: 86%

Section: Untitledmentioning

confidence: 99%

Treatment of Patients with Chronic Somatic Symptoms by Means of Art Psychotherapy: A Process Description

Theorell

Konarski²,

Westerlund³

et al. 1998

Psychother Psychosom

Self Cite

View full text Add to dashboard Cite

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Effectiveness and cost effectiveness of counselling in primary care

Bower

Rowland

2006

Cochrane Database of Systematic Reviews

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Counselling for mental health and psychosocial problems in primary care

Bower

Knowles

Coventry

et al. 2011

Cochrane Database of Systematic Reviews

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BackgroundThe prevalence of mental health and psychosocial problems in primary care is high. Counselling is a potential treatment for these patients, but there is a lack of consensus over the e ectiveness of this treatment in primary care. ObjectivesTo assess the e ectiveness and cost e ectiveness of counselling for patients with mental health and psychosocial problems in primary care. Search methodsTo update the review, the following electronic databases were searched: the Cochrane Collaboration Depression, Anxiety and Neurosis (CCDAN) trials registers (to December 2010), MEDLINE, EMBASE, PsycINFO and the Cochrane Central Register of Controlled Trials (to May 2011). Selection criteriaRandomised controlled trials of counselling for mental health and psychosocial problems in primary care. Data collection and analysisData were extracted using a standardised data extraction sheet by two reviewers. Trials were rated for quality by two reviewers using Cochrane risk of bias criteria, to assess the extent to which their design and conduct were likely to have prevented systematic error. Continuous measures of outcome were combined using standardised mean di erences. An overall e ect size was calculated for each outcome with 95% confidence intervals (CI). Continuous data from di erent measuring instruments were transformed into a standard e ect size by dividing mean values by standard deviations. Sensitivity analyses were undertaken to test the robustness of the results. Economic analyses were summarised in narrative form. There was no assessment of adverse events. Main resultsNine trials were included in the review, involving 1384 randomised participants. Studies varied in risk of bias, although two studies were identified as being at high risk of selection bias because of problems with concealment of allocation. All studies were from primary care in the United Kingdom and thus comparability was high. The analysis found significantly greater clinical e ectiveness in the counselling group compared with usual care in terms of mental health outcomes in the short-term (standardised mean di erence -0.28, 95% CI -0.43 to -0.13, n = 772, 6 trials) but not in the long-term (standardised mean di erence -0.09, 95% CI -0.27 to 0.10, n = 475, 4 trials), nor on measures of social function (standardised mean di erence -0.09, 95% CI -0.29 to 0.11, n = 386, 3 trials). Levels of satisfaction with counselling were Counselling for mental health and psychosocial problems in primary care (Review)

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Psychodrama Group Therapy for Patients with Functional Gastrointestinal Disorders – a Controlled Long-Term Follow-Up Study

Cited by 16 publications

References 7 publications

Treatment of Patients with Chronic Somatic Symptoms by Means of Art Psychotherapy: A Process Description

Treatment of Patients with Chronic Somatic Symptoms by Means of Art Psychotherapy: A Process Description

Effectiveness and cost effectiveness of counselling in primary care

Counselling for mental health and psychosocial problems in primary care

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