Therapeutic psychological and biological responses to mindfulness‐based art therapy

Beerse, Megan; Lith, Theresa Van; Stanwood, Gregg D.

doi:10.1002/smi.2937

Cited by 30 publications

(22 citation statements)

References 57 publications

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“…The sample sizes across the 13 studies ranged from 23 [ 40 ] to 2110 [ 44 ]. Regarding study design, there were 46% (6/13) of RCTs with an active control [ 39 , 40 , 43 , 45 , 46 , 48 ], 38% (5/13) of RCTs with a wait-list control [ 38 , 41 , 42 , 49 , 52 ], 8% (1/13) were dismantling trials [ 41 ], and 8% (1/13) were pre-post trials [ 47 ]. The duration of the digital interventions varied, with one study reporting a single session [ 43 ], another study reporting 6 days of intervention [ 44 ], and the remaining studies (11/13, 85%) ranging from 3 to 10 weeks (mean duration =5.5, SD 2.2 weeks; mode duration=4 weeks), as presented in Table 1 [ 35 - 42 , 45 - 47 ].…”

Section: Resultsmentioning

confidence: 99%

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Digital Interventions for Psychological Well-being in University Students: Systematic Review and Meta-analysis

Ferrari¹,

Allan²,

Arnold³

et al. 2022

J Med Internet Res

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Background Life at university provides important opportunities for personal growth; however, this developmental phase also coincides with the peak period of risk for the onset of mental health disorders. In addition, specific university lifestyle factors, including impaired sleep and academic and financial stress, are known to exacerbate psychological distress in students. As a result, university students have been identified as a vulnerable population who often experience significant barriers to accessing psychological treatment. Digital psychological interventions are emerging as a promising solution for this population, but their effectiveness remains unclear. Objective This systematic review and meta-analysis aimed to assess digital interventions targeting psychological well-being among university students. Methods Database searches were conducted on December 2, 2021, via Embase, MEDLINE, PsycINFO, and Web of Science. Results A total of 13 eligible studies were identified, 10 (77%) of which were included in the meta-analysis. Mean pre-post effect sizes indicated that such interventions led to small and significant improvement in psychological well-being (Hedges g=0.32, 95% CI 0.23-0.4; P<.001). These effects remained, albeit smaller, when studies that included a wait-list control group were excluded (Hedges g=0.22, 95% CI 0.08-0.35; P=.002). An analysis of acceptance and commitment therapy approaches revealed small and significant effects (k=6; Hedges g=0.35, 95% CI 0.25-0.45; P<.001). Conclusions Digital psychological interventions hold considerable promise for university students, although features that optimize service delivery and outcomes require further assessment. Trial Registration PROSPERO CRD42020196654; https:/www.crd.york.ac.uk/prospero/display_record.php?RecordID=196654

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Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Digital Interventions for Psychological Well-being in University Students: Systematic Review and Meta-analysis

Ferrari¹,

Allan²,

Arnold³

et al. 2022

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Many clinical studies show the effectiveness of various types of art therapy in mitigating symptoms of anxiety in different age and patient groups. Mindfulness art therapy has shown particular benefits in reducing anxiety, perceived stress and salivary cortisol in college students (Beerse et al 2020). In another study, mindfulness-based art therapy is found to significantly improve the psychological well-being, reduce the trait anxiety (measured using trait anxiety inventory), and reduce depression (measured using the Beck Depression Inventory) of Korean patients with coronary artery disease, female and male with mean age 64.81 þ/À 9.19 years (Jang et al 2018).…”

Section: D)mentioning

confidence: 99%

Presentation and management of anxiety in individuals with acute symptomatic or asymptomatic COVID-19 infection, and in the post-COVID-19 recovery phase

Uzunova

Pallanti

Hollander

2021

International Journal of Psychiatry in Clinical Practice

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COVID-19 is associated with neuropsychiatric complications, the most frequent one being anxiety. Multiple biological and psychosocial factors contribute to anxiety in COVID-19. Among the biological factors, stress, genetics, gender, immune system, resilience, anosmia, hypogeusia, and central nervous system infection with SARS-CoV-2 are key. Anxiety is a complication of COVID-19 that may exacerbate the infection course, and the infection may exacerbate anxiety. We present the mechanisms of anxiety in symptomatic or asymptomatic COVID-19. We discuss the presentation of anxiety in patients without or with prior psychiatric illness, and with co-morbidities. Timely diagnosis and management of anxiety in COVID-19 patients is important. Given the frequent complication of COVID-19 with Acute Respiratory Distress Syndrome and Intensive Care Unit stay, anxiety may be a long-term complication. We review the diagnostic tools for anxiety in COVID-19, and summarise pharmacologic and non-pharmacologic treatments. We provide recommendations for diagnosis, treatment, prevention and follow up of anxiety in COVID-19. KEY POINTS Patients with COVID-19 (symptomatic or asymptomatic) exhibit a high frequency of neuropsychiatric complications with highest percentage attributed to anxiety. Multiple biological and psychosocial risk factors for anxiety exist in COVID-19-ill individuals. Biological risk factors include stress, resilience, genetics, gender, age, immune system, direct infection of the central nervous system (CNS) with SARS-CoV-2, comorbid psychiatric and general medical illnesses, ARDS and ICU stay. Anosmia and hypogeusia are COVID-19-specific anxiety risk factors. Knowledge of the anxiety risk factors is essential to focus on timely interventions, because anxiety may be a complication of and exacerbate the COVID-19 course. An inverse correlation exists between resilience and anxiety because of COVID-19, and therefore efforts should be made to increase resilience in COVID-19 patients. In COVID-19, important anxiety mechanism is neuroinflammation resulting from activation of the immune system and an ensuing cytokine storm. The general approach to management of anxiety in COVID-19 should be compassionate, similar to that during trauma or disaster, with efforts focussed on instilling a sense of hope and resilience. In selecting pharmacological treatment of anxiety, the stress response and immune system effects should be key. Medications with cardio-respiratory adverse effects should be avoided in patients with respiratory problems. Anxiety is a disorder that will require for long-term follow up at least one month after COVID-19.

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“…Our understanding of the physiological mechanisms by which art therapy exerts its effects is advancing (Belkofer et al, 2014;Czamanski-Cohen & Weihs, 2016;Hass-Cohen & Findlay, 2015;Kaimal et al, 2016Kaimal et al, , 2017King et al, 2017;Lusebrink, 2010;Walker et al, 2018) and the field is beginning to more accurately identify the underlying physiological mechanisms associated with emotion, cognition, and learning that enhance the capacities to change through therapy . For example, Beerse, Van Lith, and Stanwood (2020) found that anxiety and perceived stress were reduced, and salivary cortisol outcomes were used to measure the differences between a mindfulness-based art therapy (MBAT) intervention compared to an art-making task in college-aged students. This work has built upon other studies that have used physiological measures to show fluctuations in brain activity when engaging in different types of art-making tasks.…”

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confidence: 99%

Using mobile brain/body imaging to advance research in arts, health, and related therapeutics

King

Parada

2021

Eur J of Neuroscience

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The uses of mobile brain/body imaging (MoBI) are expanding and allow for more direct study of the neurophysiological signals associated with behavior in psychotherapeutic encounters. Neuroaesthetics is concerned with the cognitive and neural basis of art appreciation, and scientific correlations are being made in the field that might help to clarify theories claimed in the creative arts therapies. Yet, most neuroaesthetics studies are confined to the laboratory and do not propose a translation for research methods and clinical applications. The creative arts therapies have a long history of clinical success with various patient populations and will benefit from increased scientific explanation to support intervention strategies. Examining the brain dynamics and motor behaviors that are associated with the higher complex processes involved in artistic expression offers MoBI as a promising instrumentation to move forward in linking ideas from neuroaesthetics to the creative arts therapies. Tracking brain dynamics in association with behavioral change allows for more objective and quantitative physiological monitors to evaluate, and together with subjective patient reports provides insight into the psychological mechanisms of change in treatment. We outline a framework that shows how MoBI can be used to study the effectiveness of creative arts therapy interventions motivated by the 4E approach to cognition with a focus on visual art therapy. The article illuminates how a new partnership among the fields of art therapy, neuroscience, and neuroaesthetics might work together within the 4E/MoBI framework in efforts to advance transdisciplinary research for clinical health populations.

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Therapeutic psychological and biological responses to mindfulness‐based art therapy

Cited by 30 publications

References 57 publications

Digital Interventions for Psychological Well-being in University Students: Systematic Review and Meta-analysis

Digital Interventions for Psychological Well-being in University Students: Systematic Review and Meta-analysis

Presentation and management of anxiety in individuals with acute symptomatic or asymptomatic COVID-19 infection, and in the post-COVID-19 recovery phase

Using mobile brain/body imaging to advance research in arts, health, and related therapeutics

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