A pilot RCT of psychodynamic group art therapy for patients in acute psychotic episodes: Feasibility, impact on symptoms and Mentalising capacity

PLoS ONE

Volumn 9, Issue 11, 2014, Pages

  Montag, Christiane ^a   Haase, Laura ^a   Seidel, Dorothea ^a,b   Bayerl, Martin ^a   Gallinat, Jurgen ^a   Herrmann, Uwe ^b   Dannecker, Karin ^b  

^a CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

^b Medientheorie Kommunikationswissenschaft   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE PSYCHOSIS; ADULT; ART THERAPY; ARTICLE; AWARENESS; CONTROLLED STUDY; DEPRESSION; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; EMOTIONAL AWARENESS SCALE; EMOTIONALITY; FEASIBILITY STUDY; FEMALE; GLOBAL ASSESSMENT OF FUNCTIONING; HUMAN; INTENTION TO TREAT ANALYSIS; LOCUS OF CONTROL; MAJOR CLINICAL STUDY; MALE; MENTAL CAPACITY; MENTAL FUNCTION; MENTAL HEALTH; NEGATIVE SYNDROME; PATIENT CARE; PATIENT SATISFACTION; PILOT STUDY; PSYCHODYNAMIC PSYCHOTHERAPY; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; RATING SCALE; SCHIZOPHRENIA; SELF CONCEPT; SOCIAL PSYCHOLOGY; SYMPTOMATOLOGY; FOLLOW UP; GROUP THERAPY; MIDDLE AGED; PROCEDURES; PSYCHOTIC DISORDERS; TREATMENT OUTCOME;

ADULT; ART THERAPY; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; PILOT PROJECTS; PSYCHOTHERAPY, GROUP; PSYCHOTHERAPY, PSYCHODYNAMIC; PSYCHOTIC DISORDERS; QUALITY OF LIFE; SCHIZOPHRENIA; TREATMENT OUTCOME;

EID: 84911928492     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0112348     Document Type: Article

References (78)

1. Prinzhorn H (1922) Die Bildnerei der Geisteskranken. Berlin: Springer.
2. Navratil L (1965) Schizophrenie und Kunst. München: Deutscher Taschenbuchverlag.
3. Killick K, Schaverien J (1997) Art, Psychotherapy and Psychosis. London: Routledge.
4. Dannecker K. (2010) Psyche und Asthetik. Die Transformationen der Kunsttherapie. Berlin: Medizinisch Wissenschaftliche Verlagsgesellschaft.
5. Patterson S, Debate J, Anju S, Waller D, Crawford MJ (2011) Provision and practice of art therapy for people with schizophrenia: results of a national survey. J Ment Health 20: 328-335.
6. Waller D, Gilroy A, eds. (1992) Art therapy: A handbook. Open University Press.
7. Spaniol S (2001) Art and mental illness: Where is the link? The Arts in Psychotherapy 28: 221-231.
8. Ruddy R, Milnes D (2005) Art therapy for schizophrenia or schizophrenia-like i l lnesses. Cochrane Database Syst Rev CD003728. 10.1002/ 14651858.CD003728.pub2 [doi].
9. Patterson S, Crawford MJ, Ainsworth E, Waller D (2011) Art therapy for people diagnosed with schizophrenia: Therapists' views about what changes, how and for whom. International Journal of Art Therapy 16: 70-80.
10. van 't Wout M, Aleman A, Bermond B, Kahn RS (2007) No words for feelings: alexithymia in schizophrenia patients and first-degree relatives. Compr Psychiatry 48: 27-33.
11. Sarra N (1998) Connection and disconnection in the art therapy group. Working with forensic patients on the locked ward. In: Skaife S, Huet V, editors. Art psychotherapy groups. Between pictures and words. London: Routledge.
12. Green BL, Wehling C, Talsky GJ (1987) Group art therapy as an adjunct to treatment for chronic outpatients. Hosp Community Psychiatry 38: 988-991.
13. Springham N, Findlay D, Woods A, Harris J (2012) How can art therapy contribute to mentalization in borderline personality disorder? International Journal of Art Therapy 17: 115-129.
14. Harrow M, Hansford BG, Astrachan-Fletcher EB (2009) Locus of control: relation to schizophrenia, to recovery, and to depression and psychosis - A 15- year longitudinal study. Psychiatry Res 168: 186-192.
15. Brüne M (2005) ''Theory of mind'' in schizophrenia: a review of the literature. Schizophr Bull 31: 21-42.
16. Mo S, Su Y, Chan RC, Liu J (2008) Comprehension of metaphor and irony in schizophrenia during remission: the role of theory of mind and IQ. Psychiatry Res 157: 21-29.
17. Sprong M, Schothorst P, Vos E, Hox J, van Engeland H (2007) Theory of mind in schizophrenia: meta-analysis. Br J Psychiatry 191: 5-13.
18. Kircher TT, Leube DT, Erb M, Grodd W, Rapp AM (2007) Neural correlates of metaphor processing in schizophrenia. Neuroimage 34: 281-289.
19. Montag C, Dziobek I, Richter IS, Neuhaus K, Lehmann A, et al. (2010) Different aspects of theory of mind in paranoid schizophrenia: Evidence from a video-based assessment. Psychiatry Res 186: 203-209.
20. Bora E, Yücel M, Pantelis C (2009) Theory of mind impairment: a distinct traitmarker for schizophrenia spectrum disorders and bipolar disorder? Acta Psychiatr Scand 120: 253-264.
21. National Institute for Clinical Excellence (2009) Schizophrenia: Core Interventions in the Treatment and Management of Schizophrenia in Adults in Primary and Secondary Care. NICE clinical guideline 82. London: NICE.
22. Riedel-Heller SG, Gühne U, Weinmann S, Becker T (2012) [Psychosocial therapies in severe mental illness: DGPPN-S3-guideline: evidence, recommendations and challenges for mental health service research]. Psychother Psychosom Med Psychol 62: 425-428.
23. Gühne U, Weinmann S, Arnold K, Ay ES, Becker T, et al. (2012) [Arts therapies in severe mental illness: are they effective?]. Nervenarzt 83: 855-860.
24. Crawford MJ, Patterson S (2007) Arts therapies for people with schizophrenia: an emerging evidence base. Evid Based Ment Health 10: 69-70.
25. Richardson P, Jones K, Evans C, Stevens P, Rowe A (2007) Exploratory RCT of art therapy as an adjunctive treatment in schizophrenia. Journal of Mental Health 16: 483-491.
26. Meng P, Zheng R, Cai Z, Cao D, Ma L, et al. (2005) Group intervention for schizophrenia inpatient with art as medium. Acta Psychologica Sinica 37: 403-412.
27. Crawford MJ, Killaspy H, Barnes TR, Barrett B, Byford S, et al. (2012) Group art therapy as an adjunctive treatment for people with schizophrenia: multicentre pragmatic randomised trial. BMJ 344: e846.
28. Helmchen H, Lauter H (1995) [Ethical problems in biomedical research with cognitively impaired elderly patients]. Nervenarzt 66: 231-238.
29. First MB, Spitzer RL, Gibbon M, Williams JBW (1995) Structured Clinical Interview for DSM-IV Axis I Disorders. New York, NY: Biometrics Research, New York State Psychiatric Institute.
30. Andreasen NC (1983) Scale for the assessment of negative Symptoms (SANS). Iowa City, IA: The University of Iowa.
31. Andreasen NC (1984) Scale for the assessment of positive Symptoms (SAPS). Iowa City, IA: The University of Iowa.
32. Mü ller MJ, Marx-Dannigkeit P, Schlosser R, Wetzel H, Addington D, et al. (1999) The Calgary Depression Rating Scale for Schizophrenia: development and interrater reliability of a German version (CDSS-G). J Psychiatr Res 33: 433-443.
33. Sab H, Wittchen HU, Zaudig M, Houben I (2003) Diagnostisches und Statistisches. Manual Psychischer Störungen - Textrevision- DSM-IV-TR. Göttingen: Hogrefe.
34. Baron-Cohen S, Wheelwright S, Hill J, Raste Y, Plumb I (2001) The ''Reading the Mind in the Eyes'' Test revised version: a study with normal adults, and adults with Asperger syndrome or high-functioning autism. J Child Psychol Psychiatry 42: 241-251.
35. Boelte S (2009) Reading Mind in the Eyes Test. Erwachsenenversion. Von Simon Baron-Cohen (2001). Deutsche Bearbeitung von Sven Boelte.
36. Lane RD, Quinlan DM, Schwartz GE, Walker PA, Zeitlin SB (1990) The Levels of Emotional Awareness Scale: a cognitive-developmental measure of emotion. J Pers Assess 55: 124-134.
37. Subic-Wrana C, Thomas W, Huber M, Köhle K (2001) Levels of Emotional Awareness Scale (LEAS). Die deutsche Version eines neuen Alexithymietests. Psychotherapeut 46: 176-181.
38. Lane RD, Schwartz GE (1987) Levels of emotional awareness: a cognitivedevelopmental theory and its application to psychopathology. Am J Psychiatry 144: 133-143.
39. Subic-Wrana C, Bruder S, Thomas W, Lane RD, Kohle K (2005) Emotional awareness deficits in inpatients of a psychosomatic ward: a comparison of two different measures of alexithymia. Psychosom Med 67: 483-489.
40. Subic-Wrana C, Beutel ME, Knebel A, Lane RD (2010) Theory of mind and emotional awareness deficits in patients with somatoform disorders. Psychosom Med 72: 404-411.
41. Baslet G, Termini L, Herbener E (2009) Deficits in emotional awareness in schizophrenia and their relationship with other measures of functioning. J Nerv Ment Dis 197: 655-660.
42. Krampen G (1991) Fragebogen zu Kompetenz- und Kontrollüberzeugungen (FKK). Göttingen: Verlag für Psychologie Dr. C. J. Hogrefe.
43. Levenson H (1981) Differentiating among internality, powerful others and chance. In: Lefcourt HM, editors. Research with the locus of control construct. New York: Academic Press. pp. 15-63.
44. Pukrop R, Mö ller HJ, Sass H, Sauer H, Klosterkö tter J, et al. (1999) [Quality of life. Construct validation and the development of a modular system]. Nervenarzt 70: 41-53.
45. Schmidt J, Lamprecht F, Wittmann WW (1989) Zufriedenheit mit der stationären Versorgung. Entwicklung eines Fragebogens und erste Validitä tsuntersuchungen. Psychother Psychosom Med Psychol 39: 248-255.
46. Lehrl S, Triebig G, Fischer B (1995) Multiple choice vocabulary test MWT as a valid and short test to estimate premorbid intelligence. Acta Neurol Scand 91: 335-345.
47. Heubrock D (1992) Der Auditiv-Verbale Lerntest (AVLT) in der klinischen und experimentellen Neuropsychologie. Durchführung, Auswertung und Forschungsergebnisse. Zeitschrift fü r Differentielle und Diagnostische Psychologie 13: 161-174.
48. Leech NL, Barrett KC and Morgan GA (2005) SPSS for intermediate statistics: Use and interpretation. Mahwah (New Jersey), London: Lawrence Erlbaum Associates.
49. van Ginkel JR, Kroonenberg PM (2014) Analysis of variance of multiply imputed data. Multivariate Behavioral Research 49: 78-91.
50. van Ginkel JR (2014 April) SPSS syntax for applying rules for combining multivariate estimates in multiple imputation. http://socialsciences.leiden.edu/ educationandchildstudies/childandfamilystudies/organisation/staffcfs/van-ginkel. html.
51. Gold C, Heldal TO, Dahle T, Wigram T (2005) Music therapy for schizophrenia or schizophrenia-like illnesses. Cochrane Database Syst Rev CD004025. 10.1002/14651858.CD004025.pub2 [doi].
52. Ulrich G, Houtmans T, Gold C (2007) The additional therapeutic effect of group music therapy for schizophrenic patients: a randomized study. Acta Psychiatr Scand 116: 362-370.
53. Röhricht F, Priebe S (2006) Effect of body-oriented psychological therapy on negative symptoms in schizophrenia: a randomized controlled trial. Psychol Med 36: 669-678.
54. Mueser KT, Berenbaum H (1990) Psychodynamic treatment of schizophrenia: is there a future? Psychol Med 20: 253-262.
55. Brooker J, Cullum M, Gilroy A, McCombe B, Mahony J, et al. (2007) The Use of Art Work in Art Psychotherapy with People Who are Prone to Psychotic States. AN Evidence-Based Clinical Practice Guideline. London: Goldsmiths, University of London.
56. Teglbjaerg HS (2011) Art therapy may reduce psychopathology in schizophrenia by strengthening the patients' sense of self: a qualitative extended case report. Psychopathology 44: 314-318.
57. Heenan D (2006) Art as therapy: an effective way of promoting positive mental health? Disability &Society 21: 179-191.
58. Franklin M (1992) Art therapy and self-esteem. Art Therapy: Journal of the American Art Therapy Association 9: 78-84.
59. Brüne M, Abdel-Hamid M, Lehmkämper C, Sonntag C (2007) Mental state attribution, neurocognitive functioning, and psychopathology: what predicts poor social competence in schizophrenia best? Schizophr Res 92: 151-159.
60. Vauth R, Rusch N, Wirtz M, Corrigan PW (2004) Does social cognition influence the relation between neurocognitive deficits and vocational functioning in schizophrenia? Psychiatry Res 128: 155-165.
61. Fonagy P, Gergely G, Jurist E, Target M (2002) Affektregulierung, Mentalisierung und die Entwicklung des Selbst. Stuttgart: Klett-Cotta.
62. Macbeth A, Gumley A, Schwannauer M, Fisher R (2011) Attachment states of mind, mentalization, and their correlates in a first-episode psychosis sample. Psychol Psychother 84: 42-57.
63. Korver-Nieberg N, Berry K, Meijer CJ, de Haan L. (2013) Adult attachment and psychotic phenomenology in clinical and non-clinical samples: A systematic review. Psychol Psychother. 10.1111/papt.12010 [doi].
64. Greenwood H (2012) What aspects of an art therapy group aid recovery for people diagnosed with psychosis? http://eprints-gojo.gold.ac.uk/458/1/ Greenwood.pdf.
65. Moritz S, Woodward TS (2007) Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Curr Opin Psychiatry 20: 619-625.
66. Lysaker PH, Buck KD, Carcione A, Procacci M, Salvatore G, et al. (2011) Addressing metacognitive capacity for self reflection in the psychotherapy for schizophrenia: a conceptual model of the key tasks and processes. Psychol Psychother 84: 58-69.
67. Brent B (2009) Mentalization-Based Psychodynamic Psychotherapy for Psychosis. Journal of Clinical Psychology: In Session 65: 803-814.
68. Franks M, Whitaker R (2007) The image, mentalisation and group art psychotherapy. International Journal of Art Therapy: Formerly Inscape 12: 3-16.
69. Subic-Wrana C, Beutel ME, Garfield DA, Lane RD (2011) Levels of Emotional Awareness: a model for conceptualizing and measuring emotion-centered structural change. Int J Psychoanal 92: 289-310.
70. Karterud S, Pedersen G (2004) Short-term day-treatment for personality disorders: Benefits of the therapeutic components. Therapeutic Communities 25: 43-54.
71. Persons RW (2014) Art therapy with serious juvenile offenders. A phenomenological analysis. International Journal of Offender Therapy and Comparative Criminology 53: 433-453.
72. Bat Or M (2010) Clay sculpting of mother and child figures encourages mentalization. The Arts in Psychotherapy 37: 319-327.
73. Kidd DC, Castano E (2013) Reading literary fiction improves theory of mind. Science 342: 377-380.
74. Little RJ, Cohen ML, Dickersin K, Emerson SS, Farrar JT, et al. (2012) The design and conduct of clinical trials to limit missing data. Statistics in Medicine 31: 3433-3443.
75. Fergusson D, Aaron SD, Guyatt G, Hebert P (2002) Post-randomisation exclusions: the intention to treat principle and excluding patients from analysis. BMJ 325: 652-654.
76. Wright CC, Sim J (2003) Intention-to-treat approach to data from randomized controlled trials: a sensitivity analysis. J Clin Epidemiol 56: 833-842. S0895435603001550 [pii].
77. National Research Council (2010) The Prevention and Treatment of Missing Data in Clinical Trials. Washington, DC: The National Academies Press.
78. Leon AC, Davis LL, Kraemer HC (2011) The role and interpretation of pilot studies in clinical research. Psychiatry Research 45: 626-629.