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评估艺术疗法对难民青少年创伤影响的治愈效果:缅甸艺术疗法项目评估

Evaluating Art Therapy to Heal the Effects of Trauma Among Refugee Youth: The Burma Art Therapy Program Evaluation.

作者信息

Rowe Cassandra, Watson-Ormond Rose, English Lacey, Rubesin Hillary, Marshall Ashley, Linton Kristin, Amolegbe Andrew, Agnew-Brune Christine, Eng Eugenia

机构信息

1 North Carolina Coalition Against Domestic Violence, NC, USA.

2 Snow Camp, North Carolina, NC, USA.

出版信息

Health Promot Pract. 2017 Jan;18(1):26-33. doi: 10.1177/1524839915626413. Epub 2016 Jul 9.

Abstract

BACKGROUND

Art therapy uses the creative process to encourage personal growth and alleviate symptoms of mental illness. The Art Therapy Institute provides programs for refugee adolescents from Burma to decrease their trauma-related symptoms. This article describes and discusses the methods and findings from an evaluation of this program. The challenges of assessing art therapy with this population and assessment tool gaps are explored and suggestions for future evaluations discussed.

METHOD

Four validated clinical assessment tools were administered to 30 participants at baseline and follow-up to measure symptoms of anxiety, depression, and behavioral problems. Focus group discussions with clinicians were used to assess the evaluation.

RESULTS

Nearly all participants had experienced one or more traumatic events. At baseline, results showed a higher prevalence of depression than national rates among adolescents. Follow-up results showed improvements in anxiety and self-concept. Qualitative findings suggest that specific benefits of art therapy were not adequately captured with the tools used.

DISCUSSION

This evaluation showed some effects of art therapy; however, symptom-focused assessment tools are not adequate to capture clients' growth resulting from the traumatic experience and this unique intervention. Future evaluations will benefit by using an art-based assessment and measuring posttraumatic growth.

摘要

背景

艺术疗法利用创作过程来促进个人成长并减轻精神疾病症状。艺术疗法研究所为来自缅甸的难民青少年提供项目,以减轻他们与创伤相关的症状。本文描述并讨论了对该项目评估的方法和结果。探讨了评估该人群艺术疗法的挑战以及评估工具的差距,并讨论了对未来评估的建议。

方法

在基线和随访时,对30名参与者使用四种经过验证的临床评估工具,以测量焦虑、抑郁和行为问题的症状。与临床医生进行焦点小组讨论以评估该评估。

结果

几乎所有参与者都经历过一次或多次创伤事件。在基线时,结果显示青少年中抑郁症的患病率高于全国水平。随访结果显示焦虑和自我概念有所改善。定性研究结果表明,所使用的工具未能充分体现艺术疗法的具体益处。

讨论

该评估显示了艺术疗法的一些效果;然而,以症状为重点的评估工具不足以捕捉到因创伤经历和这种独特干预而使客户获得的成长。未来的评估若采用基于艺术的评估并衡量创伤后成长将受益匪浅。

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