Saavedra Javier, Pérez Elvira, Crawford Paul, Arias Samuel
a Department of Experimental Psychology , University of Seville , Seville , Spain.
b Horizon , University of Nottingham , Nottingham , UK.
Disabil Rehabil. 2018 Apr;40(8):905-911. doi: 10.1080/09638288.2017.1278797. Epub 2017 Feb 6.
This mixed (quantitative-qualitative) study evaluates the impact of an artistic workshop on a group of people with severe mental illness (SMI). This study focuses on the impact of creative practices on well-being and social inclusion outcomes.
After participating in a creative workshop, 31 people diagnosed with a SMI completed pre/post-intervention measures, namely, the Warwick-Edinburgh Mental Well-Being Scale and the Social Inclusion questionnaire. It was applied in two-way repeated measures analysis of variance. The statistic Wilcoxon and Kruskal-Wallis were applied for non-parametric data to measure pre/post-test effects and workshop experience effects, respectively. In addition to quantitative measures, one observer participated in each workshop that ran in parallel in order to deepen and triangulate quantitative outcomes.
The qualitative and quantitative results show that social inclusion improved in a significant way with an important size effect. Psychological wellbeing increased significantly with a low size effect.
In accordance with these results, creative practices with people diagnosed with SMI are recommended. In order to increase the impact of these interventions, it is recommended to utilize public space away from clinical environments and to include people without SMI in creative activities together with SMI patients. Implications for Rehabilitation: Creative practices can significantly improve social inclusions and well-being in people with severe mental illness. Participating in creative workshops helps to elaborate personal meanings and promote recovery. Creative practices in mental health services can challenge professional roles and institutional practices. Participation of people with and without severe mental illness engaged together in artistic activities can decrease public stigma.
这项混合（定量-定性）研究评估了一个艺术工作坊对一组重症精神疾病（SMI）患者的影响。本研究聚焦于创造性实践对幸福感和社会融合结果的影响。
31名被诊断患有SMI的患者在参加一个创意工作坊后，完成了干预前/后的测量，即沃里克-爱丁堡心理健康量表和社会融合问卷。对其进行双向重复测量方差分析。对于非参数数据，分别应用统计量Wilcoxon和Kruskal-Wallis来测量测试前/后效果和工作坊体验效果。除了定量测量外，一名观察者参与了同时进行的每个工作坊，以深化和验证定量结果。
定性和定量结果表明，社会融合有显著改善，且效应量较大。心理健康有显著提高，但效应量较小。
根据这些结果，建议对被诊断患有SMI的患者开展创造性实践。为了增强这些干预措施的影响，建议利用远离临床环境的公共空间，并让非SMI患者与SMI患者一起参与创造性活动。康复意义：创造性实践可以显著改善重症精神疾病患者的社会融合和幸福感。参加创意工作坊有助于阐述个人意义并促进康复。心理健康服务中的创造性实践可能会挑战专业角色和机构实践。重症精神疾病患者和非重症精神疾病患者一起参与艺术活动可以减少公众的污名化。
