Martin Lily, Oepen Renate, Bauer Katharina, Nottensteiner Alina, Mergheim Katja, Gruber Harald, Koch Sabine C
Research Institute for Creative Arts Therapies (RIArT), Alanus University of Arts and Social Sciences, Alfter/Bonn, Villestr. 3, 53347 Alfter, Germany.
Department for Therapy Sciences, SRH University Heidelberg, Maria-Probst-Str. 3, 69123 Heidelberg, Germany.
Behav Sci (Basel). 2018 Feb 22;8(2):28. doi: 10.3390/bs8020028.
Stress is one of the world's largest health problems, leading to exhaustion, burnout, anxiety, a weak immune system, or even organ damage. In Germany, stress-induced work absenteeism costs about 20 billion Euros per year. Therefore, it is not surprising that the Central Federal Association of the public Health Insurance Funds in Germany ascribes particular importance to stress prevention and stress management as well as health enhancing measures. Building on current integrative and embodied stress theories, Creative Arts Therapies (CATs) or arts interventions are an innovative way to prevent stress and improve stress management. CATs encompass art, music, dance/movement, and drama therapy as their four major modalities. In order to obtain an overview of CATs and arts interventions' efficacy in the context of stress reduction and management, we conducted a systematic review with a search in the following data bases: Academic Search Complete, ERIC, Medline, Psyndex, PsycINFO and SocINDEX. Studies were included employing the PICOS principle and rated according to their evidence level. We included 37 studies, 73% of which were randomized controlled trials. 81.1% of the included studies reported a significant reduction of stress in the participants due to interventions of one of the four arts modalities.
压力是全球最大的健康问题之一，会导致疲惫、倦怠、焦虑、免疫系统衰弱甚至器官损伤。在德国，因压力导致的旷工每年造成的损失约为200亿欧元。因此，德国公共健康保险基金中央联邦协会特别重视压力预防、压力管理以及促进健康的措施也就不足为奇了。基于当前的综合与具身压力理论，创意艺术疗法（CATs）或艺术干预是预防压力和改善压力管理的一种创新方式。创意艺术疗法包括艺术、音乐、舞蹈/动作和戏剧疗法这四种主要形式。为了全面了解创意艺术疗法和艺术干预在减轻和管理压力方面的功效，我们进行了一项系统综述，在以下数据库中进行检索：《学术搜索完整版》《教育资源信息中心》《医学索引》《心理学文摘索引》《心理学文摘数据库》和《社会科学索引》。研究采用PICOS原则纳入，并根据其证据水平进行评级。我们纳入了37项研究，其中73%为随机对照试验。纳入研究中有81.1%报告称，由于四种艺术形式之一的干预，参与者的压力显著减轻。
