Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.
Athena Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
PLoS One. 2019 Feb 13;14(2):e0210857. doi: 10.1371/journal.pone.0210857. eCollection 2019.
To evaluate the feasibility and effect of a 10-session creative arts in psychotherapy group programme on posttraumatic stress symptoms, behavioural problems, and posttraumatic growth, in children who experienced a traumatic event.
A multicentre non-randomized controlled trial with a treatment and a control condition conducted in South Africa (4 sites).
125 children aged 7 to 13 years were assigned either to the treatment condition receiving creative arts in psychotherapy or a control condition with a low-level supportive programme without treatment. Attrition rates were 63.4% and in total 47 children completed the programme and questionnaires assessing posttraumatic stress, posttraumatic growth and behaviour problems both at baseline and follow-up; 23 in the treatment group and 24 in the control group. Adjusted mean differences were analysed using ANCOVA with bootstrapping.
Results showed that both hyperarousal symptoms (d = 0.61) and avoidance symptoms (d = 0.41) decreased more in the treatment group compared to the control group. There was no significant effect of the intervention found for reported levels of behavioural problems and posttraumatic growth.
In spite of severe challenges implementing and executing this pioneering study in underprivileged areas of South Africa, support was found for creative arts in psychotherapy reducing hyperarousal and avoidance symptoms, but not for other symptoms. Valuable lessons were learned on feasibility of implementing this intervention in a developing context.
评估 10 节创意艺术心理治疗团体方案对创伤后应激症状、行为问题和创伤后成长的可行性和效果，该方案适用于经历创伤事件的儿童。
南非（4 个地点）进行的多中心非随机对照试验，包括治疗组和对照组。
125 名 7 至 13 岁的儿童被分配到接受创意艺术心理治疗的治疗组或接受低水平支持性方案而不进行治疗的对照组。失访率为 63.4%，共有 47 名儿童完成了方案和问卷调查，评估创伤后应激、创伤后成长和行为问题，均在基线和随访时进行；治疗组 23 名，对照组 24 名。使用具有引导功能的协方差分析（ANCOVA）分析调整后的平均差异。
结果表明，与对照组相比，治疗组的过度唤醒症状（d = 0.61）和回避症状（d = 0.41）都有明显改善。干预对报告的行为问题和创伤后成长水平没有显著影响。
尽管在南非贫困地区实施和执行这项开创性研究面临严重挑战，但支持创意艺术心理治疗可以减轻过度唤醒和回避症状，尽管在发展中国家实施这种干预存在宝贵的经验教训。
