UMass Memorial Health Care/University of Massachusetts Medical School, Worcester, MA 01605, USA.
UMass Memorial Health Care/University of Massachusetts Medical School, Worcester, MA 01605, USA.
Psychiatry Res. 2019 May;275:129-136. doi: 10.1016/j.psychres.2019.03.025. Epub 2019 Mar 16.
Creative art therapy (CAT) for severe mental illness (SMI) represents an extremely heterogenous body of literature that encompasses the use of a large variety of creative mediums (i.e. visual art, music, dance, drama, writing) in the treatment of mental disorders. The present review provides a narrative summary of the findings on the use of CAT for the selected SMI, being: schizophrenia, trauma-related disorders, major depression, and bipolar disorder. A database search of PubMed and the Cochrane Library was conducted related to the use of CAT in the treatment of mental disorders published between January 2008 and March 2019. A total of 9697 citations were identified to match the search criteria and 86 full-texts were reviewed. Although literature suggests CAT to be a potentially low-risk and high benefit intervention to minimize symptoms and maximize functioning in individuals living with SMI, the lack of methodological rigor, and inconsistency in study methods and outcome measures have prevented the advancement of CAT for use in SMI. Although creation of a single CAT regimen for all psychiatric disorders stands neither practical nor advisable, greater standardization of methods would improve evaluation of CAT interventions. Future research should elucidate biological mechanisms underlying CAT methods.
创意艺术治疗（CAT）在严重精神疾病（SMI）中的应用代表了一个极其多样化的文献体系，涵盖了在精神障碍治疗中使用各种创意媒介（如视觉艺术、音乐、舞蹈、戏剧、写作）。本综述提供了对 CAT 在以下选定 SMI 中的应用研究结果的叙述性总结：精神分裂症、创伤相关障碍、重度抑郁症和双相情感障碍。对 PubMed 和 Cochrane Library 数据库进行了检索，以寻找 2008 年 1 月至 2019 年 3 月间发表的 CAT 在治疗精神障碍方面的应用文献。共识别出 9697 条符合检索标准的引用文献，并对 86 篇全文进行了审查。尽管文献表明 CAT 是一种潜在的低风险、高收益的干预措施，可以最大限度地减少 SMI 患者的症状，最大限度地提高其功能，但由于方法学严谨性不足，以及研究方法和结果测量的不一致性，阻碍了 CAT 在 SMI 中的应用。虽然为所有精神障碍创建单一的 CAT 方案既不实际也不可取，但方法的更大标准化将有助于 CAT 干预措施的评估。未来的研究应阐明 CAT 方法的生物学机制。
