UCLA Jane and Terry Semel Institute Center for Health Services and Society, 760 Westwood Plaza, Suite 17-369B, Los Angeles, CA, 90024, USA.
David Geffen School of Medicine, Los Angeles, CA, 90024, USA.
Community Ment Health J. 2024 Jul;60(5):964-971. doi: 10.1007/s10597-024-01248-9. Epub 2024 Mar 22.
There are few studies of impacts of arts on recovery in schizphrenia, on audience mood and social connection. We developed a pilot evaluation of opera performances in a university setting on Elyn Saks' journey from psychosis, teaching law and falling in love, coupled with pre-opera workshop on approaches to resilience. Using surveys, primary outcomes were pre and post affect (PANAS-X positive, negative; visual "affect grid" touchscreen for affective valence and arousal) and social connectedness with secondary outcomes of increasing understanding, reducing stigma and willingness to socialize or serve persons with mental illness. Of 107 live and 117 online attendees, 64 completed pre, 24 post, and 22 both surveys. Respondent characteristics were similar for those with pre and pre and post surveys: average age mid 50's, half female, 10% sexual minority, half White/Caucasian, 13% Hispanic/Latino, 11% Black/African American and 20% Asian; of 22 with pre and post, 9 (41%) were providers. There were significant post-pre increases in positive affect (PANAS-X) and arousal (visual grid) and social connectedness (Cohen's d = 0.82 to 1.24, each p < .001); and willingness to socialize with someone with schizophrenia (d = 0.68, p = .011). In this pilot evaluation of opera in a university auditorium, despite small sample sizes, there were significant post-pre increases in audience positive affect and social connection, which could reflect selection (those with positive response completing surveys) or may suggest that arts events promote well-being and connection, issues for future larger studies.
针对精神分裂症患者康复、观众情绪和社交联系方面艺术影响的研究甚少。我们开展了一项试点评估，在一所大学环境中，对歌剧演出进行了评估，内容是埃琳·萨克斯（Elyn Saks）从精神病、教授法律到坠入爱河的旅程，同时还包括歌剧前关于韧性方法的研习班。使用问卷调查，主要结果是在情感（PANAS-X 阳性、阴性；用于评估情感效价和唤醒的视觉“情感网格”触摸屏）和社交联系方面，在增进理解、减少污名化以及愿意与精神疾病患者交往或为其服务方面有次要结果。在 107 名现场观众和 117 名在线观众中，64 名完成了预调查，24 名完成了后调查，22 名完成了两次调查。有预调查和预调查和后调查的受访者特征相似：平均年龄在 50 多岁中期，一半是女性，10%是性少数群体，一半是白人/高加索人，13%是西班牙裔/拉丁裔，11%是黑人/非裔美国人，20%是亚裔；在 22 名有预调查和后调查的受访者中，有 9 名（41%）是服务提供者。积极情绪（PANAS-X）和唤醒（视觉网格）以及社交联系（Cohen's d=0.82 至 1.24，均 p<0.001）在后期均显著高于前期；与精神分裂症患者交往的意愿（d=0.68，p=0.011）。在这个在大学礼堂进行的歌剧试点评估中，尽管样本量较小，但观众的积极情绪和社交联系都有显著的前后增加，这可能反映了选择（对调查有积极反应的人完成了调查），也可能表明艺术活动促进了幸福感和联系，这是未来更大规模研究的问题。
