Avallone Mantelli Rafaela, Forster Jeri, Reed Katherine, Edelblute Anthony, Henry Michael, Sinn Hillary, Moss Marc
Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado School of Medicine, Aurora.
Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora.
Am J Med. 2025 Apr;138(4):660-668.e5. doi: 10.1016/j.amjmed.2024.12.002. Epub 2024 Dec 19.
Our aim was to assess the feasibility, acceptability, and efficacy of a 12-week in-person Creative Arts Therapy intervention in reducing psychological distress and burnout symptoms in nonpatient-facing healthcare workers. Burnout and psychological distress among nonpatient-facing healthcare workers are significant and understudied problems in healthcare systems.
Nonpatient-facing healthcare workers with burnout symptoms were randomly assigned to one of 4 Creative Arts Therapy modalities (art, music, creative writing, or dance/movement) or a control group. The intervention consisted of 12 weekly 90-minute sessions. All participants completed baseline and follow-up assessments postintervention and at 4-, 8-, and 12-months. Primary outcomes were feasibility (session attendance) and acceptability (Client Satisfaction Questionnaire, CSQ-8). Secondary outcomes included changes in psychological distress; symptoms of burnout, anxiety, and depression; and turnover intention.
Of 168 active participants, 164 (98%) completed postintervention surveys, with 90% follow-up at 12 months. Participants attended a mean of 10.7 sessions (SD = 3.2). The median CSQ-8 score for the program was 31 (17-32). Intervention group participants demonstrated significant improvements in symptoms of anxiety (-40.6%), depression (-29.0%), emotional exhaustion (-15.0%), and depersonalization (-14.3%), and reduced turnover intention (-6.1%) compared to the control group. At 12-months, improvements in depressive and anxiety symptoms persisted.
The Creative Arts Therapy intervention was feasible, acceptable, and effective in reducing psychological distress and burnout symptoms among nonpatient-facing healthcare workers.
我们的目的是评估一项为期12周的面对面创意艺术疗法干预措施在减轻非直面患者的医护人员心理困扰和倦怠症状方面的可行性、可接受性和有效性。非直面患者的医护人员的倦怠和心理困扰是医疗系统中重大且研究不足的问题。
有倦怠症状的非直面患者的医护人员被随机分配到4种创意艺术疗法模式（艺术、音乐、创意写作或舞蹈/动作）之一或一个对照组。干预包括每周1次、每次90分钟，共12次的疗程。所有参与者在干预后以及在4个月、8个月和12个月时完成基线和随访评估。主要结局是可行性（疗程出席情况）和可接受性（客户满意度问卷，CSQ-8）。次要结局包括心理困扰的变化；倦怠、焦虑和抑郁症状；以及离职意向。
在168名活跃参与者中，164名（98%）完成了干预后调查，12个月时的随访率为90%。参与者平均参加了10.7次疗程（标准差=3.2）。该项目的CSQ-8评分中位数为31（17-32）。与对照组相比，干预组参与者在焦虑症状（-40.6%）、抑郁症状（-29.0%）、情感耗竭（-15.0%）和去个性化（-14.3%）方面有显著改善，离职意向降低（-6.1%）。在12个月时，抑郁和焦虑症状的改善持续存在。
创意艺术疗法干预在减轻非直面患者的医护人员心理困扰和倦怠症状方面是可行、可接受且有效的。
