The Effectiveness of Trauma Focused Art Therapy: a Multiple Baseline Single Case Experimental Design
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 38
- 试验地点
- 1
- 主要终点
- Self-expression and Emotion Regulation in Art Therapy Scale
研究概览
简要总结
More than 30% of patients with trauma-related complaints do not benefit from prescribed treatments. This concerns patients who have either a poor verbal memory or who are unable or do not wish to talk about their experiences.
In clinical practice, trauma-oriented art therapy appears to be an appropriate treatment. The visual, tangible, experiential character of art therapy is in line with the often wordless, visual and sensory nature of trauma.
Art therapy aims to contribute to achieving personal goals through the use of visual materials and techniques. This approach has been insufficiently examined. Treatment of refugees with Trauma-Focused Art Therapy has previously been shown to be feasible in clinical practice and acceptable to patients.
Using a Mixed Method design, the researchers aim to measure the effect of this protocol in specialized mental health care and the experience of patients with regard to their personal recovery.
详细描述
INTRODUCTION:
About four in five people experience one or more distressing events in their lives. Ten percent of people subsequently develop post-traumatic stress disorder (PTSD). About 1.3 million people in the Netherlands will therefore have to deal with the consequences of PTSD at some point. PTSD is an anxiety disorder and causes serious complaints of re-experience, avoidance and increased irritability as a result of exposure to one or more traumatic events. The disorder causes significant distress or impairment in social, occupational, or other important areas of functioning,
According to the Anxiety Disorders Guideline and the guidelines of the National Institute for Health and Care Excellence (NICE), Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) are the preferred treatments for PTSD. However, these interventions do not work for everyone - more than a third of patients do not benefit. This includes patients with very severe traumatization, with poor verbal memory and patients who are unable or patients who find it difficult to talk about the traumatic experiences.
Practice shows that art therapy (AT) offers an appropriate treatment for these patients. This is because the visual, tactile and experiential nature of AT fits well with the often wordless, visual and sensory nature of traumatic memories. Trauma-focused AT provides access to memories and emotions, can help to put these into words, and can be a possible preliminary stage (pretherapy) for other trauma-focused treatments (such as EMDR, CBT or NET).
Patient representatives underline the availability of trauma treatment based on AT because they believe that it offers an essential alternative to the usual verbal, often cognitive therapeutic approach. In addition, the Improvement Report Posttraumatic Stress Disorders from the Netherlands Healthcare Institute mentions, as one of the most important points for improvement, that more people with PTSD should receive specific trauma-oriented treatment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having trauma-related symptoms ((i.e. nightmares, flashbacks, persistent fatigue or depression, anxiety in regards to specific triggers, sleep disorders)
- •Being eligible for art therapy on discretion of multidisciplinary treatment panel (consisting of, for example. a psychiatrist, psychologists, sociotherapists, and art therapists)
- •Being motivated to work on traumatic memories
排除标准
- •Psychosis or acute crisis
- •intellectual disability (precluding the filling out of questionnaires).
研究组 & 干预措施
Control Period - Intervention Period
Multiple baseline single case experimental design wherein all patients are first assigned to the control condition (or control period) are then assigned to the intervention condition (or intervention period) and finally to the follow-up period (control period). Patients are randomized for the time (t) at which they start with the intervention.
干预措施: Trauma-Focused Art Therapy (TFAT) (Behavioral)
结局指标
主要结局
Self-expression and Emotion Regulation in Art Therapy Scale
时间窗: 16-18 repeated measures of emotional self-expression and regulation, i.e. weekly over the course of 18 weeks (3-5 weeks control period + 10 weeks intervention + 3 weeks follow-up))
Self-expression and Emotion Regulation in Art Therapy Scale (SERATS): Assessment of emotional self-expression and regulation during therapy with 9 5-point scale items
次要结局
- Post-traumatic stress disorder Check List(Change from baseline PTSD symptoms at 15 weeks (after completion of intervention))
- Rosenberg Self-Esteem Scale(16-18 repeated measures of self-esteem, i.e. weekly over the course of 18 weeks (3-5 weeks control period + 10 weeks intervention + 3 weeks follow-up)))
- Resilience Scale(16-18 repeated measures of mental resiliency, i.e. weekly over the course of 18 weeks (3-5 weeks control period + 10 weeks intervention + 3 weeks follow-up)))
- Beck Depression Inventory(16-18 repeated measures of depression severity, i.e. weekly over the course of 18 weeks (3-5 weeks control period + 10 weeks intervention + 3 weeks follow-up)))
- Mental Health Continuum Short Form (MHC-SF)(16-18 repeated measures of positive mental health, i.e. weekly over the course of 18 weeks (3-5 weeks control period + 10 weeks intervention + 3 weeks follow-up)))
- Post-traumatic stress disorder Check List(Change from baseline PTSD symptoms at 15 weeks (after completion of intervention))
研究者
Suzanne Haeyen
dr. Suzanne Haeyen
HAN University of Applied Sciences