expressive art therapy for psychosis a multiple case study

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Expressive art therapy for psychosis: A multiple case study

2013, The Arts in Psychotherapy

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This document is in three parts. Part 1 presents the guidelines on key art therapy practices for people with a psychosis-related diagnosis. There are 10 broad areas of practice, summarised very briefly on the next page. Art therapists’ core practice is adapting to individuals in context, within these broad principles. In Part 1 we illustrate these principles with examples. Comments from service user consultation are included.Part 2 explains how we developed these guidelines. Part 3 describes how we understand psychosis. Both Parts 2 and 3 make reference to the research evidence and theory upon which these guidelines are based. The reference list is attached to Part 3.

OYINDRILA BASU

Art therapy is an expressive form of therapy using creative techniques to cure mental health issues, through artistic expressions of the patient. Science has a dubious attitude towards art therapy, and most people are opinion-driven by this method, hence this has not yet been introduced as an integral part of psychiatry. However, psychologists have faith in the use of art for counselling their patients. The study aims at focusing on the positive effects of painting and colours on the improvement rate of psychosis patients. Methodology used in the research is sample survey which is based on grouping 7 patients from Safe Heaven Hospital of Treasure Valley, Idaho. They were put to an artist residency program conducted by the Treasure Valley YMCA organization. It was found that the rate of improvement was had grown by 13% from the day that they had joined the program. The field analysis determines that art, especially colours have a positive effect on the mind of a psychotic patient. Ro...

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Hilde Hanevik

• Jaeren District Psychiatric Center, Bryne, Norway
• Regional Centre for Clinical Research in Psychosis, Division of Psychiatry, Stavanger University Hospital, Norway

Knut A. Hestad

• Norwegian University of Science and Technology-NTNU, Norway
• Centre for Old Age Psychiatry Research, Innlandet Hospital Trust, Hamar, Norway
• Department of Public Health, Hedmark University College, Elverum, Norway
• National Competence Centre for Dual Diagnosis, Innlandet Hospital Trust, Hamar, Norway

Hanne Stubbe Teglbjaerg

• Psychosis Ward, Section P, Aarhus University Hospital, Risskov, Denmark

Art therapy Psychosis Spirituality Self-awareness Religious delusions Case study

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Art therapy and psychosis

Psychosis is a term that can cover a wide range of experiences. Many people have fleeting experiences of things that other people do not see or hear, or other experiences of the senses [ 1 , 2 ]. It is probably unhelpful to think of all such experiences as psychosis. However, if they are continuing and disturbing, these experiences can cause great distress.

Some people experiencing psychosis may also have a sense of great danger from specific people or agencies, when others do not share this perception.

When people have these kinds of experiences, it’s advisable to seek help.

It is estimates that over a lifetime, about 1% of the population will develop psychosis (around 1 in 100 people) [ 3 ].

• High-quality research has found that art therapy can be beneficial for people experiencing psychosis [ 4, 5, 6 ].
• Art therapy is included, along with other arts therapies, in the England and Wales national (NICE) guidelines [7] for psychosis care and treatment.

Why art therapy may be helpful

Expressing traumatic experiences.

An extensive review of the research evidence suggests that for many people, traumatic experiences have contributed to them experiencing psychosis. These traumatic experiences tend to be of a kind that involves another person or people, often during childhood [ 8 ].

Some experiences can be difficult to put into words, and art therapy with an appropriately qualified therapist can be a way of beginning to express them, and having a different experience of oneself [ 9 ].

Making connections with life experiences

Some people can use art to make connections between their life experiences and their psychosis experiences [ 9 ]. This fits in with the work of Dutch psychiatrist Marius Romme, who collaborated with people who had experience of psychosis to develop a new approach, spawning the Hearing Voices movement in many countries [ 10 ].

Some people may also be able to express valued spiritual beliefs through their artwork [ 11 , 12 ].

Supporting interactions in group art therapy

Group art therapy can provide a safe space, for example by the way that the art therapist organises the time, provides themes for the artmaking, or ensures each member of a group has their own space to make art [ 9 , 13 ].

In a study involving interviews with service users who had attended group art therapy for first episode psychosis, some participants said that the “unpressured atmosphere” was helpful [ 14 ]. The art acted as buffer from direct interaction with others, enabling people to enjoy it. This in turn led naturally to talking with others, and in some cases lasting friendships developed.

The art therapy room and materials can also help if the service user is initially finding it difficult to talk, because the art therapist can use an invitational approach, such as showing the service user around the room and explaining the possibilities for artmaking, without expecting a verbal response [ 13 , 15 ].

Both artmaking and being able to interact more with other people can lead to a sense of achievement for people who are initially finding it difficult to be in a group [ 16 ].

Research studies

There are several good research studies (randomised controlled trials) suggesting that art therapy can be helpful in relation to psychosis [ 4-6 ] .

One large trial [ 17 ] reported that usual care plus art therapy did not lead to better outcomes when compared to usual care plus activity groups or usual care alone. However, after being enrolled into the trial, only a small percentage of service users attended either art therapy or activity groups. Therefore the comparison at the end of two years (from following people up irrespective of attendance) was mostly between people who had not attended any groups of either type. [ 18 ]

We produced evidence-based guidelines to inform art therapists, mental health professionals, the public, and people planning research on art therapy in relation to psychosis.

Read the guidelines

https://youtu.be/CTUQ7yUh_d8

Evidence sources

• The prevalence of voice-hearers in the general population: a literature review (2011) A review of 17 studies on the prevalence of people in the general population who hear voices that others do not hear.
• Dissociation, trauma, and the role of lived experience: toward a new conceptualisation of voice hearing (2012) Draws on a range of research evidence to try to understand how people come to hear voices others do not hear, and includes estimates of prevalence of voice-hearing.
• NICE, Psychosis and schizophrenia in adults: prevention and management (2014)
• Group art therapy as an adjunct to treatment for chronic outpatients . (1987) A report of a randomised trial of usual care plus art therapy versus usual care alone in the USA.
• A pilot RCT of psychodynamic group art therapy for patients in acute psychotic episodes: Feasibility, impact on symptoms and mentalising capacity (2014) A report of a randomised trial of usual care plus art therapy versus usual care alone in Germany.
• Exploratory RCT of art therapy as an adjunctive treatment in schizophrenia (2007) A report of a randomised trial of usual care plus art therapy versus usual care alone in the UK.
• National Institute for Health and Care Excellence: Psychosis and schizophrenia in adults: prevention and management (2014) The England and Wales national guideline on treatment and management of psychosis.
• The traumagenic neurodevelopmental model of psychosis revisited (2014) A review of a large range of research evidence illustrating the effects of early trauma on the brain and development, and how such trauma can sensitise the individual to further stress in adulthood.
• BAAT Guidelines on Art Therapy for People with a Psychosis-Related Diagnosis (2020) Evidence-informed guidelines for people with a psychosis-related diagnosis, which drew on consultations with service users and experienced art therapists.
• Living with voices: 50 stories of recovery (2009) A book containing 50 personal accounts of recovery in relation to psychosis, showing the role of trauma in its development, and what helped people’s recovery. It also discusses the development of the Maastricht Interview, an approach to helping people to make sense of voices.
• Expressive art therapy for psychosis: A multiple case study (2013) Reports in detail and systematically on each of five women who attended expressive group art therapy for psychosis in Norway.
• Art making as a mental health recovery tool for change and coping (2015). Reports on three interviews with each of 12 people who used artmaking in the course of recovery in the context of rehabilitation services for severe mental health difficulties in Australia.
• Art therapy with people diagnosed with psychosis: therapists’ experience of their work and the journey to their current practice (2021) Reports on an in-depth qualitative study involving interviews with 18 experienced UK art therapists who were delivering art therapy to people with psychosis-related diagnoses.
• The experience of art therapy for individuals following a first diagnosis of a psychotic disorder: a grounded theory study (2018) Reports on an in-depth qualitative study involving interviews with service users who attended art therapy in the UK after diagnosis with first episode psychosis.
• Toward an understanding of how art making can facilitate mental health recovery (2009) A report of interviews with three people who facilitated participants of mental health rehabilitation programs in Australia in making art as part of supporting their recovery from long-term severe mental health difficulties.
• Considering referral to art therapy: responses to referral and experiences of participants in a randomised controlled trial (2013) Reports on an in-depth qualitative study of the experiences of service users who took part in the trial reported in source 7, illustrating different pathways, including those who did not continue attending art therapy, as well as those who did, and who reported benefits of doing so.
• Group art therapy as an adjunctive treatment for people with schizophrenia: A randomised controlled trial (2012). A detailed report of a UK randomised trial of usual care plus art therapy, compared with usual care plus activity groups, and usual care alone. It reported that usual care plus art therapy did not lead to better outcomes when compared to usual care plus activity groups or usual care alone. However, after being enrolled into the trial, only a small percentage of service users attended the groups.
• The MATISSE trial – a critique: Does art therapy really have nothing to offer people with a diagnosis of schizophrenia (2014) This is a critique of the source above. It finds the comparison at the end of two years (from following people up irrespective of attendance) was mostly between people who had not attended any groups of either type.

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Expressive art therapy for psychosis: A multiple case study

Research output : Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

T1 - Expressive art therapy for psychosis: A multiple case study

AU - Teglbjærg, Hanne Stubbe

AU - Hanevik, Hilde

AU - Hestad, Knut

AU - Lien, Lars

AU - Danbolt, Lars Johan

PY - 2013/7

Y1 - 2013/7

M3 - Journal article

SN - 0197-4556

JO - Arts in Psychotherapy

JF - Arts in Psychotherapy

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Art Therapy: A Complementary Treatment for Mental Disorders

Jingxuan hu.

1 College of Creative Design, Shenzhen Technology University, Shenzhen, China

Jinhuan Zhang

2 The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, China

3 Institute of Biomedical and Health Engineering, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China

Art therapy, as a non-pharmacological medical complementary and alternative therapy, has been used as one of medical interventions with good clinical effects on mental disorders. However, systematically reviewed in detail in clinical situations is lacking. Here, we searched on PubMed for art therapy in an attempt to explore its theoretical basis, clinical applications, and future perspectives to summary its global pictures. Since drawings and paintings have been historically recognized as a useful part of therapeutic processes in art therapy, we focused on studies of art therapy which mainly includes painting and drawing as media. As a result, a total of 413 literature were identified. After carefully reading full articles, we found that art therapy has been gradually and successfully used for patients with mental disorders with positive outcomes, mainly reducing suffering from mental symptoms. These disorders mainly include depression disorders and anxiety, cognitive impairment and dementias, Alzheimer’s disease, schizophrenia, and autism. These findings suggest that art therapy can not only be served as an useful therapeutic method to assist patients to open up and share their feelings, views, and experiences, but also as an auxiliary treatment for diagnosing diseases to help medical specialists obtain complementary information different from conventional tests. We humbly believe that art therapy has great potential in clinical applications on mental disorders to be further explored.

Introduction

Mental disorders constitute a huge social and economic burden for health care systems worldwide ( Zschucke et al., 2013 ; Kenbubpha et al., 2018 ). In China, the lifetime prevalence of mental disorders was 24.20%, and 1-month prevalence of mental disorders was 14.27% ( Xu et al., 2017 ). The situation is more severely in other countries, especially for developing ones. Given the large numbers of people in need and the humanitarian imperative to reduce suffering, there is an urgent need to implement scalable mental health interventions to address this burden. While pharmacological treatment is the first choice for mental disorders to alleviate the major symptoms, many antipsychotics contribute to poor quality of life and debilitating adverse effects. Therefore, clinicians have turned toward to complementary treatments, such as art therapy in addressing the health needs of patients more than half a century ago.

Art therapy, is defined by the British Association of Art Therapists as: “a form of psychotherapy that uses art media as its primary mode of expression and communication. Clients referred to art therapists are not required to have experience or skills in the arts. The art therapist’s primary concern is not to make an esthetic or diagnostic assessment of the client’s image. The overall goal of its practitioners is to enable clients to change and grow on a personal level through the use of artistic materials in a safe and convenient environment” ( British Association of Art Therapists, 2015 ), whereas as: “an integrative mental health and human services profession that enriches the lives of individuals, families, and communities through active art-making, creative process, applied psychological theory, and human experience within a psycho-therapeutic relationship” ( American Art Therapy Association, 2018 ) according to the American Art Association. It has gradually become a well-known form of spiritual support and complementary therapy ( Faller and Schmidt, 2004 ; Nainis et al., 2006 ). During the therapy, art therapists can utilize many different art materials as media (i.e., visual art, painting, drawing, music, dance, drama, and writing) ( Deshmukh et al., 2018 ; Chiang et al., 2019 ). Among them, drawings and paintings have been historically recognized as the most useful part of therapeutic processes within psychiatric and psychological specialties ( British Association of Art Therapists, 2015 ). Moreover, many other art forms gradually fall under the prevue of their own professions (e.g., music therapy, dance/movement therapy, and drama therapy) ( Deshmukh et al., 2018 ). Thus, we excluded these studies and only focused on studies of art therapy which mainly includes painting and drawing as media. Specifically, it focuses on capturing psychodynamic processes by means of “inner pictures,” which become visible by the creative process ( Steinbauer et al., 1999 ). These pictures reflect the psychopathology of different psychiatric disorders and even their corresponding therapeutic process based on specific rules and criterion ( Steinbauer and Taucher, 2001 ). It has been gradually recognized and used as an alternative treatment for therapeutic processes within psychiatric and psychological specialties, as well as medical and neurology-based scientific audiences ( Burton, 2009 ).

The development of art therapy comes partly from the artistic expression of the belief in unspoken things, and partly from the clinical work of art therapists in the medical setting with various groups of patients ( Malchiodi, 2013 ). It is defined as the application of artistic expressions and images to individuals who are physically ill, undergoing invasive medical procedures, such as surgery or chemotherapy for clinical usage ( Bar-Sela et al., 2007 ; Forzoni et al., 2010 ; Liebmann and Weston, 2015 ). The American Art Therapy Association describes its main functions as improving cognitive and sensorimotor functions, fostering self-esteem and self-awareness, cultivating emotional resilience, promoting insight, enhancing social skills, reducing and resolving conflicts and distress, and promoting societal and ecological changes ( American Art Therapy Association, 2018 ).

However, despite the above advantages, published systematically review on this topic is lacking. Therefore, this review aims to explore its clinical applications and future perspectives to summary its global pictures, so as to provide more clinical treatment options and research directions for therapists and researchers.

Publications of Art Therapy

The literatures about “art therapy” published from January 2006 to December 2020 were searched in the PubMed database. The following topics were used: Title/Abstract = “art therapy,” Indexes Timespan = 2006–2020.

A total of 652 records were found. Then, we manually screened out the literatures that contained the word “art” but was not relevant with the subject of this study, such as state of the art therapy, antiretroviral therapy (ART), and assisted reproductive technology (ART). Finally, 479 records about art therapy were identified. Since we aimed to focus on art therapy included painting and drawing as major media, we screened out literatures deeper, and identified 413 (84%) literatures involved in painting and drawing ( Figure 1 ).

Number of publications about art therapy.

As we can see, the number of literature about art therapy is increasing slowly in the last 15 years, reaching a peak in 2020. This indicates that more effort was made on this topic in recent years ( Figure 1 ).

Overview of Art Therapy

As defined by the British Association of Art Therapists, art therapy is a form of psychotherapy that uses art media as its primary mode of communication. Based on above literature, several highlights need to be summarized. (1) The main media of art therapy include painting, drawing, music, drama, dance, drama, and writing ( Chiang et al., 2019 ). (2) Main contents of painting and drawing include blind drawing, spiral drawing, drawing moods and self-portraits ( Legrand et al., 2017 ; Abbing et al., 2018 ; Papangelo et al., 2020 ). (3) Art therapy is mainly used for cancer, depression and anxiety, autism, dementia and cognitive impairment, as these patients are reluctant to express themselves in words ( Attard and Larkin, 2016 ; Deshmukh et al., 2018 ; Chiang et al., 2019 ). It plays an important role in facilitating engagement when direct verbal interaction becomes difficult, and provides a safe and indirect way to connect oneself with others ( Papangelo et al., 2020 ). Moreover, we found that art therapy has been gradually and successfully used for patients with mental disorders with positive outcomes, mainly reducing suffering from mental symptoms. These findings suggest that art therapy can not only be served as an useful therapeutic method to assist patients to open up and share their feelings, views, and experiences, but also as an auxiliary treatment for diagnosing diseases to help medical specialists obtain complementary information different from conventional tests.

Art Therapy for Mental Disorders

Based on the 413 searched literatures, we further limited them to mental disorders using the following key words, respectively: Depression OR anxiety OR Cognitive impairment OR dementia OR Alzheimer’s disease OR Autism OR Schizophrenia OR mental disorder. As a result, a total of 23 studies (5%) ( Table 1 ) were included and classified after reading the abstract and the full text carefully. These studies include 9 articles on depression and anxiety, 4 articles on cognitive impairment and dementia, 3 articles on Alzheimer’s disease, 3 articles on autism, and 4 articles on schizophrenia. In addition to the English literature, in fact, some Chinese literatures also described the application of art therapy in mental diseases, which were not listed but referred to in the following specific literatures.

Studies of art therapy in mental diseases.

Depression Disorders and Anxiety

Depression and anxiety disorders are highly prevalent, affecting individuals, their families and the individual’s role in society ( Birgitta et al., 2018 ). Depression is a disabling and costly condition associated with a significant reduction in quality of life, medical comorbidities and mortality ( Demyttenaere et al., 2004 ; Whiteford et al., 2013 ; Cuijpers et al., 2014 ). Anxiety is associated with lower quality of life and negative effects on psychosocial functioning ( Cramer et al., 2005 ). Medication is the most commonly used effective way to relieve symptoms of depression and anxiety. However, nonadherence are crucial shortcomings in using antidepressant to treat depression and anxiety ( van Geffen et al., 2007 ; Nielsen et al., 2019 ).

In recent years, many studies have shown that art therapy plays a significant role in alleviating depression symptoms and anxiety. Gussak (2007) performed an observational survey about populations in prison of northern Florida and identified that art therapy significantly reduces depressive symptoms. Similarly, a randomized, controlled, and single-blind study about art therapy for depression with the elderly showed that painting as an adjuvant treatment for depression can reduce depressive and anxiety symptoms ( Ciasca et al., 2018 ). In addition, art therapy is also widely used among students, and several studies ( Runde, 2008 ; Zhenhai and Yunhua, 2011 ) have shown that art therapy also significantly reduces depressive symptoms in students. For example, Wang et al. (2011) conducted group painting therapy on 30 patients with depression for 3 months, and found that painting therapy could promote their social function recovery, improve their social adaptability and quality of life. Another randomized clinical trial also showed that it could decrease mean anxiety scores in the 3–12 year painting group ( Forouzandeh et al., 2020 ).

Studies have shown that distress, including anxiety and depression, is related to poorer health-related quality of life and satisfaction to medical services ( Hamer et al., 2009 ). Painting can be employed to express patients’ anxiety and fear, vent negative emotions by applying projection, thereby significantly improve the mood and reduce symptoms of depression and anxiety of cancer patients. A number of studies ( Bar-Sela et al., 2007 ; Thyme et al., 2009 ; Lin et al., 2012 ; Abdulah and Abdulla, 2018 ) showed that art therapy for cancer patients could enhance the vitality of patients and participation in social activities, significantly reduce depression, anxiety, and reduce stressful feelings. Importantly, even in the follow-up period, art therapy still has a lasting effect on cancer patients ( Thyme et al., 2009 ). Interestingly, art therapy based on famous painting appreciation could also significantly reduce anxiety and depression associated with cancer ( Lee et al., 2017 ). Among cancer patients treated in outpatient health care, art therapy also plays an important role in alleviating their physical symptoms and mental health ( Götze et al., 2009 ). Therefore, art therapy as an auxiliary treatment of cancer is of great value in improving quality of life.

Overall, art painting therapy permits patients to express themselves in a manner acceptable to the inside and outside culture, thereby diminishing depressed and anxiety symptoms.

Cognitive Impairment, and Dementia

Dementia, a progressive clinical syndrome, is characterized by widespread cognitive impairment in memory, thinking, behavior, emotion and performance, leading to worse daily living ( Deshmukh et al., 2018 ). According to the Alzheimer’s Disease International 2015, there is 46.8 million people suffered from dementia, and numbers almost doubling every 20 years, rising to 131.5 million by 2050. Although art therapy has been used as an alternative treatment for the dementia for long time, the positive effects of painting therapy on cognitive function remain largely unknown. One intervention assigned older adults patients with dementia to a group-based art therapy (including painting) observed significant improvements in the clock drawing test ( Pike, 2013 ), whereas two other randomized controlled trials ( Hattori et al., 2011 ; Rusted et al., 2016 ) on patients with dementia have failed to obtain significant cognitive improvement in the painting group. Moreover, a cochrane systematic review ( Deshmukh et al., 2018 ) included two clinical studies of art therapy for dementia revealed that there is no sufficient evidence about the efficacy of art therapy for dementia. This may be because patients with severely cognitive impairment, who was unable to accurately remember or assess their own behavior or mental state, might lose the ability to enjoy the benefits of art therapy.

In summary, we should intervene earlier in patients with mild cognitive impairment, an intermediate stage between normal aging and dementia, in order to prevent further transformation into dementia. To date, mild cognitive impairment is drawing much attention to the importance of painting intervening at this stage in order to alter the course of subsequent cognitive decline as soon as possible ( Petersen et al., 2014 ). Recently, a randomized controlled trial ( Yu et al., 2021 ) showed significant relationship between improvement immediate memory/working memory span and increased cortical thickness in right middle frontal gyrus in the painting art group. With the long-term cognitive stimulation and engagement from multiple sessions of painting therapy, it is likely that painting therapy could lead to enhanced cognitive functioning for these patients.

Alzheimer’s Disease

Alzheimer’s disease (AD) is a sub-type of dementia, which is usually associated with chronic pain. Previous studies suggested that art therapy could be used as a complementary treatment to relief pain for these patients since medication might induce severely side effects. In a multicenter randomized controlled trial, 28 mild AD patients showed significant pain reduction, reduced anxiety, improved quality of life, improved digit span, and inhibitory processes, as well as reduced depression symptoms after 12-week painting ( Pongan et al., 2017 ; Alvarenga et al., 2018 ). Further study also suggested that individual therapy rather than group therapy could be more optimal since neuroticism can decrease efficacy of painting intervention on pain in patients with mild AD. In addition to release chronic pain, art therapy has been reported to show positive effects on cognitive and psychological symptoms in patients with mild AD. For example, a controlled study revealed significant improvement in the apathy scale and quality of life after 12 weeks of painting treatment mainly including color abstract patterns with pastel crayons or water-based paint ( Hattori et al., 2011 ). Another study also revealed that AD patients showed improvement in facial expression, discourse content and mood after 3-weeks painting intervention ( Narme et al., 2012 ).

Schizophrenia

Schizophrenia is a complex functional psychotic mental illness that affects about 1% of the population at some point in their life ( Kolliakou et al., 2011 ). Not only do sufferers experience “positive” symptoms such as hallucinations, delusions, but also experience negative symptoms such as varying degrees of anhedonia and asociality, impaired working memory and attention, poverty of speech, and lack of motivation ( Andreasen and Olsen, 1982 ). Many patients with schizophrenia remain symptomatic despite pharmacotherapy, and even attempts to suicide with a rate of 10 to 50% ( De Sousa et al., 2020 ). For these patients, art therapy is highly recommended to process emotional, cognitive and psychotic experiences to release symptoms. Indeed, many forms of art therapy have been successfully used in schizophrenia, whether and how painting may interfere with psychopathology to release symptoms remains largely unknown.

A recent review including 20 studies overall was performed to summary findings, however, concluded that it is not clear whether art therapy leads to clinical improvement in schizophrenia with low ( Ruiz et al., 2017 ). Anyway, many randomized clinical trials reported positive outcomes. For example, Richardson et al. (2007) conducted painting therapy for six months in patients with chronic schizophrenia and found that art therapy had a positive effect on negative symptoms. Teglbjaerg (2011) examined experience of each patient using interviews and written evaluations before and after painting therapy and at a 1-year follow-up and found that group painting therapy in patients with schizophrenia could not only reduce psychotic symptoms, but also boost self-esteem and improve social function.

What’s more, the characteristics of the painting can also be used to judge the health condition in patients with schizophrenia. For example, Hongxia et al. (2013) explored the correlation between psychological health condition and characteristics of House-Tree-Person tests for patients with schizophrenia, and showed that the detail characteristic of the test results can be used to judge the patient’s anxiety, depression, and obsessive-compulsive symptoms.

Most importantly, several other studies showed that drug plus painting therapy significantly enhanced patient compliance and self-cognition than drug therapy alone in patients with schizophrenia ( Hongyan and JinJie, 2010 ; Min, 2010 ).

Autism spectrum disorder (ASD) is a heterogeneous neurodevelopmental syndrome with no unified pathological or neurobiological etiology, which is characterized by difficulties in social interaction, communication problems, and a tendency to engage in repetitive behaviors ( Geschwind and Levitt, 2007 ).

Art therapy is a form of expression that opens the door to communication without verbal interaction. It provides therapists with the opportunity to interact one-on-one with individuals with autism, and make broad connections in a more comfortable and effective way ( Babaei et al., 2020 ). Emery (2004) did a case study about a 6-year-old boy diagnosed with autism and found that art therapy is of great value to the development, growth and communication skills of the boy. Recently, one study ( Jalambadani, 2020 ) using 40 children with ASD participating in painting therapy showed that painting therapy had a significant improvement in the social interactions, adaptive behaviors and emotions. Therefore, encouraging children with ASD to express their experience by using nonverbal expressions is crucial to their development. Evans and Dubowski (2001) believed that creating images on paper could help children express their internal images, thereby enhance their imagination and abstract thinking. Painting can also help autistic children express and vent negative emotions and thereby bring positive emotional experience and promote their self-consciousness ( Martin, 2009 ). According to two studies ( Wen and Zhaoming, 2009 ; Jianhua and Xiaolu, 2013 ) in China, Art therapy could also improve the language and communication skills, cognitive and behavioral performance of children with ASD.

Moreover, art therapy could be used to investigate the relationship between cognitive processes and imagination in children with ASD. One study ( Wen and Zhaoming, 2009 ; Jianhua and Xiaolu, 2013 ) suggested that children with ASD apply a unique cognitive strategy in imaginative drawing. Another study ( Low et al., 2009 ) examined the cognitive underpinnings of spontaneous imagination in children with ASD and showed that ASD group lacks imagination, generative ability, planning ability and good consistency in their drawings. In addition, several studies ( Leevers and Harris, 1998 ; Craig and Baron-Cohen, 1999 ; Craig et al., 2001 ) have been performed to investigate imagination and creativity of autism via drawing tasks, and showed impairments of autism in imagination and creativity via drawing tasks.

In a word, art therapy plays a significant role in children with ASD, not only as a method of treatment, but also in understanding and investigating patients’ problems.

Other Applications

In addition to the above mentioned diseases, art therapy has also been adopted in other applications. Dysarthia is a common sequela of cerebral palsy (CP), which directly affects children’s language intelligibility and psycho-social adjustment. Speech therapy does not always help CP children to speak more intelligibly. Interestingly, the art therapy can significantly improve the language intelligibility and their social skills for children with CP ( Wilk et al., 2010 ).

In brief, these studies suggest that art therapy is meaningful and accepted by both patients and therapists. Most often, art therapy could strengthen patient’s emotional expression, self-esteem, and self-awareness. However, our findings are based on relatively small samples and few good-quality qualitative studies, and require cautious interpretation.

The Application Prospects of Art Therapy

With the development of modern medical technology, life expectancy is also increasing. At the same time, it also brings some side effects and psychological problems during the treatment process, especially for patients with mental illness. Therefore, there is an increasing demand for finding appropriate complementary therapies to improve life quality of patients and psychological health. Art therapy is primarily offered as individual art therapy, in this review, we found that art therapy was most commonly used for depression and anxiety.

Based on the above findings, art therapy, as a non-verbal psychotherapy method, not only serves as an auxiliary tool for diagnosing diseases, which helps medical specialists obtain much information that is difficult to gain from conventional tests, judge the severity and progression of diseases, and understand patients’ psychological state from painting characteristics, but also is an useful therapeutic method, which helps patients open up and share their feelings, views, and experiences. Additionally, the implementation of art therapy is not limited by age, language, diseases or environment, and is easy to be accepted by patients.

Art therapy in hospitals and clinical settings could be very helpful to aid treatment and therapy, and to enhance communications between patients and on-site medical staffs in a non-verbal way. Moreover, art therapy could be more effective when combined with other forms of therapy such as music, dance and other sensory stimuli.

The medical mechanism underlying art therapy using painting as the medium for intervention remains largely unclear in the literature ( Salmon, 1993 ; Broadbent et al., 2004 ; Guillemin, 2004 ), and the evidence for effectiveness is insufficient ( Mirabella, 2015 ). Although a number of studies have shown that art therapy could improve the quality of life and mental health of patients, standard and rigorous clinical trials with large samples are still lacking. Moreover, the long-term effect is yet to be assessed due to the lack of follow-up assessment of art therapy.

In some cases, art therapy using painting as the medium may be difficult to be implemented in hospitals, due to medical and health regulations (may be partly due to potential of messes, lack of sink and cleaning space for proper disposal of paints, storage of paints, and toxins of allergens in the paint), insufficient space for the artwork to dry without getting in the way or getting damaged, and negative medical settings and family environments. Nevertheless, these difficulties can be overcome due to great benefits of the art therapy. We thus humbly believe that art therapy has great potential for mental disorders.

In the future, art therapy may be more thoroughly investigated in the following directions. First, more high-quality clinical trials should be carried out to gain more reliable and rigorous evidence. Second, the evaluation methods for the effectiveness of art therapy need to be as diverse as possible. It is necessary for the investigation to include not only subjective scale evaluations, but also objective means such as brain imaging and hematological examinations to be more convincing. Third, it will be helpful to specify the details of the art therapy and patients for objective comparisons, including types of diseases, painting methods, required qualifications of the therapist to perform the art therapy, and the theoretical basis and mechanism of the therapy. This practice should be continuously promoted in both hospitals and communities. Fourth, guidelines about art therapy should be gradually formed on the basis of accumulated evidence. Finally, mechanism of art therapy should be further investigated in a variety of ways, such as at the neurological, cellular, and molecular levels.

Author Contributions

JH designed the whole study, analyzed the data, and wrote the manuscript. JZ searched for selected the studies. LH participated in the interpretation of data. HY and JX offered good suggestions. All authors read and approved the final manuscript.

Conflict of Interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher’s Note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Funding. This study was financially supported by the National Key R&D Program of China (2019YFC1712200), International standards research on clinical research and service of Acupuncture-Moxibustion (2019YFC1712205), the National Natural Science Foundation of China (62006220), and Shenzhen Science and Technology Research Program (No. JCYJ20200109114816594).

• Abbing A., Ponstein A., van Hooren S., de Sonneville L., Swaab H., Baars E. (2018). The effectiveness of art therapy for anxiety in adults: a systematic review of randomised and non-randomised controlled trials. PLoS One 13 : e208716 . 10.1371/journal.pone.0208716 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Abdulah D. M., Abdulla B. (2018). Effectiveness of group art therapy on quality of life in paediatric patients with cancer: a randomized controlled trial. Complement. Ther. Med. 41 180–185. 10.1016/j.ctim.2018.09.020 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Alvarenga W. A., Leite A., Oliveira M. S., Nascimento L. C., Silva-Rodrigues F. M., Nunes M. D. R., et al. (2018). The effect of music on the spirituality of patients: a systematic review. J. Holist. Nurs. 36 192–204. 10.1177/0898010117710855 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• American Art Therapy Association (2018). Definition of Art. Available online at: https://arttherapy.org/about-art-therapy/ [ Google Scholar ]
• Andreasen N. C., Olsen S. (1982). Negative v positive schizophrenia. Definition and validation. Arch. Gen. Psychiatry 39 789–794. 10.1001/archpsyc.1982.04290070025006 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Armstrong V. G., Howatson R. (2015). Parent-infant art psychotherapy: a creative dyadic approach to early intervention. Infant Ment. Health J. 36 213–222. 10.1002/imhj.21504 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Attard A., Larkin M. (2016). Art therapy for people with psychosis: a narrative review of the literature. Lancet Psychiatry 3 1067–1078. 10.1016/s2215-0366(16)30146-8 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Babaei S., Fatahi B. S., Fakhri M., Shahsavari S., Parviz A., Karbasfrushan A., et al. (2020). Painting therapy versus anxiolytic premedication to reduce preoperative anxiety levels in children undergoing tonsillectomy: a randomized controlled trial. Indian J. Pediatr. 88 190–191. 10.1007/s12098-020-03430-9 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Bar-Sela G., Atid L., Danos S., Gabay N., Epelbaum R. (2007). Art therapy improved depression and influenced fatigue levels in cancer patients on chemotherapy. Psychooncology 16 980–984. 10.1002/pon.1175 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Birgitta G. A., Wagman P., Hedin K., Håkansson C. (2018). Treatment of depression and/or anxiety–outcomes of a randomised controlled trial of the tree theme method ® versus regular occupational therapy. BMC Psychol. 6 : 25 . 10.1186/s40359-018-0237-0 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
• British Association of Art Therapists (2015). What is Art Therapy? Available online at: https://www.baat.org/About-Art-Therapy [ Google Scholar ]
• Broadbent E., Petrie K. J., Ellis C. J., Ying J., Gamble G. (2004). A picture of health–myocardial infarction patients’ drawings of their hearts and subsequent disability: a longitudinal study. J. Psychosom. Res. 57 583–587. [ PubMed ] [ Google Scholar ]
• Burton A. (2009). Bringing arts-based therapies in from the scientific cold. Lancet Neurol. 8 784–785. 10.1016/s1474-4422(09)70216-9 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Chiang M., Reid-Varley W. B., Fan X. (2019). Creative art therapy for mental illness. Psychiatry Res. 275 129–136. 10.1016/j.psychres.2019.03.025 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Ciasca E. C., Ferreira R. C., Santana C.L. A., Forlenza O. V., Dos Santos G. D., Brum P. S., et al. (2018). Art therapy as an adjuvant treatment for depression in elderly women: a randomized controlled trial. Braz. J. Psychiatry 40 256–263. 10.1590/1516-4446-2017-2250 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Craig J., Baron-Cohen S. (1999). Creativity and imagination in autism and Asperger syndrome. J. Autism Dev. Disord. 29 319–326. [ PubMed ] [ Google Scholar ]
• Craig J., Baron-Cohen S., Scott F. (2001). Drawing ability in autism: a window into the imagination. Isr. J. Psychiatry Relat. Sci. 38 242–253. [ PubMed ] [ Google Scholar ]
• Cramer V., Torgersen S., Kringlen E. (2005). Quality of life and anxiety disorders: a population study. J. Nerv. Ment. Dis. 193 196–202. 10.1097/01.nmd.0000154836.22687.13 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Crone D. M., O’Connell E. E., Tyson P. J., Clark-Stone F., Opher S., James D. V. (2013). ‘Art Lift’ intervention to improve mental well-being: an observational study from U.K. general practice. Int. J. Ment. Health Nurs. 22 279–286. 10.1111/j.1447-0349.2012.00862.x [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Cuijpers P., Vogelzangs N., Twisk J., Kleiboer A., Li J., Penninx B. W. (2014). Comprehensive meta-analysis of excess mortality in depression in the general community versus patients with specific illnesses. Am. J. Psychiatry 171 453–462. 10.1176/appi.ajp.2013.13030325 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• De Sousa A., Shah B., Shrivastava A. (2020). Suicide and Schizophrenia: an interplay of factors. Curr. Psychiatry Rep. 22 : 65 . [ PubMed ] [ Google Scholar ]
• Demyttenaere K., Bruffaerts R., Posada-Villa J., Gasquet I., Kovess V., Lepine J. P., et al. (2004). Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 291 2581–2590. 10.1001/jama.291.21.2581 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Deshmukh S. R., Holmes J., Cardno A. (2018). Art therapy for people with dementia. Cochrane Database Syst. Rev. 9 : D11073 . [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Emery M. J. (2004). Art therapy as an intervention for Autism. Art Ther. Assoc. 21 143–147. 10.1080/07421656.2004.10129500 [ CrossRef ] [ Google Scholar ]
• Evans K., Dubowski J. (2001). Art Therapy with Children on the Autistic Spectrum: Beyond Words. London: Jessica Kingsley Publishers, 113. [ Google Scholar ]
• Faller H., Schmidt M. (2004). Prognostic value of depressive coping and depression in survival of lung cancer patients. Psychooncology 13 359–363. 10.1002/pon.783 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Forouzandeh N., Drees F., Forouzandeh M., Darakhshandeh S. (2020). The effect of interactive games compared to painting on preoperative anxiety in Iranian children: a randomized clinical trial. Complement. Ther. Clin. Pract. 40 : 101211 . 10.1016/j.ctcp.2020.101211 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Forzoni S., Perez M., Martignetti A., Crispino S. (2010). Art therapy with cancer patients during chemotherapy sessions: an analysis of the patients’ perception of helpfulness. Palliat. Support. Care 8 41–48. 10.1017/s1478951509990691 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Geschwind D. H., Levitt P. (2007). Autism spectrum disorders: developmental disconnection syndromes. Curr. Opin. Neurobiol. 17 103–111. 10.1016/j.conb.2007.01.009 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Geue K., Richter R., Buttstädt M., Brähler E., Singer S. (2013). An art therapy intervention for cancer patients in the ambulant aftercare–results from a non-randomised controlled study. Eur. J. Cancer Care (Engl.) 22 345–352. 10.1111/ecc.12037 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Götze H., Geue K., Buttstädt M., Singer S., Schwarz R. (2009). [Art therapy for cancer patients in outpatient care. Psychological distress and coping of the participants]. Forsch. Komplementmed. 16 28–33. [ PubMed ] [ Google Scholar ]
• Guillemin M. (2004). Understanding illness: using drawings as a research method. Qual. Health Res. 14 272–289. 10.1177/1049732303260445 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Gussak D. (2007). The effectiveness of art therapy in reducing depression in prison populations. Int J Offender Ther Comp Criminol 51 444–460. 10.1177/0306624x06294137 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Hamer M., Chida Y., Molloy G. J. (2009). Psychological distress and cancer mortality. J. Psychosom. Res. 66 255–258. 10.1016/j.jpsychores.2008.11.002 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Hattori H., Hattori C., Hokao C., Mizushima K., Mase T. (2011). Controlled study on the cognitive and psychological effect of coloring and drawing in mild Alzheimer’s disease patients. Geriatr. Gerontol. Int. 11 431–437. 10.1111/j.1447-0594.2011.00698.x [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Heymann P., Gienger R., Hett A., Müller S., Laske C., Robens S., et al. (2018). Early detection of Alzheimer’s disease based on the patient’s creative drawing process: first results with a novel neuropsychological testing method. J. Alzheimers Dis. 63 675–687. 10.3233/jad-170946 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Hongxia M., Shuying C., Chuqiao F., Haiying Z., Xuejiao W., et al. (2013). Relationsle-title>Relationship between psychological state and house-tree-person drawing characteristics of rehabilitation patients with schizophrenia. Chin. Gen. Pract. 16 2293–2295. [ Google Scholar ]
• Hongyan W., JinJie L. (2010). Rehabilitation effect of painting therapy on chronic schizophrenia. Chin. J. Health Psychol. 18 1419–1420. [ Google Scholar ]
• Jalambadani Z. (2020). Art therapy based on painting therapy on the improvement of autistic children’s social interactions in Iran. Indian J. Psychiatry 62 218–219. 10.4103/psychiatry.indianjpsychiatry_215_18 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Jianhua C., Xiaolu X. (2013). The experimental research on children with autism by intervening with painting therapy. J. Tangshan Teach. Coll. 35 127–130. [ Google Scholar ]
• Kenbubpha K., Higgins I., Chan S. W., Wilson A. (2018). Promoting active ageing in older people with mental disorders living in the community: an integrative review. Int. J. Nurs. Pract. 24 : e12624 . 10.1111/ijn.12624 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Kolliakou A., Joseph C., Ismail K., Atakan Z., Murray R. M. (2011). Why do patients with psychosis use cannabis and are they ready to change their use? Int. J. Dev. Neurosci. 29 335–346. 10.1016/j.ijdevneu.2010.11.006 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Lee J., Choi M. Y., Kim Y. B., Sun J., Park E. J., Kim J. H., et al. (2017). Art therapy based on appreciation of famous paintings and its effect on distress among cancer patients. Qual. Life Res. 26 707–715. 10.1007/s11136-016-1473-5 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Leevers H. J., Harris P. L. (1998). Drawing impossible entities: a measure of the imagination in children with autism, children with learning disabilities, and normal 4-year-olds. J. Child Psychol. Psychiatry 39 399–410. 10.1111/1469-7610.00335 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Lefèvre C., Ledoux M., Filbet M. (2016). Art therapy among palliative cancer patients: aesthetic dimensions and impacts on symptoms. Palliat. Support. Care 14 376–380. 10.1017/s1478951515001017 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Legrand A. P., Rivals I., Richard A., Apartis E., Roze E., Vidailhet M., et al. (2017). New insight in spiral drawing analysis methods–application to action tremor quantification. Clin. Neurophysiol. 128 1823–1834. 10.1016/j.clinph.2017.07.002 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Liebmann M., Weston S. (2015). Art Therapy with Physical Conditions. Philadelphia, PA: Jessica Kingsley Publishers. [ Google Scholar ]
• Lin M. H., Moh S. L., Kuo Y. C., Wu P. Y., Lin C. L., Tsai M. H., et al. (2012). Art therapy for terminal cancer patients in a hospice palliative care unit in Taiwan. Palliat. Support. Care 10 51–57. 10.1017/s1478951511000587 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Low J., Goddard E., Melser J. (2009). Generativity and imagination in adisorder: evidence from individual differences in children’s impossible entity drawings. Br. J. Dev. Psychol. 27 425–444. 10.1348/026151008x334728 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Malchiodi C. (2013). Art Therapy and Health Care. New York, NY: Guilford Press. [ Google Scholar ]
• Mannheim E. G., Helmes A., Weis J. (2013). [Dance/movement therapy in oncological rehabilitation]. Forsch. Komplementmed. 20 33–41. [ PubMed ] [ Google Scholar ]
• Martin N. (2009). Art as an Early Intervention Tool for Children with Autism. London: Jessica Kingsley. [ Google Scholar ]
• Mimica N., Kaliniæ D. (2011). Art therapy may be benefitial for reducing stress–related behaviours in people with dementia–case report. Psychiatr. Danub. 23 : 125 . [ PubMed ] [ Google Scholar ]
• Min J. (2010). Application of painting therapy in the rehabilitation period of schizophrenia. Med. J. Chin. Peoples Health 22 2012–2014. [ Google Scholar ]
• Mirabella G. (2015). Is art therapy a reliable tool for rehabilitating people suffering from brain/mental diseases? J. Altern. Complement. Med. 21 196–199. 10.1089/acm.2014.0374 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Montag C., Haase L., Seidel D., Bayerl M., Gallinat J., Herrmann U., et al. (2014). A pilot RCT of psychodynamic group art therapy for patients in acute psychotic episodes: feasibility, impact on symptoms and mentalising capacity. PLoS One 9 : e112348 . 10.1371/journal.pone.0112348 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Nainis N., Paice J. A., Ratner J., Wirth J. H., Lai J., Shott S. (2006). Relieving symptoms in cancer: innovative use of art therapy. J. Pain Symptom Manage. 31 162–169. 10.1016/j.jpainsymman.2005.07.006 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Narme P., Tonini A., Khatir F., Schiaratura L., Clément S., Samson S. (2012). [Non pharmacological treatment for Alzheimer’s disease: comparison between musical and non-musical interventions]. Geriatr. Psychol. Neuropsychiatr. Vieil. 10 215–224. 10.1684/pnv.2012.0343 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Nielsen S., Hageman I., Petersen A., Daniel S. I. F., Lau M., Winding C., et al. (2019). Do emotion regulation, attentional control, and attachment style predict response to cognitive behavioral therapy for anxiety disorders?–An investigation in clinical settings. Psychother. Res. 29 999–1009. 10.1080/10503307.2018.1425933 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Papangelo P., Pinzino M., Pelagatti S., Fabbri-Destro M., Narzisi A. (2020). Human figure drawings in children with autism spectrum disorders: a possible window on the inner or the outer world. Brain Sci. 10 : 398 . 10.3390/brainsci10060398 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Petersen R. C., Caracciolo B., Brayne C., Gauthier S., Jelic V., Fratiglioni L. (2014). Mild cognitive impairment: a concept in evolution. J. Intern. Med. 275 214–228. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Pike A. A. (2013). The effect of art therapy on cognitive performance among ethnically diverse older adults. J. Am. Art Ther. Assoc. 30 159–168. 10.1080/07421656.2014.847049 [ CrossRef ] [ Google Scholar ]
• Pongan E., Tillmann B., Leveque Y., Trombert B., Getenet J. C., Auguste N., et al. (2017). Can musical or painting interventions improve chronic pain, mood, quality of life, and cognition in patients with mild Alzheimer’s disease? Evidence from a randomized controlled trial. J. Alzheimers Dis. 60 663–677. 10.3233/jad-170410 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Richardson P., Jones K., Evans C., Stevens P., Rowe A. (2007). Exploratory RCT of art therapy as an adjunctive treatment in schizophrenia. J. Ment. Health 16 483–491. 10.1080/09638230701483111 [ CrossRef ] [ Google Scholar ]
• Richardson P., Jones K., Evans C., Stevens P., Rowe A. (2009). Exploratory RCT of art therapy as an adjunctive treatment in schizophrenia. J Ment. Health 16 483–491. [ Google Scholar ]
• Ruiz M. I., Aceituno D., Rada G. (2017). Art therapy for schizophrenia? Medwave 17 : e6845 . [ PubMed ] [ Google Scholar ]
• Runde P. (2008). Clinical application of painting therapy in middle school students with mood disorders. Chin. J. Health Psychol. 27 749–750. [ Google Scholar ]
• Rusted J., Sheppard L., Waller D. A. (2016). Multi-centre randomized control group trial on the use of art therapy for older people with dementia. Group Anal. 39 517–536. 10.1177/0533316406071447 [ CrossRef ] [ Google Scholar ]
• Salmon P. L. (1993). Viewing the client’s world through drawings. J. Holist. Nurs. 11 21–41. 10.1177/089801019301100104 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Steinbauer M., Taucher J. (2001). [Paintings and their progress by psychiatric inpatients within the concept of integrative art therapy]. Wien. Med. Wochenschr. 151 375–379. [ PubMed ] [ Google Scholar ]
• Steinbauer M., Taucher J., Zapotoczky H. G. (1999). [Integrative painting therapy. A therapeutic concept for psychiatric inpatients at the University clinic in Graz]. Wien. Klin. Wochenschr. 111 525–532. [ PubMed ] [ Google Scholar ]
• Teglbjaerg H. S. (2011). Art therapy may reduce psychopathology in schizophrenia by strengthening the patients’ sense of self: a qualitative extended case report. Psychopathology 44 314–318. 10.1159/000325025 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Ten E. K., Muller U. (2018). Drawing links between the autism cognitive profile and imagination: executive function and processing bias in imaginative drawings by children with and without autism. Autism 22 149–160. 10.1177/1362361316668293 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Thyme K. E., Sundin E. C., Wiberg B., Oster I., Aström S., Lindh J. (2009). Individual brief art therapy can be helpful for women with breast cancer: a randomized controlled clinical study. Palliat. Support. Care 7 87–95. 10.1017/s147895150900011x [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Tong J., Yu W., Fan X., Sun X., Zhang J., Zhang J., et al. (2020). Impact of group art therapy using traditional Chinese materials on self-efficacy and social function for individuals diagnosed with schizophrenia. Front. Psychol. 11 : 571124 . 10.3389/fpsyg.2020.571124 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
• van Geffen E. C., van der Wal S. W., van Hulten R., de Groot M. C., Egberts A. C., Heerdink E. R. (2007). Evaluation of patients’ experiences with antidepressants reported by means of a medicine reporting system. Eur. J. Clin. Pharmacol. 63 1193–1199. 10.1007/s00228-007-0375-4 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Wang Y., Jiepeng L., Aihua Z., Runjuan M., Lei Z. (2011). Study on the application value of painting therapy in the treatment of depression. Med. J. Chin. Peoples Health 23 1974–1976. [ Google Scholar ]
• Wen Z., Zhaoming G. (2009). A preliminary attempt of painting art therapy for autistic children. Inner Mongol. J. Tradit. Chin. Med. 28 24–25. [ Google Scholar ]
• Whiteford H. A., Degenhardt L., Rehm J., Baxter A. J., Ferrari A. J., Erskine H. E., et al. (2013). Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet 382 1575–1586. 10.1016/s0140-6736(13)61611-6 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Wilk M., Pachalska M., Lipowska M., Herman-Sucharska I., Makarowski R., Mirski A., et al. (2010). Speech intelligibility in cerebral palsy children attending an art therapy program. Med. Sci. Monit. 16 R222–R231. [ PubMed ] [ Google Scholar ]
• Witkoski S. A., Chaves M. (2007). Evaluation of artwork produced by Alzheimer’s disease outpatients in a pilot art therapy program. Dement. Neuropsychol. 1 217–221. 10.1590/s1980-57642008dn10200016 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Xu G., Chen G., Zhou Q., Li N., Zheng X. (2017). Prevalence of mental disorders among older Chinese people in Tianjin City. Can. J. Psychiatry 62 778–786. 10.1177/0706743717727241 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Yu J., Rawtaer I., Goh L. G., Kumar A. P., Feng L., Kua E. H., et al. (2021). The art of remediating age-related cognitive decline: art therapy enhances cognition and increases cortical thickness in mild cognitive impairment. J. Int. Neuropsychol. Soc. 27 79–88. 10.1017/s1355617720000697 [ PubMed ] [ CrossRef ] [ Google Scholar ]
• Zhenhai N., Yunhua C. (2011). An experimental study on the improvement of depression in Obese female college students by painting therapy. Chin. J. Sch. Health 32 558–559. [ Google Scholar ]
• Zschucke E., Gaudlitz K., Strohle A. (2013). Exercise and physical activity in mental disorders: clinical and experimental evidence. J. Prev. Med. Public Health 46 ( Suppl. 1 ) S12–S21. [ PMC free article ] [ PubMed ] [ Google Scholar ]

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