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Oliva A, Iosa M, Antonucci G, De Bartolo D. Are neuroaesthetic principles applied in art therapy protocols for neurorehabilitation? A systematic mini-review. Front Psychol 2023; 14:1158304. [PMID: 37377696 PMCID: PMC10291050 DOI: 10.3389/fpsyg.2023.1158304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 04/24/2023] [Indexed: 06/29/2023] Open
Abstract
Art is an instrument created by humans as an alternative way of expression. For this reason, it has found its use in clinical contexts to improve mood, increase participation in therapy, or improve communication for patients with different pathologies. In this systematic mini-review, the Preferred Reporting Item for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were adopted. Internet-based bibliographic searches were conducted via major electronic databases (Web of Science and PubMed). We analyzed the quantitative studies in which art figures as a neurorehabilitation treatment to identify whether standard art therapy protocols exist and whether these are based on the principles of neuroaesthetics. Our review identified 8 quantitative and 18 qualitative studies. Although art therapy has been used for more than 20 years as a clinical tool, there are no standard protocols to refer to when planning interventions. Although the effectiveness of using arts as therapy has been reported in many qualitative or feasibility studies, there is still a lack of quantitative studies in which the outcomes of art therapy are directly based on the principles of neuroaesthetics.
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Affiliation(s)
- Amelia Oliva
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | - Marco Iosa
- Department of Psychology, Sapienza University of Rome, Rome, Italy
- Smart Lab, Scientific Institute for Research, Hospitalization and Health Care (IRCCS) Santa Lucia Foundation of Rome, Rome, Italy
| | - Gabriella Antonucci
- Department of Psychology, Sapienza University of Rome, Rome, Italy
- Smart Lab, Scientific Institute for Research, Hospitalization and Health Care (IRCCS) Santa Lucia Foundation of Rome, Rome, Italy
| | - Daniela De Bartolo
- Department of Psychology, Sapienza University of Rome, Rome, Italy
- Smart Lab, Scientific Institute for Research, Hospitalization and Health Care (IRCCS) Santa Lucia Foundation of Rome, Rome, Italy
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Lakhani A, Parekh S, Watling DP, Grimbeek P, Duncan R, Charlifue S, Kendall E. Access and engagement with places in the community, and the quality of life among people with spinal cord damage. J Spinal Cord Med 2022; 45:522-530. [PMID: 33465016 PMCID: PMC9246138 DOI: 10.1080/10790268.2020.1860867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
OBJECTIVES This study aims to investigate the association between self-reported accessibility and engagement with health services and places in the community, and quality of life (QOL) for people with spinal cord damage (SCD). DESIGN Cross-sectional survey. SETTING Community. PARTICIPANTS Two-hundred and sixty-six people with a SCD residing in Australia (Mage = 62.34, SDage = 15.95). OUTCOME MEASURE The International Spinal Cord Injury Quality of Life Basic Data Set. RESULTS Univariate regressions demonstrated that accessing a higher number of places in the community was significantly associated with favorable self-reported psychological health (β = .160, P < .01), physical health (β = .144, P < .01), overall well-being (β = .206, P < .01), and QOL (β = .187, P < .01). In contrast, reporting a higher number of inaccessible places was significantly associated with unfavorable self-reported psychological health (β = -.171, P < .01), physical health (β = -.270, P < .001), overall well-being (β = -.238, P < .001), and QOL (β = -.244, P < .001). Being older and living with injury or onset of damage longer were significantly associated with favorable scores across all outcomes (P < .01) except physical health. CONCLUSIONS Community engagement can have a considerable impact on the self-reported health and QOL of people with SCD. Interventions aimed at increasing community engagement, particularly for people who have recently experienced SCD are warranted.
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Affiliation(s)
- Ali Lakhani
- The School of Psychology and Public Health, La Trobe University, Melbourne, Australia,The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Meadowbrook, Australia,Correspondence to: Ali Lakhani, The School of Psychology and Public Health, La Trobe University, 360 Collins Street, Melbourne, VIC, 3000, Australia; Ph: 61 (0) 450 752 541.
| | - Sanjoti Parekh
- The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Meadowbrook, Australia,Abt Associates, Australia
| | - David P. Watling
- The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Meadowbrook, Australia
| | | | - Ross Duncan
- Spinal Life Australia, Woolloongabba, Australia
| | | | - Elizabeth Kendall
- The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Meadowbrook, Australia
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Lakhani A, Waters D, Dema S. Evaluating an Inpatient Created Art Installation on Perceptions of the Physical Environment, Health Status, and Rehabilitation Motivation. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2022; 15:96-111. [PMID: 35038888 DOI: 10.1177/19375867211069297] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES A methodology to assess the impact of involving end users in therapeutic activities to address the hospital physical environment is provided. The impact of participating in a recreational art creation program with the aim of developing an art installation on the immediate feelings of participants and their perception of the physical rehabilitation environment (PPRE) and motivation to participate in rehabilitation (MPR) is investigated. BACKGROUND Rehabilitation unit design has largely excluded the perspectives of end users with disability. Including their aesthetic design contributions moves beyond contemporary approaches where their perspectives are considered. METHODS A two-period, mixed-methods pre-post intervention design involving within and between group comparisons is proposed. During Period 1, program participants and nonparticipants completed admission (T1) and discharge (T2) surveys including PPRE and MPR measures developed by the authors. Surveys pre and post each art session were completed. The art installation will be implemented within unit corridors. Period 2 participants will complete a T1 survey and their physical environment perceptions compared to Period 1 participants. RESULTS Participating in the recreational art program significantly improved immediate levels of calmness, happiness, pain, and physical health. There is a positive relationship between environment perception and rehabilitation motivation. CONCLUSIONS People with disability should be actively involved in healthcare environment design. Arts-based programs have relevance to people with neurological injury as it promotes essential sensory stimulation. The methodology and findings can encourage further work which involves end users in the design of healthcare environments and evaluates the impact of their involvement.
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Affiliation(s)
- Ali Lakhani
- The School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia
- The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Meadowbrook, Queensland, Australia
| | - Dan Waters
- Austin Health-Royal Talbot Rehabilitation Centre, Kew, Victoria, Australia
| | - Salvatore Dema
- Austin Health-Royal Talbot Rehabilitation Centre, Kew, Victoria, Australia
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Abstract
Brain injuries can create life-altering challenges and have the potential to leave people with permanent disabilities. Art therapy is a popular method used for treating many of the disabilities that can accompany a brain injury. In a systematic review, an assessment of how art is being used in virtual reality (VR) was conducted, and the feasibility of brain injury patients to participate in virtual art therapy was investigated. Studies included in this review highlight the importance of artistic subject matter, sensory stimulation, and measurable performance outcomes for assessing the effect art therapy has on motor impairment in VR. Although there are limitations to using art therapy in a virtual environment, studies show that it can feasibly be used in virtual reality for neurorehabilitation purposes.
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de Witte M, Orkibi H, Zarate R, Karkou V, Sajnani N, Malhotra B, Ho RTH, Kaimal G, Baker FA, Koch SC. From Therapeutic Factors to Mechanisms of Change in the Creative Arts Therapies: A Scoping Review. Front Psychol 2021; 12:678397. [PMID: 34366998 PMCID: PMC8336579 DOI: 10.3389/fpsyg.2021.678397] [Citation(s) in RCA: 34] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Accepted: 06/01/2021] [Indexed: 11/14/2022] Open
Abstract
Empirical studies in the creative arts therapies (CATs; i.e., art therapy, dance/movement therapy, drama therapy, music therapy, psychodrama, and poetry/bibliotherapy) have grown rapidly in the last 10 years, documenting their positive impact on a wide range of psychological and physiological outcomes (e.g., stress, trauma, depression, anxiety, and pain). However, it remains unclear how and why the CATs have positive effects, and which therapeutic factors account for these changes. Research that specifically focuses on the therapeutic factors and/or mechanisms of change in CATs is only beginning to emerge. To gain more insight into how and why the CATs influence outcomes, we conducted a scoping review (Nstudies = 67) to pinpoint therapeutic factors specific to each CATs discipline, joint factors of CATs, and more generic common factors across all psychotherapy approaches. This review therefore provides an overview of empirical CATs studies dealing with therapeutic factors and/or mechanisms of change, and a detailed analysis of these therapeutic factors which are grouped into domains. A framework of 19 domains of CATs therapeutic factors is proposed, of which the three domains are composed solely of factors unique to the CATs: “embodiment,” “concretization,” and “symbolism and metaphors.” The terminology used in change process research is clarified, and the implications for future research, clinical practice, and CATs education are discussed.
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Affiliation(s)
- Martina de Witte
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, Netherlands.,Kennisontwikkeling Vaktherapieën (KenVaK) Research Centre for the Arts Therapies, Heerlen, Netherlands.,Hogeschool van Arnhem en Nijmegen University of Applied Sciences, Nijmegen, Netherlands.,Stevig Specialized and Forensic Care for Patients With Intellectual Disabilities, Dichterbij, Oostrum, Netherlands
| | - Hod Orkibi
- Faculty of Social Welfare and Health Sciences, Emili Sagol Creative Arts Therapies Research Center, University of Haifa, Haifa, Israel
| | - Rebecca Zarate
- Division of Expressive Therapies, Lesley University, Cambridge, MA, United States
| | - Vicky Karkou
- Research Centre for Arts and Wellbeing, Edge Hill University, Ormskirk, United Kingdom
| | - Nisha Sajnani
- Educational Theatre & Rehabilitation Science Ph.D. Programs, New York University, New York, NY, United States
| | - Bani Malhotra
- Department of Creative Arts Therapies, Drexel University, Philadelphia, PA, United States
| | - Rainbow Tin Hung Ho
- Department of Social Work and Social Administration, Centre on Behavioral Health, The University of Hong Kong, Hong Kong, China
| | - Girija Kaimal
- Department of Creative Arts Therapies, Drexel University, Philadelphia, PA, United States
| | - Felicity A Baker
- Music Therapy Department, Norwegian Academy of Music, Oslo, Norway.,Faculty of Fine Arts and Music, The University of Melbourne, Parkville, VIC, Australia
| | - Sabine C Koch
- SRH University Heidelberg, Heidelberg, Germany.,Department for Creative Arts Therapies and Therapy Science, Alanus University of Arts and Social Sciences, Alfter, Germany
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Lakhani A, Zeeman H, Wright CJ, Watling DP, Smith D, Islam R. Stakeholder priorities for inclusive accessible housing: A systematic review and multicriteria decision analysis. JOURNAL OF MULTI-CRITERIA DECISION ANALYSIS 2019. [DOI: 10.1002/mcda.1689] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- Ali Lakhani
- The Hopkins Centre, Menzies Health Institute Queensland Griffith University Logan Queensland Australia
| | - Heidi Zeeman
- The Hopkins Centre, Menzies Health Institute Queensland Griffith University Logan Queensland Australia
| | - Courtney J. Wright
- The Hopkins Centre, Menzies Health Institute Queensland Griffith University Logan Queensland Australia
| | - David P. Watling
- The Hopkins Centre, Menzies Health Institute Queensland Griffith University Logan Queensland Australia
| | - Dianne Smith
- School of the Design and Built Environment Curtin University Perth Western Australia Australia
| | - Rafikul Islam
- Faculty of Economics and Management Sciences International Islamic University of Malaysia Kuala Lumpur Malaysia
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