[논문]Group art therapy as an adjunctive treatment for people with schizophrenia: multicentre pragmatic randomised trial

Crawford, Mike J; Killaspy, Helen; Barnes, Thomas R E; Barrett, Barbara; Byford, Sarah; Clayton, Katie; Dinsmore, John; Floyd, Siobhan; Hoadley, Angela; Johnson, Tony; Kalaitzaki, Eleftheria; King, Michael; Leurent, Baptiste; Maratos, Anna; O’Neill, Francis A; Osborn, David P; Patterson, Sue; Soteriou, Tony; Tyrer, Peter; Waller, Diane

doi:10.1136/bmj.e846

Group art therapy as an adjunctive treatment for people with schizophrenia: multicentre pragmatic randomised trial 원문보기

BMJ : British medical journal, v.344, 2012년, pp.e846 -

Crawford, Mike J (Centre for Mental Health, Department of Medicine, Imperial College London, Claybrook Centre, London W6 8LN, UK) , Killaspy, Helen (Unit of Mental Health Sciences, Faculty of Brain Sciences, University College London, London, UK) , Barnes, Thomas R E (Centre for Mental Health, Department of Medicine, Imperial College London, Claybrook Centre, London W6 8LN, UK) , Barrett, Barbara (Centre for the Economics of Mental Health, Health Service and Population Research Department, King’s College London, London UK) , Byford, Sarah (Centre for the Economics of Mental Health, Health Service and Population Research Department, King’s College London, London UK) , Clayton, Katie (Camden and Islington NHS Foundation Trust, London, UK) , Dinsmore, John (Centre for Public Health, Queen’s University, Belfast, UK) , Floyd, Siobhan (Avon and Wiltshire Mental Health Partnership NHS Trust, Chippenham, UK) , Hoadley, Angela (Unit of Mental Health Sciences, Faculty of Brain Sciences, University College London, London, UK) , Johnson, Tony (MRC Biostatistics Unit, Cambridge, UK, and MRC Clinical Trials Unit London, UK) , Kalaitzaki, Eleftheria (MRC General Practice Research Framework, L) , King, Michael , Leurent, Baptiste , Maratos, Anna , O’Neill, Francis A , Osborn, David P , Patterson, Sue , Soteriou, Tony , Tyrer, Peter , Waller, Diane

Abstract ▼ AI-Helper

Objectives To evaluate the clinical effectiveness of group art therapy for people with schizophrenia and to test whether any benefits exceed those of an active control treatment.Design Three arm, rater blinded, pragmatic, randomised controlled trial. Setting Secondary care services across 15 sites in the United Kingdom.Participants 417 people aged 18 or over, who had a diagnosis of schizophrenia and provided written informed consent to take part in the study.Interventions Participants, stratified by site, were randomised to 12 months of weekly group art therapy plus standard care, 12 months of weekly activity groups plus standard care, or standard care alone. Art therapy and activity groups had up to eight members and lasted for 90 minutes. In art therapy, members were given access to a range of art materials and encouraged to use these to express themselves freely. Members of activity groups were offered various activities that did not involve use of art or craft materials and were encouraged to collectively select those they wanted to pursue.Main outcome measures The primary outcomes were global functioning, measured using the global assessment of functioning scale, and mental health symptoms, measured using the positive and negative syndrome scale, 24 months after randomisation. Main secondary outcomes were levels of group attendance, social functioning, and satisfaction with care at 12 and 24 months.Results 417 participants were assigned to either art therapy (n=140), activity groups (n=140), or standard care alone (n=137). Primary outcomes between the three study arms did not differ. The adjusted mean difference between art therapy and standard care at 24 months on the global assessment of functioning scale was −0.9 (95% confidence interval −3.8 to 2.1), and on the positive and negative syndrome scale was 0.7 (−3.1 to 4.6). Secondary outcomes did not differ between those referred to art therapy or those referred to standard care at 12 or 24 months.Conclusions Referring people with established schizophrenia to group art therapy as delivered in this trial did not improve global functioning, mental health, or other health related outcomes.Trial registration Current Controlled Trials ISRCTN46150447.

참고문헌 (30)

1 Andreasen NC, Olsen S. Negative v positive schizophrenia. Definition and validation. Arch Gen Psychiatry 1982 ; 39 : 789 -94. 7165478

상세보기
2 Robinson D, Woerner MG, Alvir JM, Bilder R, Goldman R, Geisler S, et al. Predictors of relapse following response from a first episode of schizophrenia or schizoaffective disorder. Arch Gen Psychiatry 1999 ; 56 : 241 -7. 10078501

상세보기
3 National Institute for Health and Clinical Excellence. NICE clinical guideline 82. Schizophrenia: core interventions in the treatment and management of schizophrenia in adults in primary and secondary care. NICE, 2009.
4 Pfammatter M, Junghan UM, Brenner HD. Efficacy of psychological therapy in schizophrenia: conclusions from meta-analyses. Schizophr Bull 2006 ; 32 : S64 -80. 16905634
5 Spencer D. The art of noise. BMJ 2010 ; 341 : c6038 .
6 Killick K. Unintegration and containment in acute psychosis. Art, psychotherapy and psychosis. Routledge, 1997.
7 Ruddy R, Milnes D. Art therapy for schizophrenia or schizophrenia-like illnesses. Cochrane Database Syst Rev 2005 ; 4 : CD003728 . 16235338
8 Richardson P, Jones K, Evans C, Stevens P, Rowe A. Exploratory RCT of art therapy as an adjunctive treatment in schizophrenia. J Mental Health 2007 ; 16 : 483 -91.
9 Crawford MJ, Killaspy H, Kalaitzaki E, Barrett B, Byford S, Patterson S, et al. The MATISSE study: a randomised trial of group art therapy for people with schizophrenia. BMC Psychiatry 2010 ; 10 : 65 . 20799930

상세보기
10 McGuffin P, Farmer A, Harvey I. A polydiagnostic application of operational criteria in studies of psychotic illness. Development and reliability of the OPCRIT system. Arch Gen Psychiatry 1991 ; 48 : 764 -70. 1883262

상세보기
11 British Association of Art Therapists. What is art therapy? www.baat.org/art_therapy.html . 2011.
12 Thorpe KE, Zwarenstein M, Oxman AD, Treweek S, Furberg CD, Altman DG, et al. A pragmatic-explanatory continuum indicator summary (PRECIS): a tool to help trial designers. J Clin Epidemiol 2009 ; 62 : 464 -75. 19348971

상세보기
13 Jones SH, Thornicroft G, Coffey M, Dunn G. A brief mental health outcome scale-reliability and validity of the Global Assessment of Functioning (GAF). Br J Psychiatry 1995 ; 166 : 654 -9. 7620753
14 Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 1987 ; 13 : 261 -76. 3616518

상세보기
15 Tyrer P, Nur U, Crawford M, Karlsen S, McLean C, Rao B, et al. The Social Functioning Questionnaire: a rapid and robust measure of perceived functioning. Int J Soc Psychiatry 2005 ; 51 : 265 -75. 16252794

상세보기
16 George CF, Peveler RC, Heiliger S, Thompson C. Compliance with tricyclic antidepressants: the value of four different methods of assessment. Br J Clin Pharmacol 2000 ; 50 : 166 -71. 10930969

상세보기
17 Atkinson C, Greenfield T. Client Satisfaction Questionnaire-8 and Service Satisfaction Scale 30. In: Atkinson C, Greenfield T, eds. Psychological testing: treatment planning and outcome assessment. Lawrence Erlbaum Associates 1994:404-20.
18 Norman RM, Malla AK, McLean T, Voruganti LP, Cortese L, McIntosh E, et al. The relationship of symptoms and level of functioning in schizophrenia to general wellbeing and the Quality of Life Scale. Acta Psych Scand 2000 ; 102 : 303 -9.
19 Brooks R. EuroQol: the current state of play. Health Policy 1995 ; 37 : 53 -72.
20 Kuyken W, Byford S, Taylor RS, Watkins E, Holden E, White K, et al. Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. J Consult Clin Psychol 2008 ; 76 : 966 -78. 19045965

상세보기
21 Walwyn R, Roberts C. Therapist variation within randomised trials of psychotherapy: implications for precision, internal and external validity. Stat Methods Med Res 2010 ; 19 : 291 -315. 19608603
22 Angrist JD, Imbens GW. Two-stage least squares estimation of average causal effects in models with variable treatment intensity. J Am Stat Assoc 1995 ; 90 : 431 -42.

상세보기
23 Patterson S, Debate J, Anju S, Waller D, Crawford MJ. Provision and practice of art therapy for people with schizophrenia: results of a national survey. J Ment Health 2011 ; 20 : 328 -35. 21332321
24 Killaspy H, Banerjee S, King M, Lloyd M. Prospective controlled study of psychiatric out-patient non-attendance. Characteristics and outcome. Br J Psychiatry 2000 ; 176 : 160 -5. 10755054
25 Waller D. Group interactive art therapy: its use in training and treatment. Routledge, 1996.
26 Crawford MJ, Patterson S. Arts therapies for people with schizophrenia: an emerging evidence base. Evid Based Ment Health 2007 ; 10 : 69 -70. 17652554
27 Green BL, Wehling C, Talsky GJ. Group art therapy as an adjunct to treatment for chronic outpatients. Hosp Community Psychiatry 1987 ; 38 : 988 -91. 3679106
28 Meng P, Zheng R, Cai Z, Cao Dahong, Ma L, Liu J, et al. Group intervention for schizophrenia inpatient with art as medium. Acta Psych Sinica 2005 ; 37 : 403 -12. [In Chinese.]
29 Talwar N, Crawford MJ, Maratos A, Nur U, McDermott O, Procter S. Music therapy for in-patients with schizophrenia: exploratory randomised controlled trial. Br J Psychiatry 2006 ; 189 : 405 -9. 17077429

상세보기
30 Rohricht F, Priebe S. Effect of body-oriented psychological therapy on negative symptoms in schizophrenia: a randomized controlled trial. Psychol Med 2006 ; 36 : 669 -78. 16608559

상세보기

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Group art therapy as an adjunctive treatment for people with schizophrenia: multicentre pragmatic randomised trial 원문보기

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