Reintegration of Schizophrenia Diagnosed Patients in Social Environment through Art Therapy- A Pilot Study
Art-therapy is considered a somewhat controversial method of treatment in the field of psychotic disorders. While randomized trials with various comparators reported few if any benefits from this method in schizophrenia diagnosed patients, case reports are more enthusiastic in this regard. The main objective of this research was to construct a pilot study for a clinical trial focused on patients with schizophrenia, stabilized on pharmacological treatment, who intend to participate in a form of structured, 10-session, once a week, individual art-therapy. A group of 5 patients diagnosed with schizophrenia according to DSM IV TR criteria, stabilized on atypical antipsychotics, were included in an art-therapy program, with weekly individual sessions, focused on the relation between self and social environment. Themes like “meeting a school colleague”, “at the cinema”, “a dinner out”, “improve your neighborhood appeal” and “making new friends” were approached during the 10 weeks of the program. All art-therapy sessions included cognitive restructuring and role play, as augmentation strategies for the experiential processing of emotions. A 10-points visual analogic scale (VAS) recording overall patient satisfaction within social relationships was applied at each visit. Patients reported improvements on VAS with a mean of 35% after 10 weeks. The overall number of social contacts initiated by patients increased with 20% compared to baseline. Caregivers reported a better collaboration with the patients in the domain of daily chores and a decrease of expressed aggressiveness. In conclusion, art-therapy could be useful in improving psychotic stabilized patients’ frequency of interpersonal contacts, decreased aggressiveness and improved their involvement in daily activities.
 Ruiz MI, Aceituno D, Rada G. Art therapy for schizophrenia? Medwave 2017; 17(Suppl.1): 6845.
 Ruddy R, Milnes D. Art therapy for schizophrenia or schizophrenia-like illnesses. Cochrane Database Syst Rev. 2005 Oct 19; (4): CD003728.
 National Institute for Clinical Excellence (NICE). National Clinical Guideline Number 178 - Psychosis and schizophrenia in adults. National Collaborating Centre for Mental Health, 2014.
 Crawford MJ, Killaspy H, Barnes TRE et al. Group art therapy as an adjunctive treatment for people with schizophrenia: multicentre pragmatic randomised trial. BMJ. 2012; 344: e846.
 Leurent B, Killaspy H, Osborn DP et al. Moderating factors for the effectiveness of group art therapy for schizophrenia: secondary analysis of data from the MATISSE randomised controlled trial. Soc Psychiatry Psychiatr Epidemiol. 2014; 49(11): 1703-10.
 Green BL, Wehling C, Talsky GJ. Group art therapy as an adjunct to treatment for chronic outpatients. Hosp Community Psychiatry. 1987; 38(9): 988-91.
 Patterson S, Borschmann R, Waller DE. Considering referral to art therapy: Responses to referral and experiences of participants in a randomised controlled trial. Intl J of Art Therapy. 2013; 18(1): 2-9.
 Montag C, Haase L, Seidel D et al. A pilot RCT of psychodynamic group art therapy for patients in acute psychotic episodes: feasibility, impact on symptoms and mentalising capacity. PLoS One 2014; 9(11): e112348.
 Caddy L, Crawford F, Page AC. “Painting a path to wellness”: correlations between participating in a creative activity group and improved measured mental health outcome. J Psychiatr Ment Health Nurs. 2012; 19(4): 327-33.
 Teglbjaerg HS. Art therapy may reduce psychopathology in schizophrenia by strengthening the patients’ sense of self: a qualitative extended case report. Psychopathology 2011; 44(5): 314-8.
 Vassiliou G, Vassiliou V. Outlining the synallactic collective image technique as used within a systemic, dialectic approach. In: Durkin J-E (Ed.), Living groups. New York, Brunner/Mazel; 1981. p.216-228.
 Gajic G. M. Group art therapy as adjunct therapy for the treatment of schizophrenic patients in day hospital. Vojnosanit Pregl 2013; 70(11): 1065-9.
 Noronha K. J. Working with art in a case of schizophrenia. Indian J Psychol Med 2013; 35(1): 89-92.
 American Psychiatric Association. Diagnostic and statistical manual of mental disorders (4th Ed, Text Revised). Washington DC, 2000.
 Montoya A, Valladares A, Lizan L et al. Validation of the Excited Component of the Positive and negative Syndrome Scale (PANSS-EC) in a naturalistic sample of 278 patients with acute psychosis and agitation in a psychiatric emergency room. Health Qual Life Outcomes. 2011; 9: 18.
Copyright (c) 2017 LUMEN Proceedings
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Selection and peer-review under responsibility of the Organizing Committee of the conference.
This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 4.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited