Arts psychotherapies for adolescents with mental health difficulties: A systematic review and logic model of mechanisms of action and outcomes

IF 1.5 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Arts in Psychotherapy Pub Date : 2025-02-01 DOI:10.1016/j.aip.2025.102258

Eleanor Melvin , Onyedikachi Onyeaso , Domenico Giacco , Simon Hackett

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Abstract

There is a lack of evidence base to understand and evaluate arts psychotherapies (Art Psychotherapy, Dance Movement Psychotherapy, Dramatherapy and Music Therapy) interventions increasingly provided for adolescents with mental health difficulties, a population with rising need. We aimed to understand which arts psychotherapies interventions are used with adolescents with mental health difficulties and what their mechanisms of action are. We aimed to assess what the outcomes of arts psychotherapies interventions are, and how they are measured. Literature was sourced through database searches (CINAHL, EMBASE, the Cochrane Library, PsycINFO, PubMed, Scopus, APA PsycNet) and hand searches (January 2007 - June 2023). 3403 papers were screened, 47 met inclusion criteria for synthesis. Risk of bias in included studies was assessed. Findings were narratively synthesised, and a logic model drawn, mapping out intervention components, potential mechanisms of action (generic psychotherapy factors and factors unique to arts psychotherapies), and intervention outcomes. The logic model produced can inform more consistent evaluation strategies across arts psychotherapies approaches. Despite shared outcomes recognised through narrative synthesis, there is wide range of outcome measures used to assess benefits of these approaches. This is a barrier to establishment of a strong evidence base as it emphasizes differences rather than commonalities.

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来源期刊

Arts in Psychotherapy Multiple-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： The Arts in Psychotherapy is a dynamic, contemporary journal publishing evidence-based research, expert opinion, theoretical positions, and case material on a wide range of topics intersecting the fields of mental health and creative arts therapies. It is an international peer-reviewed journal publishing 5 issues annually. Papers are welcomed from researchers and practitioners in the fields of art, dance/movement, drama, music, and poetry psychotherapy, as well as expressive and creative arts therapy, neuroscience, psychiatry, education, allied health, and psychology that aim to engage high level theoretical concepts with the rigor of professional practice. The journal welcomes contributions that present new and emergent knowledge about the role of the arts in healthcare, and engage a critical discourse relevant to an international readership that can inform the development of new services and the refinement of existing policies and practices. There is no restriction on research methods and review papers are welcome. From time to time the journal publishes special issues on topics warranting a distinctive focus relevant to the stated goals and scope of the publication.