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Creative Arts Interventions to Address Depression in Older Adults: A Systematic Review of Outcomes, Processes, and Mechanisms

Depression experienced by older adults is proving an increasing global health burden, with rates generally 7% and as high as 27% in the USA. This is likely to significantly increase in coming years as the number and proportion of older adults in the population rises all around the world. Therefore,...

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Autores principales: Dunphy, Kim, Baker, Felicity A., Dumaresq, Ella, Carroll-Haskins, Katrina, Eickholt, Jasmin, Ercole, Maya, Kaimal, Girija, Meyer, Kirsten, Sajnani, Nisha, Shamir, Opher Y., Wosch, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6331422/
https://www.ncbi.nlm.nih.gov/pubmed/30671000
http://dx.doi.org/10.3389/fpsyg.2018.02655
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author Dunphy, Kim
Baker, Felicity A.
Dumaresq, Ella
Carroll-Haskins, Katrina
Eickholt, Jasmin
Ercole, Maya
Kaimal, Girija
Meyer, Kirsten
Sajnani, Nisha
Shamir, Opher Y.
Wosch, Thomas
author_facet Dunphy, Kim
Baker, Felicity A.
Dumaresq, Ella
Carroll-Haskins, Katrina
Eickholt, Jasmin
Ercole, Maya
Kaimal, Girija
Meyer, Kirsten
Sajnani, Nisha
Shamir, Opher Y.
Wosch, Thomas
author_sort Dunphy, Kim
collection PubMed
description Depression experienced by older adults is proving an increasing global health burden, with rates generally 7% and as high as 27% in the USA. This is likely to significantly increase in coming years as the number and proportion of older adults in the population rises all around the world. Therefore, it is imperative that the effectiveness of approaches to the prevention and treatment of depression are understood. Creative arts interventions, including art, dance movement, drama, and music modalities, are utilized internationally to target depression and depressive symptoms in older adults. This includes interventions led by trained arts therapists as well as other health and arts professionals. However, to date there has not been a systematic review that reports effects and examines the processes (why) and mechanisms (how) of creative arts interventions are used to address depression in this older age group. This systematic review of studies on creative arts interventions for older adults experiencing depression examined: outcomes of four creative arts modalities (art, dance movement, drama, and music); with particular attention paid to processes documented as contributing to change in each modality; and mechanisms considered to result from these processes. Our analysis of 75 articles (17 art, 13 dance, 4 drama, and 41 music) indicates mostly significant quantitative or positive qualitative findings, particularly for interventions led by creative arts therapists. Mechanisms of change gleaned from the studies that were common across modalities include physical (e.g., increased muscle strength; neurochemical effects, such as endorphin release), intra-personal (e.g., enhanced self-concept, strengthened agency and mastery; processing and communication of emotions), cultural (e.g., creative expression, aesthetic pleasure), cognitive (e.g., stimulation of memory), and social (e.g., increased social skills and connection), that were all considered to contribute to reduced depression and symptoms. Recommendations for future research includes stronger focus on testing of processes and mechanisms.
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spelling pubmed-63314222019-01-22 Creative Arts Interventions to Address Depression in Older Adults: A Systematic Review of Outcomes, Processes, and Mechanisms Dunphy, Kim Baker, Felicity A. Dumaresq, Ella Carroll-Haskins, Katrina Eickholt, Jasmin Ercole, Maya Kaimal, Girija Meyer, Kirsten Sajnani, Nisha Shamir, Opher Y. Wosch, Thomas Front Psychol Psychology Depression experienced by older adults is proving an increasing global health burden, with rates generally 7% and as high as 27% in the USA. This is likely to significantly increase in coming years as the number and proportion of older adults in the population rises all around the world. Therefore, it is imperative that the effectiveness of approaches to the prevention and treatment of depression are understood. Creative arts interventions, including art, dance movement, drama, and music modalities, are utilized internationally to target depression and depressive symptoms in older adults. This includes interventions led by trained arts therapists as well as other health and arts professionals. However, to date there has not been a systematic review that reports effects and examines the processes (why) and mechanisms (how) of creative arts interventions are used to address depression in this older age group. This systematic review of studies on creative arts interventions for older adults experiencing depression examined: outcomes of four creative arts modalities (art, dance movement, drama, and music); with particular attention paid to processes documented as contributing to change in each modality; and mechanisms considered to result from these processes. Our analysis of 75 articles (17 art, 13 dance, 4 drama, and 41 music) indicates mostly significant quantitative or positive qualitative findings, particularly for interventions led by creative arts therapists. Mechanisms of change gleaned from the studies that were common across modalities include physical (e.g., increased muscle strength; neurochemical effects, such as endorphin release), intra-personal (e.g., enhanced self-concept, strengthened agency and mastery; processing and communication of emotions), cultural (e.g., creative expression, aesthetic pleasure), cognitive (e.g., stimulation of memory), and social (e.g., increased social skills and connection), that were all considered to contribute to reduced depression and symptoms. Recommendations for future research includes stronger focus on testing of processes and mechanisms. Frontiers Media S.A. 2019-01-08 /pmc/articles/PMC6331422/ /pubmed/30671000 http://dx.doi.org/10.3389/fpsyg.2018.02655 Text en Copyright © 2019 Dunphy, Baker, Dumaresq, Carroll-Haskins, Eickholt, Ercole, Kaimal, Meyer, Sajnani, Shamir and Wosch. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Dunphy, Kim
Baker, Felicity A.
Dumaresq, Ella
Carroll-Haskins, Katrina
Eickholt, Jasmin
Ercole, Maya
Kaimal, Girija
Meyer, Kirsten
Sajnani, Nisha
Shamir, Opher Y.
Wosch, Thomas
Creative Arts Interventions to Address Depression in Older Adults: A Systematic Review of Outcomes, Processes, and Mechanisms
title Creative Arts Interventions to Address Depression in Older Adults: A Systematic Review of Outcomes, Processes, and Mechanisms
title_full Creative Arts Interventions to Address Depression in Older Adults: A Systematic Review of Outcomes, Processes, and Mechanisms
title_fullStr Creative Arts Interventions to Address Depression in Older Adults: A Systematic Review of Outcomes, Processes, and Mechanisms
title_full_unstemmed Creative Arts Interventions to Address Depression in Older Adults: A Systematic Review of Outcomes, Processes, and Mechanisms
title_short Creative Arts Interventions to Address Depression in Older Adults: A Systematic Review of Outcomes, Processes, and Mechanisms
title_sort creative arts interventions to address depression in older adults: a systematic review of outcomes, processes, and mechanisms
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6331422/
https://www.ncbi.nlm.nih.gov/pubmed/30671000
http://dx.doi.org/10.3389/fpsyg.2018.02655
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