Araştırma Makalesi
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The effects of art-based intervention techniques on mood and perceived stress in individuals diagnosed with schizophrenia, schizoaffective disorder, and bipolar disorder

Yıl 2025, Cilt: 8 Sayı: 4, 592 - 600, 30.07.2025
https://doi.org/10.32322/jhsm.1684719

Öz

Aims: This study aims to investigate the effect of art-based intervention techniques on mood disorders and perceived stress levels in individuals diagnosed with schizophrenia, schizoaffective disorder, and bipolar disorder.
Methods: Designed as a quasi-experimental study, the research included 60 participants receiving inpatient care at the Private Çağlayan Care Center Tuzla branch in Istanbul, with 26 individuals in the experimental group receiving 12 sessions of art-based intervention techniques and 30 in the control group receiving only psychoeducation. Data were collected using the Perceived Stress Scale and the Mood Disorders Questionnaire.
Results: Findings revealed that the Perceived Stress Scale scores in the experimental group were significantly lower than those in the control group. A similar significant difference was found in the Perceived Stress subscale scores for the experimental group for the control group. Mood Disorder Questionnaire scores were also significantly lower in the experimental group compared to the control group. However, there was no significant difference between the groups in terms of perceived inadequate self-efficacy scores.
Conclusion: These results suggest that art-based interventions have a statistically significant positive impact on stress levels and mood disorder symptoms, while no significant effect was observed on perceived self-efficacy. Ethics committee approval was obtained for this study.

Kaynakça

  • Çakmak Ö, Biçer İ, Demir H. The use of art therapy in healthcare: a literature review. J Health Soc Welfare Res. 2020;2(2):12-21.
  • Okcu, C. Psychodynamically oriented art therapy. Turk J Integrat Psychother. 2022;5(10):31-41.
  • Bostancıoğlu B, Kahraman ME. The effect of the art therapy method and techniques on the power of health-healing. Beykoz Acad J. 2017;5(2):150-162. doi:10.14514/BYK.m.21478082.2017.5/2.150-162
  • Sezen C. The effect of art therapy on the fear of childbirth. [master’s thesis]. İstanbul: Uskudar University; 2016.
  • Göktepe A. The effect of expressive art therapy on flow state and psychological well-being in university students. [master’s thesis]. İstanbul: Uskudar University; 2014.
  • Saunders JC. Families living with severe mental illness: a literature review. Issues Ment Health Nurs. 2003;24(2):175-198. doi:10.1080/016128 40305301
  • Şevik AE, Özcan H, Uysal E. Examination of suicide attempts: risk factors and follow-up. Clin Psychiatry. 2012;15(4):218-225.
  • Duman H. Examination of emotional expression in relatives of schizophrenia patients in terms of some variables. [master’s thesis]. İstanbul: Halic University; 2014.
  • Aktaş Özkafacı A, Nalça N, Eren N. The effect of the group art psychotherapy process with marbling art on anxiety, depression, and functional recovery levels in individuals with schizophrenia. Turk J Integrati Psychother. 2023;6(12):15-29. doi:10.56955/bpd.1309661
  • Eğribel M. Symptom screening and distribution in psychotic disorders (schizophrenia, paranoid disorder, schizoaffective disorder, bipolar disorder). [master’s thesis]. İstanbul: Uskudar University; 2019.
  • Çevik A, Şentürk V. A general overview of psychosomatic medicine and psychosomatic disorders in historical process. Turk Clin J Psychiatr. 2008;1(2):1-11.
  • Schneiderman N, Ironson G, Siegel SD. Stress and health: psychological, behavioral, and biological determinants. Annu Rev Clin Psychol. 2005;1: 607-628. doi:10.1146/annurev.clinpsy.1.102803.144141
  • 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. doi:10.1371/journal.pone.0112348
  • Lu SF, Lo CH, Sung HC, Hsieh TC, Yu SC, Chang SC. Effects of group music intervention on psychiatric symptoms and depression in patient with schizophrenia. Complement Ther Med. 2013;21(6):682-688. doi:10. 1016/j.ctim.2013.09.002
  • Özdemir A. The effect of mindfulness-based stress reduction training on hope, psychological well-being, and functional recovery in patients with schizophrenia. [doctoral thesis]. Malatya: İnönü University; 2020.
  • Ataseven, E. The effect of art therapy and mindfulness-based cognitive behavioral therapy applications on symptom profile, insight, and social functionality in patients with chronic schizophrenia hospitalized in chronic wards. [specialization thesis in medicine]. İstanbul: Health Sciences University; 2018.
  • Yağmur T, Nehir Türkmen S. Perceived stress and psychological resilience in family members providing care to individuals with mental illness. Celal Bayar Univ Health Sci Instit J. 2017;4(1):542-548.
  • Yılmaz T. The effect of structured art therapy group on self-esteem in patients diagnosed with bipolar disorder: a public hospital case study. [master’s thesis]. İstanbul: Gelişim University; 2019.
  • Fraenkel JR, Wallen NE, Hyun HH. How to design education research. New York, Estados Unidos: Mc Graw-Hill. 1996.
  • Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-396.
  • Eskin M, Harlak H, Demirkıran F, Dereboy Ç. Adaptation of the Perceived Stress Scale into Turkish: reliability and validity analysis. New Yeni Sympos J. 2013;51(3):132-140.
  • Konuk N, Kıran S, Tamam L, Karaahmet E, Aydın H, Atık L. Validity of the Turkish adaptation of the Mood Disorder Questionnaire in screening for bipolar disorder. Turk J Psychiatr. 2007;18(2):147-154.
  • Hahs-Vaughn DL, Lomax R. An introducti on to statistical concepts. 4th ed. Routledge; 2020.
  • Field A. Discovering statistics using IBM SPSS Statistics. 5th ed. Sage Publications; 2018.
  • Bonnet M, Belot RA, Sanahuja A, Vandel P. The house-drawing test: using a projective test in assessment to differentiate normal from pathological ageing. Mediterr J Clin Psychol. 2019;7(3):1-19. doi:10.6092/ 2282-1619/2019.7.2256
  • Buck JN. The House-Tree-Person Test. Grune & Stratton. 1963.
  • Crawford MJ, Killaspy H, Barnes TR, et al. Group art therapy as an adjunctive treatment for people with schizophrenia: multicentre pragmatic randomised trial. BMJ. 2012;344:e846. doi:10.1136/bmj.e846
  • Demir V. Using the creative process in therapeutic practice: art therapy. Üsküdar Univ J Clin Hypnos Complement Med. 2018;1(1):1-3.
  • Eracar N. Beyond words: art therapy and creativity. 3P Publishing; 2013.
  • Sarandöl A, Akkaya C, Eracar N, Kırlı S. The effects of art therapy carried out with schizophrenic patients and their relatives, on symptoms, personal and social skills. Anat J Psychiatr. 2013;14(4):333-339. doi:10.5455/apd.39256
  • Akhan LU, Atasoy N. Impact of marbling art therapy activities on the anxiety levels of psychiatric patients. J Human Sci. 2017;14(2):2121-2128. doi:10.14687/jhs.v14i2.4397
  • Gussak D. The effectiveness of art therapy in reducing depression in prison populations. Int J Offender Ther Comp Criminol. 2007;51(4):444-460. doi:10.1177/0306624X06294137
  • Adar K, Akoğlu B. The effect of group intervention using art therapy techniques on mental symptoms, psychological well-being, and cognitive flexibility in adults. J Soc Humanit Administrat Sci. 2024;9(68): 3558-3568.
  • Hass-Cohen N, Findlay JC. Art therapy and the neuroscience of relationships, creativity, and resiliency: skills and practices (Norton series on interpersonal neurobiology). WW Norton & Company. 2015.
  • Talwar N, Crawford MJ, Maratos A, Nur U, McDermott ORII, Procter S. Music therapy for in-patients with schizophrenia: exploratory randomised controlled trial. Br J Psychiatry. 2006;189(5):405-409. doi: 10.1192/bjp.bp.105.015073

Sanatla müdahale tekniklerinin şizofreni, şizoaffektif bozukluk, bipolar bozukluk tanılı bireylerde duygudurumu ve algılanan stres üzerine etkisi

Yıl 2025, Cilt: 8 Sayı: 4, 592 - 600, 30.07.2025
https://doi.org/10.32322/jhsm.1684719

Öz

Bu araştırmanın amacı, sanatla müdahale tekniklerinin şizofreni, şizoaffektif bozukluk ve bipolar bozukluk tanısı almış bireylerin duygudurum bozuklukları ve algılanan stres düzeylerine olan etkisini incelemektir. Yarı deneysel desen ile gerçekleştirilen çalışmada, 26 kişilik deney grubuna 12 oturumluk sanatla müdahale teknikleri uygulanmış, 30 kişilik kontrol grubuna ise psiko-eğitim verilmiştir. Ölçme araçları olarak Algılanan Stres Ölçeği ve Duygudurum Bozuklukları Ölçeği kullanılmıştır. Elde edilen bulgular, Algılanan Stres Ölçeği puanlarının deney grubunda kontrol grubuna kıyasla istatistiksel olarak anlamlı düzeyde daha düşük olduğunu göstermiştir. Benzer şekilde, Stres Algısı alt boyutunda da deney grubunun puanı kontrol grubuna göre anlamlı şekilde daha düşüktür. Duygudurum Bozuklukları Ölçeği puanlarında da deney grubu, kontrol grubuna göre anlamlı düzeyde daha düşük skorlar elde etmiştir. Buna karşılık, Yetersiz Öz Yeterlik Algısı puanlarında iki grup arasında anlamlı bir farklılık saptanmamıştır. Sonuçlar, sanatla müdahale tekniklerinin duygudurum bozuklukları ve stres düzeyi üzerinde anlamlı ve olumlu etkiler yarattığını, ancak öz yeterlik algısı üzerinde anlamlı bir etkisinin olmadığını göstermektedir.

Kaynakça

  • Çakmak Ö, Biçer İ, Demir H. The use of art therapy in healthcare: a literature review. J Health Soc Welfare Res. 2020;2(2):12-21.
  • Okcu, C. Psychodynamically oriented art therapy. Turk J Integrat Psychother. 2022;5(10):31-41.
  • Bostancıoğlu B, Kahraman ME. The effect of the art therapy method and techniques on the power of health-healing. Beykoz Acad J. 2017;5(2):150-162. doi:10.14514/BYK.m.21478082.2017.5/2.150-162
  • Sezen C. The effect of art therapy on the fear of childbirth. [master’s thesis]. İstanbul: Uskudar University; 2016.
  • Göktepe A. The effect of expressive art therapy on flow state and psychological well-being in university students. [master’s thesis]. İstanbul: Uskudar University; 2014.
  • Saunders JC. Families living with severe mental illness: a literature review. Issues Ment Health Nurs. 2003;24(2):175-198. doi:10.1080/016128 40305301
  • Şevik AE, Özcan H, Uysal E. Examination of suicide attempts: risk factors and follow-up. Clin Psychiatry. 2012;15(4):218-225.
  • Duman H. Examination of emotional expression in relatives of schizophrenia patients in terms of some variables. [master’s thesis]. İstanbul: Halic University; 2014.
  • Aktaş Özkafacı A, Nalça N, Eren N. The effect of the group art psychotherapy process with marbling art on anxiety, depression, and functional recovery levels in individuals with schizophrenia. Turk J Integrati Psychother. 2023;6(12):15-29. doi:10.56955/bpd.1309661
  • Eğribel M. Symptom screening and distribution in psychotic disorders (schizophrenia, paranoid disorder, schizoaffective disorder, bipolar disorder). [master’s thesis]. İstanbul: Uskudar University; 2019.
  • Çevik A, Şentürk V. A general overview of psychosomatic medicine and psychosomatic disorders in historical process. Turk Clin J Psychiatr. 2008;1(2):1-11.
  • Schneiderman N, Ironson G, Siegel SD. Stress and health: psychological, behavioral, and biological determinants. Annu Rev Clin Psychol. 2005;1: 607-628. doi:10.1146/annurev.clinpsy.1.102803.144141
  • 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. doi:10.1371/journal.pone.0112348
  • Lu SF, Lo CH, Sung HC, Hsieh TC, Yu SC, Chang SC. Effects of group music intervention on psychiatric symptoms and depression in patient with schizophrenia. Complement Ther Med. 2013;21(6):682-688. doi:10. 1016/j.ctim.2013.09.002
  • Özdemir A. The effect of mindfulness-based stress reduction training on hope, psychological well-being, and functional recovery in patients with schizophrenia. [doctoral thesis]. Malatya: İnönü University; 2020.
  • Ataseven, E. The effect of art therapy and mindfulness-based cognitive behavioral therapy applications on symptom profile, insight, and social functionality in patients with chronic schizophrenia hospitalized in chronic wards. [specialization thesis in medicine]. İstanbul: Health Sciences University; 2018.
  • Yağmur T, Nehir Türkmen S. Perceived stress and psychological resilience in family members providing care to individuals with mental illness. Celal Bayar Univ Health Sci Instit J. 2017;4(1):542-548.
  • Yılmaz T. The effect of structured art therapy group on self-esteem in patients diagnosed with bipolar disorder: a public hospital case study. [master’s thesis]. İstanbul: Gelişim University; 2019.
  • Fraenkel JR, Wallen NE, Hyun HH. How to design education research. New York, Estados Unidos: Mc Graw-Hill. 1996.
  • Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-396.
  • Eskin M, Harlak H, Demirkıran F, Dereboy Ç. Adaptation of the Perceived Stress Scale into Turkish: reliability and validity analysis. New Yeni Sympos J. 2013;51(3):132-140.
  • Konuk N, Kıran S, Tamam L, Karaahmet E, Aydın H, Atık L. Validity of the Turkish adaptation of the Mood Disorder Questionnaire in screening for bipolar disorder. Turk J Psychiatr. 2007;18(2):147-154.
  • Hahs-Vaughn DL, Lomax R. An introducti on to statistical concepts. 4th ed. Routledge; 2020.
  • Field A. Discovering statistics using IBM SPSS Statistics. 5th ed. Sage Publications; 2018.
  • Bonnet M, Belot RA, Sanahuja A, Vandel P. The house-drawing test: using a projective test in assessment to differentiate normal from pathological ageing. Mediterr J Clin Psychol. 2019;7(3):1-19. doi:10.6092/ 2282-1619/2019.7.2256
  • Buck JN. The House-Tree-Person Test. Grune & Stratton. 1963.
  • Crawford MJ, Killaspy H, Barnes TR, et al. Group art therapy as an adjunctive treatment for people with schizophrenia: multicentre pragmatic randomised trial. BMJ. 2012;344:e846. doi:10.1136/bmj.e846
  • Demir V. Using the creative process in therapeutic practice: art therapy. Üsküdar Univ J Clin Hypnos Complement Med. 2018;1(1):1-3.
  • Eracar N. Beyond words: art therapy and creativity. 3P Publishing; 2013.
  • Sarandöl A, Akkaya C, Eracar N, Kırlı S. The effects of art therapy carried out with schizophrenic patients and their relatives, on symptoms, personal and social skills. Anat J Psychiatr. 2013;14(4):333-339. doi:10.5455/apd.39256
  • Akhan LU, Atasoy N. Impact of marbling art therapy activities on the anxiety levels of psychiatric patients. J Human Sci. 2017;14(2):2121-2128. doi:10.14687/jhs.v14i2.4397
  • Gussak D. The effectiveness of art therapy in reducing depression in prison populations. Int J Offender Ther Comp Criminol. 2007;51(4):444-460. doi:10.1177/0306624X06294137
  • Adar K, Akoğlu B. The effect of group intervention using art therapy techniques on mental symptoms, psychological well-being, and cognitive flexibility in adults. J Soc Humanit Administrat Sci. 2024;9(68): 3558-3568.
  • Hass-Cohen N, Findlay JC. Art therapy and the neuroscience of relationships, creativity, and resiliency: skills and practices (Norton series on interpersonal neurobiology). WW Norton & Company. 2015.
  • Talwar N, Crawford MJ, Maratos A, Nur U, McDermott ORII, Procter S. Music therapy for in-patients with schizophrenia: exploratory randomised controlled trial. Br J Psychiatry. 2006;189(5):405-409. doi: 10.1192/bjp.bp.105.015073
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Psikoloji
Bölüm Araştırma Makalesi
Yazarlar

Edanur Elif Kesikler 0009-0008-8636-5014

Bahar Akoğlu 0000-0002-1457-2531

Yayımlanma Tarihi 30 Temmuz 2025
Gönderilme Tarihi 26 Nisan 2025
Kabul Tarihi 20 Haziran 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 8 Sayı: 4

Kaynak Göster

AMA Kesikler EE, Akoğlu B. The effects of art-based intervention techniques on mood and perceived stress in individuals diagnosed with schizophrenia, schizoaffective disorder, and bipolar disorder. J Health Sci Med /JHSM /jhsm. Temmuz 2025;8(4):592-600. doi:10.32322/jhsm.1684719

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