Grupna art terapija kao pomoćna terapija za lečenje shizofrenih bolesnika u dnevnoj bolnici
Sažetak
Uvod. Shizofreni bolesnici su često nezainteresovani i rezistentni na standardno lečenje. Prikaz bolesnika. Prikazane su kliničke opservacije grupne art terapije dva shizofrena bolesnika u toku integrativnog lečenja u Dnevnoj bolnici. Modifikovali smo originalnu “Synallactic collective image technique” (Vassilliou G, Vassiliu V). Grupa je otvorena, heterogena, sastaje se jedanput nedeljno, diskutuju se izloženi crteži, koji su nastali po slobodnim asocijacijama. Crteži i grupni protokoli prikazanih bolesnika pokazali su kliničko poboljšanje uz smanjenje depresivnih tema, više ljudskih figura i povećanje samopouzdanja. Registrovano je značajno bolesno stanje na Clinical Global Impression (CGI) i Global Assessment of Functioning (GAF) skalama na prijemu, sa minimalnim poboljšanjem na otpustu. Zaključak. Grupna art terapija omogućava vizuelnu ekspresiju emocija, percepcija i kognicija, podstiče razvoj kreativnih potencijala i grupnu podršku, olakšavajući integrativnu terapiju shizofrenih bolesnika u Dnevnoj bolnici. Ona može biti korisna pomoćna terapija kod shizofrenije.
Reference
Messias EL, Chen CY, Eaton WW. Epidemiology of schizo-phrenia: review of findings and myths. Psychiatr Clin North Am 2007; 30(3): 323−38.
Dibonaventura M, Gabriel S, Dupclay L, Gupta S, Kim E. A patient perspective of the impact of medication side effects on adherence: results of a cross-sectional nationwide survey of patients with schizophrenia. BMC Psychiatry 2012; 12: 20.
Ruddy R, Milnes D. Art therapy for schizophrenia or schizo-phrenia-like illnesses. Cochrane Database Syst Rev 2005; (4): CD003728.
British Association of Art Therapists. What is Art Therapy? [up-dated 2013 August 23]. Available from: http://www.baat.org/art_therapy.html
Shek E, Stein AT, Shansis FM, Marshall M, Crowther R, Tyrer P. Day hospital vs outpatient care for people with schizophrenia. Schizophr Bull 2009; 35(6): 1057−8.
National Institute for Clinical Excellence. Schizophrenia: Core in-terventions in the treatment and management of schizophre-nia in adults in primary and secondary care. London: NICE; 2009.
Patterson S, Debate J, Anju S, Waller D, Crawford MJ. Provision and practice of art therapy for people with schizophrenia: re-sults of a national survey. J Ment Health 2011; 20(4): 328−35.
Vassiliou VG. Outlining the sinallactic collective image tech-nique as used within a systemic, dialectick approach. In: Durkin JE, editor. Living groups: Group psychotherapy and general systems theory. New York: Brunner/Mazel; 1981. p. 216−27.
Polovina N. The Center for Family and Group Therapy, Athens Institution “Anthropos” work presentation. Engrami 1989; 11(3): 283−7. (Serbian)
Mandic-Gajic G, Spiric Z, Alacov T, Samardzic R, Preradovic M. The Group analysis of drawing in therapy of reactive disor-ders. Engrami 1996; 18(4): 37−46. (Serbian)
Busner J, Targum SD. The clinical global impressions scale: ap-plying a research tool in clinical practice. Psychiatry (Edgmont) 2007; 4(7): 28−37.
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(5): 654−9.
Crawford MJ, Killaspy H, Barnes TR, Barrett B, Byford S, Clayton K, et al. Group art therapy as an adjunctive treatment for people with schizophrenia:a randomised controlled trial (MATISSE). Health Technol Assess 2012; 16(8): iii−iv, 1−76.
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.
Richardson P, Jones K, Evans C, Stevens P, Roswe A. Exploratory RCT of Art Therapy as an adjunctive treatment in schizophre-nia. J Mental Health 2007; 16(4): 483–91.
Crawford MJ, Killaspy H, Barnes TR, Barrett B, Byford S, Clayton K, et al. The MATISSE study: a randomised trial of group art therapy for people with schizophrenia. BMC Psychiatry 2010; 10: 65.