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Journal article
Creative Arts Interventions to Address Depression in Older Adults: A Systematic Review of Outcomes, Processes, and Mechanisms
Frontiers in psychology, v 9, 2655
08 Jan 2019
PMID: 30671000
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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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Details
- Title
- Creative Arts Interventions to Address Depression in Older Adults: A Systematic Review of Outcomes, Processes, and Mechanisms
- Creators
- Kim Dunphy - The University of MelbourneFelicity A. Baker - The University of MelbourneElla Dumaresq - The University of MelbourneKatrina Carroll-Haskins - Drexel UniversityJasmin Eickholt - The University of MelbourneMaya Ercole - The University of MelbourneGirija Kaimal - Drexel UniversityKirsten Meyer - The University of MelbourneNisha Sajnani - New York UniversityOpher Y. Shamir - New York UniversityThomas Wosch - Technical University of Applied Sciences Würzburg-Schweinfurt
- Publication Details
- Frontiers in psychology, v 9, 2655
- Publisher
- Frontiers Media S.A
- Number of pages
- 24
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Creative Arts Therapies
- Web of Science ID
- WOS:000455151700001
- Scopus ID
- 2-s2.0-85059654251
- Other Identifier
- 991019168736004721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Psychology, Multidisciplinary