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Evidence summaries

Art Therapy for Schizophrenia

There is no evidence on the effects of art therapy as an adjunctive treatment for schizophrenia. Level of evidence: "D"

A Cochrane review [Abstract] 1 included two studies with a total of 137 subjects. Both compared art therapy plus standard care with standard care alone. More people completed the therapy if allocated to the art therapy group compared with standard care in the short (n=90, 1 RCT, RR 0.97 CI 0.41 to 2.29), medium (n=47, 1 RCT, RR 0.34 CI 0.15 to 0.80) and long term (n=47, 1 RCT, RR 0.96 CI 0.57 to 1.60). Data from one mental state measure (SANS) showed a small but significant difference favouring the art-therapy group (n=73, 1 RCT, WMD -2.3 CI -4.10 to -0.5). In the short term, a measure of social functioning (SFS) showed no clear difference between groups in endpoint scores (n=70, 1 RCT, WMD 7.20 CI -2.53 to 16.93) and quality of life, as measured by the PerQoL, did not indicate effects of art therapy (n=74, 1 RCT, WMD 0.1 CI -2.7 to 0.47).

Comment: The quality of evidence is downgraded by imprecise results (limited study size for each comparison), by inconsistency (variability in results across studies) and by indirectness (differences in reported outcomes).

References

  • Ruddy R, Milnes D. Art therapy for schizophrenia or schizophrenia-like illnesses. Cochrane Database Syst Rev 2005 Oct 19;(4):CD003728. [PubMed]

Primary/Secondary Keywords