Manual-based Art Therapy for Adolescents With Depression

Manual-based Art Therapy for Adolescents With Depression: a Pilot Study in Child and Youth Psychiatric Clinic in Sweden

There is a need to evaluate different interventions in order to meet young people's needs of treatment. The study's goal is to find out if manual-based art therapy is a useful method for young people with depression and thus increase the availability of methods of treatment for adolescents with depression in Child and youth psychiatry in Sweden.

The aim is to investigate whether manual-based art therapy is useful as treatment for adolescents with depression by examining feasibility, acceptability and compliant to treatment. Secondary, preliminary study of adolescent depressive symptoms, quality of life and functional level is affected by the treatment.

Method: Data from youths aged 13-17 years old and their parents will be collected with questionnaires and structured interviews. Measurements are taken before and after treatment. Acceptability and feasibility will be examined by participants' presence, drop out and cancellations and also by checking the art therapists' compliance to the manual and investigate their reasons to diverge from the manual

Study Overview

• Status: Completed
• Conditions: Depressive Disorder; Depression
• Intervention / Treatment: Behavioral: Manual-based Art Therapy

• Study Type: Interventional
• Enrollment (Actual): 10
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Sweden
  • Västra Götaland
    • Borås, Västra Götaland, Sweden, 50182
      • Sodra Alvsborgs Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 13 years to 17 years (CHILD)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Age 13-17 year
• Depression as main diagnosis

Exclusion Criteria:

• high suicide risk
• ongoing psychosis
• eating disorder
• Untreated PTSD
• Patients are excluded if there is suspicion of violence, abuse, abuse in the home or other vulnerability which requires other interventions to ensure the safety.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: NA
• Interventional Model: SINGLE_GROUP
• Masking: NONE

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

EXPERIMENTAL: Intervention; This is a quasi-experimental study

Behavioral: Manual-based Art Therapy; This is a manual-based treatment and consists of 10 one-hour weekly sessions. The treatment consist of detailed guidelines based on phenomenological art therapy. The sessions follow the same structure: Introduction, short relaxation, art-making, reflections about the image, and conclusions. Examples of comprised art tasks; lifeline, emotional scribbles, and different roles. The art tasks served as a prompt for painting.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Adherence to manual - therapists	the therapists self-rate their compliance to the manual on a 4 point Likert scale. describing reasons to adverting from manual	10 weeks
Change of Treatment satisfaction	Level of satisfactions rated on a 5 point Likert scale. Higher scores indicates higher satisfaction.	Change from baseline at 10 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change of Depression with Beck Depression Inventory BDI-II	contains 21 questions, each answer being scored on a scale value of 0 to 3. Higher score indicate more severe depression.	Change from baseline at 10 weeks
Change of quality of life measured with KIDSCREEN-10	Measure global Health related quality of life. HRQoL score for monitoring and screening uses. the questionnaire consist of 10 questions, each answer being scored on a 5 points Likert scale.	Change from baseline at 10 weeks
Change of functional impairment measured with Education,Work and Social adjustment Scale EWSAS-C/P	Is a self-reported scale to measure functional impairment attributed to an identified problem. is a five-item self-report scale measuring functional impairment on a nine-point scale. Higher rating indicating more impairment.	Change from baseline at 10 weeks
Change of psychiatric symptoms measured with Revised Children's Anxiety and Depression Scale /R-CADS	47-item questionnaires that measure the reported frequency of various symptoms of anxiety and low mood. They produce a total anxiety and low mood score and separate scores for each of the follow sub-scales: separation anxiety; social phobia; generalized anxiety; panic; obsessive compulsive; total anxiety; and, low mood. Each answer being scored on a 4 points Likert scale.	Change from baseline at 10 weeks

Collaborators and Investigators

• Sponsor: Vastra Gotaland Region
• Collaborators: Child and Adolescent Psychiatry, Stockholm
• Investigators: Principal Investigator: Christina Blomdahl, PhD, Region Vastra Gotaland, Sweden

Study record dates

Study Major Dates

• Study Start (ACTUAL): January 1, 2019
• Primary Completion (ACTUAL): October 8, 2020
• Study Completion (ACTUAL): October 8, 2020

Study Registration Dates

• First Submitted: June 29, 2020
• First Submitted That Met QC Criteria: October 20, 2020
• First Posted (ACTUAL): October 26, 2020

Study Record Updates

• Last Update Posted (ACTUAL): October 26, 2020
• Last Update Submitted That Met QC Criteria: October 20, 2020
• Last Verified: October 1, 2020

More Information

Terms related to this study

• Keywords: Adolescent Health; art therapy; program development
• Additional Relevant MeSH Terms: Behavioral Symptoms; Mental Disorders; Mood Disorders; Depression; Depressive Disorder
• Other Study ID Numbers: 254011

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No