Anxiety reduction through art therapy in women. Exploring stress regulation and executive functioning as underlying neurocognitive mechanisms
Autoři:
Annemarie Abbing aff001; Leo de Sonneville aff002; Erik Baars aff001; Daniëlle Bourne aff004; Hanna Swaab aff002
Působiště autorů:
Faculty of Health, University of Applied Sciences Leiden, Leiden, The Netherlands
aff001; Clinical Neurodevelopmental Sciences, Faculty of Social Sciences, Leiden University, Leiden, The Netherlands
aff002; Leiden Institute for Brain and Cognition, Leiden, The Netherlands
aff003; Department of Psychiatry, University Medical Centre Utrecht, Utrecht, The Netherlands
aff004
Vyšlo v časopise:
PLoS ONE 14(12)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0225200
Souhrn
Objectives
To explore possible working mechanisms of anxiety reduction in women with anxiety disorders, treated with art therapy (AT).
Methods
A RCT comparing AT versus waiting list (WL) condition on aspects of self-regulation. Stress regulation (heart rate and heart rate variability) and executive functioning (daily behavioural and cognitive performance aspects of executive functioning (EF)) were evaluated in a pre-post design. Participants were women, aged 18–65 years with moderate to severe anxiety symptoms.
Results
Effectiveness of AT compared to WL was demonstrated in a higher resting HRV post treatment, improvements in aspects of self-reported daily EF (emotion control, working memory, plan/organize and task monitor), but not in cognitive performance of EF, stress responsiveness and down regulation of stress. The decrease in anxiety level was associated with improvements in self-reported daily EF.
Conclusions
AT improves resting HRV and aspects of EF, the latter was associated with art therapy-related anxiety reduction.
Klíčová slova:
Behavior – Psychological stress – Emotions – Anxiety – Cognition – Attention – Heart rate – Anxiety disorders
Zdroje
1. American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (Fifth ed.). Arlington, VA: American Psychiatric Publishing. P. 189. ISBN 978-0-89042-555-8.
2. Anxiety and Depression Association of America (ADAA, 2018). About AADA. Facts and Statistics. Accessed September 16, 2018 from https://adaa.org/about-adaa/press-room/facts-statistics
3. Cisler J., Olatunji B., Feldner M., & Forsyth J. (2010). Emotion regulation and the anxiety disorders: An integrative review. Journal of Psychopathology and Behavioural Assessment, 32(1), 68–82. doi: 10.1007/s10862-009-9161-1 20622981
4. Rosellini A., Boettcher H., Brown T., & Barlow D. (2015). A Transdiagnostic Temperament-Phenotype Profile Approach to Emotional Disorder Classification: An Update. Psychopathology Review, A2(1), 110–128.
5. Beck A., & Haigh E. (2014). Advances in Cognitive Theory and Therapy: The Generic Cognitive Model. Annual Review of Clinical Psychology, 10(1), 1–24.
6. Hassink-Franke L.J.A., Terluin B., Van Heest F.B., Hekman J., Van Marwijk H.W.J., & Van Avendonk M.J.P. (2012). NHG-Standaard Angst (tweede herziening). Huisarts Wet, 55(2), 68–77.
7. Clark L.A & Watson D. (1991). Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications. J Abnorm Psychol. 1991;100:316–336. doi: 10.1037//0021-843x.100.3.316 1918611
8. Mennin D., Heimberg R., Fresco D., & Ritter M. (2008). Is generalized anxiety disorder an anxiety or mood disorder? Considering multiple factors as we ponder the fate of GAD. Depression and Anxiety, 25(4), 289–299. doi: 10.1002/da.20493 18412056
9. Levine J. C., Fleming R., Piedmont J. I., Cain S. M., & Chen W. J. (2016). Heart rate variability and generalized anxiety disorder during laboratory-induced worry and aversive imagery. Journal of affective disorders, 205, 207–215. doi: 10.1016/j.jad.2016.07.019 27449553
10. Hofmann S., & Smits J. (2008). Cognitive-behavioural therapy for adult anxiety disorders: A meta-analysis of randomized placebo-controlled trials. The Journal of Clinical Psychiatry, 69(4), 621–32 doi: 10.4088/jcp.v69n0415 18363421
11. Smits J. A., Julian K., Rosenfield D., & Powers M. B. (2012). Threat reappraisal as a mediator of symptom change in cognitive-behavioural treatment of anxiety disorders: A systematic review. Journal of Consulting and Clinical Psychology, 80(4), 624. doi: 10.1037/a0028957 22686124
12. Abbing A.C., Baars E.W., De Sonneville L., Ponstein A.S., & Swaab H. (2019). Effectiveness of art therapy for anxiety in adult women: a randomized controlled trial. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2019.01203
13. Kazdin A. (2000). Psychotherapy for children and adolescents. Directions for research and practice (Second ed.). New York: Oxford University Press.
14. Akselrod S., Gordon D., Ubel A., Shannon D., Barger A., & Cohen R. (1981). Power spectrum analysis of heart rate fluctuation: A quantitative probe of beat-to-beat cardiovascular control. Science, 213, 220. doi: 10.1126/science.6166045 6166045
15. Cohen H., Benjamin J., Geva A. B., Matar M. A., Kaplan Z., & Kotler M. (2000). Autonomic dysregulation in panic disorder and in post-traumatic stress disorder: application of power spectrum analysis of heart rate variability at rest and in response to recollection of trauma or panic attacks. Psychiatry research, 96(1), 1–13 doi: 10.1016/s0165-1781(00)00195-5 10980322
16. Porges S. W. (2007). The Polyvagal perspective. Biological Psychology, 74, 116–143. doi: 10.1016/j.biopsycho.2006.06.009 17049418
17. Nunan D., Sandercock G., & Brodie D. (2010). A Quantitative Systematic Review of Normal Values for Short-Term Heart Rate Variability in Healthy Adults. Pace-Pacing And Clinical Electrophysiology, 33(11), 1407–1417.
18. Appelhans B., Luecken L., & Leucken B. (2006). Attentional processes, anxiety, and the regulation of cortisol reactivity (vol 19, pg 81, 2006). Anxiety Stress And Coping, 19(2), 93.
19. Segerstrom S. C., Boggero I. A., & Evans D. R. (2016). Pause and plan; the physiology of self-regulation. Handbook of self-regulation: Research, theory, and applications, 131–145.
20. Chalmers J. A., Quintana D. S., Abbott M. J., & Kemp A. H. (2014). Anxiety disorders are associated with reduced heart rate variability: a meta-analysis. Frontiers in psychiatry, 5, 80. doi: 10.3389/fpsyt.2014.00080 25071612
21. Pittig A., Arch J., Lam C., & Craske M. (2013). Heart rate and heart rate variability in panic, social anxiety, obsessive–compulsive, and generalized anxiety disorders at baseline and in response to relaxation and hyperventilation. International Journal of Psychophysiology, 87(1), 19–27. doi: 10.1016/j.ijpsycho.2012.10.012 23107994
22. Brosschot J.F., Van Dijk E. & Thayer J.F. (2007). Daily worry is related to low heart rate variability during waking and the subsequent nocturnal sleep period. International Journal of Psychophysiology. 63 (1): 39–47. doi: 10.1016/j.ijpsycho.2006.07.016 17020787
23. Miu A. C., Heilman R. M., & Miclea M. (2009). Reduced heart rate variability and vagal tone in anxiety: trait versus state, and the effects of autogenic training. Autonomic Neuroscience, 145(1–2), 99–103. doi: 10.1016/j.autneu.2008.11.010 19059813
24. Nickel P., & Nachreiner F. (2003). Sensitivity and Diagnostics of the 0.1-Hz Component of Heart Rate Variability as an Indicator of Mental Workload. Human Factors. 45 (4): 575–590. doi: 10.1518/hfes.45.4.575.27094 15055455
25. Huijbregts S., Van Berkel S., Swaab-Barneveld H., & Van Goozen S. (2011). Neurobiological and behavioural stress reactivity in children prenatally exposed to tobacco. Psychoneuroendocrinology, 36(6), 913–918. doi: 10.1016/j.psyneuen.2010.12.008 21255938
26. Cacioppo J., Tassinary L., & Berntson G. (2007). Handbook of psychophysiology (3rd ed.). Cambridge [etc.]: Cambridge University Press.
27. Sharp P.B., Miller G.A. & Heller W. (2015). Transdiagnostic dimensions of anxiety: neural mechanisms, executive functions and new directions. Int. J. Psychophysiology 98: 365–377.
28. Miyake A., & Friedman N. (2012). The Nature and Organization of Individual Differences in Executive Functions: Four General Conclusions. Current Directions in Psychological Science, 21(1), 8–14 doi: 10.1177/0963721411429458 22773897
29. Lezak M. (2012). Neuropsychological assessment (5th ed.). New York [etc.]: Oxford University Press.
30. Huizinga M., Burack J. A., & Van der Molen M. W. (2010). Age-related change in shifting attention between global and local levels of hierarchical stimuli. Journal of Cognition and Development, 11(4), 408–436.
31. Gladstone G. L., Parker G. B., Mitchell P. B., Wilhelm K. A., & Malhi G. S. (2005). Relationship between self-reported childhood behavioural inhibition and lifetime anxiety disorders in a clinical sample. Depression and anxiety, 22, 103–113. doi: 10.1002/da.20082 16149043
32. Hallion L. S., Tolin D. F., Assaf M., Goethe J., & Diefenbach G. J. (2017). Cognitive control in generalized anxiety disorder: relation of inhibition impairments to worry and anxiety severity. Cognitive Therapy and Research, 41(4), 610–618.
33. Kaimal G., Ray K., & Muniz J. (2016). Reduction of cortisol levels and participants’ responses following art making. Art therapy, 33(2), 74–80. doi: 10.1080/07421656.2016.1166832 27695158
34. Sandmire D. A., Gorham S. R., Rankin N. E., & Grimm D. R. (2012). The influence of art making on anxiety: A pilot study. Art Therapy, 29(2), 68–73.
35. Haeyen S., van Hooren S., van der Veld W., & Hutschemaekers G. (2018a). Efficacy of art therapy in individuals with personality disorders cluster B/C: A randomized controlled trial. Journal of personality disorders, 32(4), 527–542.
36. Haeyen S., van Hooren S., van der Veld W. M., & Hutschemaekers G. (2018b). Promoting mental health versus reducing mental illness in art therapy with patients with personality disorders: a quantitative study. The Arts in Psychotherapy, 58, 11–16.
37. Brown KW, Ryan RM. The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology. 2003;84(4):822–48. doi: 10.1037/0022-3514.84.4.822 12703651
38. Egger N, Konnopka A, Beutel ME, Herpertz S, Hiller W, Hoyer J, et al. Short-term cost-effectiveness of psychodynamic therapy and cognitive-behavioral therapy in social anxiety disorder: Results from the SOPHO-NET trial. Journal of Affective Disorders. 2015;180:21 doi: 10.1016/j.jad.2015.03.037 25879721
39. Terluin B. (1996). De vierdimensionale klachtenlijst (4DKL). Een vragenlijst voor het meten van distress, depressie, angst en somatisatie [The Four-Dimensional Symptom Questionnaire (4DSQ). A questionnaire to measure distress, depression, anxiety, and somatization] Huisarts Wet, 39, 538–547.
40. Kirschbaum C., Pirke K-M., & Hellhammer D.H. (1993). The “Trier Social Stress Test”–A Tool for Investigating Psychobiological Stress Responses in a Laboratory Setting. Neuropsychobiology. 1993;28(1–2):76–81. doi: 10.1159/000119004 8255414
41. Sjak-Shie E. (2017). PhysioData Toolbox. Version 0.2.Leiden University, Faculty of Social and Behavioural Sciences, The Netherlands.
42. Camm A. J., Malik M., Bigger J. T., Breithardt G., Cerutti S., Cohen R. J. et al. (1996). Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation, 93(5), 1043–1065 8598068
43. Roth R. M., Isquith P. K., & Gioia G. A. (2005). BRIEF-A: Behavior rating inventory of executive function—adult version: Professional manual. Psychological Assessment Resources.
44. De Sonneville L. M. J. (1999). Amsterdam Neuropsychological Tasks: A computer-aided assessment. Cognitive ergonomics, clinical assessment and computer-assisted learning, 6, 187.
45. De Sonneville L. M. J. (2014). Handbook Amsterdam Neuropsychological Tasks. Boom Testuitgevers, Amsterdam, The Netherlands.
46. Rowbotham I., Pit-ten Cate I. M., Sonuga-Barke E. J. S., & Huijbregts S. C. J. (2009). Cognitive control in adolescents with neurofibromatosis type 1. Neuropsychology, 23(1), 50. doi: 10.1037/a0013927 19210032
47. De Sonneville L. M. J., Boringa J. B., Reuling I. E. W., Lazeron R. H. C., Ader H. J., & Polman C. H. (2002). Information processing characteristics in subtypes of multiple sclerosis. Neuropsychologia, 40(11), 1751–1765. doi: 10.1016/s0028-3932(02)00041-6 12062887
48. Konrad, Günther, Hanisch, & Herpertz-Dahlmann. (2004). Differential Effects of Methylphenidate on Attentional Functions in Children With Attention-Deficit/Hyperactivity Disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 43(2), 191–198.
49. Lehrer P. M., & Woolfolk R. L. (1982). Self-report assessment of anxiety: Somatic, cognitive and behavioural modalities. Behavioural Assessment, 4(2), 167–177.
50. Scholing A., & Emmelkamp P. M. G. (1992). Self report of anxiety: a cross validation of the Lehrer Woolfolk Anxiety symptom Questionnaire in three populations. Behav. Res. Ther. 30, 521–531. doi: 10.1016/0005-7967(92)90036-g 1520238
51. IBM Corp. Released 2015. IBM SPSS Statistics for Windows, Version 23.0. Armonk, NY: IBM Corp.
52. Borenstein M. (2009) Effect sizes for continuous data. In Cooper H., Hedges L. V., & Valentine J. C. (Eds.), The handbook of research synthesis and meta-analysis (2nd ed., pp. 221–235). Sage Foundation: New York, NY.
53. Friedman B. H., & Thayer J. F. (1998). Anxiety and autonomic flexibility: a cardiovascular approach. Biological psychology, 47(3), 243–263. doi: 10.1016/s0301-0511(97)00027-6 9564452
54. Thayer J. F., Åhs F., Fredrikson M., Sollers J. J., & Wager T. D. (2012). A meta-analysis of heart rate variability and neuroimaging studies: Implications for heart rate variability as a marker of stress and health. Neuroscience & Biobehavioral Reviews, 36(2), 747–756. doi:https://doi.org/10.1016/j.neubiorev.2011.11.009
55. Segerstrom S. C., & Nes L. S. (2007). Heart Rate Variability Reflects Self-Regulatory Strength, Effort, and Fatigue. Psychological Science, 18(3), 275–281. https://doi.org/10.1111/j.1467-9280.2007.01888 17444926
56. Williams D.P., Cash C., Rankin C., Bernardi A., Koenig J., & Thayer J.F. (2015). Resting heart rate variability predicts self-reported difficulties in emotion regulation: a focus on different facets of emotion regulation. Front. Psychol. 6:261. doi: 10.3389/fpsyg.2015.00261 25806017
57. Williams D., Feeling N., Hill L., Spangler D., Koenig J., & Thayer J. (2017). Resting Heart Rate Variability, Facets of Rumination and Trait Anxiety: Implications for the Perseverative Cognition Hypothesis. Frontiers In Human Neuroscience, 11, Frontiers In Human Neuroscience, 2017 Oct 31, Vol.11
58. Fisher A., & Newman M. (2013). Heart rate and autonomic response to stress after experimental induction of worry versus relaxation in healthy, high-worry, and generalized anxiety disorder individuals. Biological Psychology, 93(1), 65–74. doi: 10.1016/j.biopsycho.2013.01.012 23384513
59. Asay T.P., & Lambert M.J. (1999). The empirical case for the common factors in therapy: Quantitative findings. In Hubble M. A., Duncan B. L., & Miller S. D. (Eds.), The heart and soul of change: What works in therapy (pp. 23–55). Washington, DC: American Psychological Association.
60. Taylor SE. & Brown JD (1988). Positive illusions and well-being revisited: separating fact from fiction. Psychological Bulletin 1994, Vol. 116, No.1. 21–27.
61. Suveg C., Morelen D., Brewer G. A., & Thomassin K. (2010). The emotion dysregulation model of anxiety: A preliminary path analytic examination. Journal of Anxiety Disorders, 24(8), 924–930. doi: 10.1016/j.janxdis.2010.06.018 20634040
62. Bolwerk A., Mack-Andrick J., Lang F. R., Dörfler A., & Maihöfner C. (2014). How art changes your brain: Differential effects of visual art production and cognitive art evaluation on functional brain connectivity. PloS one, 9(7), e101035. https://doi.org/10.1371/journal.pone.0101035 24983951
63. Van Hooren, S. (2018). Vaktherapie. Doen wat werkt. Rede. Open Universiteit [Art therapy. Do what works. Inaugural speech. Open University, The Netherlands].
64. Driggers R., Ho C., Korhonen E., Kuivanen S., Jääskeläinen A., Smura T. et al. (2016). Zika Virus Infection with Prolonged Maternal Viremia and Fetal Brain Abnormalities. The New England Journal of Medicine, 374(22), 2142–2151. doi: 10.1056/NEJMoa1601824 27028667
Článok vyšiel v časopise
PLOS One
2019 Číslo 12
- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
- Nejasný stín na plicích – kazuistika
- Masturbační chování žen v ČR − dotazníková studie
- Úspěšná resuscitativní thorakotomie v přednemocniční neodkladné péči
- Fixní kombinace paracetamol/kodein nabízí synergické analgetické účinky
Najčítanejšie v tomto čísle
- Methylsulfonylmethane increases osteogenesis and regulates the mineralization of the matrix by transglutaminase 2 in SHED cells
- Oregano powder reduces Streptococcus and increases SCFA concentration in a mixed bacterial culture assay
- The characteristic of patulous eustachian tube patients diagnosed by the JOS diagnostic criteria
- Parametric CAD modeling for open source scientific hardware: Comparing OpenSCAD and FreeCAD Python scripts