Arts for the Blues : the development of a new evidence-based creative group psychotherapy for depression

Introduction: Depression affects many adults in the UK, often resulting in referral to primary care mental health services (e.g. Improving Access to Psychological Therapies, IAPT). CBT is the main modality for depression within IAPT, with other approaches offered in a limited capacity. Arts psychotherapies are rarely provided despite their attractiveness to clients. However, the recent drop-out rate of 64% within IAPT suggests that clients’ needs are not being fully met. Therefore, in order to expand clients’ choice we developed a new creative psychological therapy integrating evidence-based approaches with arts psychotherapies. Method: A three-level approach was used: a) thematic synthesis of client-identified helpful factors in evidence-based approaches for depression and in arts psychotherapies; b) studio practice exploring Cochrane Review findings on arts psychotherapies for depression; c) pilot workshops for clients with depression and therapists. Findings and Discussion: Eight key ingredients for positive therapy outcomes were identified: encouraging active engagement, learning skills, developing relationships, expressing emotions, processing at a deeper level, gaining understanding, experimenting with different ways of being, and integrating useful material. These ingredients were brought together as Arts for the Blues for clients with depression: a 12-session evidencebased pluralistic group psychotherapy integrating creative methods as well as talking therapy. Conclusion: The evidence-based foundation, creative content, and pluralistic nature of this new approach aligned with eight client-identified key ingredients for positive therapy outcomes, make it a promising therapy option that can be adapted to individual therapy. Implications include consideration for NICE approval as an additional therapy for depression

Dancing with health : quality of life and physical improvements from an EU collaborative dance programme with women following breast cancer treatment

Background Women’s health has received renewed attention in the last few years including the rehabilitation of women whose health has been affected by breast cancer. Dancing has often been regarded as attractive for women but research with women recovering from breast cancer is still in its infancy. Methods Dancing with Health is multi-site evaluation study that aimed to evaluate a dance programme for women in recovery from breast cancer across five European countries. A standardised 32-hour dance protocol introduced a range of Latin American dances within a sports and exercise framework with influences from dance movement therapy. Fifty-four women (N=54) mean age 53.51 SD 7.99 participated in the study who have had breast cancer diagnosis 6 weeks and no indication of metastasis or scheduled surgery/chemotherapy/radiation treatment for the duration of the intervention. Primary outcome data was collected for anthropometric and fitness measures next to cancer-related quality of life. All evaluation measures were taken pre and post intervention. Results Statistically significant changes were found for: (i) weight (Mdn 69.84 ± 15.32 vs 65.50 ± 15.45 kg), forearm circumference (right Mdn 26.00 ± 2.05 vs 25.75 ± 3.00; left Mdn 26.00 ± 3.00 vs 26.00 ± 3.50 cm) and hip (M 104.94 ± 8.66 vs 103.77 ± 8.25 cm); (ii) 6-minute walking (M 521.36 ± 71.28 vs 557.60 ± 87.62 mt), handgrip (right M 22.78 ± 5.74 vs 24.70 ± 5.79; left M 20.76 ± 5.34 vs 22.64 ± 5.67 kg), sit-to-stand (Mdn 13.50 ± 3.50 vs 15.00 ± 5.25 no.) and sit-and-reach (Mdn 1.00 ± 10.00 vs 3.00 ± 11.50 cm); (iii) the EORTC-QLQ C30 summary score as well as the subscales of emotional and social functioning and symptoms. In all cases the direction of change was positive, while Cohen’s d calculated showed that the effect of the intervention for these parameters ranged from intermediate to large. Conclusion Changes on the above anthropometric, fitness and quality of life measures suggest that the intervention was of value to the participating women recovering from breast cancer. Results also advocate collaborative efforts across countries to further research