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Creative Arts Therapy Reduces Psychological Distress in Nonpatient-Facing Healthcare Workers - 18/03/25

Doi : 10.1016/j.amjmed.2024.12.002 
Rafaela Avallone Mantelli, MD a, , Jeri Forster, PhD b, Katherine Reed, MA, LPC c, Anthony Edelblute, MA, LPC, MT-BC c, Michael Henry, MFA d, Hillary Sinn, MA, LPC, R-DMT e, Marc Moss, MD a
a Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado School of Medicine, Aurora 
b Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora 
c Ponzio Creative Arts Therapy Program, Children's Hospital Colorado, Aurora 
d Lighthouse Writers Workshop, Denver, Colo 
e Soma Studio Colorado, Denver 

Requests for reprints should be addressed to: Rafaela Avallone Mantelli, MD, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado School of Medicine, 12700 E 19th Ave, Room 9430A mail stop C272, Aurora CO 80045.Division of Pulmonary Sciences and Critical Care MedicineUniversity of Colorado School of Medicine12700 E 19th Ave, Room 9430A mail stop C272AuroraCO80045

Abstract

Background

Our aim was to assess the feasibility, acceptability, and efficacy of a 12-week in-person Creative Arts Therapy intervention in reducing psychological distress and burnout symptoms in nonpatient-facing healthcare workers. Burnout and psychological distress among nonpatient-facing healthcare workers are significant and understudied problems in healthcare systems.

Methods

Nonpatient-facing healthcare workers with burnout symptoms were randomly assigned to one of 4 Creative Arts Therapy modalities (art, music, creative writing, or dance/movement) or a control group. The intervention consisted of 12 weekly 90-minute sessions. All participants completed baseline and follow-up assessments postintervention and at 4-, 8-, and 12-months. Primary outcomes were feasibility (session attendance) and acceptability (Client Satisfaction Questionnaire, CSQ-8). Secondary outcomes included changes in psychological distress; symptoms of burnout, anxiety, and depression; and turnover intention.

Results

Of 168 active participants, 164 (98%) completed postintervention surveys, with 90% follow-up at 12 months. Participants attended a mean of 10.7 sessions (SD = 3.2). The median CSQ-8 score for the program was 31 (17-32). Intervention group participants demonstrated significant improvements in symptoms of anxiety (−40.6%), depression (−29.0%), emotional exhaustion (−15.0%), and depersonalization (−14.3%), and reduced turnover intention (−6.1%) compared to the control group. At 12-months, improvements in depressive and anxiety symptoms persisted.

Conclusions

The Creative Arts Therapy intervention was feasible, acceptable, and effective in reducing psychological distress and burnout symptoms among nonpatient-facing healthcare workers.

Le texte complet de cet article est disponible en PDF.

Keywords : Anxiety, Burnout, Depression, Healthcare workers, Psychological distress, Resilience


Plan


 This study was approved by the Colorado Institutional Review Board (COMIRB) under number 18-2759.
 Funding: National Endowment for the Arts Research Labs, grant number: 1914107-38-23.
 Conflict of Interest: None.
 Authorship: All authors contributed to the design of this work, revision for content, and final approval of manuscript submitted for publication and have agreed to be accountable for all aspects of the work regarding accuracy and integrity. RAM: Writing – review & editing, Writing – original draft, Supervision, Resources, Project administration, Methodology, Data curation, JF: Writing – review & editing, Validation, Methodology, Formal analysis, Data curation, KR: Writing – review & editing, Supervision, Project administration, Methodology, Investigation, Funding acquisition, Conceptualization, AE: Writing – review & editing, Project administration, Methodology, Conceptualization, MH: Writing – review & editing, Supervision, Project administration, Methodology, Investigation, Funding acquisition, Conceptualization, HS: Writing – review & editing, Project administration, Methodology, Conceptualization, MM: Writing – review & editing, Visualization, Validation, Supervision, Methodology, Investigation, Funding acquisition, Conceptualization.


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Vol 138 - N° 4

P. 660 - avril 2025 Retour au numéro
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