Manual-based Art Therapy for Adolescents With Depression

Study Overview
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Brief Summary
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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

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

Conditions
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Depression, Depressive Disorder

Intervention / Treatment
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* Behavioral: Manual-based Art Therapy


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>This is a quasi-experimental study | Behavioral: Manual-based Art Therapy<br>* 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.<br>|

What is the study measuring?
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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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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art therapy, program development, Adolescent Health