Art therapy as a comprehensive complementary treatment for Parkinson’s disease

IntroductionParkinson’s disease (PD) is the second most prevalent neurodegenerative disease. Complementary and alternative therapies are increasingly utilized to address its complex multisystem symptomatology. Art therapy involves motoric action and visuospatial processing while promoting broad biop...

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Main Authors: Tom Ettinger, Marygrace Berberian, Ikuko Acosta, Alberto Cucca, Andrew Feigin, Danilo Genovese, Travis Pollen, Julianne Rieders, Rohita Kilachand, Clara Gomez, Girija Kaimal, Milton Biagioni, Alessandro Di Rocco, Felice M. Ghilardi, John-Ross Rizzo
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Human Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnhum.2023.1110531/full
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author Tom Ettinger
Marygrace Berberian
Ikuko Acosta
Alberto Cucca
Alberto Cucca
Andrew Feigin
Danilo Genovese
Travis Pollen
Julianne Rieders
Rohita Kilachand
Clara Gomez
Girija Kaimal
Milton Biagioni
Alessandro Di Rocco
Felice M. Ghilardi
John-Ross Rizzo
author_facet Tom Ettinger
Marygrace Berberian
Ikuko Acosta
Alberto Cucca
Alberto Cucca
Andrew Feigin
Danilo Genovese
Travis Pollen
Julianne Rieders
Rohita Kilachand
Clara Gomez
Girija Kaimal
Milton Biagioni
Alessandro Di Rocco
Felice M. Ghilardi
John-Ross Rizzo
author_sort Tom Ettinger
collection DOAJ
description IntroductionParkinson’s disease (PD) is the second most prevalent neurodegenerative disease. Complementary and alternative therapies are increasingly utilized to address its complex multisystem symptomatology. Art therapy involves motoric action and visuospatial processing while promoting broad biopsychosocial wellness. The process involves hedonic absorption, which provides an escape from otherwise persistent and cumulative PD symptoms, refreshing internal resources. It involves the expression in nonverbal form of multilayered psychological and somatic phenomena; once these are externalized in a symbolic arts medium, they can be explored, understood, integrated, and reorganized through verbal dialogue, effecting relief and positive change.Methods42 participants with mild to moderate PD were treated with 20 sessions of group art therapy. They were assessed before and after therapy with a novel arts-based instrument developed to match the treatment modality for maximum sensitivity. The House-Tree-Person PD Scale (HTP-PDS) assesses motoric and visuospatial processing–core PD symptoms–as well as cognition (thought and logic), affect/mood, motivation, self (including body-image, self-image, and self- efficacy), interpersonal functioning, creativity, and overall level of functioning. It was hypothesized that art therapy will ameliorate core PD symptoms and that this will correlate with improvements in all other variables.ResultsHTP-PDS scores across all symptoms and variables improved significantly, though causality among variables was indeterminate.DiscussionArt therapy is a clinically efficacious complementary treatment for PD. Further research is warranted to disentangle causal pathways among the aforementioned variables, and additionally, to isolate and examine the multiple, discrete healing mechanisms believed to operate simultaneously in art therapy.
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spelling doaj.art-aaa65a3f580b4814ac6dfdf6644872092023-05-12T14:09:42ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612023-05-011710.3389/fnhum.2023.11105311110531Art therapy as a comprehensive complementary treatment for Parkinson’s diseaseTom Ettinger0Marygrace Berberian1Ikuko Acosta2Alberto Cucca3Alberto Cucca4Andrew Feigin5Danilo Genovese6Travis Pollen7Julianne Rieders8Rohita Kilachand9Clara Gomez10Girija Kaimal11Milton Biagioni12Alessandro Di Rocco13Felice M. Ghilardi14John-Ross Rizzo15Steinhardt Graduate Art Therapy Program, New York University, New York, NY, United StatesSteinhardt Graduate Art Therapy Program, New York University, New York, NY, United StatesSteinhardt Graduate Art Therapy Program, New York University, New York, NY, United StatesDepartment of Neurology, The Marlene and Paolo Fresco Institute for Parkinson’s and Movement Disorders, New York University Grossman School of Medicine, New York, NY, United StatesDoctoral Program in Neural and Cognitive Neurosciences, Department of Life Sciences, University of Trieste, Trieste, ItalyDepartment of Neurology, The Marlene and Paolo Fresco Institute for Parkinson’s and Movement Disorders, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Neurology, The Marlene and Paolo Fresco Institute for Parkinson’s and Movement Disorders, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Exercise Science, Thomas Jefferson University, Philadelphia, PA, United StatesDepartment of Neurology, The Marlene and Paolo Fresco Institute for Parkinson’s and Movement Disorders, New York University Grossman School of Medicine, New York, NY, United StatesSteinhardt Graduate Art Therapy Program, New York University, New York, NY, United StatesSteinhardt Graduate Art Therapy Program, New York University, New York, NY, United StatesCreative Arts Therapies, Drexel University, Philadelphia, PA, United StatesDepartment of Neurology, The Marlene and Paolo Fresco Institute for Parkinson’s and Movement Disorders, New York University Grossman School of Medicine, New York, NY, United StatesZucker School of Medicine at Hofstra Northwell, New York, NY, United StatesDepartment of Neurology, The Marlene and Paolo Fresco Institute for Parkinson’s and Movement Disorders, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Rehabilitation Medicine, New York University Grossman School of Medicine, New York, NY, United StatesIntroductionParkinson’s disease (PD) is the second most prevalent neurodegenerative disease. Complementary and alternative therapies are increasingly utilized to address its complex multisystem symptomatology. Art therapy involves motoric action and visuospatial processing while promoting broad biopsychosocial wellness. The process involves hedonic absorption, which provides an escape from otherwise persistent and cumulative PD symptoms, refreshing internal resources. It involves the expression in nonverbal form of multilayered psychological and somatic phenomena; once these are externalized in a symbolic arts medium, they can be explored, understood, integrated, and reorganized through verbal dialogue, effecting relief and positive change.Methods42 participants with mild to moderate PD were treated with 20 sessions of group art therapy. They were assessed before and after therapy with a novel arts-based instrument developed to match the treatment modality for maximum sensitivity. The House-Tree-Person PD Scale (HTP-PDS) assesses motoric and visuospatial processing–core PD symptoms–as well as cognition (thought and logic), affect/mood, motivation, self (including body-image, self-image, and self- efficacy), interpersonal functioning, creativity, and overall level of functioning. It was hypothesized that art therapy will ameliorate core PD symptoms and that this will correlate with improvements in all other variables.ResultsHTP-PDS scores across all symptoms and variables improved significantly, though causality among variables was indeterminate.DiscussionArt therapy is a clinically efficacious complementary treatment for PD. Further research is warranted to disentangle causal pathways among the aforementioned variables, and additionally, to isolate and examine the multiple, discrete healing mechanisms believed to operate simultaneously in art therapy.https://www.frontiersin.org/articles/10.3389/fnhum.2023.1110531/fullart therapyParkinson’s diseaseneurodegenerative disorderart makingart based assessment
spellingShingle Tom Ettinger
Marygrace Berberian
Ikuko Acosta
Alberto Cucca
Alberto Cucca
Andrew Feigin
Danilo Genovese
Travis Pollen
Julianne Rieders
Rohita Kilachand
Clara Gomez
Girija Kaimal
Milton Biagioni
Alessandro Di Rocco
Felice M. Ghilardi
John-Ross Rizzo
Art therapy as a comprehensive complementary treatment for Parkinson’s disease
Frontiers in Human Neuroscience
art therapy
Parkinson’s disease
neurodegenerative disorder
art making
art based assessment
title Art therapy as a comprehensive complementary treatment for Parkinson’s disease
title_full Art therapy as a comprehensive complementary treatment for Parkinson’s disease
title_fullStr Art therapy as a comprehensive complementary treatment for Parkinson’s disease
title_full_unstemmed Art therapy as a comprehensive complementary treatment for Parkinson’s disease
title_short Art therapy as a comprehensive complementary treatment for Parkinson’s disease
title_sort art therapy as a comprehensive complementary treatment for parkinson s disease
topic art therapy
Parkinson’s disease
neurodegenerative disorder
art making
art based assessment
url https://www.frontiersin.org/articles/10.3389/fnhum.2023.1110531/full
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