Evidence map›Paper›PMID 30759101›Full record

Trial reportPloS one2019

Creative arts in psychotherapy for traumatized children in South Africa: An evaluation study.

Nadine van Westrhenen, Elzette Fritz, Adri Vermeer, Paul Boelen, Rolf Kleber

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
81.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Nadine van WestrhenenDepartment of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.ORCID 0000-0003-1624-9671
Elzette FritzDepartment of Educational Psychology, University of Johannesburg, Johannesburg, South Africa.
Adri VermeerDepartment of Education and Pedagogics, Utrecht University, Utrecht, The Netherlands.
Paul BoelenDepartment of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.
Rolf KleberDepartment of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.
Utrecht University · NLUniversity of Johannesburg · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the feasibility and effect of a 10-session creative arts in psychotherapy group programme on posttraumatic stress symptoms, behavioural problems, and posttraumatic growth, in children who experienced a traumatic event.

designA multicentre non-randomized controlled trial with a treatment and a control condition conducted in South Africa (4 sites).

methods125 children aged 7 to 13 years were assigned either to the treatment condition receiving creative arts in psychotherapy or a control condition with a low-level supportive programme without treatment. Attrition rates were 63.4% and in total 47 children completed the programme and questionnaires assessing posttraumatic stress, posttraumatic growth and behaviour problems both at baseline and follow-up; 23 in the treatment group and 24 in the control group. Adjusted mean differences were analysed using ANCOVA with bootstrapping.

resultsResults showed that both hyperarousal symptoms (d = 0.61) and avoidance symptoms (d = 0.41) decreased more in the treatment group compared to the control group. There was no significant effect of the intervention found for reported levels of behavioural problems and posttraumatic growth.

conclusionIn spite of severe challenges implementing and executing this pioneering study in underprivileged areas of South Africa, support was found for creative arts in psychotherapy reducing hyperarousal and avoidance symptoms, but not for other symptoms. Valuable lessons were learned on feasibility of implementing this intervention in a developing context.

Indexed as

Child Abuse, SexualPosttraumatic Growth, PsychologicalUrban PopulationAdolescentArt TherapyChildFemaleFollow-Up StudiesHumansMaleMulticenter Studies as TopicNon-Randomized Controlled Trials as TopicSocioeconomic FactorsSouth AfricaStress Disorders, Post-Traumatic

Identifiers

PMID30759101
PMCPMC6374007
OpenAlexW2911707452

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.