Effectiveness of Drama-Based Intervention in Improving Mental Health and Well-Being: A Systematic Review and Meta-Analysis during the COVID-19 Pandemic and Post-Pandemic Period
Abstract
:1. Introduction
2. Materials and Methods
2.1. Search Strategy
2.2. Inclusion Criteria
2.3. Exclusion Criteria
2.4. Study Selection
2.5. Data extraction
2.6. Data Analysis
3. Results
3.1. Study Identification and Selection
3.2. Characteristics of the Included Studies
3.2.1. Sample Characteristics
3.2.2. Intervention Characteristics
3.2.3. Outcome Measures
3.3. Risk of Bias Analysis
3.4. Meta-Analysis
3.4.1. Effect on Quality of Life
3.4.2. Effect on Psychological Well-Being
3.4.3. Effect on Depression
3.4.4. Effect on Anxiety
3.4.5. Effect on Trauma-Related Disorders
3.4.6. Effect on Communication Skills
3.4.7. Effect on Cognitive Functioning
3.4.8. Effect on Self-Regard
3.4.9. Overall Effect with Controlled Groups
3.4.10. Overall Effect with Pre/Posttest Groups
3.5. Evaluation of Publication Bias
4. Discussion
5. Strengths and Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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#1 | “mental health”[MeSH] OR “psychological wellbeing”[MeSH] |
#2 | (((((((Mental Health [Title/Abstract]) OR Health, Mental [Title/Abstract]) OR Mental Hygiene [Title/Abstract]) OR Hygiene, Mental [Title/Abstract]) OR psychological wellbeing [Title/Abstract]) OR psychological wellness [Title/Abstract]) OR psychological ill being [Title/Abstract]) OR ill being psychological [Title/Abstract] |
#3 | #1 OR #2 |
#4 | “drama”[MeSH] OR “psychodrama”[MeSH] OR “role playing”[MeSH] |
#5 | (((((((drama [Title/Abstract]) OR dramas [Title/Abstract]) OR drama therapy [Title/Abstract]) OR therapy, drama [Title/Abstract]) OR dramatherapy [Title/Abstract]) OR playing, role [Title/Abstract]) OR playings, role [Title/Abstract]) OR role playings [Title/Abstract] |
#6 | #4 OR #5 |
#7 | “from 2019–2022” |
#8 | #3 AND #6 AND #7 |
First Author (Year) | Country | Population | Design | Age (Mean + SD) | Total/Male/Female | Intervention | Outcome Measure |
---|---|---|---|---|---|---|---|
Abeditehrani (2020) [50] | The Netherlands | Adult female patients with SAD | Pre/post treatment | T: 36.6 (17.8) C: NA | T: 5/0/5 C: NA | Psychodrama Period: 12 weeks Freq: once a week Duration: 2.5 h | Quality of life: QLS; Depression: BDI; Anxiety: LSAS |
Albal (2021) [51] | Turkey | Psychiatric nurses | Randomised controlled trial | T: 35.54 (9.03) C: 39.62 (5.12) | T: 13/1/12 C: 13/0/13 | Psychodrama Period: 8 weeks Freq: once a week Duration: 2 h | Communication skills: CSI |
Cheung (2022) [52] | USA | People with SMI | Pre/post treatment | T: 51.5 (9.4) C: NA | T: 8/4/4 C: NA | Drama therapy Period: 12 weeks Freq: once a week for 10 weeks Duration: 1.5 h | Psychological well-being: BPRS; Quality of Life: QLESS; Depression: PSS |
Fallahi (2022) [53] | Iran | Inadequate guardian male adolescents | Controlled trial with pre/posttest | T: NA C: NA | T: 15/15/0 C: 15/15/0 | Psychodrama Period: 6 weeks Freq: NA Duration: 2 h | Cognitive functioning: EMI |
Feniger-Schaal (2021) [54] | Israel | Mothers of children-at-risk | Pre/post treatment | T: 37 (5.9) C: NA | T: 40/0/40 C: NA | Drama therapy Period: 10 weeks Freq: NA Duration: 1.5 h | Cognitive functioning: CBCL |
Giacomucci (2020) [55] | USA | People with PTSD | Pre/post treatment | T: 41.34 (12.53) C: NA | T: 86/40/44/ 2 transgenders C: NA | Psychodrama Period: 64 weeks Freq: twice a week Duration: 2.25 h | Trauma-related disorders: PCL |
Giacomucci (2022) [56] | USA | People with depression and PTSD | Pre/post treatment | T:40.60 (11.79) C: NA | T: 20/6/14 C: NA | Psychodrama Period: 72 weeks Freq: twice a week Duration: 2.25 h | Trauma-related disorders: PCL |
Jang (2022) [57] | South Korea | Mothers of children with ND | Non-randomised controlled experiment | T: 42.62 (6.29) C: 42.67 (7.34) | T: 16/0/16 C: 18/0/16 | Sociodrama Period: 6 weeks Freq: once a week Duration: 2.5 h | Commination skills: PACS |
Keisari (2022) [58] | Israel | Community-dwelling older adults | Randomised controlled trial | T: 78.65 (6.91) C: 80.60 (6.81) | T: 40/9/31 C: 38/6/32 | Playback theatre Period: 12-week Freq: once a week Duration: 1.5 h | Quality of life: SLS; Depression: GDS; Self-regard: SEC |
Kejani (2020) [59] | Iran | ADHD primary school children | Quasi-experiment with pre/posttest | T: NA C: NA | T: 21/10/11 C: 24/12/12 | Drama therapy Period: 6 weeks Freq: twice a week Duration: 1.5 h | Cognitive functioning: WISC |
Lin (2022) [60] | Taiwan | Patients with dementia | Randomized controlled trial with pre/posttest | T: 82.62 (7.92) C: 82.58 (7.74) | T: 23/4/19 C: 19/5/14 | Drama therapy Period: 8 weeks Freq: once a week Duration: 1.5 h | Quality of life: ADLS; Psychological well-being: MMSE; Depression: CSDD |
Manna (2021) [61] | India | Children with ASD | Pre/post treatment | T: NA C: NA | T: 16/11/5 C: NA | Drama therapy Period: NA Freq: NA Duration: NA | Cognitive functioning: CSCR |
Mojahed (2021) [62] | Iran | Children with ADHD | Randomised controlled trial with pre/posttest | T: 9.92 (1.381) C: 9.79 (1.285) | T: 24/24/0 C: 24/24/0 | Psychodrama Period: 10 weeks Freq: once a week Duration: 2 h | Cognitive functioning: CBCL; Anxiety: SCAS |
Miguel (2021) [63] | Spain | Women victims of intimate partner violence | Pre/post treatment | T: 49 (NA) C: NA | T: 17/0/17 C: NA | Drama therapy, theatre of the oppressed, and psychodrama Period: 20 sessions Freq: NA Duration: 2 h | Trauma-related disorders: SPSS; Quality of life: QLS; Depression: BDI; Self-regard: SES |
Nemati (2022) [64] | Iran | Adolescents with hearing loss | Quasi-experiment with pre/posttest | T: 13.9(1.46) C: 14.3 (0.86) | T:12/ NA/ NA C: 12/ NA/ NA | Psychodrama Period: 5 weeks Freq: twice a week Duration: 1.5 h | Communication skills: QCST |
Purrezaian (2020) [65] | Iran | Hospitalised children with cancer | Pre/post treatment | T: 11(1.58) C: NA | T: 5/2/3 C: NA | Psycho-art-drama Period: 8 sessions Freq: NA Duration: 40–60 min | Communication skills: BPSEIH |
Ray (2021) [66] | Israel | Traumatised adults | Pre/post treatment | T: NA C: NA | T: 10/1/9 C: NA | Autobiographical therapeutic performance Period: 10 month Freq: NA Duration: NA | Cognitive functioning: BRIEF-A |
Sevi (2020) [67] | Turkey | Patients with chronic schizophrenia | Pre/post treatment | T: 55.52 (7.45) C: NA | T: 31/19/12 C: NA | Psychodrama Period: 19 session Freq: once a week Duration: 1.5−2 h | Depression: CDS; Quality of life: QLS |
Simsek (2021) [68] | Turkey | Mothers of children with cerebral palsy | Controlled trial | T: 30.8 (7.0) C: 33.1 (7.4) | T: 8/0/8 C: 14/0/14 | Psychodrama Period: 8 weeks Freq: once a week Duration: 2 h | Quality of life: QLS |
Swami (2022) [69] | UK | Children between 5 and 9 years | Pre/post treatment | T: 7.08 (1.53) C: NA | T: 99/45/54 C: NA | Theatrical performance Period: 8 weeks Freq: NA Duration: NA | Self-regard: BAS |
Testoni (2020) [70] | Italy | Prisoner with substance dependence | Pre/post treatment | T: 34 (8.71) C: NA | T: 7/7/0 C: NA | Psychodrama Period: 24 weeks Freq: once a week Duration: 1.5 to 2 h | Cognitive functioning: SAI-R; Self-regard: GSE; |
Testoni (2021) [71] | Italy | Traumatic high school students | Controlled trial with pre/posttest | T: 15.98 (1.12) C: 16.14 (1.00) | T: 45/18/27 C: 37/4/33 | Psychodrama Period: 5 weeks Freq: NA Duration: 2 h | Psychological well-being: PWS; |
Tümlü (2021) [72] | Turkey | Research assistants | Quasi-experiment with pre/posttest | T: 30.9 (3.3) C: 31.6 (2.9) | T: 7/NA/NA C: 7/NA/NA | Psychodrama Period: 10 weeks Freq: once a week Duration: 3 h | Self-regard: SCS |
Vlotinou (2022) [73] | Greece | Patients with epilepsy | Pre/post treatment | T: 32.27 (13.55) C: NA | T:15/6/9 C: NA | Occupational therapy program with drama activities Period: 12 weeks Freq: once a week Duration: 2 h | Quality of life: QLS |
Yu (2022) [74] | China | Patients with childhood trauma-associated MDD | Randomised controlled trial | T: 25.97 (7.189) C: 28.12 (6.214) | T: 29/7/22 C: 17/2/15 | Psychodrama Period: 24 weeks Freq: once eight weeks Duration: 4 days | Depression: BDI; Anxiety: BAI |
Effects | Heterogeneity | |||||
---|---|---|---|---|---|---|
Outcome | Study Design | SAMPLE SIZE | SMD (IV, Random, 95%CI) | p | I2 (%) | p |
Quality of life | Controlled group (n = 4) | 139 | 2.08 [−0.33, 4.49] | 0.09 | 96 | <0.00001 |
Pre/posttest group (n = 5) | 74 | 0.86 [0.06, 1.67] | 0.04 | 79 | 0.0002 | |
Total (n = 9) | 213 | 1.26 [0.33, 2.20] | 0.008 | 91 | <0.00001 | |
Psychological well-being | Controlled group (n = 4) | 202 | 1.69 [−0.45, 3.83] | 0.12 | 97 | <0.00001 |
Pre/posttest group (n = 1) | 6 | 0.46 [−0.69, 1.62] | 0.43 | - | - | |
Total (n = 5) | 208 | 1.40 [−0.32, 3.12] | 0.11 | 96 | <0.00001 | |
Depression | Controlled group (n = 3) | 166 | 1.17 [−0.35, 2.70] | 0.13 | 95 | <0.00001 |
Pre/posttest group (n = 4) | 59 | 0.42 [0.05, 0.78] | 0.03 | 0 | 0.82 | |
Total (n = 7) | 225 | 0.70 [−0.03, 1.42] | 0.03 | 85 | <0.00001 | |
Anxiety | Controlled group (n = 2) | 94 | 0.88 [−0.82, 2.58] | 0.31 | 93 | 0.0002 |
Pre/posttest group (n = 1) | 5 | 1.74 [0.16, 3.32] | 0.03 | - | - | |
Total (n = 3) | 99 | 1.10 [−0.24, 2.45] | 0.11 | 87 | 0.0004 | |
Trauma-related disorders | Controlled group (n = 1) | 46 | 0.14 [−0.46, 0.74] | 0.65 | - | - |
Pre/posttest group (n = 3) | 123 | 0.90 [0.52, 1.28] | <0.00001 | 36 | 0.21 | |
Total (n = 4) | 169 | 0.70 [0.23, 1.17] | 0.003 | 66 | 0.03 | |
Communication skills | Controlled group (n = 3) | 86 | 1.11 [−0.68, 2.90] | 0.22 | 92 | <0.00001 |
Pre/posttest group (n = 1) | 5 | 4.98 [1.91, 8.04] | 0.001 | - | - | |
Total (n = 4) | 91 | 1.76 [−0.06, 3.57] | 0.06 | 91 | <0.00001 | |
Cognitive functioning | Controlled group (n = 3) | 123 | 1.58 [0.62, 2.54] | 0.001 | 81 | <0.00001 |
Pre/posttest group (n = 4) | 66 | 3.47 [−1.02, 7.97] | 0.13 | 98 | 0.006 | |
Total (n = 7) | 189 | 2.50 [0.77, 4.23] | 0.005 | 96 | <0.00001 | |
Self-regard | Controlled group (n = 2) | 92 | 2.83 [−0.90, 6.56] | 0.14 | 96 | <0.00001 |
Pre/posttest group (n = 3) | 123 | 0.39 [0.14, 0.65] | 0.002 | 0 | 0.83 | |
Total (n = 5) | 215 | 1.40 [−0.06, 2.86] | 0.06 | 95 | <0.00001 |
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Jiang, L.; Alizadeh, F.; Cui, W. Effectiveness of Drama-Based Intervention in Improving Mental Health and Well-Being: A Systematic Review and Meta-Analysis during the COVID-19 Pandemic and Post-Pandemic Period. Healthcare 2023, 11, 839. https://doi.org/10.3390/healthcare11060839
Jiang L, Alizadeh F, Cui W. Effectiveness of Drama-Based Intervention in Improving Mental Health and Well-Being: A Systematic Review and Meta-Analysis during the COVID-19 Pandemic and Post-Pandemic Period. Healthcare. 2023; 11(6):839. https://doi.org/10.3390/healthcare11060839
Chicago/Turabian StyleJiang, Lulu, Farideh Alizadeh, and Wenjing Cui. 2023. "Effectiveness of Drama-Based Intervention in Improving Mental Health and Well-Being: A Systematic Review and Meta-Analysis during the COVID-19 Pandemic and Post-Pandemic Period" Healthcare 11, no. 6: 839. https://doi.org/10.3390/healthcare11060839