Art activities and mental health

By R. Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

In a national survey of over 31 thousand college students, about 31% of college students report stress impacting their academics, followed by anxiety (25%), and depression (16%). (1).

Excessive stress can also lead to depression and anxiety (2).

A previous post looked at leisure activities and mental health.

Activities involving ART may also help with improving mental health which can then help with academics.

Are there examples of research on art activities and mental health?

  • Sandmire and colleagues showed that art making therapy can help with pre-test anxiety among undergraduate students, done upto 1 week before exams (3).
  • Abbing and colleagues showed that art making therapy can improve symptoms of anxiety among women diagnosed with generalized anxiety disorder, social anxiety disorder or panic disorder, with moderate to severe anxiety symptoms.  These were 10-12 sessions lasting 45-60 minutes (4).
  • In a study of 85 undergraduate students, free choice coloring, where they could color an image using any colors they wanted; showed an improvement in anxiety and mood (5).
  • In an experimental replication study, after inducing an anxious mood via a writing activity, participants were randomly assigned to three groups that colored either on a mandala design, on a plaid design, or on a blank paper (6). They found that coloring a mandala reduces anxiety to a significantly greater degree than coloring on a plaid design or coloring on a blank paper (6).

What are some caveats?

  • These are small studies in specific populations which does not tell us about all populations.
  • Further research in this area is needed.

Anything else that can help?

In addition to art, the following activities can also help with physical and emotional health:

  • Healthy lifestyle habits(healthy eating habits, healthy exercise, relaxation skills, healthy sleep habits, etc.) (7)
  • Avoiding harmful habits(smoking, drug use, excessive alcohol, etc) (7)
  • This balance might vary from person to person.
  • Healthy ways of thinking and managing emotions through counseling and medications when appropriate.

Different people might benefit from different types of art. What type of art is best for you?

Campus resources:

Any other useful resources on campus:

Learn more about play and mental health:

https://u.osu.edu/emotionalfitness/2017/09/22/mental-health-benefits-of-leisure-activities/

https://u.osu.edu/emotionalfitness/2016/09/28/study-play-and-leisures-impact-on-mood-stress-and-wellbeing/

By R. Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. American College Health Association. American College Health Association-National College Health Assessment II: Reference Group Executive Summary Fall 2017. Hanover, MD: American College Health Association; 2018.
  2. Khan S, Khan RA (2017) Chronic Stress Leads to Anxiety and Depression. Ann Psychiatry Ment Health 5(1): 1091.
  3. David Alan Sandmire, Sarah Roberts Gorham, Nancy Elizabeth Rankin & David Robert Grimm (2012) The Influence of Art Making on Anxiety: A Pilot Study, Art Therapy, 29:2, 68-73, DOI: 10.1080/07421656.2012.683748
  4. Abbing, A., Baars, E. W., de Sonneville, L., Ponstein, A. S., & Swaab, H. (2019). The Effectiveness of Art Therapy for Anxiety in Adult Women: A Randomized Controlled Trial. Frontiers in psychology10, 1203. doi:10.3389/fpsyg.2019.01203
  5. Judy Eaton & Christine Tieber (2017) The Effects of Coloring on Anxiety, Mood, and Perseverance, Art Therapy, 34:1, 42-46, DOI: 10.1080/07421656.2016.1277113
  6. Renée van der Vennet & Susan Serice (2012) Can Coloring Mandalas Reduce Anxiety? A Replication Study, Art Therapy, 29:2, 87-92, DOI: 10.1080/07421656.2012.680047
  7. Trainor, P. Delfabbro, S. Anderson, A. Winefield. Leisure activities and adolescent psychological well-being. Journal of Adolescence, 33 (1) (2010), pp. 173-186.

 

Meditation for attention, stress, and anxiety

By R. Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

Life transitions can be times of increased stress and anxiety; which can also impact your attention and focus.  One of those transitions includes moving to campus, preparing for the beginning of the fall semester, adjusting to new routines, campus life, etc.

While there are many strategies to help with the transition process, meditation may be the 1 thing to consider because it can be quick, easy, and has low potential for side effects; and has the potential to benefit everyone.  It is practiced by some of the most successful people in the world.

A review of 13 studies showed improvement in ADHD symptoms with mindfulness meditation (1).

41 trials show mindfulness meditation helped improve stress related outcomes such as anxiety, depression, stress, positive mood, etc. (2)

A review of 14 clinical trials shows meditation being more effective than relaxation techniques for anxiety (3).

What are come caveats?

  • While there are many types of mediation techniques, mindfulness-based meditation is the most studied.
  • Different people may benefit from different types of meditation, and this area is being further researched.
  • Practicing regularly may lead to improved benefits.

How to learn meditation?

  • Various apps, books, videos, classes, and guides may be a useful introduction to meditation.

What else might help improve attention, anxiety, and stress related to the beginning of the semester?

What are some helpful resources?

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. Poissant, H., Mendrek, A., Talbot, N., Khoury, B., & Nolan, J. (2019). Behavioral and Cognitive Impacts of Mindfulness-Based Interventions on Adults with Attention-Deficit Hyperactivity Disorder: A Systematic Review. Behavioural neurology2019, 5682050. doi:10.1155/2019/5682050
  2. Goyal M, Singh S, Sibinga EMS, et al. Meditation Programs for Psychological Stress and Well-Being [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2014 Jan. (Comparative Effectiveness Reviews, No. 124.)Available from: https://www.ncbi.nlm.nih.gov/books/NBK180102/
  3. Montero-Marin, J., Garcia-Campayo, J., Pérez-Yus, M., Zabaleta-del-Olmo, E., & Cuijpers, P. (n.d.). Meditation techniques v. relaxation therapies when treating anxiety: A meta-analytic review. Psychological Medicine,1-16. doi:10.1017/S0033291719001600

Time in Nature and Mental Health

By R. Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

A previous post examined a variety of leisure activities and mental health (1).

In this post, we look at time spent in nature and its impact on self reports of good health and well-being (2).

Who was studied? (2)

19,806 participants from the Monitor of Engagement with the Natural Environment Survey (2014/15–2015/16). (2)

What was studied? (2)

Researchers (2) looked at the relationship between time spent in nature in the last 7 days (in 60 min categories) and self-reported health (Good vs. poor) and subjective well-being (High vs. low) (2).

What were the results? (2)

  • The authors (2) found that Compared to no nature contact last week, the likelihood of reporting good health or high well-being became significantly greater with contact ≥120 mins (2).
  • Positive associations peaked between 200–300 mins per week with no further gain (2).
  • It did not matter how 120 mins of contact a week was achieved (e.g. one long vs. several shorter visits/week). (2)

What are some caveats?

  • This was a cross-sectional study design, which tells us about association, not cause and effect.
  • Benefits remained even when accounting for living in a low green space area (2).
  • Other research (3) indicates health benefits of walking in a forested area for ~16 minutes and viewing for ~14 minutes.

What are some examples of other healthy leisure activities (4)?

  • Spending quiet time alone
  • Visiting others
  • Eating with others
  • Doing fun things with others
  • Clubs/fellowship, and religious group participation
  • Vacationing
  • Communing with nature
  • Playing or watching sports
  • Hobbies

Also consider:

  • Working out or taking exercise classes
  • Meditating
  • Volunteering
  • Participating in an activities based student organization
  • Journaling
  • Drawing/coloring/painting

Anything else that can help?

In addition to leisure activities, the following activities can also help with physical and emotional health, wellness, stress:

sleep habits, etc.) (4)

  • Avoiding harmful habits(smoking, drug use, excessive alcohol, poor or inadequate nutrition, etc) (4)
  • This balance might vary from person to person.

Are there any campus resources on play?

Could spending time in nature benefit you?

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. http://u.osu.edu/emotionalfitness/2018/09/27/leisure-academics-and-mental-health/
  2. White MP, Alcock I, Grellier J, et al. Spending at least 120 minutes a week in nature is associated with good health and wellbeing. Sci Rep. 2019;9(1):7730. Published 2019 Jun 13. doi:10.1038/s41598-019-44097-3.
  3. Park, B. J., Tsunetsugu, Y., Kasetani, T., Kagawa, T. & Miyazaki, Y. The physiological effects of Shinrin-yoku (taking in the forest atmosphere or forest bathing): evidence from field experiments in 24 forests across Japan. Environ Health Prev 15, 18–26 (2010).
  4. Pressman, S. D, et. al. Association of Enjoyable Leisure Activities With Psychological and Physical Well-Being. Psychosomatic Medicine: September 2009 – Volume 71 – Issue 7 – pp 725-732 doi: 10.1097/PSY.0b013e3181ad7978Top of Form