DOI: 10.1192/j.eurpsy.2026.11702 ISSN: 0924-9338

The Effects of Group Arts Therapy based on Emotion Management Training on the Emotional expression, Alexithymia, Depression and Quality of Life in Patients with Schizophrenia

S.-Y. Lee, H. Lee

Introduction

Poor emotional expression and depression of patients with schizophrenia are difficult problems in clinical situation. The objective of this study was to investigate the effects of group arts therapy based on emotion management training on emotional expression, positive emotion and negative emotion, alexithymia, depression and quality of life in patients with schizophrenia

Objectives

The objective of this study was to investigate the effects of group arts therapy based on emotion management training on emotional expression, positive and negative emotion, alexithymia, depression and quality of life patients with schizophrenia.

Methods

24 patients of 160 in-patients with schizophrenia from H Mental Health Care Facilities in G city were randomly assigned to either an experimental or control group. Each group were consist of 12 patients. Group arts therapy was conducted on the experimental group twice a week, 60 minutes per session, for a total of 16 sessions. The following scales were used for assessment: Berkeley Expressivity Questionnaire (BEQ), Positive Affect and Negative Affect Schedule (PANAS), Toronto Alexithymia Scale (TAS-20K), Depression Scale for Schizophrenia (K-CDSS), and Schizophrenia Quality of Life Scale (SQLS). Repeated measures ANOVA was conducted to confirm the differences for scores of each scales regarding groups, measuring timing, and also the interaction between groups and measuring timing.

Results

Group arts therapy increased emotional expression (total score, expressivity and impulse strength subscale socre of BEQ) in experimental group compared to control group.(p<.001)

Group arts therapy increased positive emotion(p<.001) as well as decreased negative emotion(p<.05) in experimental group compared to the control group.

Group arts therapy increased score of difficulty identifying feelings of TAS-20(p<.01) in experimental group compared to the control group.

Group arts therapy decreased depression(p<.01) in experimental group compared to the control group.

Group arts therapy increased quality of life(p<.01) in experimental group compared to the control group.

Conclusions

The group arts therapy have significantly improved the emotional expression and positive emotion, and decreased negative emotion, Alexithymia and depression in patients with schizophrenia and also improved quality of life. These results suggest that group arts therapy based on emotion management training could be a useful intervention for emotional disturbance in patients with schizophrenia.

Disclosure of Interest

None Declared

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