Impact of Group Art Therapy Using Traditional Chinese Materials on Self-Efficacy and Social Function for Individuals Diagnosed With Schizophrenia
Open accessAbstract
The purpose of this study was to examine the effect of group art therapy using traditional Chinese materials on improving the self-efficacy and social function of individuals diagnosed with schizophrenia. In China, little research has been conducted on patients to measure the effectiveness of group art therapy, especially using traditional Chinese materials. To address this research gap, 104 individuals diagnosed with schizophrenia were tested in a group art therapy program that included 30 treatment sessions and used a wide variety of materials, including traditional Chinese materials, such as Chinese calligraphy, traditional Chinese painting, Chinese embroidery, and Chinese beads. The effect of art therapy was analyzed using the General Self-Efficacy Scale (GSES) and Scale of Social Skills for Psychiatric Inpatients (SSPI). This study demonstrates that group art therapy using traditional Chinese materials can improve self-efficacy and social function, reducing social and life function problems, and promote the recovery of individuals diagnosed with schizophrenia.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Art interventions improved social functioning in psychosis compared to treatment-as-usual.
“All studies found statistically significant improvements in social functioning in psychosis compared to TAU (Pérez‐Aguado et al. 2024; Sarandöl et al. 2024; Tong et al. 2021).”
From Social Functioning Interventions in Psychosis: A Systematic Review. (2025) · cites this paper as Tong et al. 2021
The Results (Analysis of Psychiatric Inpatients’ Social Skills; page not available) report significant improvements in social-function scores in the art-therapy group, but not in the control group. The Methods (Group Art Therapy Intervention; page not available) say controls also attended twice-weekly free-creation sessions with art materials, so this was not a treatment-as-usual-only comparison. (LLM, conf=0.88)
Experimental — accuracy not yet measuredAll three art intervention studies employed structured group-based art interventions, facilitated by trained art therapists, with sessions ranging from 60 to 90 min over 12-22 weeks.
“All three studies, employed structured group‐based art interventions, facilitated by trained art therapists, with sessions ranging from 60 to 90 min over 12–22 weeks (Pérez‐Aguado et al. 2024; Sarandöl et al. 2024; Tong et al. 2021).”
From Social Functioning Interventions in Psychosis: A Systematic Review. (2025) · cites this paper as Tong et al. 2021
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses
Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9476-1 · Cited by 3,445 · see citing works
Gilmer, T. P., Dolder, C. R., Lacro, J. P., Folsom, D. P., Lindamer, L., Garcia, P., & Jeste, D. V. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.4.692 · Cited by 603 · see citing works
Art therapy for people with dementia
Deshmukh, S. R., Holmes, J., & Cardno, A. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011073.pub2 · Cited by 154 · see citing works
Cottrell, D. J., Wright-Hughes, A., Collinson, M., Boston, P., Eisler, I., Fortune, S., Graham, E. H., Green, J., House, A. O., Kerfoot, M., et al. (2018) · The Lancet Psychiatry · doi:10.1016/s2215-0366(18)30058-0 · Cited by 109 · see citing works
Erratum to: The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses
Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2014) · Cognitive Therapy and Research · doi:10.1007/s10608-013-9595-3 · Cited by 13 · cited 1× · see citing works
“Cognitive behavioral psychotherapy mainly intervenes in patients’ coping strategies and behaviors as well as in their irrational beliefs related to symptoms (Stefan et al., 2014).”
Background
Flagged first, then by citations
Research works printed but not linked: 42
- lbert Y. Shih-Jen T. (2017). New targets for schizophrenia treatment beyond the dopamine hypothesis. Int. J. Mol. Ences 18: 1689. 10.3390/ijms18081689 28771182 PMC5578079 · DOI
- Bandura A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychol. Rev. 84 191– 215. 10.1037/0033-295X.84.2.191 847061 · DOI · Paper page
- Bhola P. Basavarajappa C. Guruprasad D. Hegde G. Khanam F. Thirthalli J. (2016). Development of a social skills assessment screening scale for psychiatric rehabilitation settings: a pilot study. Indian J. Psychol Med. 38 395– 403. 10.4103/0253-7176.191392 27833220 PMC5052950 · DOI
- Biondo J. Bryl K. (2020). S190. WHEN WORDS AREN’T ENOUGH: DANCE/MOVEMENT THERAPY AND SCHIZOPHRENIA. Schizophr. Bull. 46 S110– S111. 10.1093/schbul/sbaa031.256 20421336 · DOI
- Brown C. Lowis M. J. (2003). Psychosocial development in the elderly: an investigation into Erikson’s ninth stage. J. Aging Stud. 17 415– 426. 10.1016/S0890-4065(03)00061-6 · DOI
- Carr S. M. D. (2014). Revisioning self-identity: the role of portraits, neuroscience and the art therapist’s ‘third hand’. Int. J. Art Therapy 19 54– 70. 10.1080/17454832.2014.906476 · DOI
- Chaodang Z. Shuchun J. (2004). A self-designed scale for social function in in-patients with psychosis (SSFPI):preliminary test of reliability and validity. Sichuan Ment. Health 17 144– 146. 10.3969/j.issn.1007-3256.2004.03.006 · DOI
- Chen G. Gully S. M. Eden D. (2001). Validation of a new general self-efficacy scale. Organ. Res. Methods 4 62– 83. 10.1177/109442810141004 · DOI · Paper page
- Chen X. S. Xu Y. F. Tang Y. X. Wang Y. Zhang M. D. Lou F. Y. (2011). [Preliminary study on variations and neural generators of error-related negativity in first episode schizophrenics]. Zhonghua Yi Xue Za Zhi 91 3040– 3043. 10.1007/s12264-011-1035-3 22333055 · DOI
- Chilton G. Scotti V. (2014). Snipping, gluing, writing: the properties of collage as an arts-based research practice in art therapy. Art Therapy 31 163– 171. 10.1080/07421656.2015.963484 · DOI
- Crawford M. J. Killaspy H. Kalaitzaki E. Barrett B. Waller D. (2010). The MATISSE study: a randomised trial of group art therapy for people with schizophrenia. BMC Psychiatry 10: 65. 10.1186/1471-244X-10-65 20799930 PMC2940860 · DOI
- Dresp-Langley B. Grossberg S. Reeves A. (2017). Editorial: perceptual grouping—the state of the art. Front. Psychol. 8: 67. 10.3389/fpsyg.2017.00067 28194124 PMC5277007 · DOI
- Esman A. H. (2012). A history of adolescent psychiatry. J. Nervous Ment. Dis. 200 1058– 1060. 10.1097/NMD.0b013e318275d25e 23197120 · DOI
- Farrington C. P. Manning G. (2010). Test statistics and sample size formulae for comparative binomial trials with null hypothesis of non-zero risk difference or non-unity relative risk. Stat. Med. 9 1447– 1454. 10.1002/sim.4780091208 2281232 · DOI
- Galbusera L. Finn M. T. Fuchs T. (2018). Interactional synchrony and negative symptoms: an outcome study of body-oriented psychotherapy for schizophrenia. Psychother. Res. 28 457– 469. 10.1080/10503307.2016.1216624 27687477 · DOI
- Hasson-Ohayon I. Avidan-Msika M. Mashiach-Eizenberg M. Kravetz S. Rozencwaig S. Shalev H. (2015). Metacognitive and social cognition approaches to understanding the impact of schizophrenia on social quality of life. Schizophr. Res. 161 386– 391. 10.1016/j.schres.2014.11.008 25499045 · DOI
- Huet V. Holttum S. (2016). Art therapy-based groups for work-related stress with staff in health and social care: an exploratory study. Arts Psychother. 50 46– 57. 10.1016/j.aip.2016.06.003 · DOI
- Ivey A. E. (2014). Cultural expertise: toward systematic outcome criteria in counseling and psychological education. J. Counsel. Dev. 55 296– 302. 10.1002/j.2164-4918.1977.tb04992.x · DOI
- Jedidi H. Laverdeur C. Depierreux-Lahaye F. Beckers A. (2018). [A brief history of syphilis. The disease through the art and the artist]. Rev. Med. Liege 73 363– 369. 30113775
- Kim H. K. Kim K. M. Nomura S. (2016). The effect of group art therapy on older Korean adults with neurocognitive disorders. Arts Psychother. 47 48– 54. 10.1016/j.aip.2015.11.002 · DOI
- Kim S. K. (2013∗). A randomized, controlled study of the effects of art therapy on older Korean-Americans’ healthy aging. Arts Psychother. 40 158– 164. 10.1016/j.aip.2012.11.002 · DOI
- Knapp M. (2000). Schizophrenia costs and treatment cost-effectiveness. Acta Psychiatr. Scand. Suppl. 2000 15– 18. 10.1046/j.1467-0658.2001.00137.x-i1 11261634 · DOI
- Kostogianni N. Andronikof A. (2009). [Self-esteem, self-centeredness and social-emotional adjustment of gifted children and adolescents]. Encephale 35 417– 422. 10.1016/j.encep.2008.10.006 19853713 · DOI
- Kurtz M. M. Mueser K. T. Thime W. R. Corbera S. Wexler B. E. (2015). Social skills training and computer-assisted cognitive remediation in schizophrenia. Schizophr. Res. 162 35– 41. 10.1016/j.schres.2015.01.020 25640526 PMC5146951 · DOI
- Luzzatto P. Gabriel B. (2000). The creative journey: a model for short-term group art therapy with posttreatment cancer patients. Art Therapy 17 265– 269. 10.1080/07421656.2000.10129764 · DOI
- Mace R. Jordan F. M. (2011). Macro-evolutionary studies of cultural diversity: a review of empirical studies of cultural transmission and cultural adaptation. Philos. Trans. R. Soc. Lond. B Biol. 366 402– 411. 10.1098/rstb.2010.0238 21199844 PMC3013475 · DOI
- Maher L. M. Kendall D. Swearengin J. A. Rodriguez A. Leon S. A. Pingel K. (2006). A pilot study of use-dependent learning in the context of constraint induced language therapy. J. Int. Neuropsychol. Soc. 12 843– 852. 10.1017/S1355617706061029 17064447 · DOI
- Maratos A. (2010). W03-01 - A randomised controlled trial of co-improvisational music therapy for inpatients with schizophrenia, London/UK. Eur. Psychiatry 25 132– 132. 10.1016/S0924-9338(10)70132-2 · DOI
- Martin L. A. L. Koch S. C. Dusan H. Thomas F. (2016). Overcoming disembodiment: the effect of movement therapy on negative symptoms in schizophrenia—A multicenter randomized controlled trial. Front. Psychol. 7: 483. 10.3389/fpsyg.2016.00483 27064347 PMC4815039 · DOI
- Meltzer H. Y. (2017). New trends in the treatment of schizophrenia. CNS Neurol. Disord. Drug Targets 16 900– 906. 10.2174/1871527316666170728165355 28758583 · DOI
- Naeem F. Kingdon D. Turkington D. (2006). Cognitive behaviour therapy for schizophrenia: relationship between anxiety symptoms and therapy. Psychol. Psychother. 79 153– 164. 10.1348/147608305X91538 16774715 · DOI
- Nunes M. V. Adelino M. P. M. Ajub E. Quarantini L. C. Lacerda A. L. T. (2018). Efficacy of esketamine in the treatment of negative symptoms in schizophrenia - A case series. Schizophr. Res. 202 394– 396. 10.1016/j.schres.2018.06.034 29935883 · DOI
- Potash J. S. Doby-Copeland C. Stepney S. A. Washington B. N. Vance L. D. Short G. M. (2015). Advancing multicultural and diversity competence in art therapy: American art therapy association multicultural committee 1990–2015. Art Therapy 32 146– 150. 10.1080/07421656.2015.1060837 · DOI
- Roehr B. (2013). American psychiatric association explains DSM-5. Bmj 346: f3591. 10.1136/bmj.f3591 23744600 · DOI
- Schiavo C. Tate A. Penna M. Stampella L. Grendas L. N. Romarión-Benitez V. (2017). [Comparative analysis about hospitalization characteristics in the mental health unit of a general acute care hospital]. Vertex 28 183– 187. 29522623
- Schrank B. Brownell T. Jakaite Z. Larkin C. Pesola F. Riches S. (2016). Evaluation of a positive psychotherapy group intervention for people with psychosis: pilot randomised controlled trial. Epidemiol. Psychiatr. Sci. 25 235– 246. 10.1017/S2045796015000141 25698298 PMC6998731 · DOI
- Shafir T. Orkibi H. Baker F. A. Gussak D. Kaimal G. (2020). Editorial: the state of the art in creative arts therapies. Front. Psychol. 11: 68. 10.3389/fpsyg.2020.00068 32116898 PMC7012801 · DOI
- Teglbjaerg H. S. (2011). Art therapy may reduce psychopathology in schizophrenia by strengthening the patients’ sense of self: a qualitative extended case report. Psychopathology 44 314– 318. 10.1159/000325025 21659793 · DOI
- Ting N. I. Bing-Shuang H. U. (2012). The application and development of art therapy for the past 10 years and its future in China. J. Southwest Jiaotong Univ. 013 92– 97. 10.3969/j.issn.1009-4474.2012.03.019 · DOI
- Vaskinn A. Ventura J. Andreassen O. A. Melle I. Sundet K. (2015). A social path to functioning in schizophrenia: from social self-efficacy through negative symptoms to social functional capacity. Psychiatry Res. 228 803– 807. 10.1016/j.psychres.2015.05.019 26089018 · DOI
- Wilkinson R. A. Chilton G. (2013). Positive art therapy: linking positive psychology to art therapy theory, practice, and research. Art Therapy 30 4– 11. 10.1080/07421656.2013.757513 · DOI
- Zhang J. X. Schwarzer R. (1995). Measuring optimistic self-beliefs: a Chinese adaptation of the general self-efficacy scale. Psychologia 38 174– 181. 10.1080/09515089508573160 · DOI
Cited by
Sorted by citations
Social Functioning Interventions in Psychosis: A Systematic Review.
Vinu, M., & Georgiades, A. (2025) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.70090 · Cited by 9 · see citing works
- Authors
- Tong, J., Yu, W., Fan, X., Sun, X., Zhang, J., Zhang, J., & Zhang, T.
- Affiliations
- Tongji University (CN)
- Corresponding author
- Yu, Wei
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2021-01-20
- Volume
- 11
- Pages
- 571124-571124
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC7855174
- OpenAlex
- W3121514692
- Cited by
- 30
- References
- 5
- Citations by year
- 2026: 11 · 2025: 8 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 2
- FWCI
- 17.55
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Shanghai Municipal Health and Family Planning Commission (201640379)
- Topics
- Social Sciences › Arts and Humanities › Conservation › Art Therapy and Mental Health
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Visual Arts and Performing Arts › Art Education and Development
- Keywords
- group art therapy, schizophrenia, self-efficacy, social function, social skills, Chinese calligraphy, Chinese painting, Chinese embroidery, psychiatric inpatients, cultural adaptation of therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review