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In recent years, art therapies have been discussed for their positive effects on mental disorders. One such therapy, clay therapy, is being studied to examine its effect on the functional recovery and individual and social performance of schizophrenia patients undergoing pharmacological treatment.
Schizophrenia is a chronic illness that can manifest in various forms, ranging from symptoms such as delusions and hallucinations to functional impairments, and is often characterised by relapses.
The care of people with schizophrenia concerns all sectors of society, including families, healthcare professionals, and organisations providing psychosocial support. The treatment of schizophrenia is of great importance due to its potential for early onset and its status as one of the most common psychiatric disorders leading to functional impairment.
While pharmacological treatments support a large part of the treatment process, the effect of art therapy on preventing disability and treatment compliance and disease awareness is the subject of current studies. Clay therapy, a component of art therapy, has been used in the treatment of psychiatric disorders, especially in recent years. Studies have highlighted the therapeutic aspects of clay. When examining the therapeutic properties of clay, it is seen to provide benefits in the following areas:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Clay therapy group | Experimental | The experimental group will receive clay therapy sessions in addition to routine therapies. |
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| Routine treatment group | No Intervention | Routine therapies will continue to be administered to the control group, but clay therapy will not be administered. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Clay therapy | Other | Experimental: Clay therapy group |
|
| Measure | Description | Time Frame |
|---|---|---|
| Functional Recovery Scale for Schizophrenia Patients | This is a 5-point Likert-type scale consisting of 19 items that assesses improvements in functionality independent of the symptoms of the disease. Level 1 (absent) indicates the lowest level of improvement, while Level 5 (present to a high degree) corresponds to the 'ideal' level of function. Level 2 (partially present), Level 3 (sufficiently present) and Level 4 (almost completely present) are also included. When two levels are between, the lower level is selected. The maximum score that can be obtained from the scale is 95, and the minimum score is 19. The scale, which consists of subscales for daily living skills, social functioning, and health and treatment, measures functional improvement in three separate areas. | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Individual and Social Performance Scale | This scale, scored from 1 to 100, is conducted in three stages. In the first stage, the level of functionality is determined through a sequential assessment across four dimensions: socially beneficial activities, individual and social relationships, self-care, and disruptive and aggressive behaviours. After each dimension is assessed, it is scored between 0 and 10 points based on the degree of impairment in that dimension. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Esra Karabulut | Contact | +90 5453327646 | esra.karabulut@ksbu.edu.tr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kutahya Health Sciences University | Recruiting | Kütahya | Kütahya | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37956349 | Background | Utas-Akhan L, Avci D, Basak I. Art Therapy as a Nursing Intervention for Individuals With Schizophrenia. J Psychosoc Nurs Ment Health Serv. 2024 May;62(5):29-38. doi: 10.3928/02793695-20231025-02. Epub 2023 Nov 13. | |
| 39808488 | Background | Cataldas SK, Eren N, Ustun N, Ofluoglu F, Ayhan CH. Effects of Art Therapy on Quality of Life and Social Functioning in Individuals With Schizophrenia. J Psychosoc Nurs Ment Health Serv. 2025 May;63(5):49-55. doi: 10.3928/02793695-20250107-02. Epub 2025 Jan 15. |
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| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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Two groups with a conventional therapy control group
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While the conventional treatment group continues to receive routine treatment, the experimental group will receive clay therapy sessions in addition to treatment, and the outcome assessments will be conducted by a researcher who is unaware of the group distribution.
| 12 weeks |
| 31692270 | Background | Ursuliak Z, Hughes J, Crocker CE, MacKenzie A, Tibbo PG. Claymation art therapy in early phase psychosis: A qualitative study to explore participants' experiences with the program and identify outcome effects. Early Interv Psychiatry. 2020 Dec;14(6):698-704. doi: 10.1111/eip.12896. Epub 2019 Nov 6. |
| 26277224 | Background | Taksal A, Sudhir PM, Janakiprasad KK, Viswanath D, Thirthalli J. Feasibility and effectiveness of the Integrated Psychological Therapy (IPT) in patients with schizophrenia: a preliminary investigation from India. Asian J Psychiatr. 2015 Oct;17:78-84. doi: 10.1016/j.ajp.2015.06.013. Epub 2015 Jul 30. |