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Table 3 Main studies鈥 characteristics

From: Healing through art: a thematic synthesis within a quasi-systematic review of art鈥檚 impact on adult mental well-being during the COVID-19 pandemic

Author(s), year of publication and country of origin

Type of study, sample size, design, analytical method, and inclusion criteria

Purpose of study

Results (only those relevant to review)

Armstrong and Ross, (2021) [33]

UK, Dundee

Mixed methods

N鈥=鈥10

Vulnerable parents/infants. Low-income families, parents struggling with isolation.

Methods

Thematic analysis of semi-structured interviews and qualitative feedback

Feedback cards using a quantitative scale and open questions

Visual data shared (the art images created)

Semistructured interviews to gather qualitative experience.

To examine the impact of distributing art boxes to support creative interactions between vulnerable parents and their infants during COVID-19 lockdowns.

1. Thematic analysis of interviews revealed that the art boxes supported positive interactions and connections between parents and infants, improving parents鈥 confidence and emotional well-being.

2. Parents reported increased engagement, playful interactions, and moments of connection, such as through eye contact and shared activities.

3. The art boxes also helped reduce feelings of isolation during the lockdown and enabled parents to continue creative activities independently.

Bungay et al. (2023) [34]

UK

Qualitative descriptive

N鈥=鈥14

Methods

Thematic analysis of open survey responses and haiku poems.

An online survey was conducted that included both closed- and open-response questions. The questionnaire also invited respondents to write a haiku poem on their experiences, which was used in the analysis.

Individual interviews

To explore how and why staff and students in one UK university engaged with arts and creative activities during the UK lockdowns and how it impacted their mental well-being.

1. Participants improved their mental wellbeing through a sense of achievement.

2. Connecting with others

3. The activities were used to deal with loss and uncertainty caused by the virus.

4. The value of engagement in the arts during restrictions

5. Discussed social restrictions/isolation and future implications for policy makers

Elisondo and Fernanda Melgar (2020) [35]

Argentina

Qualitative exploratory

N鈥=鈥25

(20 women and 5 men) aged between 22 and 49 years.

Method

Grounded theory with open coding using ATLAS.ti software; data triangulation performed.

Online questionnaire with open-ended questions

To explore how people engaged in creative activities during the COVID-19 pandemic and how these activities transformed their everyday lives, work, and leisure during periods of total and partial confinement.

1. Participants engaged in various creative activities during quarantine, which helped generate positive emotions and cope with negative ones.

2. Creative activities were reported to foster resilience and adaptability, allowing participants to find new ways to manage challenges and transform their routines during the pandemic.

Ger茅b et al. (2021) [36]

Hungary

Qualitative exploratory

N鈥=鈥22

International university students, aged 21鈥35 years, from eight countries studying in Hungary.

Methods

Thematic coding by three independent researchers analysing artwork, reflective writing, and task responses.

A qualified art therapist and clinical psychologist designed a series of 7 art-making tasks guided by evidence-based art therapy techniques for self-help.

Three researchers with MA-level psychology degrees coded the images by theme and symbols. The first and last authors led the data collection and coauthors reviewed the findings and agreed on themes.

Atlas.ti software used to assign codes based on the image and reflections.

To explore how online self-help art therapy-based tasks could support international students during the COVID-19 lockdown, focusing on their emotional responses, coping strategies, and experiences of isolation and support.

1. Three primary themes emerged: (1) feelings of isolation, (2) loss of control, and (3) seeking support through art-making.

2. Art therapy-based tasks provided a means for participants to manage stress and express their emotions, helping them cope with the challenges of lockdown.

3. The online format allowed students to reflect on their feelings and experiences, offering insights into their need for attachment, connection with nature, and finding inner strength during the pandemic.

Renzi et al. (2020) [37]

Italy

Qualitative case-study

N鈥=鈥1

Elderly woman (age 77) living in a nursing home in Rome, Italy. 77-year-old woman, isolated due to lockdown.

Methods

Descriptive narrative and interpretive commentary based on participant artwork and thematic progression.

A psychologist monitored the participants mental state through weekly counselling sessions and by interpreting themes of the artwork the participant was asked to create as a means of coping with isolation. A report was then published.

To explore how drawing could be used as a therapeutic intervention for expressing and processing emotions during the COVID-19 pandemic for older adults in isolation. The goal was to understand how art could help mitigate feelings of loneliness and support emotional expression when face-to-face social interactions were not possible.

1. The use of drawing helped the participant to explore and represent her emotional state during isolation.

2. Her drawings evolved over time, reflecting her journey from feelings of deep loneliness and separation to a more positive emotional state as restrictions eased.

3. The activity provided a medium for the participant to express her hopes, fears, and feelings of confinement, offering therapeutic benefits that supported her overall emotional well-being.

Said Houari and Hadjoui (2022) [38]

Algeria

Qualitative case-study

N鈥=鈥1

Disabled individual. Adult with West Syndrome, confined at home.

Methods

Thematic interpretation based on Malchiodi鈥檚 and Kramer鈥檚 art therapy theories; inferred outcomes from observation and caregiver interviews.

A single participant with West Syndrome.

The data was analysed using Malchiodi鈥檚 theory of 鈥榓rt in&苍产蝉辫;迟丑别谤补辫测鈥 and Kramer鈥檚 theory of 鈥榓rt as&苍产蝉辫;迟丑别谤补辫测鈥

Five-week art therapy intervention conducted at home.

Observation, art therapy sessions, and pre- and post-intervention interviews.

To assess how art therapy could be used as a coping strategy for individuals with disabilities during confinement. It focused on exploring the effects of art therapy on emotional well-being and resilience, particularly for those isolated due to COVID-19 restrictions.

1. Art therapy helped the participant express emotions and reduced stress levels during confinement.

2. The sessions improved the participant鈥檚 mood, facilitated communication through storytelling and role-play, and supported family connections.

3. Art activities like drawing and clay work allowed the participant to externalise emotions and engage in creative self-expression, which contributed to a more positive emotional state during the period of isolation.

Usiskin and Lloyd (2020) [39]

UK/France

Qualitative case-study

狈鈥=鈥塏础

Methods

Thematic narrative analysis of collaborative artwork and participant reflection in virtual quilting projects (no structured framework reported).

The use of grounding techniques developed from the principles of Psychological First Aid.

Online work with participants using trauma-informed approaches.

Using the window of tolerance with participants and in-depth reporting.

To adapt art therapy to support social engagement and well-being across borders during the COVID-19 pandemic, using online platforms. It sought to create safe spaces for displaced individuals through creative practices, helping them process trauma and build resilience despite physical isolation.

1. Online art therapy sessions provided a sense of connection and reduced feelings of isolation among participants.

2. Highlighted the benefits of art therapy in offering emotional support, fostering community, and helping participants cope with the uncertainty and challenges of the pandemic through creative expression.