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. 2022 Mar 11:13:20406223221080646.
doi: 10.1177/20406223221080646. eCollection 2022.

Effectiveness of using calligraphic activity to treat people with schizophrenia: a randomized controlled trial in Southern Taiwan

Wen-Yi Huang  1 , Hector W H Tsang  2 , Shu-Mei Wang  2 , Yu-Chen Huang  3 , Yi-Chun Chen  3 , Chih-Heng Cheng  3 , Chih-Yin Chen, Jung-Sheng Chen  4 , Yen-Ling Chang  5 , Ru-Yi Huang, Chung-Ying Lin  6 , Marc N Potenza  7 , Amir H Pakpour  8
Affiliations

Effectiveness of using calligraphic activity to treat people with schizophrenia: a randomized controlled trial in Southern Taiwan

Wen-Yi Huang et al. Ther Adv Chronic Dis. .

Abstract

Background: Prior research has shown preliminary evidence that calligraphy activity improves various body functions and decreases severity of psychotic symptoms in individuals with schizophrenia. However, major limitations of earlier studies include small and heterogeneous samples. The current large-scale randomized controlled trial examined effects of calligraphy activity on cognition (including attention), emotions, psychotic symptoms, quality of life, and mood in people with schizophrenia.

Methods: One-hundred-and-fifty patients with schizophrenia were randomly allocated to the treatment group (receiving calligraphy activity) or the control group (receiving general activity), both of which lasted for 24 weeks (70 minutes per session; one session per week). Assessments were conducted at pretest, posttest, and three-month follow-up. The Montreal Cognitive Assessment, Chu's Attention Test, Depression, Anxiety, and Stress Scale, Positive and Negative Syndrome Scale, World Health Questionnaire on the Quality of Life-Brief Form, and Visual Analogue Scale were used.

Results: Improved cognition and attention were found in both groups, although no group effects were shown. The treatment group appeared to show lower severity of positive symptoms at follow-up than posttest, whereas the control group appeared to show the opposite pattern. Improved mood was found in the treatment group.

Conclusion: This study provides evidence regarding effects of calligraphy activity on increasing cognition and potentially decreasing severity of positive symptoms in patients with schizophrenia. Calligraphy activity can be incorporated in clinical occupational therapy and may be provided to supplement medication treatment.

Trial registration: ClinicalTrials.gov NCT03882619; https://clinicaltrials.gov/ct2/show/NCT03882619.

Keywords: attention; calligraphy; mental health; quality of life; schizophrenia; symptom.

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Conflict of interest statement

Conflict of interest statement: All the authors declare that there is no conflict of interest. Dr. Potenza has consulted for Opiant Therapeutics, Game Day Data, the Addiction Policy Forum, Opiant, AXA and Idorsia Pharmaceuticals; has received research support from Mohegan Sun Casino, the Connecticut Council on Problem Gambling and the National Center for Responsible Gaming; has participated in surveys, mailings or telephone consultations related to drug addiction, impulse-control disorders or other health topics; has consulted for and/or advised gambling and legal entities on issues related to impulse-control/addictive disorders; has provided clinical care in a problem gambling services program; has performed grant reviews for research-funding agencies; has edited journals and journal sections; has given academic lectures in grand rounds, CME events and other clinical or scientific venues; and has generated books or book chapters for publishers of mental health texts. The other authors report no disclosures.

Figures

Figure 1.
Figure 1.
Study CONSORT flowchart.
Figure 2.
Figure 2.
Simple effects of calligraphy on positive symptoms. TAU, treatment as usual.
Figure 3.
Figure 3.
Improvement in mood in the calligraphy group during the 24 weeks of calligraphy activity. (a) Before participating in the calligraphy activity. (b) After completing the calligraphy activity. X-axis is the intervention period by week; Y-axis is the mood Visual Analogue Scale (scaling from 1 to 10).
See this image and copyright information in PMC

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