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      Creative pursuits for mental health and well-being

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          Abstract

          This clinical practice guide traces the role of art and creativity in mental health and well-being. This is a difficult task since the evidence from research spans a wide variety of fine art forms and different aspects of creativity. Hence, we have tried to combine both evidence-based research as well as our clinical experience and practice in the field of arts in utilizing creative pursuits as a life skill and a well-being initiative. The focus of the guidelines is preventive and promotional with relevance to mental health. We also hope that this should be a beginning in encouraging psychiatrists in India to use art-based therapies in their clinical practice. This will further our knowledge of how arts can be a therapeutic intervention as well as a well-being tool. It will also build on the evidence base on how art impacts our mental health. Creativity is undeniably one of humanity's most valued traits; the capacity to produce new ideas, innovations, and art is perhaps the most striking characteristic of the human brain. “Art” has evolved, and what is art, has been redefined over human history. The domain of “art” refers to the diverse range of activities that often use imagination to express ideas and feelings. Whilst the boundaries of what constitutes art or creativity may sometimes appear esoteric, we still can identify a range of creative pursuits: visual, musical, verbal, literary, dance, or creative pursuits related to our body movements and a range of forms of newer integrated forms and those that use technology are recognized as art forms. As in most ancient traditions, in India, we have a plethora of fine art traditions many of which have a highly systematic practice around their learning. We believe this is an asset that we need to nurture and celebrate. We begin by tracing the footsteps of Indian fine arts being a mental health promotional tool in ancient India. We then proceed to describe the scope of creative pursuits for different populations and its relevance in school and child mental health. We offer suggestions as to how creative art forms can be utilized in a practical way in daily life, schools, and care of the elderly. It is to be noted that the entire focus here is the process of creativity and not the completed product or the achievement related to the same. Hence, it is relevant to each one of us and to anyone who wishes to be healthy.

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          Most cited references60

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          Beyond big and little: The four c model of creativity.

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            Musical training shapes structural brain development.

            The human brain has the remarkable capacity to alter in response to environmental demands. Training-induced structural brain changes have been demonstrated in the healthy adult human brain. However, no study has yet directly related structural brain changes to behavioral changes in the developing brain, addressing the question of whether structural brain differences seen in adults (comparing experts with matched controls) are a product of "nature" (via biological brain predispositions) or "nurture" (via early training). Long-term instrumental music training is an intense, multisensory, and motor experience and offers an ideal opportunity to study structural brain plasticity in the developing brain in correlation with behavioral changes induced by training. Here we demonstrate structural brain changes after only 15 months of musical training in early childhood, which were correlated with improvements in musically relevant motor and auditory skills. These findings shed light on brain plasticity and suggest that structural brain differences in adult experts (whether musicians or experts in other areas) are likely due to training-induced brain plasticity.
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              The Quality of Life Scale (QOLS): Reliability, Validity, and Utilization

              The Quality of Life Scale (QOLS), created originally by American psychologist John Flanagan in the 1970's, has been adapted for use in chronic illness groups. This paper reviews the development and psychometric testing of the QOLS. A descriptive review of the published literature was undertaken and findings summarized in the frequently asked questions format. Reliability, content and construct validity testing has been performed on the QOLS and a number of translations have been made. The QOLS has low to moderate correlations with physical health status and disease measures. However, content validity analysis indicates that the instrument measures domains that diverse patient groups with chronic illness define as quality of life. The QOLS is a valid instrument for measuring quality of life across patient groups and cultures and is conceptually distinct from health status or other causal indicators of quality of life.
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                Author and article information

                Journal
                Indian J Psychiatry
                Indian J Psychiatry
                IJPsy
                Indian J Psychiatry
                Indian Journal of Psychiatry
                Wolters Kluwer - Medknow (India )
                0019-5545
                1998-3794
                January 2024
                24 January 2024
                : 66
                : Suppl 2
                : S283-S303
                Affiliations
                [1]Consultant Psychiatrist, Manoved Mind Hospital and Research Centre, Patna, Bihar, India
                [1 ]Department of Psychiatry, BMCH, Chitradurga, Karnataka, India
                [2 ]Consultant Psychiatrist and Associate Clinical Director, East London NHS Foundation Trust, Honorary Senior Clinical Lecturer at Barts and the London School of Medicine and Dentistry, London, UK
                Author notes
                Address for correspondence: Dr. Pavitra KS, Professor, Department of Psychiatry, BMCH, Chitradurga, Karnataka, India. E-mail: pavitraks2011@ 123456gmail.com
                Article
                IJPsy-66-283
                10.4103/indianjpsychiatry.indianjpsychiatry_781_23
                10911317
                38445283
                4e0b0d47-2a3f-4c8d-b688-5f1ca00e6657
                Copyright: © 2024 Indian Journal of Psychiatry

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 10 October 2023
                : 11 November 2023
                : 05 January 2024
                Categories
                Clinical Practice Guidelines

                Clinical Psychology & Psychiatry
                creative pursuits,mental health,well being
                Clinical Psychology & Psychiatry
                creative pursuits, mental health, well being

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