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Cover Page The handle http://hdl.handle.net/1887/83276 holds various files of this Leiden University dissertation. Author: Abbing, A.C. Title: Art therapy & anxiety Issue Date: 2020-01-22

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Cover Page

The handle http://hdl.handle.net/1887/83276 holds various files of this Leiden University

dissertation.

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This work was co-funded by the Iona Stichting, Stichting Antroposofische Gezondheidszorg Phoenix and Nederlandse Vereniging voor Kunstzinnige Therapieën (NVKToag). These organisations had no role regarding the content of this research and this PhD-thesis.

Colofon

Annemarie Madani-Abbing Art therapy & Anxiety ISBN: 978-94-6380-591-9 Leiden University

Faculty of Social and Behavioral Sciences Clinical Neurodevelopmental Sciences University of Applied Sciences Leiden Faculty of Health

Professorship Anthroposophic Healthcare Cover design: Remco Wetzels

Layout: Annemarie Madani-Abbing Printed by: ProefschriftMaken.nl ©2019, A.C. Madani-Abbing

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Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof. mr. C.J.J.M. Stolker,

volgens besluit van het College voor Promoties te verdedigen op woensdag 22 januari 2020

klokke 13.45 uur

door

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Promotor Prof. dr. J.T. (Hanna) Swaab Co-promotoren Dr. E.W. (Erik) Baars

Dr. ir. L.M.J. (Leo) De Sonneville Promotiecommissie Prof. dr. A.J.W. (Willem) van der Does

Dr. M. (Mark) Dechesne

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Voor Mama,

door wie ik de helende werking van de kunsten heb mogen ervaren

Voor Oma A,

omdat zij graag had willen studeren, maar het in haar tijd niet gebruikelijk was

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Table of contents

CHAPTER 1 General Introduction 9

PART I Effectiveness of art therapy in the treatment of anxiety in adults

CHAPTER 2 The effectiveness of art therapy in adults: a systematic review 41 of randomised and non-randomised controlled trials

CHAPTER 3 The effectiveness of art therapy for anxiety in women: 75 a randomised controlled trial

CHAPTER 4 Anxiety reduction through art therapy in women. 111

Exploring stress regulation and executive functioning as underlying neurocognitive mechanisms

PART II Towards further hypotheses on working mechanisms of anthroposophic art therapy: development of case report methodology

CHAPTER 5 The CARE-AAT Guideline: development and evaluation of a 147 consensus-based guideline for case reports in

anthroposophic art therapy

CHAPTER 6 Acceptance of anxiety through art therapy. 171

A case report illustrating how anthroposophic art therapy addresses emotion regulation and executive functioning

CHAPTER 7 Summary and General Discusion 209

CHAPTER 8 Summary in Dutch 235

About the author 245

Dankwoord 251

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