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Related Experiment Video

Updated: Apr 27, 2026

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Psychodrama: implementation, study design and effectiveness: a systematic review.

Jesús Maya1, Miriam Pérez-Berbel2, Laura Giraldo-Arroyave2

  • 1Universidad Loyola Andalucía, Sevilla, Spain. jmmaya@uloyola.es.

BMC Complementary Medicine and Therapies
|July 3, 2025
PubMed
Summary

Psychodrama, a group psychotherapy, shows effectiveness in improving quality of life and reducing symptoms across diverse populations. Methodological improvements, including more randomized controlled trials (RCTs) and larger sample sizes, are needed for robust evidence-based treatments.

Keywords:
EffectivenessPsychodramaPsychotherapyRCTStudy designSystematic review

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Area of Science:

  • Psychotherapy research
  • Clinical psychology
  • Action-based therapeutic modalities

Background:

  • Psychodrama is an action-focused psychotherapy model aimed at enhancing patient quality of life.
  • A systematic review was conducted to analyze psychodrama interventions from 2018-2022.
  • The review focused on implementation, methodological design, and effectiveness of psychodrama.

Purpose of the Study:

  • To recognize the implementation details of psychodrama interventions.
  • To analyze the methodological designs used for evaluating psychodrama's impact.
  • To assess the reported effectiveness of psychodrama interventions.

Main Methods:

  • Systematic review following PRISMA guidelines.
  • Searched PsycINFO, Scopus, and Medline databases for 27 peer-reviewed English studies.
  • Included quantitative, qualitative, or mixed-methods empirical studies with at least 10 participants.

Main Results:

  • Psychodrama commonly used in group format for adolescents and adults, typically weekly sessions of two hours, based on Morenian Psychodrama.
  • Role reversal, doubling, and mirror were frequent techniques; manualization was rare.
  • Positive effectiveness reported for PTSD, women's empowerment, schizophrenia symptoms, and adolescent antisocial behavior, though sample sizes were often small.
  • Methodological designs included 62% quantitative, 27% mixed, and 11% qualitative; only 11% were RCTs, with 48% quasi-experimental and 40% single group studies.

Conclusions:

  • Morenian Psychodrama in group settings is supported for various populations, but specific impact profiles require further research.
  • Methodological rigor needs enhancement, emphasizing RCTs, larger samples, follow-up assessments, and effect size measurement.
  • Standardized interventions and manualization for specific populations are recommended for establishing evidence-based psychodrama treatments.