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Inherent commonalities between arts-based leisure activities and psychological therapies
Daisy Fancourt1, Vicky Karkou2, Peter Fonagy3
1Department of Behavioural Science and Health, University College London, London, UK.
The Lancet. Psychiatry
|May 27, 2026
Summary
Engaging in arts-based leisure activities offers significant psychological benefits for mental health conditions. These activities address core processes and may be integrated into mental health care pathways.
Area of Science:
- Mental Health Research
- Psychology
- Public Health
Background:
- Rising prevalences of anxiety and depression in high-income countries strain mental health services.
- There is a growing need for accessible, complementary strategies to support mental health resilience.
- Everyday behaviors that promote well-being are gaining attention alongside traditional interventions.
Purpose of the Study:
- To explore how arts-based leisure engagement impacts transdiagnostic processes in mental health conditions.
- To examine the commonalities and distinctions between arts-based leisure and formal psychological therapies.
- To identify research priorities for integrating arts-based leisure into mental health care.
Main Methods:
- This is a Personal View, synthesizing existing evidence and theoretical perspectives.
- The review analyzes cognitive, emotional, social, and behavioral processes.
- It discusses therapeutic contextual factors and compares arts-based leisure with creative arts therapies.
Main Results:
- Arts-based leisure activities demonstrate meaningful psychological benefits across diverse mental disorders.
- These activities engage core transdiagnostic processes similar to psychological therapies.
- Overlaps exist in activated principles, processes, and therapeutic factors like relationships and expectancy.
Conclusions:
- Arts-based leisure engagement offers a promising avenue for enhancing mental health resilience.
- Further research, including head-to-head trials and culturally diverse studies, is needed.
- Explicit integration into mental health care pathways in high-income contexts should be considered.
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