Post-traumatic stress disorder (PTSD) is a heterogeneous condition that affects many civilians and military service members. Lack of engagement, high dropout rate, and variable response to psychotherapy necessitates more compelling and accessible treatment options that are based on sound neuroscientific evidence-informed decision-making. Art therapy incorporates elements proven to be effective in psychotherapy, such as exposure, making it a potentially valuable treatment option. This conceptual paper aims to inform the neurophysiological rationale for the use of art therapy as a therapeutic approach for individuals with PTSD. A narrative synthesis was conducted using literature review of empirical research on the neurophysiological effects of art therapy, with supporting literature on neuroaesthetics and psychotherapies to identify art therapy factors most pertinent for PTSD. Findings were synthesized through a proposed framework based on the triple network model considering the network-based dysfunctions due to PTSD. Art therapy’s active components, such as concretization and metaphor, active art engagement, emotion processing and regulation, perspective taking and reframing, and therapeutic alliance, may improve symptoms of PTSD and prompt adaptive brain functioning. Given the scarcity of rigorous studies on art therapy’s effectiveness and mechanisms of alleviating PTSD symptoms, the suggested framework offers a neurophysiological rationale and a future research agenda to investigate the impact of art therapy as a therapeutic approach for individuals with PTSD.

中文翻译：

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创伤后应激障碍艺术治疗的神经生理学基础的概念框架

创伤后应激障碍 (PTSD) 是一种影响许多平民和军人的异质性疾病。缺乏参与、高辍学率和对心理治疗的不同反应需要基于合理的神经科学证据决策的更引人注目和更容易获得的治疗选择。艺术疗法结合了经证明在心理治疗中有效的元素，例如暴露，使其成为一种潜在有价值的治疗选择。这篇概念性论文旨在告知使用艺术疗法作为创伤后应激障碍患者的治疗方法的神经生理学原理。通过对艺术治疗的神经生理学影响的实证研究进行文献综述，并结合神经美学和心理治疗的支持文献进行叙述综合，以确定与 PTSD 最相关的艺术治疗因素。通过基于三重网络模型的拟议框架综合了研究结果，考虑到 PTSD 导致的基于网络的功能障碍。艺术治疗的积极组成部分，例如具体化和隐喻、积极的艺术参与、情绪处理和调节、观点采择和重构以及治疗联盟，可以改善创伤后应激障碍的症状并促进适应性大脑功能。鉴于对艺术治疗的有效性和缓解 PTSD 症状的机制缺乏严格的研究，建议的框架提供了神经生理学原理和未来的研究议程，以调查艺术治疗作为 PTSD 个体治疗方法的影响。