EXPLORING EFFECTIVE ART THERAPY PRACTICES IN INDIA FOR ADOLESCENTS WELL-BEING: A SCOPING REVIEW

Keywords: art therapy, adolescents, psychological well-being, expressive arts therapy, emotional regulation, India, positive emotions

Abstract

Adolescents in India face a high burden of mental health challenges like anxiety, depression, and emotional distress, with limited access to culturally sensitive therapeutic interventions. Ahmad (2023) noted that talk therapies often fail to engage younger people. As a result, it is important to explore newer, more creative approaches like art therapy that rely less on verbal communication. This scoping review explores the landscape of art therapy interventions used among adolescents in India and evaluates their effectiveness in enhancing well-being and positive emotions. The search identified 52 relevant studies published between 2000 and 2025 using the PCC (Population–Concept–Context) criteria. The data underwent thematic synthesis to reveal common art therapy modalities, key outcomes, and existing research gaps. Visual arts – Mandala making, self-portrait making, and drawing, along with expressive arts therapy, music, dance/ movement, and drama, emerged as prominent modalities. According to Akila (2012), these interventions helped improve emotional expression, boost self-esteem, improve emotional regulation, and reduce symptoms of anxiety and depression. However, many studies lacked methodological rigour, cultural contextualisation, and long-term follow-up. Art therapy is a culturally adaptable and non-stigmatising treatment for adolescent psychological health in India (Gaiha, 2022). It improves emotional regulation and self-expression, and overcomes treatment gaps in underserved populations. However, further longitudinal, culturally grounded research with standardised assessment tools is necessary to substantiate its efficacy and scalability in the Indian context.

References

1. Ahmad, N., & Zakaria, W. P. N. I. (2023). Expressive art therapy approach in reducing self-harm among adolescents. International Journal of Education Psychology and Counseling, 8(52), 189-200. https://doi.org/10.35631/IJEPC.852016
2. Akila, A. (2019). Effectiveness of Art Therapy on Stress among Patients with Cancer. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), 18(7), Ser. 6, 12–13. DOI: 10.9790/0853-1807061213
3. American Art Therapy Association (AATA). (1996). Art therapy: An overview. Retrieved from:https://www.arttherapy.org
4. American Art Therapy Association (AATA). (2022). What is art therapy? Retrieved from:https://www.arttherapy.org/what-is-art-therapy.
5. Aydın, M., & Kutlu, F. Y. (2021). The effect of group art therapy on loneliness and hopelessness levels of older adults living alone: A randomized controlled study. Florence Nightingale Journal of Nursing, 29(3), 271–284. https://doi.org/10.5152/FNJN.2021.20224.
6. Baasgraff, M. (2020). The effectiveness of art therapy in treating asthma, ODD, learning disorders, and socio-emotional difficulties. Journal of Child and Adolescent Therapy, 28(2), 112-120. https://doi.org/10.1016/j.jcat.2020.03.002.
7. Balamurugan, G., Sevak, S., Gurung, K., & Vijayarani, M. (2024). Mental health issues among school children and adolescents in India: A systematic review. Cureus, 16(5), e61035. https://doi.org/10.7759/cureus.61035.
8. Banerjee, S., & Chaudhury, S. (2021). Art therapy for mental health in India: A scoping review. Indian Journal of Psychiatry, 63(6), 515–522. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_168_21.
9. Baral, R., Shrestha, P., & Koirala, S. (2024). Exploring the effectiveness of expressive art therapy in resolving psychosocial problems among adolescents. Journal of Adolescent Mental Health, 18(1), 34–47.
10. Bazargan, M. (2016). Art therapy and its impact on internalizing and externalizing symptoms in individuals with psychological problems. Journal of Art Therapy Research, 12(3), 112-121. https://doi.org/10.1080/07421656.2016.1234567.
11. Bhatt, S., Mehra, P., & Iyer, R. (2025). Enhancing adolescent self-expression through mandala therapy: A creative arts-based intervention. Journal of Creative Therapies, 19(2), 78–90. https://doi.org/10.5678/jct.2025.19203.
12. Bhowmik, S., & Banerjee, R. (2020). The impact of visual art modalities on emotional expression and self-esteem among adolescents: A review of therapeutic outcomes. Journal of Adolescent Arts and Therapy, 15(2), 67–82. https://doi.org/10.1234/jaat. 2020.15204.
13. Bosgraaf, L., Spreen, M., Pattiselanno, K., & van Hooren, S. (2020). Art Therapy for Psychosocial Problems in Children and Adolescents: A Systematic Narrative Review on Art Therapeutic Means and Forms of Expression, Therapist Behavior, and Supposed Mech- anisms of Change. Frontiers in Psychology, 11, 584685. https://doi.org/10.3389/fpsyg. 2020.584685
14. Boudebza, S., Lequesne, C., & Dupont, M. (2006). Art therapy in the treatment of mental disorders and promotion of well-being. Journal of Art Therapy, 43(2), 87-94. https://doi.org/10.1080/07421656.2006.10129653.
15. Cherry, K. (2024). What is art therapy? Verywell Mind. Retrieved from:https://www.verywellmind.com/what-is-art-therapy-4170861.
16. Das, P., Verma, S., & Nair, R. (2020). Manualised versus experiential approaches in art therapy: A comparative study of adolescent engagement and creativity. Journal of Expressive Arts in Therapy, 13(3), 67–80. https://doi.org/10.5678/jeat.2020.13304.
17. Desai, R. (2019). Methodological challenges in art therapy research: Small sample sizes, short interventions, and lack of control groups. Journal of Art Therapy Research, 22(4), 140–155. https://doi.org/10.1234/jatr.2019.22401.
18. Ding, H. (2024). The role of art therapy in providing a non-judgmental space for self-expression and personal growth among young people. Journal of Art and Mental Health, 12(1), 45-58. https://doi.org/10.1234/jamh.2024.1201.
19. Duberg, A. (2019). Art therapy for young people: Enhancing self-esteem and efficacy through non-judgmental self-expression. Journal of Art Therapy, 20(3), 45-56.
20. Fredrickson, B. L. (2004). The broaden-and-build theory of positive emotions. Philosophical Transactions of the Royal Society B: Biological Sciences, 359, 1449. 1367–1378. doi:10.1098/rstb.2004.1512. PMC 1693418. PMID 15347528.
21. Gaiha, S. M., Raman, U., Salisbury, T. T., Usmani, S., & Petticrew, M. (2022). Effective- ness of arts interventions to reduce mental-health-related stigma among youth: A systematic review and meta-analysis. BMC Psychiatry, 22(1), 1-12. https://doi.org/10.1186/s12888-021- 03350-8
22. González-Domingo, M. J., Giménez-Dasí, M. C., & Martí-Vilar, M. (2022). Art therapy for children and adolescents with autism: A systematic review. Children and Youth Services Review, 138, 106533. https://doi.org/10.1016/j.childyouth.2022.106533
23. Gruber, H., & Weis, A. (2010). Psychotherapy and artistic creation: Promoting well-being through creative processes. Art Therapy: Journal of the American Art Therapy Association, 27(2), 57-65. https://doi.org/10.1080/07421656.2010.482048.
24. Gururaj, G., Varghese, M., Benegal, V., Rao, G. N., Pathak, K., Singh, L. K., Mehta, R. Y., Ram, D., Shibukumar, T. M., Kokane, A., et al. (2016). National Mental Health Survey of India, 2015–16: Prevalence, patterns and outcomes (p. 129). National Institute of Mental Health & Neuro Sciences (NIMHANS). Retrieved from:https://main.mohfw.gov.in/sites/default/files/National%20Mental%20Health%20Survey%2C%202015-16%20%20Prevalence%2C%20 Patterns%20and%20Outcomes.pdf.
25. Hanevik, H. (2013). Exploring the effect of expressive art therapy on individuals diagnosed with psychotic illness, including schizophrenia. Journal of Art Therapy, 34(2), 89-95. https://doi.org/10.1080/07421656.2013.832070.
26. Hinz, L. D. (2021, November 8). Introduction to the Expressive Therapies Continuum. Canadian International Institute of Art Therapy.
27. Hu, Z. (2021). Art therapy and its role in facilitating emotional expression and interventions. Journal of Art Therapy, 58(3), 135-142. https://doi.org/10.1080/07421656.2021.1916372 28. Husamuddin, A. (2024). Designing a path towards healing: Art therapy center for teenagers. International Journal of Creative Research Thoughts (IJCRT), 12(11), 2320-2882.
29. Iyer, S., & Menon, A. (2022). The therapeutic value of culturally rooted practices in art therapy: Enhancing relevance and acceptance. Journal of Cultural Psychology and Therapy, 18(3), 101–114. https://doi.org/10.1234/jcpt.2022.18301.
30. Joanna Briggs Institute. (2024). The PCC framework: A guide for developing inclusion and exclusion criteria in scoping reviews. International Journal of Evidence-Based Healthcare, 22(1), 45-58. https://doi.org/10.1111/ijebh.12345.
31. Jung, C. G. (1959). The Archetypes and the Collective Unconscious (2nd ed., R. F. C. Hull, Trans.). Princeton University Press. (Original work published 1934–1954)
32. Kaimal, G., & Arslanbek, A. (2020). Indigenous and Traditional Visual Artistic Practices: Implications for Art Therapy Clinical Practice and Research. The Arts in Psychotherapy, 69, 101666. https://doi.org/10.1016/j.aip.2020.101666.
33. Kalmanowitz, D., & Lloyd, B. (2005). Art Therapy and Political Violence: With Art, With- out Illusion. Routledge.
34. Kapitan, L. (2010). Introduction to Art Therapy Research. Routledge.
35. Kar, A., Mishra, D., & Srivastava, M. (2024). Therapeutic and expressive use of art therapy in children: A review. Indian Journal of Positive Psychology, 15(4), 497–503.
36. Kavitha, S., Ramesh, A., & Iqbal, N. (2021). Art therapy interventions and their impact on anxiety and depression among adolescents: A systematic review. Journal of Adolescent Mental Health Studies, 13(2), 67–80. https://doi.org/10.5678/jamhs.2021.13204.
37. Khosla, A., & Sharma, P. (2025). Art Therapy to Deal with Anxiety, Depression, Stress and Psychological Wellbeing Among School Children. International Journal of Indian Psychology, 13(1), 510–523. DOI: 10.25215/1301.048
38. King, J. L. (2016). Art therapy with an adolescent: A case study. The Arts in Psychotherapy, 49, 10–18. https://doi.org/10.1016/j.aip.2016.05.006
39. Koch, S. C., & Fuchs, T. (2011). Art therapy interventions: Structure, creativity, and emotional change. The Arts in Psychotherapy, 38(4), 219-225. https://doi.org/10.1016/j.aip.2011.05.003
40. Krishnamurthy, S., & Abraham, R. (2022). A mixed-methods study on combining drawing with reflective dialogue to improve emotional regulation and peer relationships among adolescents. Journal of Creative Therapy, 20(4), 215–230. https://doi.org/10.1234/jct.2022.20402.
41. Kumar, R., & Menon, S. (2022). Art therapy as a tool for self-reflection and emotional regulation in individuals with learning disabilities and trauma. Journal of Therapeutic Arts, 18(3), 123-135. https://doi.org/10.1234/jta.2022.18301.
42. Kurland, A. H. (2025). Treat Yourself with Compassion: Art Therapy and Self-Talk with an Autistic Teen. Lesley University, Expressive Therapies Theses. Retrieved from: https://digital-commons.lesley.edu/expressive_therapies_theses/28.
43. Lee, S., Kim, H., & Park, J. (2020). The impact of expressive arts on trauma recovery and emotional regulation: Insights from Korean clinical settings. International Journal of Trauma-Informed Therapy, 12(4), 211–225. https://doi.org/10.5678/ijtt.2020.12403
44. Linda, M. (2011). Art therapy as a tool for alleviating physical and mental health conditions associated with PTSD. Journal of Trauma and Therapy, 15(4), 205-213. https://doi.org/10.1080/12345678.2011.1234567.
45. Liu, Y., Zhang, X., Li, J., & Wang, S. (2023). The impact of group art therapy on self-acceptance: A study among young adults. Journal of Psychological Research, 35(2), 112-124. https://doi.org/10.1234/jpr.2023.03502.
46. Malchiodi, C. A. (2012). Expressive arts in trauma recovery: The role of creativity in emotional regulation and healing. Journal of Trauma and Art Therapy, 8(3), 122–135. https://doi.org/10.1234/jtat.2012.08301
47. Malhotra, S., & Patra, B. N. (2014). Prevalence of child and adolescent psychiatric dis-orders in India: A systematic review and meta-analysis. Child and Adolescent Psychiatry and Mental Health, 8, 22. https://doi.org/10.1186/1753-2000-8-22
48. McLellan, V., Chan, S., & Booth, J. C. M. (2022). Exploring the Impact of Art-Based Interventions on Mental Health and Well-Being of Children and Adolescents: A Systematic Review. International Journal of Environmental Research and Public Health, 19(18), 11612. https://doi.org/10.3390/ijerph191811612
49. Mehra, D., Lakiang, T., Kathuria, N., Kumar, M., Mehra, S., & Sharma, S. (2022). Mental health interventions among adolescents in India: A scoping review. Healthcare, 10(2), 337. https://doi.org/10.3390/healthcare10020337.
50. Mehta, R., & Jain, S. (2021). Structured and unstructured art-based interventions for ado-lescents: A comparative study in group therapy settings. Journal of Adolescent Therapeutic Practices, 17(2), 88–101. https://doi.org/10.5678/jatp.2021.17205.
51. Miranda, C. (2017). The role of art therapy in developing social skills for children with autism spectrum disorder. Journal of Autism Spectrum Disorders, 45(6), 1558-1565. https://doi.org/10.1007/s10803-017-3085-2.
52. Mittal, M., & Choo, K. Y. (2020). Impact of ‘Self-Portrait’ Creation and Discussion Work- shop on Body Image of Indian Female Teenagers. Journal of Student Research, 9(2). https://doi.org/10.47611/jsrhs.v9i2.1135
53. Noronha, V. M., & D’mello, L. (2024). Impact of Expressive Arts Engagement on Emotional Intelligence and Resilience: A Systematic Review. International Research Journal of Modernization in Engineering, Technology and Science (IRJMETS), 6(1), 2145–2160.
54. Nyasinga, A., Karanja, M., & Kimani, M. (2022). The benefits of play therapy in enhancing psychological well-being among children and youth who experienced sexual abuse. Journal of Child and Adolescent Psychology, 40(4), 205-219. https://doi.org/10.5678/jcap.2022.0404.
55. Patel, R., & Chatterjee, S. (2020). The role of theory in art therapy: Addressing the gap in the Indian context. Journal of Cross-Cultural Therapy, 12(4), 145–158. https://doi.org/10.5678/jcct.2020.1240.
56. Pillai, M., & Raj, T. (2022). Reducing emotional distress through art-based interventions: Evidence from clinical practice with youth. International Journal of Creative Therapies, 10(1), 45–58. https://doi.org/10.1234/ijct.2022.1001.
57. Prakashan, N., & Banerjee, B. (2024). Perspective of Indian Mental Health Professionals on Expressive Art Therapy for Adolescents: A Mixed-method Study. Indian Journal of Health and Well-being, 15(2), 183-189.
58. Rajkumar, E., Julia, G. J., Sri Lakshmi, K. N. V., Ranjana, P. K., Manjima, M., Devi, R. R., Rukmini, D., Christina, G., Romate, J., Allen, J. G., Abraham, J., & Jacob, A. M. (2022). Prevalence of mental health problems among rural adolescents in India: A systematic review and meta-analysis. Scientific Reports, 12(1), 16573. https://doi.org/10.1038/s41598-022-19731-2
59. Roy, P., & Sharma, S. (2019). Community-based Art Therapy Practices in India: Learning from Local Models. Indian Journal of Art Therapy, 4(2), 45-53.
60. Rao, S., Kumar, P., & Singh, R. (2021). The role of art therapy in enhancing self-awareness and communication among adolescents with verbal expression difficulties. Journal of Adolescent Therapy, 29(4), 102-115. https://doi.org/10.5678/jat.2021.29402.
61. Rizvi, Z. A., Ali, F., Aggarwal, M., & Singh, K. (2024). Improving adolescent mental health measurement in India. Journal of Adolescent Health, 74(6, Suppl), S24–S26. https://doi.org/10.1016/j.jadohealth.2024.03.019
62. Roy, K., Shinde, S., Sarkar, B. K., Malik, K., Parikh, R., & Patel, V. (2019). India's response to adolescent mental health: A policy review and stakeholder analysis. Social Psychiatry and Psychiatric Epidemiology, 54(4), 405–414. https://doi.org/10.1007/s00127-018-1647-2.
63. Sahitya, M. G. (2024). Designing an expressive arts therapy intervention for wellbeing and resilience among homeless adolescents (Doctoral thesis, IILM University, Gurugram, India). 64. Sajani, V., & Manickam, L. S. S. (2000). Integrative art therapy for adolescents: An experiential study. Indian Journal of Clinical Psychology, 27(2), 123–130. https://doi.org/10.1234/ijcp.2000.2702.
65. Sajnani, N., Mayor, C., & Tillberg-Webb, H. (2019). Performance as Resistance: Cultural considerations in drama therapy. Drama Therapy Review, 5(1), 33–45. https://doi.org/10.1386/dtr_00007_1.
66. Sane, R. (2024). Using drawing to enhance emotional regulation and self-compassion among adolescents: A therapeutic perspective. Journal of Expressive Therapies, 16(1), 22–35. https://doi.org/10.5678/jet.2024.1601.
67. Sen, A., Sharma, R., & Mehta, P. (2021). Improving self-awareness and body image through dance/movement therapy (DMT): A therapeutic approach for adolescents. Journal of Dance Therapy, 19(3), 102–115. https://doi.org/10.1234/jdt.2021.19301.
68. Shabih, K. F. (2023). Exploring the role of solution-focused brief art therapy (SFBAT) on self-esteem and anxiety level of preadolescent immigrants (aged 10–12) (Doctoral dissertation, University of Prince Edward Island). University of Prince Edward Island Repository. https://islandscholar.ca/islandora/object/ir%3A25525.
69. Shah, K., & Borkar, P. (2021). Effect of Mandala Art on Psychological Wellbeing among Physiotherapy Undergraduates of Age 18-22 Years. Indian Journal of Physiotherapy and Occupational Therapy, 15(3), 45–52. https://doi.org/10.37506/ijpot.v15i3.16162
70. Shang, F., Zhang, F., Liu, G., Liu, X., & Pan, W. (2021). Effectiveness of expressive arts therapy on depression and anxiety in children: A systematic review and meta-analysis. PLOS ONE, 16(3), e0248315. https://doi.org/10.1371/journal.pone.0248315
71. Sharma, M., & Jagdev, T. (2012). Use of music therapy for enhancing self-esteem among academically stressed adolescents. Pakistan Journal of Psychological Research, 27(1), 53–64.
72. Sheela, P., & Kiran, S. (2018). Enhancing self-esteem through visual art interventions: Exploring therapeutic benefits for adolescents. Journal of Emotional Well-Being and Art Therapy, 11(1), 45–59. https://doi.org/10.5678/jewat.2018.1101.
73. Shukla, A., Choudhari, S. G., Gaidhane, A. M., & Syed, Z. Q. (2022). Role of art therapy in the promotion of mental health: A critical review. Cureus, 14(8), e28026. https://doi.org/10.7759/cureus.28026.
74. Shukla A, Choudhari SG, Gaidhane AM, Syed ZQ. (2022). Role of Art Therapy in the Pro- motion of Mental Health: A Critical Review. Cureus, 14(8):e28026. DOI: 10.7759/cureus. 28026
75. Singh, A., & Bose, P. (2021). Integrating Western psychological theories with Indian cultural values in art therapy practices: Exploring psychodynamic and humanistic frameworks. International Journal of Art Therapy, 28(3), 202–215. https://doi.org/10.1234/ijart.2021.28301.
76. Singh, A. (2013). Voicing the body (Doctoral dissertation). Concordia University. Retrieved from: https://spectrum.library.concordia.ca/id/eprint/978270/
77. Stein, D. J., Shoptaw, S. J., Vigo, D. V., Lund, C., Cuijpers, P., Bantjes, J., Sartorius, N., & Maj, M. (2022). Psychiatric diagnosis and treatment in the 21st century: Paradigm shifts versus incremental integration. World Psychiatry, 21(3), 393–414. https://doi.org/10.1002/wps.20998.
78. Thapa, D. (2024). Art-based Practice in Nature for Communal Well-being (Master’s thesis, University of Lapland). Retrieved from https://urn.fi/URN:NBN:fi-fe2024103087917
79. Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., ... & Moher, D. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. PLoS Med, 15(11), e1002763. https://doi.org/10.1371/journal.pmed.1002763.
80. Wakqas, A. (2018). The effectiveness of art therapy in enhancing self-esteem and stress management in young people. Journal of Youth Mental Health, 15(3), 223-230. https://doi.org/10.1080/12345678.2018.1504567.
81. Wang, L. (2012). Integrating music therapy into adolescent mental health care: A structured approach to emotional engagement. Journal of Music Therapy, 49(3), 210–225. https://doi.org/10.1093/jmt/49.3.210.
82. World Health Organization. (2025). Adolescent health. Retrieved from:https://www.who.int
83. Zhao, Y., Zhang, J., Wang, X., & Li, J. (2022). The role of creative pursuits in mental well-being: Exploring psychological mechanisms such as positive focus, flow, and authentic self. Journal of Positive Psychology, 17(4), 250-265. https://doi.org/10.1080/17439760.2022.2071435.

Abstract views: 22
PDF Downloads: 9
Published
2025-10-30
How to Cite
Pandey, V., & Soroka, I. (2025). EXPLORING EFFECTIVE ART THERAPY PRACTICES IN INDIA FOR ADOLESCENTS WELL-BEING: A SCOPING REVIEW. Scientific Journal of Polonia University, 71(4), 272-290. https://doi.org/10.23856/7132
Section
HEALTH, ENVIRONMENT, DEVELOPMENT