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Art for health’s sake or health for art’s sake: Disentangling the bidirectional relationships between arts engagement and mental health

Mak, Hei Wan; Hu, Yang; Bu, Feifei; Bone, Jessica K; Fancourt, Daisy; (2024) Art for health’s sake or health for art’s sake: Disentangling the bidirectional relationships between arts engagement and mental health. PNAS Nexus , 3 (11) , Article pgae465. 10.1093/pnasnexus/pgae465. Green open access

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Abstract

Increasing evidence links arts engagement with mental health, but the directionality of the link remains unclear. Applying a novel approach to causal inference, we used nonrecursive instrumental variable models to analyze two waves of data from the United Kingdom Household Longitudinal Study (n = 17,927). Our findings reveal bidirectional causal relationships between arts engagement (arts participation, cultural attendance, and heritage visits) and mental health (GHQ-12 mental distress and SF-12 Mental Component Summary mental well-being). After adjusting for time 1 measures and identifying confounders, cultural attendance and heritage visits were reciprocally associated with mental distress and mental well-being, while arts participation was only reciprocally associated with mental well-being. The bidirectional effects between arts engagement and mental health are modest but clearly demonstrated not only from mental health to arts but also from arts to mental health. Our findings indicate that previous evidence of an association between arts engagement and mental health is due to bidirectional causal effects. Interventions that boost arts participation, cultural attendance, and heritage visits may help break the negative feedback loop and enhance mental health.

Type: Article
Title: Art for health’s sake or health for art’s sake: Disentangling the bidirectional relationships between arts engagement and mental health
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/pnasnexus/pgae465
Publisher version: https://doi.org/10.1093/pnasnexus/pgae465
Language: English
Additional information: © The Author(s) 2024. Published by Oxford University Press on behalf of National Academy of Sciences. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: nonrecursive model, arts engagement, mental health, GHQ-12 mental distress, SF-12 MCS mental well-being
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10205553
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