Volume 11, Issue 1 (2023)                   Health Educ Health Promot 2023, 11(1): 89-94 | Back to browse issues page


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Sukarno A, Siti Maryana S, Antia A, Rosya E, Dewi R, Mulyana B. Effectiveness of Visual Art Therapy in Improving Psychological Distress in Cancer Patients: A Quasi-Experimental Study. Health Educ Health Promot 2023; 11 (1) :89-94
URL: http://hehp.modares.ac.ir/article-5-67076-en.html
1- Department of Nursing, Faculty of Health Science, Universitas Esa Unggul, Jakarta Barat, Indonesia
Abstract:   (890 Views)
Aims: Cancer patients suffer from the physical and mental consequences of its treatment. Despite regular treatment, a non-pharmacological intervention is uncommonly used to alleviate the psychological distress of hospitalized patients in Indonesia. This study aimed to investigate the effectiveness of visual art therapy in decreasing the anxiety and depressive symptoms in cancer patients.
 Materials & Methods: This quasi-experimental study recruited 121 cancer patients from Dharmais Cancer Hospital Indonesia. The participants were divided into an intervention group (n=43) and the usual care group (n=78). The visual art therapy consisted of 3 sessions such as drawing pictures based on their feeling, drawing pictures inside the circle, and showing and presenting pictures. This intervention was delivered during hospital stays or guided by telephones if they went home in two weeks between April to August 2019 by researchers. The Hospital Anxiety Depression Scale was completed to collect anxiety and depressive symptoms. Independent t-test and Chi-Square test were used to determine the homogeneity of variables. The outcomes of the post-test and pre-test between groups were carried out by analysis of covariance.
Findings: At baselines, participants’ characteristics were homogenous, except for anxiety and depression levels. The intervention group had higher anxiety and depression levels (p<00.1) compared to the usual care group at the baselines. The post-test scores of anxiety (p<0.001) and depressive symptoms (p<0.001) of the intervention group significantly decreased compared to the usual care group.
Conclusion: Visual art therapy improves anxiety and depressive symptoms in cancer patients.
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Article Type: Original Research | Subject: Health Promotion Approaches
Received: 2022/12/27 | Accepted: 2023/03/2 | Published: 2023/03/11
* Corresponding Author Address: Department of Nursing, Esa Unggul University, Jl Arjuna Utara No. 9, Jakarta Barat, 11510, Indonesia. Postal Code: 11510 (anita.sukarno@esaunggul.ac.id)

References
1. Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, et al. Global cancer observatory: cancer today [Internet]. Indonesia: International Agency for Research Cancer; 2021 [cited 2021 Jan 21]. Available from: https://gco.iarc.fr/today/data/factsheets/populations/360-indonesia-fact-sheets.pdf [Link]
2. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209-49. [Link] [DOI:10.3322/caac.21660]
3. Hanna TP, King WD, Thibodeau S, Jalink M, Paulin GA, Harvey-Jones E, et al. Mortality due to cancer treatment delay: systematic review and meta-analysis. BMJ. 2020;371:m4087. [Link] [DOI:10.1136/bmj.m4087]
4. Sun L, Legood R, dos-Santos-Silva I, Gaiha SM, Sadique Z. Global treatment costs of breast cancer by stage: A systematic review. PLoS One. 2018;13(11):e0207993. [Link] [DOI:10.1371/journal.pone.0207993]
5. Grusdat NP, Stäuber A, Tolkmitt M, Schnabel J, Schubotz B, Wright PR, et al. Routine cancer treatments and their impact on physical function, symptoms of cancer-related fatigue, anxiety, and depression. Support Care Cancer. 2022;30(5):3733-44. [Link] [DOI:10.1007/s00520-021-06787-5]
6. Ferreira AR, Di Meglio A, Pistilli B, Gbenou AS, El-Mouhebb M, Dauchy S, et al. Differential impact of endocrine therapy and chemotherapy on quality of life of breast cancer survivors: a prospective patient-reported outcomes analysis. Ann Oncol. 2019;30(11):1784-95. [Link] [DOI:10.1093/annonc/mdz298]
7. Ricci-Cabello I, Vásquez-Mejía A, Canelo-Aybar C, Niño de Guzman E, Pérez-Bracchiglione J, Rabassa M, et al. Adherence to breast cancer guidelines is associated with better survival outcomes: a systematic review and meta-analysis of observational studies in EU countries. BMC Health Serv Res. 2020;20(1):920. [Link] [DOI:10.1186/s12913-020-05753-x]
8. Han CJ, Yang GS, Syrjala K. Symptom experiences in colorectal cancer survivors after cancer treatments: A systematic review and meta-analysis. Cancer Nurs. 2020;43(3):E132-58. [Link] [DOI:10.1097/NCC.0000000000000785]
9. Mehnert A, Hartung TJ, Friedrich M, Vehling S, Brähler E, Härter M, et al. One in two cancer patients is significantly distressed: Prevalence and indicators of distress. Psychooncology. 2018;27(1):75-82. [Link] [DOI:10.1002/pon.4464]
10. Nayak SG, Sharan K, Chakrabarty J, Devi ES, Ravishankar N, George A. Psychosocial distress of Head Neck Cancer (HNC) patients receiving radiotherapy: a systematic review. Asian Pac J Cancer Prev. 2022;23(6):1827-35. [Link] [DOI:10.31557/APJCP.2022.23.6.1827]
11. McFarland DC. New lung cancer treatments (immunotherapy and targeted therapies) and their associations with depression and other psychological side effects as compared to chemotherapy. Gen Hosp Psychiatry. 2019;60:148-55. [Link] [DOI:10.1016/j.genhosppsych.2019.04.001]
12. Brandenbarg D, Maass SWMC, Geerse OP, Stegmann ME, Handberg C, Schroevers MJ, et al. A systematic review on the prevalence of symptoms of depression, anxiety and distress in long-term cancer survivors: Implications for primary care. Eur J Cancer Care (Engl). 2019;28(3):e13086. [Link] [DOI:10.1111/ecc.13086]
13. Pilevarzadeh M, Amirshahi M, Afsargharehbagh R, Rafiemanesh H, Hashemi S-M, Balouchi A. Global prevalence of depression among breast cancer patients: a systematic review and meta-analysis. Breast Cancer Res Treat. 2019;176(3):519-33. [Link] [DOI:10.1007/s10549-019-05271-3]
14. Wang Y-H, Li J-Q, Shi J-F, Que J-Y, Liu J-J, Lappin JM, et al. Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies. Mol Psychiatry. 2020;25(7):1487-99. [Link] [DOI:10.1038/s41380-019-0595-x]
15. Lin C, Clark R, Tu P, Bosworth HB, Zullig LL. Breast cancer oral anti-cancer medication adherence: a systematic review of psychosocial motivators and barriers. Breast Cancer Res Treat. 2017;165(2):247-60. [Link] [DOI:10.1007/s10549-017-4317-2]
16. Martin L, Oepen R, Bauer K, Nottensteiner A, Mergheim K, Gruber H, et al. Creative arts interventions for stress management and prevention-a systematic review. Behav Sci. 2018;8(2):28. [Link] [DOI:10.3390/bs8020028]
17. Haiblum-Itskovitch S, Czamanski-Cohen J, Galili G. Emotional response and changes in heart rate variability following art-making with three different art materials. Front Psychol. 2018;9:968. [Link] [DOI:10.3389/fpsyg.2018.00968]
18. Brandão FMV, Silva CV, da Silva Gonçalves de Oliveira KR, da Silva Pedroso J. Art as a therapeutic tool in depressive disorders: a systematic review of the literature. Psychiatr Q. 2019;90(4):871-82. [Link] [DOI:10.1007/s11126-019-09672-x]
19. Geue K, Goetze H, Buttstaedt M, Kleinert E, Richter D, Singer S. An overview of art therapy interventions for cancer patients and the results of research. Complement Ther Med. 2010;18(3-4):160-70. [Link] [DOI:10.1016/j.ctim.2010.04.001]
20. Bell JG, McHale J, Elliott JO, Heaton W. The impact of art therapy on anxiety and hope in patients with gynecologic cancer undergoing chemotherapy. Arts Psychother. 2022;80:101947. [Link] [DOI:10.1016/j.aip.2022.101947]
21. Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-60. [Link] [DOI:10.3758/BRM.41.4.1149]
22. Wiswell S, Bell JG, McHale J, Elliott JO, Rath K, Clements A. The effect of art therapy on the quality of life in patients with a gynecologic cancer receiving chemotherapy. Gynecol Oncol. 2019;152(2):334-8. [Link] [DOI:10.1016/j.ygyno.2018.11.026]
23. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70. [Link] [DOI:10.1111/j.1600-0447.1983.tb09716.x]
24. Pais-Ribeiro JL, Martins da Silva A, Vilhena E, Moreira I, Santos E, Mendonça D. The hospital anxiety and depression scale, in patients with multiple sclerosis. Neuropsychiatr Dis Treat. 2018;14:3193-7. [Link] [DOI:10.2147/NDT.S184260]
25. Rudy M, Widyadharma PE, Adnyana O. Reliability Indonesian version of the hospital anxiety and depression scale (HADS) of stroke patients in Sanglah general hospital Denpasar. Res Gate. 2015;2:1-23. [Indonesian] [Link]
26. Oster I, Svensk A-C, Magnusson E, Thyme KE, Sjõdin M, Aström S, et al. Art therapy improves coping resources: a randomized, controlled study among women with breast cancer. Palliat Support Care. 2006;4(1):57-64. [Link] [DOI:10.1017/S147895150606007X]
27. Collette N, Güell E, Fariñas O, Pascual A. Art Therapy in a Palliative Care Unit: Symptom Relief and Perceived Helpfulness in Patients and Their Relatives. J Pain Symptom Manage. 2021;61(1):103-11. [Link] [DOI:10.1016/j.jpainsymman.2020.07.027]
28. Thyme KE, Sundin EC, Wiberg B, Oster I, Aström S, Lindh J. Individual brief art therapy can be helpful for women with breast cancer: a randomized controlled clinical study. Palliat Support Care. 2009;7(1):87-95. [Link] [DOI:10.1017/S147895150900011X]
29. Czamanski-Cohen JP, Wiley JFP, Sela NBA, Caspi PhD OMD, Weihs KMD. The role of emotional processing in art therapy (REPAT) for breast cancer patients. J Psychosoc Oncol. 2019;37(5):586-98. [Link] [DOI:10.1080/07347332.2019.1590491]
30. De Feudis RL, Graziano G, Lanciano T, Garofoli M, Lisi A, Marzano N. An art therapy group intervention for cancer patients to counter distress before chemotherapy. Arts Health. 2021;13(1):35-48. [Link] [DOI:10.1080/17533015.2019.1608566]
31. Thyme KE, Tavelin B, Öster I, Lindh J, Wiberg B. Art therapy and self-image: A 5-year follow-up art therapy RCT study of women diagnosed with breast cancer. Palliat Support Care. 2022;20(4):482-90. [Link] [DOI:10.1017/S1478951521001437]

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