Skip to main content
Top
Gepubliceerd in:

07-12-2016

Art therapy based on appreciation of famous paintings and its effect on distress among cancer patients

Auteurs: Jeongshim Lee, Mi Yeon Choi, Yong Bae Kim, Jiyu Sun, Eun Jung Park, Ju Hye Kim, Minchul Kang, Woong Sub Koom

Gepubliceerd in: Quality of Life Research | Uitgave 3/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

We aimed to evaluate the effectiveness of art therapy based on appreciation of famous paintings on the distress of cancer patients receiving radiotherapy. In particular, we focused on anxiety, depression, and cancer-related symptoms.

Methods

Between October 2015 and February 2016, cancer patients receiving radiotherapy were recruited prospectively to participate in the art therapy based on famous painting appreciation. The art therapy took place in two parts comprising 4 sessions of famous painting appreciation and 4 sessions of creative artwork generation; these sessions were performed twice weekly over four weeks. Cancer-related distress was measured using the Hospital Anxiety and Depression Scale (HADS), Hamilton Depression Rating Scale (HDRS), and Edmonton Symptom Assessment Scale (ESAS) at three points: before the art therapy began, after the fourth session of art therapy, and after the eighth session.

Results

Of the 24 enrolled patients, 20 (83%) completed all eight sessions. We observed significant improvements in HADS anxiety and total scores over time according to linear mixed models with Bonferroni corrections (all p < 0.05). Furthermore, HDRS scores demonstrated significant decreases according to linear mixed models (p = 0.001). Fewer patients met the HADS or HDRS criteria for severe anxiety or depression after the intervention. We observed no changes in ESAS mean scores.

Conclusions

Art therapy based on famous painting appreciation significantly improved cancer-related anxiety and depression and reduced the prevalence of severe anxiety and depression during cancer treatment.
Literatuur
1.
go back to reference Carlson, L. E., Waller, A., & Mitchell, A. J. (2012). Screening for distress and unmet needs in patients with cancer: Review and recommendations. Journal of Clinical Oncology, 30(11), 1160–1177.CrossRefPubMed Carlson, L. E., Waller, A., & Mitchell, A. J. (2012). Screening for distress and unmet needs in patients with cancer: Review and recommendations. Journal of Clinical Oncology, 30(11), 1160–1177.CrossRefPubMed
2.
go back to reference Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., et al. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: A meta-analysis of 94 interview-based studies. The Lancet Oncology, 12(2), 160–174.CrossRefPubMed Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., et al. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: A meta-analysis of 94 interview-based studies. The Lancet Oncology, 12(2), 160–174.CrossRefPubMed
3.
go back to reference Bultz, B. D., & Carlson, L. E. (2005). Emotional distress: The sixth vital sign in cancer care. Journal of Clinical Oncology, 23(26), 6440–6441.CrossRefPubMed Bultz, B. D., & Carlson, L. E. (2005). Emotional distress: The sixth vital sign in cancer care. Journal of Clinical Oncology, 23(26), 6440–6441.CrossRefPubMed
5.
go back to reference Hamer, M., Chida, Y., & Molloy, G. J. (2009). Psychological distress and cancer mortality. Journal of Psychosomatic Research, 66(3), 255–258.CrossRefPubMed Hamer, M., Chida, Y., & Molloy, G. J. (2009). Psychological distress and cancer mortality. Journal of Psychosomatic Research, 66(3), 255–258.CrossRefPubMed
6.
go back to reference Richardson, M. A., Sanders, T., Palmer, J. L., Greisinger, A., & Singletary, S. E. (2000). Complementary/alternative medicine use in a comprehensive cancer center and the implications for oncology. Journal of Clinical Oncology, 18(13), 2505–2514.PubMed Richardson, M. A., Sanders, T., Palmer, J. L., Greisinger, A., & Singletary, S. E. (2000). Complementary/alternative medicine use in a comprehensive cancer center and the implications for oncology. Journal of Clinical Oncology, 18(13), 2505–2514.PubMed
7.
go back to reference Moyer, A., Sohl, S. J., Knapp-Oliver, S. K., & Schneider, S. (2009). Characteristics and methodological quality of 25 years of research investigating psychosocial interventions for cancer patients. Cancer Treatment Reviews, 35(5), 475–484.CrossRefPubMedPubMedCentral Moyer, A., Sohl, S. J., Knapp-Oliver, S. K., & Schneider, S. (2009). Characteristics and methodological quality of 25 years of research investigating psychosocial interventions for cancer patients. Cancer Treatment Reviews, 35(5), 475–484.CrossRefPubMedPubMedCentral
8.
go back to reference Geue, K., Goetze, H., Buttstaedt, M., Kleinert, E., Richter, D., & Singer, S. (2010). An overview of art therapy interventions for cancer patients and the results of research. Complementary Therapies in Medicine, 18(3–4), 160–170.CrossRefPubMed Geue, K., Goetze, H., Buttstaedt, M., Kleinert, E., Richter, D., & Singer, S. (2010). An overview of art therapy interventions for cancer patients and the results of research. Complementary Therapies in Medicine, 18(3–4), 160–170.CrossRefPubMed
9.
go back to reference Wood, M. J., Molassiotis, A., & Payne, S. (2011). What research evidence is there for the use of art therapy in the management of symptoms in adults with cancer? A systematic review. Psychooncology, 20(2), 135–145.CrossRefPubMed Wood, M. J., Molassiotis, A., & Payne, S. (2011). What research evidence is there for the use of art therapy in the management of symptoms in adults with cancer? A systematic review. Psychooncology, 20(2), 135–145.CrossRefPubMed
10.
go back to reference Nainis, N., Paice, J. A., Ratner, J., Wirth, J. H., Lai, J., & Shott, S. (2006). Relieving symptoms in cancer: Innovative use of art therapy. Journal of Pain and Symptom Management, 31(2), 162–169.CrossRefPubMed Nainis, N., Paice, J. A., Ratner, J., Wirth, J. H., Lai, J., & Shott, S. (2006). Relieving symptoms in cancer: Innovative use of art therapy. Journal of Pain and Symptom Management, 31(2), 162–169.CrossRefPubMed
11.
go back to reference Koom, W. S., Choi, M. Y., Lee, J., Park, E. J., Kim, J. H., Kim, S. H., et al. (2016). Art therapy using famous painting appreciation maintains fatigue levels during radiotherapy in cancer patients. Radiation Oncology Journal, 34(2), 135–144.CrossRefPubMedPubMedCentral Koom, W. S., Choi, M. Y., Lee, J., Park, E. J., Kim, J. H., Kim, S. H., et al. (2016). Art therapy using famous painting appreciation maintains fatigue levels during radiotherapy in cancer patients. Radiation Oncology Journal, 34(2), 135–144.CrossRefPubMedPubMedCentral
12.
go back to reference Thomas, G., & Kennedy, J. (1995). Art therapy and practice in palliative care. European Journal of Palliative Care, 2(3), 120–123. Thomas, G., & Kennedy, J. (1995). Art therapy and practice in palliative care. European Journal of Palliative Care, 2(3), 120–123.
13.
go back to reference Oh, S. M., Min, K. J., & Park, D. B. (1999). A study on the standardization of the hospital anxiety and depression scale for Koreans: A comparison of normal, depressed and anxious groups. Journal of Korean Neuropsychiatric Association, 38(2), 289–296. Oh, S. M., Min, K. J., & Park, D. B. (1999). A study on the standardization of the hospital anxiety and depression scale for Koreans: A comparison of normal, depressed and anxious groups. Journal of Korean Neuropsychiatric Association, 38(2), 289–296.
14.
go back to reference Yi, J. S., Bae, S. O., Ahn, Y. M., Park, D. B., Noh, K. S., Shin, H. K., et al. (2005). Validity and reliability of the Korean version of the Hamilton Depression Rating Scale (K-HDRS). Journal of Korean Neuropsychiatric Association, 44(4), 456–465. Yi, J. S., Bae, S. O., Ahn, Y. M., Park, D. B., Noh, K. S., Shin, H. K., et al. (2005). Validity and reliability of the Korean version of the Hamilton Depression Rating Scale (K-HDRS). Journal of Korean Neuropsychiatric Association, 44(4), 456–465.
15.
go back to reference Kwon, J. H., Nam, S. H., Koh, S., Hong, Y. S., Lee, K. H., Shin, S. W., et al. (2013). Validation of the Edmonton Symptom Assessment System in Korean patients with cancer. Journal of Pain and Symptom Management, 46(6), 947–956.CrossRefPubMed Kwon, J. H., Nam, S. H., Koh, S., Hong, Y. S., Lee, K. H., Shin, S. W., et al. (2013). Validation of the Edmonton Symptom Assessment System in Korean patients with cancer. Journal of Pain and Symptom Management, 46(6), 947–956.CrossRefPubMed
16.
go back to reference Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.CrossRefPubMed Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.CrossRefPubMed
17.
go back to reference Carlson, L. E., Angen, M., Cullum, J., Goodey, E., Koopmans, J., Lamont, L., et al. (2004). High levels of untreated distress and fatigue in cancer patients. British Journal of Cancer, 90(12), 2297–2304.PubMedPubMedCentral Carlson, L. E., Angen, M., Cullum, J., Goodey, E., Koopmans, J., Lamont, L., et al. (2004). High levels of untreated distress and fatigue in cancer patients. British Journal of Cancer, 90(12), 2297–2304.PubMedPubMedCentral
18.
go back to reference Faller, H., & Schmidt, M. (2004). Prognostic value of depressive coping and depression in survival of lung cancer patients. Psychooncology, 13(5), 359–363.CrossRefPubMed Faller, H., & Schmidt, M. (2004). Prognostic value of depressive coping and depression in survival of lung cancer patients. Psychooncology, 13(5), 359–363.CrossRefPubMed
19.
go back to reference Sharpley, C. F., Bitsika, V., Wootten, A. C., & Christie, D. R. (2014). Differences in major depressive disorder and generalised anxiety disorder symptomatology between prostate cancer patients receiving hormone therapy and those who are not. Psychooncology, 23(12), 1350–1355.CrossRefPubMed Sharpley, C. F., Bitsika, V., Wootten, A. C., & Christie, D. R. (2014). Differences in major depressive disorder and generalised anxiety disorder symptomatology between prostate cancer patients receiving hormone therapy and those who are not. Psychooncology, 23(12), 1350–1355.CrossRefPubMed
20.
go back to reference Bar-Sela, G., Atid, L., Danos, S., Gabay, N., & Epelbaum, R. (2007). Art therapy improved depression and influenced fatigue levels in cancer patients on chemotherapy. Psychooncology, 16(11), 980–984.CrossRefPubMed Bar-Sela, G., Atid, L., Danos, S., Gabay, N., & Epelbaum, R. (2007). Art therapy improved depression and influenced fatigue levels in cancer patients on chemotherapy. Psychooncology, 16(11), 980–984.CrossRefPubMed
21.
go back to reference Sehlen, S., Hollenhorst, H., Schymura, B., Herschbach, P., Aydemir, U., Firsching, M., et al. (2003). Psychosocial stress in cancer patients during and after radiotherapy. Strahlentherapie und Onkologie, 179(3), 175–180.CrossRefPubMed Sehlen, S., Hollenhorst, H., Schymura, B., Herschbach, P., Aydemir, U., Firsching, M., et al. (2003). Psychosocial stress in cancer patients during and after radiotherapy. Strahlentherapie und Onkologie, 179(3), 175–180.CrossRefPubMed
22.
go back to reference Watson, M., Homewood, J., Haviland, J., & Bliss, J. M. (2005). Influence of psychological response on breast cancer survival: 10-year follow-up of a population-based cohort. European Journal of Cancer, 41(12), 1710–1714.CrossRefPubMed Watson, M., Homewood, J., Haviland, J., & Bliss, J. M. (2005). Influence of psychological response on breast cancer survival: 10-year follow-up of a population-based cohort. European Journal of Cancer, 41(12), 1710–1714.CrossRefPubMed
23.
go back to reference Chan, C. M., Wan Ahmad, W. A., Yusof, M. M., Ho, G. F., & Krupat, E. (2015). Effects of depression and anxiety on mortality in a mixed cancer group: A longitudinal approach using standardised diagnostic interviews. Psychooncology, 24(6), 718–725.CrossRefPubMed Chan, C. M., Wan Ahmad, W. A., Yusof, M. M., Ho, G. F., & Krupat, E. (2015). Effects of depression and anxiety on mortality in a mixed cancer group: A longitudinal approach using standardised diagnostic interviews. Psychooncology, 24(6), 718–725.CrossRefPubMed
24.
go back to reference Kash, K. M., Mago, R., & Kunkel, E. J. (2005). Psychosocial oncology: Supportive care for the cancer patient. Seminars in Oncology, 32(2), 211–218.CrossRefPubMed Kash, K. M., Mago, R., & Kunkel, E. J. (2005). Psychosocial oncology: Supportive care for the cancer patient. Seminars in Oncology, 32(2), 211–218.CrossRefPubMed
25.
go back to reference Archer, S., Buxton, S., & Sheffield, D. (2015). The effect of creative psychological interventions on psychological outcomes for adult cancer patients: A systematic review of randomised controlled trials. Psychooncology, 24(1), 1–10.CrossRefPubMed Archer, S., Buxton, S., & Sheffield, D. (2015). The effect of creative psychological interventions on psychological outcomes for adult cancer patients: A systematic review of randomised controlled trials. Psychooncology, 24(1), 1–10.CrossRefPubMed
26.
go back to reference Zhang, M. F., Wen, Y. S., Liu, W. Y., Peng, L. F., Wu, X. D., & Liu, Q. W. (2015). Effectiveness of mindfulness-based therapy for reducing anxiety and depression in patients with cancer: A meta-analysis. Medicine (Baltimore). doi:10.1097/MD.0000000000000897. Zhang, M. F., Wen, Y. S., Liu, W. Y., Peng, L. F., Wu, X. D., & Liu, Q. W. (2015). Effectiveness of mindfulness-based therapy for reducing anxiety and depression in patients with cancer: A meta-analysis. Medicine (Baltimore). doi:10.​1097/​MD.​0000000000000897​.
27.
go back to reference Lin, M. H., Moh, S. L., Kuo, Y. C., Wu, P. Y., Lin, C. L., Tsai, M. H., et al. (2012). Art therapy for terminal cancer patients in a hospice palliative care unit in Taiwan. Palliative and Supportive Care, 10(1), 51–57.CrossRefPubMed Lin, M. H., Moh, S. L., Kuo, Y. C., Wu, P. Y., Lin, C. L., Tsai, M. H., et al. (2012). Art therapy for terminal cancer patients in a hospice palliative care unit in Taiwan. Palliative and Supportive Care, 10(1), 51–57.CrossRefPubMed
28.
go back to reference Derogatis, L. R., Morrow, G. R., Fetting, J., Penman, D., Piasetsky, S., Schmale, A. M., et al. (1983). The prevalence of psychiatric disorders among cancer patients. JAMA, 249(6), 751–757.CrossRefPubMed Derogatis, L. R., Morrow, G. R., Fetting, J., Penman, D., Piasetsky, S., Schmale, A. M., et al. (1983). The prevalence of psychiatric disorders among cancer patients. JAMA, 249(6), 751–757.CrossRefPubMed
29.
go back to reference Stefanek, M. E., Derogatis, L. P., & Shaw, A. (1987). Psychological distress among oncology outpatients. Prevalence and severity as measured with the Brief Symptom Inventory. Psychosomatics, 28(10), 530–532, 537–539. Stefanek, M. E., Derogatis, L. P., & Shaw, A. (1987). Psychological distress among oncology outpatients. Prevalence and severity as measured with the Brief Symptom Inventory. Psychosomatics, 28(10), 530–532, 537–539.
Metagegevens
Titel
Art therapy based on appreciation of famous paintings and its effect on distress among cancer patients
Auteurs
Jeongshim Lee
Mi Yeon Choi
Yong Bae Kim
Jiyu Sun
Eun Jung Park
Ju Hye Kim
Minchul Kang
Woong Sub Koom
Publicatiedatum
07-12-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 3/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1473-5

Andere artikelen Uitgave 3/2017

Quality of Life Research 3/2017 Naar de uitgave