A Pilot Study of a Mindfulness-Based Art Therapy Intervention in Outpatients With Cancer

Meghani, Salimah H.; Peterson, Caroline; Kaiser, Donna H.; Rhodes, Joseph; Rao, Hengyi; Chittams, Jesse; Chatterjee, Anjan

doi:10.1177/1049909118760304

Cited by 31 publications

(46 citation statements)

References 21 publications

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“…These findings are consistent with other studies reporting the benefit of art therapy in cancer, [ 32 ] on emotions in women with breast cancer [ 33 ], and as a form of mindfulness that can reduce the amount of stress, anxiety, and depression among patients with breast cancer [ 34 – 36 ] and those undergoing palliative care for cancer [ 37 ]. Several recent studies have also explored the effects of art therapy on quality of life in patients with cancer while either receiving radiotherapy [ 38 , 39 ], or chemotherapy [ 40 , 41 ].…”

Section: Discussionsupporting

confidence: 91%

A pilot study of improved psychological distress with art therapy in patients with cancer undergoing chemotherapy

et al. 2020

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Background Art therapy may improve the physical, mental, and emotional wellbeing of individuals for a variety of purposes. It remains understudied and underutilized in cancer care. We sought to determine the ability of a pilot art therapy program to improve the physical, mental, and emotional well-being of cancer patients. Methods Chemotherapy-recipients, age 18 years and older, diagnosed with any type or stage of cancer, were considered eligible to participate in this single arm, pilot study, using four visual analog scales (VAS) with visually-similar, 0–10 scale (10 being worst) thermometers assessing: 1) pain, 2) emotional distress, 3) depression, and 4) anxiety. Participants were asked to complete all 4 metrics, pre-treatment, post-treatment, and at 48–72 h follow-up, after an hour-long art therapy session. Primary endpoints included post-intervention changes from baseline in the 4 VAS metrics. Results Through a reasonable pilot sample (n = 50), 44% had breast cancer, 22% gastrointestinal cancers, 18% hematological malignancies, and 20% had other malignancies. A decrease in all VAS measures was noted immediately post-treatment but remained low only for pain and depression, not for emotional distress and anxiety upon follow up. There was a significant difference between the depression VAS scores of Hispanics (32%) compared to non-Hispanics (56%) (p = 0.009) at baseline. However, compared to non-Hispanics, Hispanics exhibited higher levels of depression after art therapy (P = 0.03) and during the follow-up intervals (p = 0.047). Conclusion Art therapy improved the emotional distress, depression, anxiety and pain among all cancer patients, at all time points. While depression scores were higher pre-intervention for Hispanic patients, Hispanic patients were noted to derive a greater improvement in depression scores from art therapy over time, compared to non-Hispanics patients. Discovering simple, effective, therapeutic interventions, to aid in distress relief in cancer patients, is important for ensuring clinical efficacy of treatment and improved quality of life.

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Section: Discussionsupporting

confidence: 91%

A pilot study of improved psychological distress with art therapy in patients with cancer undergoing chemotherapy

et al. 2020

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“…There was a notable range of participants in the studies: 0–10 participants (7.7%), 11–30 participants (46.2%), 31–100 participants (23%), and over 100 participants (23.1%). There was a lack of geographical diversity, with most of the studies occurring in the United States, 2,25,26,44,46–50 and two in South Korea, 28,45 one in Japan, 12 and one in Iran 43 . The MBAIs were held in various settings, including hospitals or cancer centres, 2,12,25,28,43,44,46,49 outpatient clinics, 45 community centres, 26 retreat centres, 47,50 and at a university 48 .…”

Section: Resultsmentioning

confidence: 99%

“…Most of the interventions were facilitated group interventions (77%), and the remainder consisted of two 12 or four 46,48 individual sessions with a therapist. The group interventions ranged from 8 to 12 sessions, 2,25,26,28,44,45,49 with two group interventions taking place in a retreat format 47,50 . Although four studies did not cite a theoretical underpinning for the intervention/study, 12,43,48,50 five studies were informed by self‐regulation theory, 2,25,28,44,45 and the remainder were guided by various perspectives such as a mindful movement conceptual framework, 26 Antonovsky theory of salutogenic stress response/Rogers' theory of creativity, 49 Csikszentmihalyi's theory of flow, 46 and an analytic psychology perspective 47 …”

Section: Resultsmentioning

confidence: 99%

Mindfulness‐based arts interventions for cancer care: A systematic review of the effects on wellbeing and fatigue

et al. 2020

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Objective Upon receiving a cancer diagnosis, life irrevocably changes and complex experiences of emotional distress often occur. There is a growing interest in mindfulness‐based arts interventions (MBAIs) to ameliorate the distress many patients experience. Our review objective was to synthesize the evidence on the effectiveness of MBAIs on psychological wellbeing and fatigue. Method Relevant quantitative articles were identified through a systematic search of the grey literature and online databases including MEDLINE, CINAHL, Cochrane CENTRAL, Art Full Text, ART bibliographies Modern, PsycINFO, Scopus, and EMBASE. Two independent reviewers screened titles/abstracts against predetermined inclusion criteria, read full‐text articles for eligibility, conducted quality appraisals of included articles, and extracted pertinent data with a standardized data extraction form. The heterogeneity of the included studies precluded a meta‐analysis and a narrative synthesis of study outcomes was conducted. Results Our systematic search retrieved 4241 titles/abstracts, and 13 studies met our inclusion criteria (eight randomized controlled trials and five quasi‐experiments). Most of the studies focused on patients with cancer (92.3%). There is a growing interest in MBAIs over time and significant heterogeneity in the types of interventions. A significant effect was found on several outcomes that are important in psychosocial oncology: quality of life, psychological state, spiritual wellbeing, and mindfulness. The effect on fatigue was equivocal. Conclusions This novel intervention demonstrates promise for the psychosocial care of patients with cancer. These findings are an essential antecedent to the continued implementation, development, and evaluation of MBAIs in oncology.

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“…A prospective study in adult patients with any cancer diagnosis, early stage or recurrent cancer except brain cancer, assessed the outcomes of an eight-week Mindfulness-Based Art Therapy (MBAT) intervention [9]. MBAT involves the practice of opening to artist-grade art media, making a collage using various techniques, use of digital photography away from the medical facility for four to five of the eight-week program.…”

Section: Reviewmentioning

confidence: 99%

Evidence for the Role of Mindfulness in Cancer: Benefits and Techniques

Mehta

Sharma

Potters

et al. 2019

Cureus

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Mindfulness is being used increasingly in various aspects of cancer management. Benefits of mindfulness practices are being observed to manage the adverse effects of treatment, symptoms from cancer progression, and the cost-effectiveness compared to conventional contemporary management strategies. In this review article, we present clinical trial data showing the benefits of mindfulness in various aspects of cancer management as well as techniques that have been commonly used in this practice.

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A Pilot Study of a Mindfulness-Based Art Therapy Intervention in Outpatients With Cancer

Abstract: The MBAT intervention, Walkabout, seems to meet key palliative care goals including improvement in emotional well-being, comprehensibility, and meaning making among outpatients with cancer.

Cited by 31 publications

References 21 publications

A pilot study of improved psychological distress with art therapy in patients with cancer undergoing chemotherapy

A pilot study of improved psychological distress with art therapy in patients with cancer undergoing chemotherapy

Mindfulness‐based arts interventions for cancer care: A systematic review of the effects on wellbeing and fatigue

Evidence for the Role of Mindfulness in Cancer: Benefits and Techniques

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