Art therapy and social function in palliative care patients: a mixed-method pilot study

Abstract

ObjectivesTo evaluate the influence of art therapy in reducing palliative symptoms, on social availability and on perceptions of aesthetics in hospitalised palliative care patients. The secondary objective was to evaluate its influence on bereaved families.MethodsA mixed-method quasi-experimental before and after study comprising a follow-up postal survey of bereaved families. All patients who were keen to have art therapy sessions were eligible. We used patient-reported outcome scales 5 min before and after the session. The Edmonton Symptom Assessment Scale has been used for pain, anxiety, well-being, fatigue and depression. Ten-point visual analogue scales were used for social availability, lack of desire and wishes, and perceptions of aesthetics based on the Beautiful–Well–Good model. A postal survey was sent to bereaved families. Correlations and data mining analyses were performed.ResultsIn all, 24 patients were recruited for a total of 53 art therapy sessions analysed. Seven families completed the survey. Art therapy significantly reduced the assessed symptoms and overall symptom distress by 54.4% (p <0.001, d = 1.08). It also decreased the feeling of social unavailability (−59%, d = 0.67) and the lack of desire and wishes (−60%, d=0.86). The analysis of the family questionnaires indicates the positive effects regarding support, artwork and feelings during illness and grief.ConclusionOur results suggest an overall improvement in the symptoms experienced and social functioning of palliative patients. Based on our findings, we propose a model for the potential mechanism of action of art therapy.

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“…(b) Arteterapia nos cuidados paliativosCom foco no cuidado às famílias enlutadas,Lefèvre et al (2020) avaliaram a influência da Arteterapia na redução dos sintomas paliativos, na disponibilidade social e na percepção estética dos pacientes 12 em cuidados paliativos hospitalizados e sobre a influência sobre suas famílias. Estudo misto quaseexperimental, foram realizados pré e pós teste das intervenções de Arteterapia, por meio das escalas de Avaliação de Sintomas de Edmonton, que avaliou sintomas de dor, de ansiedade, de bem-estar, de fadiga e de depressão e de escalas visuais analógicas visuais de dez pontos para avaliar a disponibilidade social, a falta de desejos e vontades e as percepções estéticas baseadas no modelo Beautiful-Well-Good.…”