Individual brief art therapy can be helpful for women with breast cancer: A randomized controlled clinical study

Thyme, Karin Egberg; Sundin, Eva; Wiberg, Britt; Öster, Inger; Åström, Sture; Lindh, Jack

doi:10.1017/s147895150900011x

Cited by 84 publications

(73 citation statements)

References 35 publications

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“…Two participants in VT accepted Body Awareness as an additional treatment during psychotherapy.' 47 In the Thyme et al 2009 62 study the usage of antidepressants was self-reported, and therefore this information may be incomplete. In the Chapman et al 49 study, 'treatment as usual' hospital care was defined as the normal and usual course of paediatric care including Child Life services, art therapy, and social work and psychiatric consultations.…”

Section: Concomitant Treatmentmentioning

confidence: 99%

Systematic review and economic modelling of the clinical effectiveness and cost-effectiveness of art therapy among people with non-psychotic mental health disorders

Uttley

Scope

Stevenson

et al. 2015

Health Technology Assessment

100

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BackgroundMental health problems account for almost half of all ill health in people under 65 years. The majority are non-psychotic (e.g. depression, anxiety and phobias). For some people, art therapy may provide more profound and long-lasting healing than more standard forms of treatment, perhaps because it can provide an alternative means of expression and release from trauma. As yet, no formal evaluation of art therapy for non-psychotic mental health disorders has been conducted.AimThis review aimed to evaluate evidence for the clinical effectiveness and cost-effectiveness of art therapy for non-psychotic mental health disorders.MethodsComprehensive literature searches for studies examining art therapy in populations with non-psychotic mental health disorders were performed in major health-related and social science bibliographic databases including MEDLINE, EMBASE, The Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Allied and Complementary Medicine Database (AMED) and Applied Social Sciences Index and Abstracts (ASSIA) from inception up to May 2013. A quantitative systematic review of clinical effectiveness, a qualitative review to explore the acceptability, relative benefits and potential harms, and a cost–utility analysis of studies evaluating cost-effectiveness of art therapy were conducted.ResultsIn the quantitative review, 15 randomised controlled trials (RCTs) were included (n = 777). Meta-analysis was not possible because of clinical heterogeneity and insufficient comparable data on outcome measures across studies. A narrative synthesis reports that art therapy was associated with significant positive changes relative to the control group in mental health symptoms in 10 out of the 15 studies. The control groups varied between studies but included wait-list/no treatment, attention placebo controls and psychological therapy comparators. Four studies reported improvement from baseline but no significant difference between groups. One study reported that outcomes were more favourable in the control group. The quality of included RCTs was generally low. In the qualitative review, 12 cohort studies were included (n = 188 service users;n = 16 service providers). Themes relating to benefits of art therapy for service users included the relationship with the therapist, personal achievement and distraction. Areas of potential harms were related to the activation of emotions that were then unresolved, lack of skill of the art therapist and sudden termination of art therapy. The quality of included qualitative studies was generally low to moderate. In the cost-effectiveness review, a de novo model was constructed and populated with data identified from the clinical review. Scenario analyses were conducted allowing comparisons of group art therapy with wait-list control, group art therapy with group verbal therapy, and individual art therapy versus control. Art therapy appeared cost-effective compared with wait-list control with high certainty, although generalisability to the target population was unclear. Verbal therapy appeared more cost-effective than art therapy but there was considerable uncertainty and a sizeable probability that art therapy was more clinically effective. The cost-effectiveness of individual art therapy was uncertain and dependent on assumptions regarding clinical benefit and duration of benefit.ConclusionsFrom the limited available evidence, art therapy was associated with positive effects when compared with a control in a number of studies in patients with different clinical profiles, and it was reported to be an acceptable treatment and was associated with a number of benefits. Art therapy appeared to be cost-effective compared with wait-list but further studies are needed to confirm this finding as well as evidence to inform future cost-effective analyses of art therapy versus other treatments.Study registrationThe study is registered as PROSPERO CRD42013003957.FundingThe National Institute for Health Research Health Technology Assessment programme.

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Section: Concomitant Treatmentmentioning

confidence: 99%

Systematic review and economic modelling of the clinical effectiveness and cost-effectiveness of art therapy among people with non-psychotic mental health disorders

Uttley

Scope

Stevenson

et al. 2015

Health Technology Assessment

100

View full text Add to dashboard Cite

show abstract

“…Art therapy is an effective intervention for psychological and spiritual care, and has been reported to be effective for alleviation of anxiety, depression, and somatic symptoms for women with breast cancer [4] and for tension, depression, anger, confusion, and vigor [5]. In a systematic review of creative psychological interventions including art therapy, music therapy, dance therapy and movement therapy, Archer et al [6] found benefits for anxiety and depression, quality of life, coping, stress, anger and mood.…”

Section: Introductionmentioning

confidence: 99%

Psychological utility of art therapy for patients with advanced cancer

Ando¹,

Hayashida²

2017

Clin Case Rep Rev

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Patients with advanced cancer experience various kind of suffering such as physical pain, psychological suffering, or existential suffering. Art therapy is one of the most effective psychological cares. The aim of this study was to investigate the psychological utility of art therapy for patients with advanced cancer. Eight patients with advanced cancer received art therapy with an art therapist from two to four times in a general hospital. They made art including drawing pictures or making collages to express their feelings and thoughts. Each patient explained his art after each session and discussed changes that they had undergone between sessions. The therapist wrote down patients' words including explanation toward arts, their emotions, and thoughts, then categorized to evaluate the utility of the art therapy, and the following categories emerged: "Promotion of communication with other patients," "Promotion of communication with family members," "Hope for the future," "Making psychological space to forget illness," "Missing the good old times," and "Relaxation." These results suggest that art therapy has psychological utility for patients with advanced cancer such as promoting communication, finding hopes for the future, and adapting to life in the hospital.

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“…[1][2][3][4][5][6][7] Various CAM therapies have improved psychological symptoms frequently associated with cancer and cancer treatment, including cancer-related fatigue, 8 pain, 9 and symptoms of anxiety and depression. 10,11 Creative arts therapies (CATs), including music therapy, [12][13][14] dance/movement therapy, [15][16][17][18] and various forms of art therapy, [19][20][21] have received less empirical attention than other CAM therapies more commonly used among adults, such as vitamin and nonvitamin supplements and mind-body therapies. 1 Although CAT research has been predominately qualitative, clinical research on CAT has expanded from purely observational science to a wider, cross-disciplinary approach that includes fields such as neuropsychiatry.…”

mentioning

confidence: 99%

Effects of Creative Arts Therapies on Psychological Symptoms and Quality of Life in Patients With Cancer

Puetz¹,

Morley²,

Herring³

2013

JAMA Intern Med

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Importance: Creative arts therapies (CATs) can reduce anxiety, depression, pain, and fatigue and increase quality of life (QOL) in patients with cancer. However, no systematic review of randomized clinical trials (RCTs) examining the effects of CAT on psychological symptoms among cancer patients has been conducted.Objectives: To estimate the effect of CAT on psychological symptoms and QOL in cancer patients during treatment and follow-up and to determine whether the effect varied according to patient, intervention, and design characteristics.Evidence Review: We searched ERIC, Google Scholar, MEDLINE, PsycInfo, PubMed, and Web of Science from database inception to January 2012. Studies included RCTs in which cancer patients were randomized to a CAT or control condition and anxiety, depression, pain, fatigue and/or QOL were measured pre-and post-intervention. Twenty-seven studies involving 1576 patients were included. We extracted data on effect sizes, moderators, and study quality. Hedges d effect sizes were computed, and random-effects models were used to estimate sampling error and population variance. Findings: During treatment, CAT significantly reduced anxiety (⌬ = 0.28 [95% CI, 0.11-0.44]), depression (⌬ = 0.23 [0.05-0.40]), and pain (⌬ = 0.54 [0.33-0.75]) and increased QOL (⌬ = 0.50 [0.25-0.74]). Pain was significantly reduced during follow-up (⌬ = 0.59 [95% CI, 0.42-0.77]). Anxiety reductions were strongest for studies in which ( 1) a non-CAT therapist administered the intervention compared with studies that used a creative arts therapist and (2) a waiting-list or usual-care comparison was used. Pain reductions were largest during inpatient treatment and for homogeneous cancer groups in outpatient settings; significantly smaller reductions occurred in heterogeneous groups in outpatient settings.Conclusions and Relevance: Exposure to CAT can improve anxiety, depression, and pain symptoms and QOL among cancer patients, but this effect is reduced during follow-up.

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Individual brief art therapy can be helpful for women with breast cancer: A randomized controlled clinical study

Abstract: The conclusion suggests that art therapy has a long-term effect on the crisis following the breast cancer and its consequences.

Cited by 84 publications

References 35 publications

Systematic review and economic modelling of the clinical effectiveness and cost-effectiveness of art therapy among people with non-psychotic mental health disorders

Systematic review and economic modelling of the clinical effectiveness and cost-effectiveness of art therapy among people with non-psychotic mental health disorders

Psychological utility of art therapy for patients with advanced cancer

Effects of Creative Arts Therapies on Psychological Symptoms and Quality of Life in Patients With Cancer

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