Art therapy during radiotherapy – A five-year follow-up study with women diagnosed with breast cancer

Öster, Inger; Tavelin, Björn; Thyme, Karin Egberg; Magnusson, Eva; Isaksson, Ulf; Lindh, Jack; Åström, Sture

doi:10.1016/j.aip.2013.10.003

Cited by 16 publications

(26 citation statements)

References 17 publications

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“…The RCTs also need to examine and evaluate interventions that most closely mirror CPIs currently being used in practice, for example, include several sessions. In addition, longer‐term follow‐up is needed to establish the duration of the benefits of CPIs; although there was some evidence that they were still apparent 2–3 months post‐intervention, more recent research suggests that these benefits may wane . Further, mechanisms of effects should be examined; for example, are improvements observed in anxiety and depression due to changes in self‐efficacy?…”

Section: Resultsmentioning

confidence: 99%

The effect of creative psychological interventions on psychological outcomes for adult cancer patients: a systematic review of randomised controlled trials

2014

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Objective: This systematic review examined the effectiveness of creative psychological interventions (CPIs) for adult cancer patients. In particular, the findings of randomised controlled trials of art, drama, dance/movement and music therapies on psychological outcomes were examined.Methods: The review yielded 10 original studies analysing data from a total of 488 patients. Data extraction and quality assessment were conducted by two independent reviewers.Results: Four of the papers focused on the use of art therapy, three studies used music therapy, one paper utilised dance therapy, one study used dance/movement therapy and the remaining paper used creative arts therapies, which was a combination of different art-based therapy approaches. Eight papers focused solely on breast cancer patients, and the remaining studies included mixed cancer sites/stages. The studies reported improvements in anxiety and depression, quality of life, coping, stress, anger and mood. However, few physical benefits of CPIs were reported; there was no significant impact of a CPI on physical aspects of quality of life, vigour-activity or fatigue-inertia or physical functioning. One study was assessed as high quality, seven studies were assessed as satisfactory and two studies were assessed to be of poorer quality.Conclusions: There is initial evidence that CPIs benefit adult cancer patients with respect to anxiety and depression, quality of life, coping, stress, anger and mood; there was no evidence to suggest that any one type of CPI was especially beneficial. However, more and better quality research needs to be conducted, particularly in the areas of drama and dance/movement therapies.

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Section: Resultsmentioning

confidence: 99%

The effect of creative psychological interventions on psychological outcomes for adult cancer patients: a systematic review of randomised controlled trials

2014

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“…18 Besides that, baseline characteristics between the intervention group and control group were poorly described in most of the studies -some of them even showed evidence of imbalance in age. 16,17,19 There was no significant difference of outcome measures between the intervention and control groups at pre-intervention period in all the studies. Fours studies excluded subjects with psychiatric illness, 14,16,17,19 whereas the other two did not state this important exclusion criteria.…”

Section: Summary Of Study Designs Of the Included Studiesmentioning

confidence: 83%

“…16,17,19 There was no significant difference of outcome measures between the intervention and control groups at pre-intervention period in all the studies. Fours studies excluded subjects with psychiatric illness, 14,16,17,19 whereas the other two did not state this important exclusion criteria. 15,18 None of the studies provided the reliability and validity of the measurements inside the study itself (i.e.…”

Section: Summary Of Study Designs Of the Included Studiesmentioning

confidence: 83%

“…Non-probability sampling was the method to enrol subjects in all these studies. The lowest sample size was 37 19 and highest number of sample size was 191. 18 Besides that, baseline characteristics between the intervention group and control group were poorly described in most of the studies -some of them even showed evidence of imbalance in age.…”

Section: Summary Of Study Designs Of the Included Studiesmentioning

confidence: 99%

“…In terms of the art therapy intervention, four studies 14,16,17,19 used the phenomenological method as described by Betensky (1995), 23 whereby the five weekly sessions were divided into the following: a) one session involving visualisation of feelings as analogue of drawings; b) one session involving creation of a life-size body image to express the different feelings in her body using shapes and colours; c) two free-painting sessions; and lastly by d) one session where reflection was done by the patient to summarise her creative journey. Two studies used non-specified art therapy procedure in combination with meditation.…”

Section: Summary Of Study Designs Of the Included Studiesmentioning

confidence: 99%

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The Efficacy of Art Therapy on Mental Health Outcomes Among Breast Cancer Patients: The Current State of Evidence Based on Randomised Controlled Trials

Mn¹,

Boekhtiar²,

Zawiah³

et al. 2020

imjm

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Introduction: Breast cancer is the most common cancer among women. Psychosocial distress, in the forms of depression and anxiety, regularly accompanies breast cancer diagnosis and throughout its treatment. Hence, it is important to objectively assess the therapy options that may help this distress. One of the most flexible psychotherapy modalities is the art therapy as it may be incorporated in many settings. The purpose of this systematic review is to determine the efficacy of art therapy (via creative paintings) on the mental health outcomes of female breast cancer patients. Material and Methods: Related articles were identified from Medline (OvidSP), ScienceDirect, Pubmed, EbscoHost-Academic Search Premier and Wiley Online Library. Screenings were performed based on the criteria that the study must be a randomised control trial (RCT) that investigated the effect of art therapy in breast cancer. Data were extracted using standardised forms, followed by evaluation of quality of reporting using CONSORT Guidelines. Results: Six RCTs were identified. Based on the heuristic synthesis of data extraction results, none of the studies can be considered as studies with acceptable quality, although four of them showed promising results. Conclusion: There is inconclusive evidence of the efficacy of art therapy (via creative paintings) for the improvement of mental health outcomes among female breast cancer patients.

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Active Visual Art Therapy and Health Outcomes

Joschko,

Klatte,

Grabowska

et al. 2024

JAMA Netw Open

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ImportanceArt therapy has a long-standing tradition in patient treatment. As scientific interest in its use has recently grown, a comprehensive assessment of active visual art therapy is crucial to understanding its potential benefits.ObjectiveTo assess the association of active visual art therapy with health outcomes across patient groups and comparators.Data SourcesThe systematic literature search included the Cochrane Library, Embase, MEDLINE, CINAHL, ERIC, American Psychological Association PsycArticles, American Psychological Association PsycInfo, PSYNDEX, the German Clinical Trials Register, and ClinicalTrials.gov. No filters regarding language were applied. The search covered all dates before March 2021. Data analysis was conducted from April 24 to September 8, 2023.Study SelectionRandomized clinical trials with any type of patient population comparing the intervention with any control not using active visual art therapy were included. Two researchers independently screened the abstracts and full texts.Data Extraction and SynthesisData extraction followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and study quality was evaluated using the Cochrane Risk of Bias tool. Data were synthesized using narrative summaries, forest plots, and random effects meta-analyses.Main Outcome and MeasuresIn line with the protocol, all outcome measures of the included studies were extracted.ResultsThe search identified 3104 records, of which 356 outcomes of 69 studies were included, with a total of approximately 4200 participants, aged 4 to 96 years, in the review. The meta-analyses included 50 studies and 217 outcomes of 2766 participants. Treatment indications included mental, neurological, and other somatic disorders, and prevention. Most outcome measures focused on depression, anxiety, self-esteem, social adjustment, and quality of life. Art therapy was associated with an improvement in 18% of the 217 outcomes compared with the controls (1%), while 81% showed no improvement. The standardized mean difference in the change from baseline of the meta-analyses of 0.38 (95% CI, 0.26-0.51) and posttest analysis of 0.19 (95% CI, 0.12-0.26) also indicated an improvement of outcomes associated with art therapy. Overall study quality was low.Conclusions and RelevanceIn this systematic review and meta-analysis of randomized clinical trials, visual art therapy was associated with therapeutic benefits for some outcomes, although most studies were of low quality. Further good-quality studies are needed to provide additional insights for its best possible integration into routine care.

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Art therapy during radiotherapy – A five-year follow-up study with women diagnosed with breast cancer

Cited by 16 publications

References 17 publications

The effect of creative psychological interventions on psychological outcomes for adult cancer patients: a systematic review of randomised controlled trials

The effect of creative psychological interventions on psychological outcomes for adult cancer patients: a systematic review of randomised controlled trials

The Efficacy of Art Therapy on Mental Health Outcomes Among Breast Cancer Patients: The Current State of Evidence Based on Randomised Controlled Trials

Active Visual Art Therapy and Health Outcomes

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