Thyme Karin Egberg, Sundin Eva C, Wiberg Britt, Oster Inger, Aström Sture, Lindh Jack
Department of Clinical Science, Psychiatry Umea University, Umea, Sweden.
Palliat Support Care. 2009 Mar;7(1):87-95. doi: 10.1017/S147895150900011X.
Recent research shows that almost every second woman with breast cancer is depressed or has anxiety; the risk for younger women is even higher. Moreover, research shows that women are at risk for developing depression, also a threat for women with breast cancer. The aim of this randomized controlled clinical trial was to study the outcome of five sessions of art therapy given at a 5-week period of postoperative radiotherapy.
The participants were between 37 and 69 years old; six participants in each group were below 50 years of age. Half of the participants (n = 20) received art therapy and the other half (n = 21) were assigned to a control group. At the first measurement, at least 17% (n = 7) of the participants medicated with antidepressants. Data were collected before and after art therapy and at a 4-month follow-up using self-rating scales that measure self-image (the Structural Analysis of Social Behaviour) and psychiatric symptoms (the Symptom Check List-90).
At follow-up, significant lower ratings of depression, anxiety, and somatic symptoms and less general symptoms were reported for the art therapy group compared to the control group. The regression analysis showed that art therapy relates to lower ratings of depression, anxiety, and general symptoms; chemotherapeutic treatment predicts lower depressive symptoms; in contrast to axillary surgery and hormonal treatment as well as being a parent predicts higher ratings of anxiety and general symptoms.
The conclusion suggests that art therapy has a long-term effect on the crisis following the breast cancer and its consequences.
近期研究表明，几乎每两名乳腺癌女性中就有一人患有抑郁症或焦虑症；年轻女性的风险甚至更高。此外，研究表明女性有患抑郁症的风险，这对乳腺癌女性来说也是一种威胁。这项随机对照临床试验的目的是研究在术后放疗的5周期间进行五节艺术治疗课程的效果。
参与者年龄在37至69岁之间；每组有6名参与者年龄在50岁以下。一半的参与者（n = 20）接受艺术治疗，另一半（n = 21）被分配到对照组。在首次测量时，至少17%（n = 7）的参与者正在服用抗抑郁药。使用测量自我形象（社会行为结构分析）和精神症状（症状自评量表-90）的自评量表在艺术治疗前后以及4个月随访时收集数据。
在随访时，与对照组相比，艺术治疗组报告的抑郁、焦虑和躯体症状评分显著更低，且一般症状更少。回归分析表明，艺术治疗与抑郁、焦虑和一般症状的较低评分相关；化疗治疗可预测较低的抑郁症状；与腋窝手术和激素治疗相反，为人父母可预测更高的焦虑和一般症状评分。
结论表明艺术治疗对乳腺癌及其后果后的危机具有长期影响。
