Lee Jeongshim, Choi Mi Yeon, Kim Yong Bae, Sun Jiyu, Park Eun Jung, Kim Ju Hye, Kang Minchul, Koom Woong Sub
Department of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Republic of Korea.
Graduate School of Clinical Art Therapy, CHA University, Pocheon, Gyeonggi-do, Republic of Korea.
Qual Life Res. 2017 Mar;26(3):707-715. doi: 10.1007/s11136-016-1473-5. Epub 2016 Dec 7.
We aimed to evaluate the effectiveness of art therapy based on appreciation of famous paintings on the distress of cancer patients receiving radiotherapy. In particular, we focused on anxiety, depression, and cancer-related symptoms.
Between October 2015 and February 2016, cancer patients receiving radiotherapy were recruited prospectively to participate in the art therapy based on famous painting appreciation. The art therapy took place in two parts comprising 4 sessions of famous painting appreciation and 4 sessions of creative artwork generation; these sessions were performed twice weekly over four weeks. Cancer-related distress was measured using the Hospital Anxiety and Depression Scale (HADS), Hamilton Depression Rating Scale (HDRS), and Edmonton Symptom Assessment Scale (ESAS) at three points: before the art therapy began, after the fourth session of art therapy, and after the eighth session.
Of the 24 enrolled patients, 20 (83%) completed all eight sessions. We observed significant improvements in HADS anxiety and total scores over time according to linear mixed models with Bonferroni corrections (all p < 0.05). Furthermore, HDRS scores demonstrated significant decreases according to linear mixed models (p = 0.001). Fewer patients met the HADS or HDRS criteria for severe anxiety or depression after the intervention. We observed no changes in ESAS mean scores.
Art therapy based on famous painting appreciation significantly improved cancer-related anxiety and depression and reduced the prevalence of severe anxiety and depression during cancer treatment.
我们旨在评估基于名画欣赏的艺术疗法对接受放射治疗的癌症患者痛苦程度的影响。尤其关注焦虑、抑郁及癌症相关症状。
2015年10月至2016年2月，前瞻性招募接受放射治疗的癌症患者参与基于名画欣赏的艺术疗法。艺术疗法分两部分进行，包括4节名画欣赏课程和4节创意艺术作品创作课程；这些课程在四周内每周进行两次。在艺术疗法开始前、艺术疗法第四节课后及第八节课后三个时间点，使用医院焦虑抑郁量表（HADS）、汉密尔顿抑郁评定量表（HDRS）和埃德蒙顿症状评估量表（ESAS）测量癌症相关痛苦程度。
24名入组患者中，20名（83%）完成了全部八节课。根据采用Bonferroni校正的线性混合模型，我们观察到HADS焦虑量表得分和总分随时间有显著改善（所有p<0.05）。此外，根据线性混合模型，HDRS得分显著降低（p = 0.001）。干预后，达到HADS或HDRS严重焦虑或抑郁标准的患者减少。我们观察到ESAS平均得分无变化。
基于名画欣赏的艺术疗法显著改善了癌症相关焦虑和抑郁，并降低了癌症治疗期间严重焦虑和抑郁的患病率。
