University of Newcastle, NSW, Australia; School of Social Sciences, Art Therapy at Western Sydney University, NSW, Austalia.
Public Health. 2021 Jul;196:150-157. doi: 10.1016/j.puhe.2021.05.020. Epub 2021 Jul 2.
The aim of this study was to explore the role of art psychotherapy as a biopsychosocial approach to bodymind medicine in ameliorating the effects of psychophysical stress among people with non-metastatic cutaneous malignant melanoma (CMM), post-surgical resection.
Mixed methods.
This study followed a mixed-methods research design, utilising qualitative data gained from a 6-month weekly group art therapy intervention, including both the images made and explored during the 3-h sessions and the accompanying narratives. The narratives were the subject of thematic analysis. The quantitative data arose from ELISA assays for secretory immunoglobulin A (S-IgA) and secretory interferon-γ (S-IFN- γ), DTH (PPD) tests were delivered at timepoints t0, t1, t5, t13, t24 and t52, and questionnaires were delivered at t0, t24 and t52: MAC, HAD, COPE & EORTC-QLQ-C-30.
The findings of this study included themes of 'otherness' and 'isolation', which also preceded diagnosis, and an upward trend in S-IgA, which continued over time.
This study found that art psychotherapy promotes enhanced immunological function, coping skills and interpersonal relations. Positive psychoneuroimmunological change can result from group art psychotherapy, facilitating integration of psychological content in a supportive and interactive environment, which improves quality of life, thereby reducing the public health burden.
本研究旨在探索艺术心理治疗作为身心医学的生物心理社会方法，在改善非转移性皮肤恶性黑色素瘤（CMM）术后人群的身心压力影响方面的作用。
混合方法。
本研究采用混合方法研究设计，利用为期 6 个月、每周一次的小组艺术治疗干预所获得的定性数据，包括在 3 小时的治疗过程中创作和探索的图像，以及伴随的叙述。对叙述进行主题分析。定量数据来源于 ELISA 检测分泌型免疫球蛋白 A（S-IgA）和分泌型干扰素-γ（S-IFN-γ），在 t0、t1、t5、t13、t24 和 t52 时间点进行皮内试验（PPD）检测，在 t0、t24 和 t52 时间点进行 MAC、HAD、COPE 和 EORTC-QLQ-C-30 问卷调查。
本研究的结果包括“与众不同”和“孤立”的主题，这些主题也先于诊断出现，并且 S-IgA 呈上升趋势，且持续时间较长。
本研究发现艺术心理治疗可以促进免疫功能、应对技能和人际关系的增强。小组艺术心理治疗可以带来积极的心理神经免疫学变化，促进心理内容在支持性和互动性环境中的整合，从而提高生活质量，减轻公共卫生负担。
