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The body in the mind – Assessing the phenomenal self through paintings created by gynaecological cancer survivors
The Arts in Psychotherapy ( IF 1.847 ) Pub Date : 2020-08-13 , DOI: 10.1016/j.aip.2020.101691
Anna Gerge , Inge Nygaard Pedersen , Gustavo Gattino , Margareta Wärja

Differences in neuroception, namely different experienced activation patterns of the central nervous system, are predicted to appear as recognizable signs in pictorial artefacts conducted by clients. As an external validation, 65 pictures produced within a randomized trial with parallel treatment arms were analysed according to assessment tool criteria. Research participants were gynaecological cancer survivors (N = 57), post oncological treatment, who participated in arts-based psychotherapy interventions (Brief-Music Journeys, KMR; Korta musikresor), an adaptation of The Bonny Method of Guided Imagery and Music. The women produced artwork of their body image experiences at three different time points, before, after psychotherapy, and follow-up. Each picture was measured regarding the intended patterns of neuroception with fair to moderate agreement between the raters, with weighted kappa values of .61 (95% CI .39–.83, p = .001) and .59 (95% CI .36–.82, p < .001). Inter-rater evaluations of their pictures at baseline differed significantly from pictures created at post-test, p < 0.001, and co-variated with self-assessed measures on depression, anxiety and QoL (MADRS, HADS-A, and EORTC-QLQ-C30) before and after interventions. The importance of adding qualitative or nonparametric measures in evaluation is highlighted.



中文翻译:

心中的身体–通过妇科癌症幸存者创作的画作评估现象自我

预期神经感受性的差异(即中枢神经系统的不同经历的激活模式)在客户进行的绘画手工艺品中可识别为迹象。作为外部验证,根据评估工具标准,分析了在具有平行治疗臂的随机试验中产生的65张图片。研究参与者为妇科癌症幸存者(N = 57),接受过肿瘤治疗,他们参加了基于艺术的心理治疗干预措施(简·音乐之旅,KMR; Korta musikresor),这是《邦尼制导影像和音乐方法》的改编。这些妇女在心理治疗之前,之后和随访的三个不同时间点制作了自己的身体形象体验的艺术品。在评估者之间以中等至中等程度的一致性评估了每张图片的神经感受的预期模式,加权kappa值分别为.61(95%CI .39-.83,p = .001)和.59(95%CI .36) –.82,p <.001)。评估者在基线时对他们的图片的评估与在测试后创建的图片有显着差异,p <0.001,并且与针对抑郁,焦虑和QoL的自我评估指标(MADRS,HADS-A和EORTC-QLQ- C30)干预前后。强调了在评估中添加定性或非参数度量的重要性。并在干预前后与针对抑郁,焦虑和QoL的自我评估指标(MADRS,HADS-A和EORTC-QLQ-C30)共同变化。强调了在评估中添加定性或非参数度量的重要性。并在干预前后与针对抑郁,焦虑和QoL的自我评估指标(MADRS,HADS-A和EORTC-QLQ-C30)共同变化。强调了在评估中添加定性或非参数度量的重要性。

更新日期:2020-09-18
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