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A pilot study of improved psychological distress with art therapy in patients with cancer undergoing chemotherapy.
BMC Cancer ( IF 3.8 ) Pub Date : 2020-09-22 , DOI: 10.1186/s12885-020-07380-5
E B Elimimian 1 , L Elson 1 , E Stone 1 , R S Butler 2 , M Doll 1 , S Roshon 1 , C Kondaki 1 , A Padgett 3 , Z A Nahleh 1
Affiliation  

Art therapy may improve the physical, mental, and emotional wellbeing of individuals for a variety of purposes. It remains understudied and underutilized in cancer care. We sought to determine the ability of a pilot art therapy program to improve the physical, mental, and emotional well-being of cancer patients. Chemotherapy-recipients, age 18 years and older, diagnosed with any type or stage of cancer, were considered eligible to participate in this single arm, pilot study, using four visual analog scales (VAS) with visually-similar, 0–10 scale (10 being worst) thermometers assessing: 1) pain, 2) emotional distress, 3) depression, and 4) anxiety. Participants were asked to complete all 4 metrics, pre-treatment, post-treatment, and at 48–72 h follow-up, after an hour-long art therapy session. Primary endpoints included post-intervention changes from baseline in the 4 VAS metrics. Through a reasonable pilot sample (n = 50), 44% had breast cancer, 22% gastrointestinal cancers, 18% hematological malignancies, and 20% had other malignancies. A decrease in all VAS measures was noted immediately post-treatment but remained low only for pain and depression, not for emotional distress and anxiety upon follow up. There was a significant difference between the depression VAS scores of Hispanics (32%) compared to non-Hispanics (56%) (p = 0.009) at baseline. However, compared to non-Hispanics, Hispanics exhibited higher levels of depression after art therapy (P = 0.03) and during the follow-up intervals (p = 0.047). Art therapy improved the emotional distress, depression, anxiety and pain among all cancer patients, at all time points. While depression scores were higher pre-intervention for Hispanic patients, Hispanic patients were noted to derive a greater improvement in depression scores from art therapy over time, compared to non-Hispanics patients. Discovering simple, effective, therapeutic interventions, to aid in distress relief in cancer patients, is important for ensuring clinical efficacy of treatment and improved quality of life.

中文翻译:

对接受化疗的癌症患者进行艺术疗法改善心理困扰的初步研究。

艺术疗法可以出于多种目的改善个人的身体,心理和情感健康。在癌症护理中,它仍然未被充分研究和利用。我们力图确定试验性艺术疗法计划改善癌症患者身体,心理和情感健康的能力。被诊断患有任何类型或阶段的癌症的18岁及以上的化学治疗接受者被认为有资格参加这一单项试验研究,使用了四个视觉相似的0–10视觉模拟量表(VAS)( 10个最差),温度计评估:1)疼痛,2)情绪困扰,3)抑郁,和4)焦虑。在一个小时的艺术治疗后,要求参与者完成所有4个指标,即治疗前,治疗后和随访48-72小时。主要终点包括4个VAS指标中干预后相对于基线的变化。通过合理的试验样本(n = 50),有44%的人患有乳腺癌,22%的胃肠道癌,18%的血液系统恶性肿瘤和20%的其他恶性肿瘤。治疗后立即注意到所有VAS指标均下降,但仅在疼痛和抑郁方面保持较低水平,而在随访时并未因情绪困扰和焦虑而降低。在基线时,西班牙裔美国人的抑郁VAS评分(32%)与非西班牙裔美国人的抑郁VAS评分(56%)(p = 0.009)相比有显着差异。但是,与非西班牙裔美国人相比,西班牙裔美国人在接受艺术疗法后和随访期间表现出较高的抑郁水平(P = 0.03)(p = 0.047)。在所有时间点,艺术疗法都能改善所有癌症患者的情绪困扰,抑郁,焦虑和疼痛。尽管西班牙裔患者的干预前抑郁得分较高,但与非西班牙裔患者相比,随着时间的推移,西班牙裔患者通过艺术疗法获得的抑郁得分改善更大。发现简单,有效的治疗性干预措施以帮助减轻癌症患者的痛苦,对于确保治疗的临床疗效和改善生活质量至关重要。
更新日期:2020-09-22
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