Art Therapy Effectiveness in the Level of Anxiety and Depression of Cancer Patients

NCT04936139 | Completed

• 1 other identifier: CEI 20/69
• Study Type: interventional
• Target: 224
• Locations: 1 country
• Sites: 1

Brief Summary

Having a diagnosis of cancer leaves a great emotional impact when it comes to strategies for coping with illness and life after illness. Participation in an art therapy program to forge and improve the emotional well-being is considered. Art therapy can be an effective intervention to help cancer patients lower their levels of anxiety and depression and in return improve their quality of life and their ability to cope with the disease.

Conditions

Cancer

Keywords

Art Therapy; Depression; Anxiety; Quality of Life; Coping Skills

Outcome Measures

Primary Outcomes (2)

• Hospital Anxiety and Depression Scale (HAD scale)

  The scale consists of 14 items that assess symptoms of anxiety and depression on a Likert scale of 4 response options. Scores between 0 and 7 are considered normal; between 8 and 10 doubtful, and scores above 11 for clinical problem of depression or anxiety.

  3 months

• Hospital Anxiety and Depression Scale (HAD scale)

  The scale consists of 14 items that assess symptoms of anxiety and depression on a Likert scale of 4 response options. Scores between 0 and 7 are considered normal; between 8 and 10 doubtful, and scores above 11 for clinical problem of depression or anxiety.

  6 months

Secondary Outcomes (4)

• World Health Organization Quality of Life (WHOQOL-BREF scale)

  3 months

• World Health Organization Quality of Life (WHOQOL-BREF scale)

  6 months

• Mini-Mental Adjustment to Cancer Scale (MINI-MAC)

  3 months

• Mini-Mental Adjustment to Cancer Scale (MINI-MAC)

  6 months

Study Arms (2)

Art Therapy

EXPERIMENTAL

Patients assigned to the intervention group will participate in 12 weekly group therapy workshop sessions.

Behavioral: Art Therapy

Control group

NO INTERVENTION

Patients assigned to the control group will receive the usual follow-up care of each center provided for the cancer patient and will not perform art therapy workshops. They will be offered the opportunity to participate in the workshops once they have completed their participation in the study, putting them on a waiting list.

Interventions

Art Therapy BEHAVIORAL

During the 12 planned sessions, different artistic disciplines will be used: visual arts, music, play, narrative, dramatization, movement and body expression. Each session is structured in 3 phases: i. A first part of encounter and contextualization, to make contact with oneself, with the art therapist and with the group through a relaxation or meditation activity (35 minutes). ii. A second part, where the session continues with the work of artistic elaboration and production with the different materials and the different artistic languages (50 minutes). iii. A third part where the participants will be invited to make a closing, a moment to welcome and share whoever wishes, the experiences that have been experienced. A dialogue is created between Work-Patient-Art Therapist (35 minutes).

Art Therapy

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Over 18 years of age
• Intention for radical treatment or palliative treatment with a life expectancy of more than 12 months
• Have internet access in case the intervention is done online
• Agree to participate and sign informed consent

You may not qualify if:

• Patient with active diagnosis or personal history of severe psychological / psychiatric illness
• Patient who has participated in an art therapy program structured in the context of the oncological process

Sponsors & Collaborators

• Elisenda Campreciós Suñol: lead
• Fundació privada Nous Cims: collaborator
• Althaia Xarxa Assistencial Universitària de Manresa: collaborator

Study Sites (1)

Althaia Xarxa Assistencial Universitària de Manresa

Manresa, Barcelona, 08243, Spain

Location

Related Publications (11)

• Archer S, Buxton S, Sheffield D. The effect of creative psychological interventions on psychological outcomes for adult cancer patients: a systematic review of randomised controlled trials. Psychooncology. 2015 Jan;24(1):1-10. doi: 10.1002/pon.3607. Epub 2014 Jun 21.

  PMID: 24953449 RESULT

• Andreu Vaillo Y, Murgui Perez S, Martinez Lopez P, Romero Retes R. Mini-Mental Adjustment to Cancer Scale: Construct validation in Spanish breast cancer patients. J Psychosom Res. 2018 Nov;114:38-44. doi: 10.1016/j.jpsychores.2018.09.004. Epub 2018 Sep 15.

  PMID: 30314577 RESULT

• Oster I, Svensk AC, Magnusson E, Thyme KE, Sjodin M, Astrom S, Lindh J. Art therapy improves coping resources: a randomized, controlled study among women with breast cancer. Palliat Support Care. 2006 Mar;4(1):57-64. doi: 10.1017/s147895150606007x.

  PMID: 16889324 RESULT

• Krikorian A, Limonero JT, Mate J. Suffering and distress at the end-of-life. Psychooncology. 2012 Aug;21(8):799-808. doi: 10.1002/pon.2087. Epub 2011 Oct 11.

  PMID: 21990213 RESULT

• Monti DA, Peterson C, Kunkel EJ, Hauck WW, Pequignot E, Rhodes L, Brainard GC. A randomized, controlled trial of mindfulness-based art therapy (MBAT) for women with cancer. Psychooncology. 2006 May;15(5):363-73. doi: 10.1002/pon.988.

  PMID: 16288447 RESULT

• Puetz TW, Morley CA, Herring MP. Effects of creative arts therapies on psychological symptoms and quality of life in patients with cancer. JAMA Intern Med. 2013 Jun 10;173(11):960-9. doi: 10.1001/jamainternmed.2013.836.

  PMID: 23699646 RESULT

• Svensk AC, Oster I, Thyme KE, Magnusson E, Sjodin M, Eisemann M, Astrom S, Lindh J. Art therapy improves experienced quality of life among women undergoing treatment for breast cancer: a randomized controlled study. Eur J Cancer Care (Engl). 2009 Jan;18(1):69-77. doi: 10.1111/j.1365-2354.2008.00952.x.

  PMID: 19473224 RESULT

• Thyme KE, Sundin EC, Wiberg B, Oster I, Astrom S, Lindh J. Individual brief art therapy can be helpful for women with breast cancer: a randomized controlled clinical study. Palliat Support Care. 2009 Mar;7(1):87-95. doi: 10.1017/S147895150900011X.

  PMID: 19619378 RESULT

• Xu L, Cheng P, Wu Y, Zhang J, Zhu J, Cui J, Yu R. The effects of art therapy on anxiety and depression in breast cancer patients: An updated meta-analysis. Eur J Cancer Care (Engl). 2020 Sep;29(5):e13266. doi: 10.1111/ecc.13266. Epub 2020 May 25.

  PMID: 32452121 RESULT

• Zhang MF, Wen YS, Liu WY, Peng LF, Wu XD, Liu QW. Effectiveness of Mindfulness-based Therapy for Reducing Anxiety and Depression in Patients With Cancer: A Meta-analysis. Medicine (Baltimore). 2015 Nov;94(45):e0897-0. doi: 10.1097/MD.0000000000000897.

  PMID: 26559246 RESULT

• Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361-70. doi: 10.1111/j.1600-0447.1983.tb09716.x.

  PMID: 6880820 RESULT

MeSH Terms

Conditions

Neoplasms; Depression; Anxiety Disorders

Interventions

Art Therapy

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Mental Disorders

Intervention Hierarchy (Ancestors)

Sensory Art Therapies; Complementary Therapies; Therapeutics; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Pau Gomes, MsC

  Fundació Nou Cims

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator (Bachelor's in Nursing, MSc)

Model Details: Randomized, controlled, parallel and multi-centric non-pharmacological clinical trial

Study Record Dates

• First Submitted: June 14, 2021
• First Posted: June 23, 2021
• Study Start: February 21, 2021
• Primary Completion: November 3, 2023
• Study Completion: November 3, 2023
• Last Updated: February 5, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)