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Art therapy among palliative cancer patients: Aesthetic dimensions and impacts on symptoms

Published online by Cambridge University Press:  20 November 2015

Cédric Lefèvre
Affiliation:
Centre de Soins Palliatifs, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Pierre-Bénite, France
Mathilde Ledoux
Affiliation:
Centre de Soins Palliatifs, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Pierre-Bénite, France
Marilène Filbet*
Affiliation:
Centre de Soins Palliatifs, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Pierre-Bénite, France
*
Address correspondence and reprint request to: Marilène Filbet, Centre de Soins Palliatifs, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, 165 Chemin du Grand Revoyet, 69310 Pierre-Bénite, France. E-mail: [email protected].

Abstract

Objective:

This study aimed to explore whether aesthetic beauty and the pleasure that results from artistic activity can contribute to a reduction in the symptoms experienced by palliative care patients, and to improve the effectiveness of art therapy sessions.

Method:

A self-assessment of six symptoms (pain, anxiety, ill-being, tiredness, sadness, and depression) adapted from the Edmonton Symptom Assessment System (ESAS) was completed by patients before and after a one-hour art therapy session. This assessment was completed after the session with a self-assessment of aesthetic feeling. A correlation analysis was then performed.

Results:

From July of 2012 to December of 2013, 28 patients took part in 63 art therapy sessions. On the whole, these sessions reduced the global distress of patients by 47% (p < 0.0001). There was a significant reduction in all the symptoms studied; pain (p = 0.003), anxiety (p < 0.0001), ill-being (p < 0.0001), tiredness (p < 0.0001), sadness (p < 0.0001), and depression (p < 0.0001). A study of the significant correlations (0.35 < rs < 0.52, p < 0.05) indicated that technical satisfaction, aesthetic beauty, and pleasure are all involved to varying degrees in reduction of symptoms.

Significance of results:

Our findings confirm the benefits of art therapy in reducing distress within the palliative context. We also make suggestions for the future direction and improvement of these sessions.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2015 

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References

REFERENCES

Archie, P., Bruera, E. & Cohen, L. (2013). Music-based interventions in palliative cancer care: A review of quantitative studies and neurobiological literature. Supportive Care in Cancer, 21(9), 26092624.CrossRefGoogle Scholar
Bar-Sela, G., Atid, L., Danos, S., et al. (2007). Art therapy improved depression and influenced fatigue levels in cancer patients on chemotherapy. Psycho-Oncology, 16(11), 980984.Google Scholar
Bruera, E., MacMillan, K., Hanson, J., et al. (1989) The Edmonton staging system for cancer pain: Preliminary report. Pain, 37(2), 203209.Google Scholar
Bruera, E., Kuehn, N., Miller, M.J., et al. (1991). The Edmonton Symptom Assessment System (ESAS): A simple method for the assessment of palliative care patients. Journal of Palliative Care, 7(2), 69.Google Scholar
Chang, V.T., Hwang, S.S. & Feuerman, M. (2000). Validation of the Edmonton Symptom Assessment Scale. Cancer, 88(9), 21642171.3.0.CO;2-5>CrossRefGoogle ScholarPubMed
Chardon, F. (2010). Les spécificités de l'art-thérapie en oncologie médicale lors de l'accompagnement en fin de vie. In Profession: Art-thérapeute. Forestier, R. (ed.), pp. 7578. Paris: Elsevier–Masson.CrossRefGoogle Scholar
Dunbar, R.I., Kaskatis, K., MacDonald, I., et al. (2012). Performance of music elevates pain threshold and positive affect: Implications for the evolutionary function of music during interventional radiological procedures, effect on sedation, pain and anxiety: A randomised controlled trial. Evolutionary Psychology, 10(4), 688702.CrossRefGoogle Scholar
Forestier, R. (2004). Tout savoir sur l'art occidental. Lausanne, Paris: Favre.Google Scholar
Forestier, R. (2007). L'évaluation en art-thérapie: Pratiques internationales. Paris: Elsevier–Masson.Google Scholar
Forestier, R. (2009) Tout savoir sur l'art-thérapie. Lausanne: Édition Favre.Google Scholar
Forzoni, S., Perez, M., Martignetti, A., et al. (2010). Art therapy with cancer patients during chemotherapy sessions: An analysis of the patients' perception of helpfulness. Palliative & Supportive Care, 8(1), 4148.Google Scholar
Geue, K., Goetze, H., Buttstaedt, M., et al. (2010). An overview of art therapy interventions for cancer patients and the results of research. Complementary Therapies in Medicine, 18(3–4), 160170.Google Scholar
Horneber, M., Bueschel, G., Dennert, G., et al. (2012). How many cancer patients use complementary and alternative medicine: A systematic review and metaanalysis. Integrative Cancer Therapies, 11(3), 187203.CrossRefGoogle ScholarPubMed
Klafke, N., Eliott, J.A., Wittert, G.A., et al. (2012). Prevalence and predictors of complementary and alternative medicine (CAM) use by men in Australian cancer outpatient services. Annals of Oncology, 23(6), 15711578.CrossRefGoogle ScholarPubMed
Lin, M.H., Moh, S.L., Kuo, Y.C., (2012). Art therapy for terminal cancer patients in a hospice palliative care unit in Taiwan. Palliative & Supportive Care, 10(1), 5157.Google Scholar
Nainis, N., Paice, J.A., Ratner, J., et al. (2006). Relieving symptoms in cancer: Innovative use of art therapy. Journal of Pain and Symptom Management, 31(2), 162169.Google Scholar
Oster, I., Svensk, A., Magnusson, E., et al. (2006). Art therapy improves coping resources: A randomized, controlled study among women. Palliative & Supportive Care, 4(1), 5764.CrossRefGoogle ScholarPubMed
R Core Team (2014). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. Available at http://www.R-project.org/.Google Scholar
Rhondali, W., Lasserre, E. & Filbet, M. (2013). Art therapy among palliative care inpatients with advanced cancer. Palliative Medicine, 27(6), 571572.Google Scholar
Richardson, L.A. & Jones, G.W. (2009). A review of the reliability and validity of the Edmonton Symptom Assessment System. Current Oncology, 16(1), 55.Google Scholar
Thyme, K.E., Sundin, E.C., Wiberg, B., et al. (2009). Individual brief art therapy can be helpful for women with breast cancer: A randomized controlled clinical study. Palliative & Supportive Care, 7(1), 8795.Google Scholar
Wood, M.J., Molassiotis, A. & Payne, S. (2011). What research evidence is there for the use of art therapy in the management of symptoms in adults with cancer? A systematic review. Psycho-Oncology, 20(2), 135145.Google Scholar
Zatorre, R.J. & Salimpoor, V.N. (2013). From perception to pleasure: Music and its neural substrates. Proceedings of the National Academy of Sciences of the United States of America, 110(Suppl. 2), 1043010437.CrossRefGoogle ScholarPubMed