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Art Therapy is a health profession in which art making is utilized as a means of expression and communication within a therapeutic and supportive relationship [1]. Art therapy has been shown to reduce psychological (anxiety, negative mood) and physical (pain, fatigue) symptoms which accompany many breast cancer patients and survivors [2-7]. Qualitative studies provide an initial understanding of the mechanisms through which art therapy facilitates symptom reduction [8]. Breast cancer patients have reported that art therapy provided them with access to emotional material otherwise inaccessible [9]. The goal of this study is to examine the effect of art making within a therapeutic framework on emotional awareness and acceptance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Research | Experimental | Group Art Therapy |
|
| Control | Sham Comparator | Participants will receive Psychoeducational material in the form of a lecture and will engage in the coloring of mandalas. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group art therapy | Behavioral | Participants will engage in an art therapy group tailored at emotion expression related to the experience of breast cancer survivorship. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Quality of Life: The FACT-B (Hahn et al, 2015) | 36 item scale | Change from study start to end of intervention (8 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| The levels of Emotional Awareness Scale (LEAS; Lane et al, 1990) | 20 item scale | Change from study start to end of intervention (8 weeks) |
| Acceptance of Emotion Scale (AE; Weihs et al, 2008) | 13 item scale |
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Inclusion Criteria:
Adult women (over age 18), breast cancer survivors without evidence of active illness, hebrew speaking and receiving preventative hormonal therapy for at least 6 months (steady state), receiving care at the survivor's clinic of Davidoff Medical Center
Exclusion Criteria:
A psychiatric diagnosis requiring medication, functional difficulties that affect the ability to handle art supplies, non-hebrew speaking, unwilling to answer the research questionnaires
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Johanna Czamanski-Cohen, PhD | Contact | +972532775350 | joczamanski@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Rinat Yerushalmi, MD | Oncology Department, RMC | Study Director |
| Tal Granot, MA, RN | Davidoff Cancer Center, RMC | Study Director |
| Noga Sela, BA, RN |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rabin Medical center | Petah Tikva | Israel | 49100 | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26149275 | Background | Uttley L, Stevenson M, Scope A, Rawdin A, Sutton A. The clinical and cost effectiveness of group art therapy for people with non-psychotic mental health disorders: a systematic review and cost-effectiveness analysis. BMC Psychiatry. 2015 Jul 7;15:151. doi: 10.1186/s12888-015-0528-4. | |
| 24953449 | Background | 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. |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| Control | Behavioral | Participants will receive Psychoeducational material in the form of a lecture and will engage in the coloring of mandalas. |
|
| Change from study start to end of intervention (8 weeks) |
| Emotional Approach Coping scales (Stanton et al., 2000) | 36 item scale | Change from study start to end of intervention (8 weeks) |
| The Mindful Attention Awareness Scale (MAAS)(Carlson & Brown, 2005). | 15 item scale | Change from study start to end of intervention (8 weeks) |
| Center for Epidemiologic Studies Depression Scale (CES-D) (Cohen, 1997) | 20 item scale | Change from study start to end of intervention (8 weeks) |
| The Generalized Anxiety Disorder scale (GAD-7) (Spitzer, Kroenke, Williams, & Löwe, 2006) | 7 item scale | Change from study start to end of intervention (8 weeks) |
| The Breast Cancer Prevention Trial (BCPT) Symptom Scales (Stanton et al., 2005) | 23 item scale | Change from study start to end of intervention (8 weeks) |
| Oncology, RMC |
| Study Chair |
| Sylvia Drier, MA, RN | Davidoff Cancer Center, RMC | Study Director |
| 16288447 | Background | 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. |
| 16488349 | Background | Nainis N, Paice JA, Ratner J, Wirth JH, Lai J, Shott S. Relieving symptoms in cancer: innovative use of art therapy. J Pain Symptom Manage. 2006 Feb;31(2):162-9. doi: 10.1016/j.jpainsymman.2005.07.006. |
| 16889324 | Background | 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. |
| 19473224 | Background | 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. |
| 19619378 | Background | 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. |
| 24817896 | Background | Boehm K, Cramer H, Staroszynski T, Ostermann T. Arts therapies for anxiety, depression, and quality of life in breast cancer patients: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2014;2014:103297. doi: 10.1155/2014/103297. Epub 2014 Feb 26. |
| 16908471 | Background | Collie K, Bottorff JL, Long BC. A narrative view of art therapy and art making by women with breast cancer. J Health Psychol. 2006 Sep;11(5):761-75. doi: 10.1177/1359105306066632. |
| D017437 |
| Skin and Connective Tissue Diseases |