Radiation Oncology Journal

The Korean Society for Radiation Oncology (대한방사선종양학회)
권호 표지
DOI QR코드

DOI QR Code

Art therapy using famous painting appreciation maintains fatigue levels during radiotherapy in cancer patients

  • Koom, Woong Sub (Department of Radiation Oncology, Yonsei University College of Medicine) ;
  • Choi, Mi Yeon (Graduate School of Clinical Art Therapy, CHA University) ;
  • Lee, Jeongshim (Department of Radiation Oncology, Yonsei University College of Medicine) ;
  • Park, Eun Jung (Graduate School of Clinical Art Therapy, CHA University) ;
  • Kim, Ju Hye (Graduate School of Clinical Art Therapy, CHA University) ;
  • Kim, Sun-Hyun (Graduate School of Clinical Art Therapy, CHA University) ;
  • Kim, Yong Bae (Department of Radiation Oncology, Yonsei University College of Medicine)
  • Received : 2016.04.01
  • Accepted : 2016.05.09
  • Published : 2016.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to evaluate the efficacy of art therapy to control fatigue in cancer patients during course of radiotherapy and its impact on quality of life (QoL). Materials and Methods: Fifty cancer patients receiving radiotherapy received weekly art therapy sessions using famous painting appreciation. Fatigue and QoL were assessed using the Brief Fatigue Inventory (BFI) Scale and the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) at baseline before starting radiotherapy, every week for 4 weeks during radiotherapy, and at the end of radiotherapy. Mean changes of scores over time were analyzed using a generalized linear mixed model. Results: Of the 50 patients, 34 (68%) participated in 4 sessions of art therapy. Generalized linear mixed models testing for the effect of time on mean score changes showed no significant changes in scores from baseline for the BFI and FACIT-F. The mean BFI score and FACIT-F total score changed from 3.1 to 2.7 and from 110.7 to 109.2, respectively. Art therapy based on the appreciation of famous paintings led to increases in self-esteem by increasing self-realization and forming social relationships. Conclusion: Fatigue and QoL in cancer patients with art therapy do not deteriorate during a period of radiotherapy. Despite the single-arm small number of participants and pilot design, this study provides a strong initial demonstration that art therapy of appreciation for famous painting is worthy of further study for fatigue and QoL improvement. Further, it can play an important role in routine practice in cancer patients during radiotherapy.

Keywords

References

  1. Forlenza MJ, Hall P, Lichtenstein P, Evengard B, Sullivan PF. Epidemiology of cancer-related fatigue in the Swedish twin registry. Cancer 2005;104:2022-31. https://doi.org/10.1002/cncr.21373
  2. Richardson A. Measuring fatigue in patients with cancer. Support Care Cancer 1998;6:94-100. https://doi.org/10.1007/s005200050141
  3. Cheon PM, Pulenzas N, Zhang L, et al. Fatigue scores in patients receiving palliative radiotherapy for painful bone metastases. Support Care Cancer 2015;23:2097-103. https://doi.org/10.1007/s00520-014-2561-0
  4. Lawrence DP, Kupelnick B, Miller K, Devine D, Lau J. Evidence report on the occurrence, assessment, and treatment of fatigue in cancer patients. J Natl Cancer Inst Monogr 2004;(32):40-50.
  5. Montgomery GH, David D, Kangas M, et al. Randomized controlled trial of a cognitive-behavioral therapy plus hypnosis intervention to control fatigue in patients undergoing radiotherapy for breast cancer. J Clin Oncol 2014;32:557-63. https://doi.org/10.1200/JCO.2013.49.3437
  6. Jacobsen PB, Hann DM, Azzarello LM, Horton J, Balducci L, Lyman GH. Fatigue in women receiving adjuvant chemotherapy for breast cancer: characteristics, course, and correlates. J Pain Symptom Manage 1999;18:233-42. https://doi.org/10.1016/S0885-3924(99)00082-2
  7. Goldstein D, Bennett B, Friedlander M, Davenport T, Hickie I, Lloyd A. Fatigue states after cancer treatment occur both in association with, and independent of, mood disorder: a longitudinal study. BMC Cancer 2006;6:240. https://doi.org/10.1186/1471-2407-6-240
  8. Monga U, Kerrigan AJ, Thornby J, Monga TN. Prospective study of fatigue in localized prostate cancer patients undergoing radiotherapy. Radiat Oncol Investig 1999;7:178-85. https://doi.org/10.1002/(SICI)1520-6823(1999)7:3<178::AID-ROI7>3.0.CO;2-0
  9. Janaki MG, Kadam AR, Mukesh S, et al. Magnitude of fatigue in cancer patients receiving radiotherapy and its short term effect on quality of life. J Cancer Res Ther 2010;6:22-6. https://doi.org/10.4103/0973-1482.63566
  10. Ahlberg K, Ekman T, Gaston-Johansson F, Mock V. Assessment and management of cancer-related fatigue in adults. Lancet 2003;362:640-50. https://doi.org/10.1016/S0140-6736(03)14186-4
  11. Bar-Sela G, Atid L, Danos S, Gabay N, Epelbaum R. Art therapy improved depression and influenced fatigue levels in cancer patients on chemotherapy. Psychooncology 2007;16:980-4. https://doi.org/10.1002/pon.1175
  12. Jereczek-Fossa BA, Marsiglia HR, Orecchia R. Radiotherapyrelated fatigue. Crit Rev Oncol Hematol 2002;41:317-25. https://doi.org/10.1016/S1040-8428(01)00143-3
  13. Hwang SS, Chang VT, Cogswell J, Kasimis BS. Clinical relevance of fatigue levels in cancer patients at a Veterans Administration Medical Center. Cancer 2002;94:2481-9. https://doi.org/10.1002/cncr.10507
  14. Malchiodi C. Medical art ther with adults. London, UK: Jessica Kingsley; 1999.
  15. Svensk AC, Oster I, Thyme KE, et al. Art therapy improves experienced quality of life among women undergoing treatment for breast cancer: a randomized controlled study. Eur J Cancer Care (Engl) 2009;18:69-77. https://doi.org/10.1111/j.1365-2354.2008.00952.x
  16. Nainis NA. Approaches to art therapy for cancer inpatients: research and practice considerations. Art therapy 2008;25:115-21. https://doi.org/10.1080/07421656.2008.10129597
  17. 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;24:1-10. https://doi.org/10.1002/pon.3873
  18. 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;31:162-9. https://doi.org/10.1016/j.jpainsymman.2005.07.006
  19. Luzzatto P, Gabriel B. The creative journey: a model for shortterm group art therapy with posttreatment cancer patients. Art Ther 2000;17:265-9. https://doi.org/10.1080/07421656.2000.10129764
  20. Wood MJ, Molassiotis A, Payne S. What research evidence is there for the use of art therapy in the management of symptoms in adults with cancer? a systematic review. Psychooncology 2011;20:135-45. https://doi.org/10.1002/pon.1722
  21. Reynolds MW, Nabors L, Quinlan A. The effectiveness of art therapy: does it work? Art Ther 2000;17:207-13. https://doi.org/10.1080/07421656.2000.10129706
  22. Monti DA, Peterson C, Kunkel EJ, et al. A randomized, controlled trial of mindfulness-based art therapy (MBAT) for women with cancer. Psychooncology 2006;15:363-73. https://doi.org/10.1002/pon.988
  23. Mendoza TR, Wang XS, Cleeland CS, et al. The rapid assessment of fatigue severity in cancer patients: use of the Brief Fatigue Inventory. Cancer 1999;85:1186-96. https://doi.org/10.1002/(SICI)1097-0142(19990301)85:5<1186::AID-CNCR24>3.0.CO;2-N
  24. Yun YH, Wang XS, Lee JS, et al. Validation study of the Korean version of the brief fatigue inventory. J Pain Symptom Manage 2005;29:165-72. https://doi.org/10.1016/j.jpainsymman.2004.04.013
  25. FACIT. org. Functional assessment of chronic illness therapy [Internet]. Elmhurst, IL: FACIT. org; c2010 [cited 2015 Dec 30]. Available from: http://www.facit.org/FACITOrg/Questionnaires.
  26. Webster K, Cella D, Yost K. The Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System: properties, applications, and interpretation. Health Qual Life Outcomes 2003;1:79. https://doi.org/10.1186/1477-7525-1-79
  27. Purcell A, Fleming J, Bennett S, McGuane K, Burmeister B, Haines T. A multidimensional examination of correlates of fatigue during radiotherapy. Cancer 2010;116:529-37. https://doi.org/10.1002/cncr.24731
  28. Zeng L, Koo K, Zhang L, et al. Fatigue in advanced cancer patients attending an outpatient palliative radiotherapy clinic as screened by the Edmonton Symptom Assessment System. Support Care Cancer 2012;20:1037-42. https://doi.org/10.1007/s00520-011-1179-8
  29. Alcantara-Silva TR, Freitas-Junior R, Freitas NM, Machado GD. Fatigue related to radiotherapy for breast and/or gynaecological cancer: a systematic review. J Clin Nurs 2013;22:2679-86. https://doi.org/10.1111/jocn.12236
  30. Smets EM, Visser MR, Willems-Groot AF, et al. Fatigue and radiotherapy: (A) experience in patients undergoing treatment. Br J Cancer 1998;78:899-906. https://doi.org/10.1038/bjc.1998.599
  31. Noal S, Levy C, Hardouin A, et al. One-year longitudinal study of fatigue, cognitive functions, and quality of life after adjuvant radiotherapy for breast cancer. Int J Radiat Oncol Biol Phys 2011;81:795-803. https://doi.org/10.1016/j.ijrobp.2010.06.037
  32. Bower JE, Ganz PA, Desmond KA, Rowland JH, Meyerowitz BE, Belin TR. Fatigue in breast cancer survivors: occurrence, correlates, and impact on quality of life. J Clin Oncol 2000;18:743-53. https://doi.org/10.1200/JCO.2000.18.4.743
  33. Wilson PM. The UK Expert Patients Program: lessons learned and implications for cancer survivors' self-care support programs. J Cancer Surviv 2008;2:45-52. https://doi.org/10.1007/s11764-007-0040-z
  34. Geue K, Goetze H, Buttstaedt M, Kleinert E, Richter D, Singer S. An overview of art therapy interventions for cancer patients and the results of research. Complement Ther Med 2010;18:160-70. https://doi.org/10.1016/j.ctim.2010.04.001
  35. Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A. Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ 2005;330:702. https://doi.org/10.1136/bmj.38343.670868.D3
  36. Sehlen S, Hollenhorst H, Schymura B, et al. Psychosocial stress in cancer patients during and after radiotherapy. Strahlenther Onkol 2003;179:175-80. https://doi.org/10.1007/s00066-003-1018-z

Cited by

  1. Art therapy based on appreciation of famous paintings and its effect on distress among cancer patients vol.26, pp.3, 2016, https://doi.org/10.1007/s11136-016-1473-5
  2. Elementary School Counselors’ Experiences Counseling Students With Chronic Illness vol.4, pp.3, 2016, https://doi.org/10.1080/23727810.2017.1422661
  3. Art Therapy Sessions for Cancer Patients: A Single-Centre Experience vol.98, pp.4, 2020, https://doi.org/10.1159/000504448
  4. A pilot study of improved psychological distress with art therapy in patients with cancer undergoing chemotherapy vol.20, pp.1, 2016, https://doi.org/10.1186/s12885-020-07380-5