The Effect of Occupational Art Therapy on Depression, Anxiety and Stress in the Elderly in Nursing Homes: A Quasi-Experimental Study
DOI:
https://doi.org/10.55018/janh.v6i2.234Keywords:
anxiety, Art Therapy, Elderly, Emphasize, Occupational TherapyAbstract
Background: Elderly individuals residing in care facilities possess the potential for low physical activity, frequent illness, a hostile environment, and a lack of self-confidence, causing older people to become anxious, stressed, and even depressed. Unfortunately, no intervention can overcome this problem. Occupational art therapy involves using artistic mediums as a form of treatment and creative processes to help express oneself, improve individual physical and coping skills, manage stress, and strengthen self-confidence.
Methods: This research aims to explain the effect of occupational art therapy on depression, stress, and anxiety in older adults in nursing homes. This research uses a quasi-experimental pre and post-test design. The total sample used was 60 respondents, who were divided into intervention and control groups using a sampling technique, namely purposive sampling. Data were collected using the short version of the Depression Anxiety and Stress Scale (21 items). Descriptive statistics, frequency distribution, and Paired and Unpaired T-tests were applied for data analysis.
Results: The findings of the research indicated that occupational arts therapy could reduce depression scores with an average difference of 8.63, namely an anxiety score of 5.54 and a stress score of 3.59. Data analysis showed that occupational art therapy significantly reduced anxiety, depression, and stress scores (p-value 0.000).
Conclusion: Occupational art therapy can be used as a complementary therapy in nursing homes to reduce depression, anxiety, and stress in older people. The findings of this study are expected to help improve services in nursing homes, especially for reducing depression, anxiety, and stress in older people.
Downloads
References
Abbing, A., Ponstein, A. S., van Hooren, S., de Sonneville, L. M. J., Swaab, H. S., & Baars, E. W. (2018). The effectiveness of art therapy for anxiety in adults: A systematic review of randomised and non-randomised controlled trials. PLoS ONE, 13.
Abdul Manaf, M. R., Mustafa, M., Abdul Rahman, M. R., Yusof, K. H., & Abd Aziz, N. A. (2016). Factors Influencing the Prevalence of Mental Health Problems among Malay Elderly Residing in a Rural Community: A Cross-Sectional Study. PloS One, 11(6), e0156937. https://doi.org/10.1371/journal.pone.0156937
Birgitta Gunnarsson, A., Wagman, P., Hedin, K., & Håkansson, C. (2018). Treatment of depression and/or anxiety - outcomes of a randomised controlled trial of the tree theme method® versus regular occupational therapy. BMC Psychology, 6(1), 25. https://doi.org/10.1186/s40359-018-0237-0
Cavasinni, C. (2017). A Study of Art Therapy in Identity Exploration and Self-Efficacy. Notre Dame de Namur University.
Ching-Teng, Y., Ya-Ping, Y., & Yu-Chia, C. (2019). Positive effects of art therapy on depression and self-esteem of older adults in nursing homes. Social Work in Health Care, 58(3), 324–338. https://doi.org/10.1080/00981389.2018.1564108
Ciasca, E. C., Ferreira, R. C., Santana, C. L. A., Forlenza, O. V, Dos Santos, G. D., Brum, P. S., & Nunes, P. V. (2018). Art therapy as an adjuvant treatment for depression in elderly women: a randomized controlled trial. Revista Brasileira de Psiquiatria (Sao Paulo, Brazil : 1999), 40(3), 256–263. https://doi.org/10.1590/1516-4446-2017-2250
Coppola, S., Miao, A., Allmendinger, C., & Zhang, W. (2017). Art in Occupational Therapy Education: An Exploratory Mixed-Methods Study of an Arts-Based Module. The Open Journal of Occupational Therapy, 5. https://doi.org/10.15453/2168-6408.1320
de Souza, L. B. R., Gomes, Y. C., & de Moraes, M. G. G. (2022). The impacts of visual Art Therapy for elderly with Neurocognitive disorder: a systematic review. Dementia & Neuropsychologia, 16(1), 8–18. https://doi.org/10.1590/1980-5764-DN-2021-0042
Deygout, F., & Auburtin, G. (2020). Art therapy for elderly women diagnosed with Alzheimers: A positive person-centred approach increases ease in the care process. Annales Médico-Psychologiques, Revue Psychiatrique, 178(10), 961–969. https://doi.org/https://doi.org/10.1016/j.amp.2020.07.006
Dunphy, K., Baker, F. A., Dumaresq, E., Carroll-Haskins, K., Eickholt, J., Ercole, M., … Wosch, T. (2019). Creative arts interventions to address depression in older adults: A systematic review of outcomes, processes, and mechanisms. Frontiers in Psychology, 9(JAN). https://doi.org/10.3389/fpsyg.2018.02655
Ezell, C. M. (2017). Touch painting: An art therapy intervention on anxiety in older adults. Dissertation Abstracts International: Section B: The Sciences and Engineering, 78(3-B(E)), No-Specified.
Fritz, E. M., Singewald, N., & De Bundel, D. (2020). The good, the bad and the unknown aspects of ghrelin in stress coping and stress-related psychiatric disorders. Frontiers in Synaptic Neuroscience, 12, 594484.
Gloster, A. T., Rhoades, H., Novy, D., Klotsche, J., Senior, A., Kunik, M., … Stanley, M. (2008). Psychometric properties of the Depressional Anxiety.... Journal of Affective Disorders, 110(3), 248–259. https://doi.org/10.1016/j.jad.2008.01.023.Psychometric
Gramaglia, C., Gattoni, E., Marangon, D., Concina, D., Grossini, E., Rinaldi, C., … Zeppegno, P. (2021). Non-pharmacological approaches to depressed elderly with no or mild cognitive impairment in long-term care facilities. a systematic review of the literature. Frontiers in Public Health, 9, 685860.
Gunnarsson, A. B., Hedberg, A.-K., Håkansson, C., Hedin, K., & Wagman, P. (2021). Occupational performance problems in people with depression and anxiety. Scandinavian Journal of Occupational Therapy, 1–11. https://doi.org/10.1080/11038128.2021.1882562
Hogan, S. (2009). The art therapy continuum: A useful tool for envisaging the diversity of practice in British art therapy. International Journal of Art Therapy, 14(1), 29–37. https://doi.org/10.1080/17454830903006331
Im, M. L., & Lee, J. I. (2014). Effects of art and music therapy on depression and cognitive function of the elderly. Technology and Health Care : Official Journal of the European Society for Engineering and Medicine, 22(3), 453–458. https://doi.org/10.3233/THC-140803
Klainin-Yobas, P., Oo, W. N., Suzanne Yew, P. Y., & Lau, Y. (2015). Effects of relaxation interventions on depression and anxiety among older adults: a systematic review. Aging & Mental Health, 19(12), 1043–1055.
Liu, C.-J., Brost, M. A., Horton, V. E., Kenyon, S. B., & Mears, K. E. (2013). Occupational therapy interventions to improve performance of daily activities at home for older adults with low vision: a systematic review. The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association, 67(3), 279–287. https://doi.org/10.5014/ajot.2013.005512
Mahendran, R., Gandhi, M., Moorakonda, R. B., Wong, J., Kanchi, M. M., Fam, J., … Kua, E. H. (2018). Art therapy is associated with sustained improvement in cognitive function in the elderly with mild neurocognitive disorder: findings from a pilot randomized controlled trial for art therapy and music reminiscence activity versus usual care. Trials, 19(1), 615. https://doi.org/10.1186/s13063-018-2988-6
Mitchell, J., & Meehan, T. (2022). How art-as-therapy supports participants with a diagnosis of schizophrenia: A phenomenological lifeworld investigation. The Arts in Psychotherapy, 80, 101917. https://doi.org/https://doi.org/10.1016/j.aip.2022.101917
Pan, A., Franco, O. H., Wang, Y., Yu, Z., Ye, X., & Lin, X. (2008). Prevalence and geographic disparity of depressive symptoms among middle-aged and elderly in China. Journal of Affective Disorders, 105(1), 167–175. https://doi.org/https://doi.org/10.1016/j.jad.2007.05.003
Phan, N. (2018). A heart attack in elderly people: The guidebook for relatives and healthcare professionals.
Pozzi, C., Tatzer, V., Alvarez, E., Lanzoni, A., & Graff, M. (2020). The applicability and feasibility of occupational therapy in delirium care. European Geriatric Medicine, 11. https://doi.org/10.1007/s41999-020-00308-z
Roswiyani, R., Kwakkenbos, L., Spijker, J., & Witteman, C. L. M. (2019). The Effectiveness of Combining Visual Art Activities and Physical Exercise for Older Adults on Well-Being or Quality of Life and Mood: A Scoping Review. Journal of Applied Gerontology, 38(12), 1784–1804. https://doi.org/10.1177/0733464817743332
Savazzi, F., Isernia, S., Farina, E., Fioravanti, R., D’Amico, A., Saibene, F. L., … Baglio, F. (2020). “Art, Colors, and Emotions” Treatment (ACE-t): A Pilot Study on the Efficacy of an Art-Based Intervention for People With Alzheimer’s Disease. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.01467
Seangpraw, K., Auttama, N., Kumar, R., Somrongthong, R., Tonchoy, P., & Panta, P. (2019). Stress and associated risk factors among the elderly: a cross-sectional study from rural area of Thailand. F1000Research, 8, 655. https://doi.org/10.12688/f1000research.17903.2
Toledano-González, A., Labajos-Manzanares, T., & Romero-Ayuso, D. (2019). Well-Being, Self-Efficacy and Independence in older adults: A Randomized Trial of Occupational Therapy. Archives of Gerontology and Geriatrics, 83, 277–284.
Vaartio-Rajalin, H., Santamäki-Fischer, R., Jokisalo, P., & Fagerström, L. (2021). Art making and expressive art therapy in adult health and nursing care: A scoping review. International Journal of Nursing Sciences, 8(1), 102–119. https://doi.org/10.1016/j.ijnss.2020.09.011
Wang, R., Huang, X., Wang, Y., & Akbari, M. (2022). Non-pharmacologic Approaches in Preoperative Anxiety, a Comprehensive Review. Frontiers in Public Health, 10, 854673. https://doi.org/10.3389/fpubh.2022.854673
Zunzunegui, M.-V., Alvarado, B.-E., Béland, F., & Vissandjee, B. (2009). Explaining health differences between men and women in later life: A cross-city comparison in Latin America and the Caribbean. Social Science & Medicine, 68(2), 235–242. https://doi.org/https://doi.org/10.1016/j.socscimed.2008.10.031
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.