Volume 29, Issue 3 (Summer 2021)                   Avicenna J Nurs Midwifery Care 2021, 29(3): 201-209 | Back to browse issues page

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Pourkhoramshahi M, Teymouri S. The Effect of Painting on Emotion, Anxiety and Blood Cell (CBC) Regulation in Children with Cancer. Avicenna J Nurs Midwifery Care 2021; 29 (3) :201-209
URL: http://nmj.umsha.ac.ir/article-1-2229-en.html
1- Master student of Psychology, Torbatjam Branch, Islamic Azad University, Torbatjam, Iran
2- Associate Professor, Department of Psychology, Torbatjam Branch, Islamic Azad University, Torbatjam, Iran , Steimory28@yahoo.com
Abstract:   (3711 Views)

Background and Objective: Diagnosis of cancer can cause significant psychological stress for the individuals and their family. Research shows social support has a positive and significant relationship with cellular immunity variables and some variables of blood cell count. Using tools such as painting, a child experiences all the issues of his life, tests and builds himself. The aim of this study was to evaluate the effectiveness of painting on cognitive regulation of emotion, anxiety and blood cells (CBC) in children aged 7 to 12 years with cancer.
Material and Methods: This research was conducted for 2 months from May 2016. The research method was quasi-experimental with pre- and post-test design and a control group. Among 43 children aged 7 to 12 years with cancer who referred to Dr. Sheikh Hospital in Mashhad and volunteered to cooperate with the study, 30 were selected according to the entry and exit criteria and were randomly assigned to the experimental and control groups. Then painting and free therapy were performed in the subjects of the experimental group. Garnfsky et al. (2001) Emotion Regulation Questionnaire, Spence Children's Anxiety Scale (SCAS) and blood cell count test were used to collect data in pre- and post-test. Analysis of covariance was used to analyze the data.
Results: Findings show that painting therapy is based on emotion regulation (F=293.8; P=0.001), anxiety (F=135.3; P=0.001), blood cell count test in WBC (F=13.2; P=0) and is effective in platelet count (F=152.77; P=0.001) in children with cancer. Performing painting therapy increases the components of emotion regulation and blood cell counting and reduces the components of anxiety.
Conclusion: The overall goal of painting therapists is to enable clients to grow and transform in a healthy and safe environment by using painting tools. Therefore, in this program, sick children are given the opportunity to express their thoughts and feelings and communicate with others. According to the research findings, this approach can be used to work with children with cancer in counseling centers, hospitals and schools.

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✅ The overall goal of painting therapists is to enable clients to grow and transform in a healthy and safe environment by using painting tools. Therefore, in this program, sick children are given the opportunity to express their thoughts and feelings and communicate with others. According to the research findings, this approach can be used to work with children with cancer in counseling centers, hospitals and schools.

Type of Study: Systematic Review | Subject: Nursing
Received: 2020/09/2 | Accepted: 2021/03/6 | Published: 2021/09/21

1. Pryce-Jones J. Happiness at work: Maximizing your psychological capital for success: John Wiley & Sons; 2011.
2. Kaye EC, Jerkins J, Gushue CA, DeMarsh S, Sykes A, Lu Z, et al. Predictors of Late Palliative Care Referral in Children With Cancer. J Pain Symptom Manage. 2018;55(6):1550-6. [DOI:10.1016/j.jpainsymman.2018.01.021] [PMID] [PMCID]
3. Delgado-Guay MO, Hui D, Parsons HA, Govan K, De la Cruz M, Thorney S, et al. Spirituality, religiosity, and spiritual pain in advanced cancer patients. J Pain Symptom Manage. 2011;41(6):986-94. [DOI:10.1016/j.jpainsymman.2010.09.017] [PMID]
4. Besharat M, Zamani Froshani N, Moafi A. The mediating role of cognitive emotion regulation strategies on the relationship between personality characteristics and psychological distress in siblings of children with cancer. J Psychol Sci. 2017;16(62):179-97.
5. Buono R, Longo VD. Starvation, stress resistance, and cancer. Trends Endocrinol Metab. 2018;29(4):271-80. [DOI:10.1016/j.tem.2018.01.008] [PMID] [PMCID]
6. Adili D, Bahrami Ehsan H, Shahi F, Mirzania M. Dimensions of quality of life in women with breast cancer under chemotherapy and its relation with demographic characteristics. J Psychol Sci. 2018;17(67):345-50.
7. Muscara F, McCarthy MC, Woolf C, Hearps SJ, Burke K, Anderson VA. Early psychological reactions in parents of children with a life threatening illness within a pediatric hospital setting. Eur Psychiatry. 2015;30(5):555-61. [DOI:10.1016/j.eurpsy.2014.12.008] [PMID]
8. Ozkan S, Ozkan M, Armay Z. Cultural meaning of cancer suffering. J Pediatr Hematol Oncol. 2011;33 Suppl 2:S102-4. [DOI:10.1097/MPH.0b013e318230db09] [PMID]
9. Hockenberry MJ, Wilson D. Wong's Nursing Care of Infants and Children. 9 ed: Elsevier eBook on VitalSource; 2011.
10. MARLOW DR. Textbook of Pediatric Nursing. MCN: The American Journal of Maternal/Child Nursing. 1979;4(1):16-56. [DOI:10.1097/00005721-197901000-00007]
11. Doll M, Roshon SG, Stone ER, Butler RS. Evaluation of art therapy on mood, anxiety, and pain levels in patients with cancer undergoing chemotherapy treatment. Journal of Clinical Oncology. 2017;35(15_suppl):e21713-e. [DOI:10.1200/JCO.2017.35.15_suppl.e21713]
12. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review. 2010;30(2):217-37. [DOI:10.1016/j.cpr.2009.11.004] [PMID]
13. Brody AC, Simmons LA. Family Resiliency During Childhood Cancer: The Father's Perspective. Journal of Pediatric Oncology Nursing. 2007;24(3):152-65. [DOI:10.1177/1043454206298844] [PMID]
14. Li WH, Chung OK. Enhancing the efficacy of psychoeducational interventions for paediatric patients in a randomised controlled trial: methodological considerations. J Clin Nurs. 2009;18(21):3013-21. [DOI:10.1111/j.1365-2702.2009.02913.x] [PMID]
15. Hamid N. The correlation between social support and immune system in managers of high schools of Khozestan province. Journal of Gorgan University of Medical Sciences. 2006;8(3):29-36.
16. Brage E, Vindrola-Padros C. An ethnographic exploration of the delivery of psychosocial care to children with cancer in Argentina. Eur J Oncol Nurs. 2017;29:91-7. [DOI:10.1016/j.ejon.2017.05.002] [PMID]
17. Bilgin E, Kirca O, Ozdogan M. Art therapies in cancer - A non-negligible beauty and benefit. Journal of Oncological Sciences. 2018;4(1):47-8. [DOI:10.1016/j.jons.2017.12.003]
18. Moschini LB. Art, play, and narrative therapy: Using metaphor to enrich your clinical practice: Routledge; 2018. [DOI:10.4324/9781351170925]
19. Rezaee S, Khodabakhshi Koolaee A, Taghvaee D. Influence of painting therapy in decreasing aggression and anxiety among elementary school boys. Journal of Pediatric Nursing. 2015;2(2):10-9.
20. Hass-Cohen N, Bokoch R, Clyde Findlay J, Banford Witting A. A four-drawing art therapy trauma and resiliency protocol study. The Arts in Psychotherapy. 2018;61:44-56. [DOI:10.1016/j.aip.2018.02.003]
21. Altay N, Kilicarslan-Toruner E, Sari Ç. The effect of drawing and writing technique on the anxiety level of children undergoing cancer treatment. Eur J Oncol Nurs. 2017;28:1-6. [DOI:10.1016/j.ejon.2017.02.007] [PMID]
22. Katz C, Hamama L. "Draw me everything that happened to you": Exploring children's drawings of sexual abuse. Children and Youth Services Review. 2013;35(5):877-82. [DOI:10.1016/j.childyouth.2013.02.007]
23. Clapp LA, Taylor EP, Di Folco S, Mackinnon VL. Effectiveness of art therapy with pediatric populations affected by medical health conditions: a systematic review. Arts Health. 2019;11(3):183-201. [DOI:10.1080/17533015.2018.1443952] [PMID]
24. Ding Z, Ouyang Y, Zhang N. Painting Therapy in Cancer Care: A Descriptive Systematic Review. Open Journal of Nursing. 2019;9(02):89. [DOI:10.4236/ojn.2019.92009]
25. Czamanski-Cohen JP, Wiley JFP, Sela NB, Caspi O Md P, Weihs KM. The role of emotional processing in art therapy (REPAT) for breast cancer patients. J Psychosoc Oncol. 2019;37(5):586-98. [DOI:10.1080/07347332.2019.1590491] [PMID]
26. Aron-Rubin J. The art of art therapy: what every art therapist needs to know: Routledge; 2013.
27. Golparvar M, Aghaei A, Bordbar MR. Comparing the effectiveness of group story therapy and the art-play therapy on anxiety and depression in children with cancer: based on the framework, principles and rules of cognitive-behavioral approach. Iranian Journal of Rehabilitation Research. 2019;6(1):50-9.
28. Karimaee M, Ferdosipour A. The Effect of Painting Therapy on Reducing Signs of Symptoms in Separation Anxiety Disorder in Preschool Children. Rooyesh-e-Ravanshenasi Journal(RRJ). 2019;8(8):205-12.
29. Jangi s, Shirabadi A, Jani S, Pouresmali A. Effectiveness of art Therapy Based on Painting Therapy to Reduce Anxiety of Children with Stuttering. journal of ilam university of medical sciences. 2015;23(2):53-60.
30. Goldbeck L, Ellerkamp T. A randomized controlled trial of multimodal music therapy for children with anxiety disorders. Journal of Music Therapy. 2012;49(4):395-413. [DOI:10.1093/jmt/49.4.395] [PMID]
31. Neda Sheikhzakaryaee, Golrok Moridi, Marlin Ardalan, Fardin Hododi. Effect of painting on the anxiety of hospitalized cancer children. Health Monitor Journal of the Iranian Institute for Health Sciences Research. 2016;15(1):63-8.
32. Stepney SA. Art therapy with students at risk: Fostering resilience and growth through self-expression: Charles C Thomas Publisher; 2017.

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