Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Apr 17:14:1166419.
doi: 10.3389/fpsyg.2023.1166419. eCollection 2023.

Reducing anxiety and improving self-acceptance in children and adolescents with osteosarcoma through group drawing art therapy

Xin Liu  1 , Lihong Sun  2 , Xinhui Du  1 , Chang Zhang  3 , Yijia Zhang  1 , Xiaoxia Xu  4
Affiliations

Reducing anxiety and improving self-acceptance in children and adolescents with osteosarcoma through group drawing art therapy

Xin Liu et al. Front Psychol. .

Abstract

Purpose: This study explored the effect of group drawing art therapy (GDAT) on anxiety and self-acceptance in children and adolescents with osteosarcoma.

Methods: Using a randomized experimental study design, 40 children and adolescents with osteosarcoma who were treated in our hospital from December 2021 to December 2022 were selected as the research objects, including 20 in the intervention group and 20 in the control group. The control group received routine care for osteosarcoma, while the intervention group participated in eight sessions of GDAT, twice a week, 90-100 min each, in addition to routine care for osteosarcoma. A screening for children's anxiety disorders (SCARED) and a self-acceptance questionnaire (SAQ) were used to evaluate the patients before and after the intervention.

Results: After 8 weeks of GDAT, the SCARED total score in the intervention group was 11.30 ± 8.603, and that in the control group was 22.10 ± 11.534. The difference between the two groups was statistically significant (t = -3.357, P < 0.05). In the intervention group, the SAQ total score was 48.25 ± 4.204, with self-acceptance and self-evaluation factor scores of 24.40 ± 2.521 and 23.85 ± 2.434, respectively. In the control group, the SAQ total score was 42.20 ± 4.047; the self-acceptance factor score was 21.20 ± 3.350 and that of the self-evaluation factor was 21.00 ± 2.224. The differences between the two groups were statistically significant (t = 4.637, P < 0.001; t = 3.413, P < 0.05; t = 3.866, P < 0.001, respectively).

Conclusion: Group drawing art therapy can reduce anxiety and improve the levels of self-acceptance and self-evaluation in children and adolescents with osteosarcoma.

Keywords: anxiety; art therapy; drawing; osteosarcoma; self-acceptance.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
The consort diagram of the participants of this study.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Bar-Sela G., Atid L., Danos S., Gabay N., Epelbaum R. (2007). Art therapy improved depression and influenced fatigue levels in cancer patients on chemotherapy. Psychooncology 16 980–984. 10.1002/pon.1175 - DOI - PubMed
    1. Bekar P., Erkul M., Efe E. (2022). The effect of using a kaleidoscope during central venous catheter dressing changes on pain and anxiety in children with cancer: A randomised controlled trial. Eur. J. Oncol. Nurs. 57:102114. 10.1016/j.ejon.2022.102114 - DOI - PubMed
    1. Birmaher B., Khetarpal S., Brent D., Cully M., Balach L., Kaufman J., et al. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. J. Am. Acad. Child Psychiatry 36 545–553. - PubMed
    1. Bozcuk H., Ozcan K., Erdogan C., Mutlu H., Demir M., Coskun S. (2017). A comparative study of art therapy in cancer patients receiving chemotherapy and improvement in quality of life by watercolor painting. Complement. Ther. Med. 30 67–72. 10.1016/j.ctim.2016.11.006 - DOI - PubMed
    1. Chen S. Q., Liu J. E., Zhang Z. X., Li Z. (2017). Self-acceptance and associated factors among Chinese women with breast cancer. J. Clin. Nurs. 26 1516–1523. 10.1111/jocn.13437 - DOI - PubMed

LinkOut - more resources