http://mh.bmj.com/content/early/2014/01/15/medhum-2013-010448.abstract
Med Humanities
doi:10.1136/medhum-2013-010448
- Original article
+ Author Affiliations
- Correspondence to Dr Khalid Ali, Academic Department of Geriatrics, Brighton and Sussex Medical School, Audrey Emerton Building, Eastern Road, Brighton BN2 5BE, UK; kmali@btopenworld.com, khalid.ali@bsuh.nhs.uk
- Accepted 21 December 2013
- Published Online First 15 January 2014
Abstract
Rationale
The holistic aspect of stroke rehabilitation to include psychological
well-being is currently neglected, with more emphasis
placed on physical recovery despite
anxiety and depression being common poststroke. From the limited amount
of current literature,
it seems that creative strategies
such as art therapy (AT) can be beneficial in reducing isolation and
anxiety among stroke
patients.
Methods
Stroke patients (able to consent) in a hospital rehabilitation unit were
invited to participate in two weekly AT sessions
for 6 weeks, facilitated by an art
psychotherapist using paints, crayons, clay, a camera and an iPad.
Hospital anxiety and
depression scales (HAD) and therapy
outcome measures (TOM) were measured at the beginning and end of the
study.
Results
Six male patients were recruited, average age 69 years (38–85). Group
discussions allowed patients to express openly feelings
of frustration as well as hope for
physical and emotional recovery: ‘fight like a ferret’, an expression
used by a group member.
The group produced several art
objects and photographic images that were collated using stop-frame
animation to produce a
10 min film. Median HAD score for
the group was eight points upon entering the study and six points on
finishing the study.
Key conclusions
There is little attention to the emotional needs of stroke patients in
rehabilitation. Properly designed research studies
exploring the role of AT in
addressing anxiety and depression poststroke are needed. Our study
showed that AT was a feasible
intervention that helped patients
explore the sequel of stroke in an open supportive environment.
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