The Effectiveness of Art Psychotherapy on Anxiety in children with Attention Deficit Hyperactivity Disorder in Bangkok
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Abstract
Objective: This study aimed to investigate the effectiveness of art psychotherapy in reducing anxiety among children with attention deficit hyperactivity disorder (ADHD) in Bangkok.
Materials and Methods: This study is quasi-experimental research involving a sample of children with ADHD in Bangkok. The participants had scores of 25 or higher on the screen for child anxiety related emotional disorders (SCARED) and were aged between 7 and 12 years, totaling 21 children. The parents of the children with ADHD completed a general questionnaire, while the children themselves underwent SCARED screening both before and after participating in art psychotherapy. The statistical methods used for data analysis included frequency, percentage, mean, standard deviation, and dependent sample t-test.
Results: Children with ADHD who participated in the art psychotherapy program showed a statistically significant decrease in anxiety levels after the program compared to before participation (t = 3.63, p < 0.001), with a medium effect size (d = 0.79).
Conclusion: The effectiveness of art psychotherapy helps reduce arousal and rebalance the nervous system to a balanced state, leading to a decrease in anxiety levels. This approach can be a valuable method for parents and therapists to apply with children who have ADHD and are experiencing anxiety.
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เรื่องที่ลงตีพิมพ์ในวารสารจิตวิทยาคลินิกแล้วถือเป็นลิขสิทธิ์การเผยแพร่โดยวารสารจิตวิทยาคลินิกแต่เพียงผู้เดียว การตีพิมพ์หรือเผยแพร่ซ้ำในที่อื่นต้องได้รับอนุญาตจากกองบรรณาธิการวารสารฯ
References
Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., & Neer, S. M. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child & Adolescent Psychiatry, 36(4), 545-553. https://doi.org/10.1097/00004583-199704000-00018
Campenni, C. E., & Hartman, A. (2020). The effects of completing mandalas on mood, anxiety, and state mindfulness. Art Therapy, 37(1), 25-33. https://doi.org/10.1080/07421656.2019.1669980
de Rivera, L. (1992). The stages of psychotherapy. The European Journal of Psychiatry, 6, 51-58. https://www.researchgate.net/publication/318530226_The_Stages_of_Psychotherapy
Ho, R. T. H., & Wan, A. H. Y. (2019). Expressive Arts Therapy. In D. Gu & M. E. Dupre (Eds.), Encyclopedia of Gerontology and Population Aging (pp. 1-3). Springer International Publishing. https://doi.org/10.1007/978-3-319-69892-2_872-1
Jakobsson Støre, S., & Jakobsson, N. (2022). The effect of mandala coloring on state anxiety: A systematic review and meta-analysis. Art Therapy, 39(4), 173-181.
Khadar, M. G., Babapour, J., & Sabourimoghaddam, H. (2013). The effect of art therapy based on painting therapy in reducing symptoms of separation anxiety disorder (SAD) in elementary school boys. Procedia - Social and Behavioral Sciences, 84, 1697-1703. https://doi.org/10.1016/j.sbspro.2013.07.016
Kariž, B. (2003). Art therapy and ADHD. https://www.researchgate.net/publication/267473163_
ART_THERAPY_AND_ADHD https://doi.org/10.13140/2.1.5095.4248
Katzman, M. A., Bilkey, T. S., Chokka, P. R., Fallu, A., & Klassen, L. J. (2017). Adult ADHD and comorbid disorders: Cinical implications of a dimensional approach. BMC Psychiatry, 17(1), 302. https://doi.org/10.1186/s12888-017-1463-3
Lee, J. H. (2021). Effectiveness of group art therapy for mothers of children with disabilities. The Arts in Psychotherapy, 73, 101754. https://doi.org/10.1016/j.aip.2020.101754
Liao, Y., & Liu, S. (2012). Effectiveness of group art therapy for children with ADHD and emotional dysregulation. Neuropsychiatrie de l'Enfance et de l'Adolescence, 60(5, Supplement), S301-S302. https://doi.org/https://doi.org/10.1016/j.neurenf.2012.04.871
Lowenfeld, V. (1954). Your child and his art. Macmillan.
Maskasame, K. (2020). Attention deficit hyperactivity disorder in child and adolescent. Journal of Charoenkrung Pracharak Hospital, 16(2), 75-101. https://he02.tci-thaijo.org/index.php/JCP/article/view/241374 (in Thai).
Munpansa, N. (2020). The effect of coloring mandalas on anxiety and attention-concentration: A case study of freshman undergraduate students at one national university. J Prapokklao Hosp Clin Med Educat Center, 37, 98-104. (in Thai).
Ngamjarus, C. (2016). n4Studies: Sample size calculation for an epidemiological study on a smart device. Siriraj Medical Journal, 68(3), 160-170.(in Thai).
Newland, P., & Bettencourt, B. A. (2020). Effectiveness of mindfulness-based art therapy for symptoms of anxiety, depression, and fatigue: A systematic review and meta-analysis. Complementary Therapies in Clinical Practice, 41, 101246. https://doi.org/https://doi.org/10.1016/j.ctcp.2020.101246
Pornnoppadol, C. (2020). Attention deficit hyperactivity disorder (4th ed.). Siriraj Books. (in Thai).
Ularntinon S. (2014). Clinical Tools. https://www.pediatricbipolar.pitt.edu. https://www.pediatricbipolar.pitt.edu/sites/default/files/assets/AH/Thai%20Screen%20for%20Child%20Anxiety%20Related%20Disorders%20(SCARED)%20Child%20Version.pdf.pdf
Rahmani, P., & Moheb, N. (2010). The effectiveness of clay therapy and narrative therapy on anxiety of pre-school children: A comparative study. Procedia - Social and Behavioral Sciences, 5, 23-27. https://doi.org/10.1016/j.sbspro.2010.07.044
Sirirutraykha, T. (2007a). Alternative therapy for special children. The Teachers’ Council Ladprao Publisher. https://www.happyhomeclinic.com/alt01-alternative_sp.htm (in Thai).
Sirirutraykha, T. (2007b). Art therapy: The science and art of healing. The Teachers’ Council Ladprao Publisher. (in Thai).
Thawee, P. (2019). Anxiety and relevance factors in attention deficit hyperactivity disorder at Queen Sirikit National Institute Of Child Health, [The diploma of Thai board of pediatrics’ thesis, Queen Sirikit National Institute Of Child Health]. https://library.childrenhospital.go.th/library/index.htm. https://library.childrenhospital.go.th/
elib/cgi-bin/opacexe.exe?op=dig&lang=0&db=Elib&pat=%BB%D8%AD%AD%D2%C0%
D1%A4&cat=aut&skin=s&lpp=20&catop=&ref=A:@238088&nx=1 (in Thai).
World Health Organization (2019). Attention deficit hyperactivity disorder (ADHD). https://applications.emro.who.int/docs/EMRPUB_leaflet_2019_mnh_214_en.pdf?ua=1&ua=1
Wyder, S. (2019). The house as symbolic representation of the self: Drawings and paintings from an art therapy fieldwork study of a closed inpatient adolescents’ focus group. Neuropsychiatrie de l'Enfance et de l'Adolescence, 67(5), 286-295. https://doi.org/10.1016/j.neurenf.2019.05.003
