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Individual brief art therapy can be helpful for women with breast cancer: A randomized controlled clinical study

  • Karin Egberg Thyme (a1), Eva C. Sundin (a1), Britt Wiberg (a2), Inger Öster (a3), Sture Åström (a4) and Jack Lindh (a5)...

Recent research shows that almost every second woman with breast cancer is depressed or has anxiety; the risk for younger women is even higher. Moreover, research shows that women are at risk for developing depression, also a threat for women with breast cancer. The aim of this randomized controlled clinical trial was to study the outcome of five sessions of art therapy given at a 5-week period of postoperative radiotherapy.


The participants were between 37 and 69 years old; six participants in each group were below 50 years of age. Half of the participants (n = 20) received art therapy and the other half (n = 21) were assigned to a control group. At the first measurement, at least 17% (n = 7) of the participants medicated with antidepressants. Data were collected before and after art therapy and at a 4-month follow-up using self-rating scales that measure self-image (the Structural Analysis of Social Behaviour) and psychiatric symptoms (the Symptom Check List–90).


At follow-up, significant lower ratings of depression, anxiety, and somatic symptoms and less general symptoms were reported for the art therapy group compared to the control group. The regression analysis showed that art therapy relates to lower ratings of depression, anxiety, and general symptoms; chemotherapeutic treatment predicts lower depressive symptoms; in contrast to axilliary surgery and hormonal treatment as well as being a parent predicts higher ratings of anxiety and general symptoms.

Significance of results:

The conclusion suggests that art therapy has a long-term effect on the crisis following the breast cancer and its consequences.

Corresponding author
Address correspondence and reprint requests to: Karin Egberg Thyme, Umea University, Department of Clinical Science, Psychiatry, SE-901 87 Umeå, Sweden. E-mail:
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T.A. Badger , C.J. Braden , M.H. Mishel , (2004). Depression burden, psychological adjustment and quality of life in women with breast cancer: Patterns power time. Research in Nursing & Health, 27, 1928.

L.S Benjamin . (1974). Structural analysis of social behavior. Psychological Review, 81, 392425.

E Borgmann . (2002). Art therapy with three women diagnosed with cancer. The Arts in Psychotherapy, 29, 245251.

C. Burgess , V. Cornelius , S. Love , (2005). Depression and anxiety in women with early breast cancer; five year observational cohort study. British Medical Journal, 330, 702.

R.C. Coombes , E. Hall , L.J. Gibson , (2004). A randomized trial of exemestane after two to three years of tamoxifen therapy in postmenopausal women with primary breast cancer. New England Journal of Medicine, 350, 10811092.

L.R. Derogatis , G.R. Morrow , D. Fetting , (1983). The prevalence of psychiatric disorders among cancer patients. JAMA, 249, 751757.

M. Hanson Frost , V.J. Suman , T.A. Rummans , (2000). Physical, psychological and social well-being of women with breast cancer: The influence of disease face. Psycho-oncology 9, 221231.

V.S. Helgeson , P. Snyder , & H Seltman . (2004). Psychological and physical adjustment to breast cancer over 4 years: Identifying distinct trajectories of change. Health Psychology, 23, 315.

K Heywood . (2003). Introducing art therapy into the Christie Hospital Manchester UK 2001–2002. Complementary Therapies in Nursing & Midwifery, 9, 125132.

M. Jeanneau & K Armelius . (2000). Self-image and burnout in psychiatric staff. Journal of Psychiatric and Mental Health Nursing, 7, 399406.

F. Leichsenring , S. Rabung , & E Leibing . (2004). The effect of short–term psychodynamic psychotherapy in specific psychiatric disorders. Archives of General Psychiatry, 61, 12081216.

P. Luzzatto & B Gabriel . (2000). The creative journey: A model for short-term group aet therapy with posttreatment cancer patients. Art Therapy: A Journal of the American Art Therapy Association, 17, 265269.

C. Malchiodi (Ed.). (1999). Medical Art Therapy with Adults. London: Jessica Kingsley Publishers.

D.A. Monti , C. Peterson , E.J. Shakin Kunkel , (2006). A randomized, controlled trial of mindfulness-based art therapy (MBAT) for women with cancer. Psycho-oncology, 15, 363373.

C.E. Mosher & S Danoff-Burg . (2005). A review of age differences in psychological adjustment to breast cancer. Journal of Psychosocial Oncology, 23, 101114.

S. Nolen-Hoeksema , J. Larson , & C Grayson . (1999). Explaining the gender difference in depressive symptoms. Journal of Personality and Social Psychology, 77, 10611072.

I. Öster , E. Magnusson , K. Egberg Thyme , (2007). Art therapy for women with breast cancer: The therapeutic consequences of boundary strengthening. The Arts in Psychotherapy, 34, 277288.

M.F. Scheier , V.S. Helgeson , R. Schultz , (2005). Interventions to enhance physical and psychological functioning among younger women who are ending nonhormonal adjuvant treatment for early-stage breast cancer. Journal of Clinical Oncology, 23, 42984311.

D Spiegel . (1994). Health caring. Psychosocial support for patient with cancer. Cancer, 74, 14531456.

A Sugerman . (2006). Mentalization, insightfulness, and therapeutic action. International Journal of Psychoanalysis, 87, 965987.

N Suzuki . (2004). Complementary and alternative medicine: A Japanese perspective. Evident-based Complementary and Alternative Medicine, 1, 113118.

Swedish Organised Service Screening Evaluation Group. (2006). Reduction in breast cancer mortality from organized service screening with mammography. I. Further confirmation with extended data. Cancer Epidemiology Biomarkers & Prevention, 15, 4551.

T.B. Üstün , J.L. Ayuso-Mateos , S. Chatterji , (2004). Global burden of depressive disorders in the year 2000. British Journal of Psychiatry, 184, 386392.

E.C. Wong-Kim & J.R Bloom . (2005). Depression experienced by young women newly diagnosed with breast cancer. Psycho-oncology, 14, 564573.

A.F. Lukowski , S.A. Wiebe , J.C. Haight , (2005). Forming a stable memory representation in the first year of life: why imitation is more than child's play. Developmental Science, 8, (3), 279298.

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Palliative & Supportive Care
  • ISSN: 1478-9515
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