title: Art therapy among palliative cancer patients: Aesthetic dimensions and impacts on symptoms.
abstract: This study aimed to explore whether aesthetic beauty and the pleasure that results from artistic activity can contribute to a reduction in the symptoms experienced by palliative care patients, and to improve the effectiveness of art therapy sessions.
  
  
  
  A self-assessment of six symptoms (pain, anxiety, ill-being, tiredness, sadness, and depression) adapted from the Edmonton Symptom Assessment System (ESAS) was completed by patients before and after a one-hour art therapy session. This assessment was completed after the session with a self-assessment of aesthetic feeling. A correlation analysis was then performed.
  
  
  
  From July of 2012 to December of 2013, 28 patients took part in 63 art therapy sessions. On the whole, these sessions reduced the global distress of patients by 47% (p < 0.0001). There was a significant reduction in all the symptoms studied; pain (p = 0.003), anxiety (p < 0.0001), ill-being (p < 0.0001), tiredness (p < 0.0001), sadness (p < 0.0001), and depression (p < 0.0001). A study of the significant correlations (0.35 < rs < 0.52, p < 0.05) indicated that technical satisfaction, aesthetic beauty, and pleasure are all involved to varying degrees in reduction of symptoms.
  
  
  
  Our findings confirm the benefits of art therapy in reducing distress within the palliative context. We also make suggestions for the future direction and improvement of these sessions.
authors.affiliation: Centre de Soins Palliatifs,Centre Hospitalier Lyon-Sud,Hospices Civils de Lyon,Pierre-Bénite,France.
authors.forename: Cédric
authors.initials: C
authors.lastname: Lefèvre
authors.affiliation: Centre de Soins Palliatifs,Centre Hospitalier Lyon-Sud,Hospices Civils de Lyon,Pierre-Bénite,France.
authors.forename: Mathilde
authors.initials: M
authors.lastname: Ledoux
authors.affiliation: Centre de Soins Palliatifs,Centre Hospitalier Lyon-Sud,Hospices Civils de Lyon,Pierre-Bénite,France.
authors.forename: Marilène
authors.initials: M
authors.lastname: Filbet
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001155:Art Therapy; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy*; D010166:Palliative Care / Q000379:methods* / Q000523:psychology*; D012647:Self-Assessment; D013315:Stress, Psychological / Q000628:therapy*
keywords: Aesthetic; Art therapy; Cancer; Palliative care; Symptoms