The Role of Art Therapy on Quality of Life of Women with Recent Pregnancy Loss: A Randomized Clinical Trial

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2024 Jul 25

PMID 39052552

Authors

Masumeh Zahmatkesh

Shahla Faal Siahkal

Fatemeh Alahverdi

Golshan Tahmasebi

Elham Ebrahimi

Affiliations

Soon will be listed here.

Abstract

Background: Pregnancy loss and mourning can lead to psychological adverse effects on women's quality of life. This study aimed to evaluate the effect of art therapy on the quality of life of women with pregnancy loss.

Methods: This study was a randomized clinical trial performed on 60 women who recently experienced abortion or stillbirth. After randomization in two groups (30 in each group), women in the intervention group received four session art therapy. In the control group, routine care was performed. The Perinatal Grief Scale and World Health Organization quality of life questionnaire, short version 26, was used to collect data before and eight weeks after intervention, and the result was compared before and after the intervention in both groups.

Results: The mean age of participants was 26.5±4.75 years. Eight weeks after the intervention, the mean score of the total quality of life was significantly different between the two groups (348.64±13.12 vs.254.46±58.35; P>0.01). Also, all physical, psychological, social, and environmental dimensions of quality of life improved in the art therapy group compared to the control group (P>0.01).

Conclusions: Art therapy could improve the quality-of-life following pregnancy loss, and can be recommended as a complementary method next to routine care.

Trial Registration: IRCT20200104046002N1.

Citing Articles

Active Visual Art Therapy in the General Hospital: Facts and Challenges from an Ethical Perspective.

Martinelli V, Lumer E, Fusar Poli L, Chiappedi M, Politi P Int J Environ Res Public Health. 2025; 22(2).

PMID: 40003541 PMC: 11855915. DOI: 10.3390/ijerph22020316.

References

Qian J, Sun S, Wang M, Sun X, Yu X . Art-based interventions for women's mental health in pregnancy and postpartum: A meta-analysis of randomised controlled trials. Front Psychiatry. 2023; 14:1112951. PMC: 9976780. DOI: 10.3389/fpsyt.2023.1112951. View

Grandi S, Hinkle S, Mumford S, Sjaarda L, Grantz K, Mendola P . Long-Term Mortality in Women With Pregnancy Loss and Modification by Race/Ethnicity. Am J Epidemiol. 2022; 191(5):787-799. PMC: 9630116. DOI: 10.1093/aje/kwac023. View

Fancourt D, Perkins R . Effect of singing interventions on symptoms of postnatal depression: three-arm randomised controlled trial. Br J Psychiatry. 2018; 212(2):119-121. DOI: 10.1192/bjp.2017.29. View

Borg Cunen N, Jomeen J, Poat A, Borg Xuereb R . 'A small person that we made' - Parental conceptualisation of the unborn child: A constructivist grounded theory. Midwifery. 2021; 104:103198. DOI: 10.1016/j.midw.2021.103198. View

Kukulskiene M, Zemaitiene N . Postnatal Depression and Post-Traumatic Stress Risk Following Miscarriage. Int J Environ Res Public Health. 2022; 19(11). PMC: 9180236. DOI: 10.3390/ijerph19116515. View

Czamanski-Cohen PhD J, Wiley PhD J, Sela BA N, Caspi MD PhD O, Weihs MD K . The role of emotional processing in art therapy (REPAT) for breast cancer patients. J Psychosoc Oncol. 2019; 37(5):586-598. DOI: 10.1080/07347332.2019.1590491. View

Jalambadani Z, Borji A, Bakaeian M . Examining the effect of mindfulness-based art therapy (MBAT) on stress and lifestyle of Iranian pregnant women. J Obstet Gynaecol. 2019; 40(6):779-783. DOI: 10.1080/01443615.2019.1652889. View

Van P, Gay C, Lee K . Prior pregnancy loss and sleep experience during subsequent pregnancy. Sleep Health. 2022; 9(1):33-39. DOI: 10.1016/j.sleh.2022.11.004. View

Currie E, Christian B, Hinds P, Perna S, Robinson C, Day S . Life after loss: Parent bereavement and coping experiences after infant death in the neonatal intensive care unit. Death Stud. 2018; 43(5):333-342. DOI: 10.1080/07481187.2018.1474285. View

10.

Lind M, Jorgensen C, Heinskou T, Simonsen S, Boye R, Thomsen D . Patients with borderline personality disorder show increased agency in life stories after 12 months of psychotherapy. Psychotherapy (Chic). 2018; 56(2):274-284. DOI: 10.1037/pst0000184. View

11.

He L, Wang T, Xu H, Chen C, Liu Z, Kang X . Prevalence of depression and anxiety in women with recurrent pregnancy loss and the associated risk factors. Arch Gynecol Obstet. 2019; 300(4):1061-1066. DOI: 10.1007/s00404-019-05264-z. View

12.

Bialek K, Szwabowicz K, Swiercz G . Sexual quality of life and female sexual function in women after fetal death. Ginekol Pol. 2023; 93(10):811-819. DOI: 10.5603/GP.a2022.0089. View

13.

Barnish M, Barran S . A systematic review of active group-based dance, singing, music therapy and theatrical interventions for quality of life, functional communication, speech, motor function and cognitive status in people with Parkinson's disease. BMC Neurol. 2020; 20(1):371. PMC: 7547481. DOI: 10.1186/s12883-020-01938-3. View

14.

Wahlbeck H, Kvist L, Landgren K . Gaining hope and self-confidence-An interview study of women's experience of treatment by art therapy for severe fear of childbirth. Women Birth. 2017; 31(4):299-306. DOI: 10.1016/j.wombi.2017.10.008. View

15.

Jafari E, Mohebbi P, Mazloomzadeh S . Factors Related to Women's Childbirth Satisfaction in Physiologic and Routine Childbirth Groups. Iran J Nurs Midwifery Res. 2017; 22(3):219-224. PMC: 5494952. DOI: 10.4103/1735-9066.208161. View

16.

Jang S, Kang S, Lee H, Lee S . Beneficial Effect of Mindfulness-Based Art Therapy in Patients with Breast Cancer-A Randomized Controlled Trial. Explore (NY). 2016; 12(5):333-40. DOI: 10.1016/j.explore.2016.06.003. View

17.

Corchia C, Mastroiacovo P . Health promotion for children, mothers and families: here's why we should "think about it before conception". Ital J Pediatr. 2013; 39:68. PMC: 4231334. DOI: 10.1186/1824-7288-39-68. View

18.

Abbaspoor Z, Razmju P, Hekmat K . Relation between quality of life and mental health in pregnant women with prior pregnancy loss. J Obstet Gynaecol Res. 2016; 42(10):1290-1296. DOI: 10.1111/jog.13061. View

19.

Kievisiene J, Jautakyte R, Rauckiene-Michaelsson A, Fatkulina N, Agostinis-Sobrinho C . Corrigendum to "The Effect of Art Therapy and Music Therapy on Breast Cancer Patients: What We Know and What We Need to Find Out-A Systematic Review". Evid Based Complement Alternat Med. 2021; 2021:9870102. PMC: 8149251. DOI: 10.1155/2021/9870102. View

20.

Anolak H, Lau F, Davis D, Browne J, Watt B . Creative arts intervention in support of women experiencing a high-risk pregnancy: A qualitative descriptive thematic analysis. Sex Reprod Healthc. 2023; 36:100830. DOI: 10.1016/j.srhc.2023.100830. View