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Effectiveness of collage activity based on a life review in elderly cancer patients: A preliminary study

Published online by Cambridge University Press:  24 April 2014

Satoko Sakaguchi  and
Hitoshi Okamura
Satoko Sakaguchi
Affiliation:
Graduate School of Health Sciences, Hiroshima University, Hiroshima, Japan
Hitoshi Okamura*
Affiliation:
Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
*
Address correspondence and reprint requests to: Hitoshi Okamura, Graduate School of Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan. E-mail: hokamura@hiroshima-u.ac.jp.
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Abstract

Objective:

Much of the cancer rehabilitation research that has been conducted has consisted of relatively early recovery-of-function rehabilitation, and little attention has been paid to the psychosocial aspects of palliative rehabilitation. The aim of the present preliminary study was to examine the “narratives” of elderly cancer patients that emerged as a result of a life review performed in association with collage activity and to assess the effectiveness of this intervention.

Method:

We conducted a collage activity based on a life review in two sessions. Some 11 cancer patients who were 65 years of age or older and receiving palliative care participated. Evaluations using the Functional Assessment of Chronic Illness Therapy–Spiritual (FACIT–Sp) Scale, the Hospital Anxiety and Depression Scale (HADS), and the Self-Efficacy Scale for Terminal Cancer (SESTC) were administered before and immediately after the intervention.

Results:

The mean scores for the FACIT–Sp and affect regulation efficacy on the SESTC significantly increased, while the mean HADS score significantly decreased. Regarding the impressions after completion of the intervention, generally favorable evaluations were heard from families and medical staff members as well as from the subjects.

Significance of results:

A collage activity based on a life review may be effective for improving spiritual well-being, mitigating anxiety and depression, and improving self-efficacy. The collage itself was also useful in facilitating interactions with others, including family members, and the activity provided psychological support for families.

Keywords

Collage activityElderlyLife reviewPalliative careOccupational therapy
Type
Original Articles
Information
Palliative & Supportive Care , Volume 13 , Issue 2 , April 2015 , pp. 285 - 293
Copyright
Copyright © Cambridge University Press 2014 

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References

REFERENCES

Aida, Y., Okamura, T., Takenouchi, S., et al. (2010). The effects of intervention using collage in long-stay psychiatric inpatient groups [in (Japanese]. Journal of Japanese Occupational Therapy Association, 29, 60–72a.Google Scholar
Ando, M., Tsuda, A. & Morita, T. (2007 a). Life review interviews on the spiritual well-being of terminally ill cancer patients. Supportive Care in Cancer, 15, 225–231.CrossRefGoogle ScholarPubMed
Ando, M., Morita, T. & O'Connor, S.J. (2007 b). Primary concerns of advanced cancer patients identified through the structured life review process: A qualitative study using a text mining technique. Palliative & Supportive Care, 5, 265–271.Google Scholar
Ando, M., Morita, T., Okamoto, T., et al. (2008). One-week short-term life review interview can improve spiritual well-being of terminally ill cancer patients. Psycho-Oncology, 17, 885–890.Google Scholar
Ando, M., Morita, T., Akechi, T., et al. (2010 a). Japanese Task Force for Spiritual Care: Efficacy of short-term life-review interviews on the spiritual well-being of terminally ill cancer patients. Journal of Pain and Symptom Management, 39, 993–1002.CrossRefGoogle ScholarPubMed
Ando, M., Morita, T., Miyashita, M., et al. (2010 b). Effects of bereavement life review on spiritual well-being and depression. Journal of Pain and Symptom Management, 40, 453–459.CrossRefGoogle ScholarPubMed
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavior change. Psychological Review, 84, 195–215.Google Scholar
Beckham, J.C., Burker, E.J. & Lytle, B.L. (1997). Self-efficacy and adjustment in cancer patients: A preliminary report. Behavioral Medicine, 23, 138–142.Google Scholar
Benedict, R. (2006). Chrysanthemum and the sword: Patterns of Japanese culture. Boston: Mariner Books.Google Scholar
Butler, R.N. (1963). The life review: An interpretation of reminiscence in the aged. Psychiatry, 26, 65–76.Google Scholar
Caplette-Gingras, A. & Savard, J. (2008). Depression in women with metastatic breast cancer: A review of the literature. Palliative & Supportive Care, 6, 377–387.CrossRefGoogle ScholarPubMed
Cella, D., Tulsky, D.S. & Gray, G. (1993). The Functional Assessment of Cancer Therapy (FACT) Scale: Development and validation of the general measure. Journal of Clinical Oncology, 11, 1407–1418.Google Scholar
Chochinov, H.M., Hack, T., Hassard, T., et al. (2002 a). Dignity in the terminally ill: A cross-sectional, cohort study. Lancet, 360, 2026–2030.CrossRefGoogle ScholarPubMed
Chochinov, H.M., Hack, T., McClement, S., et al. (2002 b). Dignity in the terminally ill: A developing empirical model. Social Science & Medicine, 54, 433–443.Google Scholar
Chochinov, H.M., Hack, T., Hassard, T., et al. (2005). Dignity therapy: A novel psychotherapeutic intervention for patients near the end of life. Journal of Clinical Oncology, 23, 5520–5525.Google Scholar
Chochinov, H.M., Kristjanson, L.J., Breitbart, W., et al. (2011). Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: A randomised controlled trial. Lancet Oncology, 12, 753–762.Google Scholar
Ewart, C.K. (1995). Self-efficacy and recovery from heart attack: Implication for a social cognitive analysis of exercise and emotion. In Self-efficacy, adaptation, and adjustment: Theory, research, and application. Maddux, J.E. (ed.), pp. 203–226. New York: Plenum Press.CrossRefGoogle Scholar
Forzoni, S. (2010). Art therapy with cancer patients during chemotherapy sessions: An analysis of the patients' perception of helpfulness. Palliative & Supportive Care, 8, 41–48.CrossRefGoogle Scholar
Hall, S., Goddard, C., Speck, P.W., et al. (2013). “It makes you feel that somebody is out there caring”: A qualitative study of intervention and control participants' perceptions of the benefits of taking part in an evaluation of dignity therapy for people with advanced cancer. Journal of Pain and Symptom Management, 45, 712–725.Google Scholar
Hamaguchi, T., Okamura, H., Nakaya, N., et al. (2008). Survey of the current status of cancer rehabilitation in Japan. Disability and Rehabilitation, 21, 1–6.Google Scholar
Hanaoka, H. & Okamura, H. (2004). Study on effects of life review activities on the quality of life of the elderly: A randomized controlled trial. Psychotherapy and Psychosomatics, 73, 302–311.Google Scholar
Hirai, K., Suzuki, Y. & Tsuneto, A. (2002). Development of the self-efficacy scale for terminally ill cancer patients [in Japanese]. Japanese Journal of Psychosomatic Medicine, 41, 19–27.Google Scholar
Ito, T. & Kamakura, N. (1994). ADL and its related fields [in Japanese[. Tokyo: Igaku-shoin.Google Scholar
Kitamura, T. (1993). Hospital Anxiety and Depression Scale [in Japanese]. Archives of Psychiatric Diagnosis and Clinical Evaluation, 4, 371–372.Google Scholar
Kugaya, A., Akechi, T., Okuyama, T., et al. (1998). Screening for psychological distress in Japanese cancer patients. Japanese Journal of Clinical Oncology, 28, 333–338.Google Scholar
Mahoney, F.I. & Barthel, D.W. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 61–65.Google Scholar
Noguchi, W., Ohno, T., Morita, S., et al. (2004). Reliability and validity of the Functional Assessment of Chronic Illness Therapy–Spiritual (FACIT–Sp) Japanese Version in Cancer Patients [in Japanese]. Japanese Journal of General Hospital Psychiatry, 16, 42–47.Google Scholar
Ronson, A. (2002). Psychosocial rehabilitation of cancer patients after curative therapy. Supportive Care in Cancer, 10, 281–291.Google Scholar
Shimotsuma, K. (2002). Cross-cultural adaptability of QOL scales for cancer patients [in Japanese]. Stress Science Research, 17, 97–104.Google Scholar
Tajiri, H., Ichikawa, R. & Tsuji, T. (2006). Practice of rehabilitation in a palliative care unit [in Japanese]. In Cancer rehabilitation. Tsuji, T. et al. (eds.), pp 548–555. Tokyo: Kanehara-shuppan.Google Scholar
Wholihan, D. (1992). The value of reminiscence in hospice care. American Journal of Hospice & Palliative Care, March/April, 33–35. Available at http://ajh.sagepub.com/content/9/2/33.extract.CrossRefGoogle Scholar
Williams, B. (2002). Using collage art work as a common medium for communication in interprofessional workshops. Journal of Interprofessional Care, 16, 53–58.CrossRefGoogle ScholarPubMed
Zigmond, A.S. & Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.Google Scholar