APPLICATION OF ART THERAPY IN ‘ASTHMA SCHOOL’ IN ADOLESCENTS WITH UNCONTROLLED AND PARTIALLY CONTROLLED BRONCHIAL ASTHMA
DOI:
https://doi.org/10.11603/24116-4944.2022.1.13256Keywords:
bronchial asthma, children, anxiety, art therapyAbstract
The aim of the study – to increase the effectiveness of providing medical care to children, taking into account the child's individual and psychological characteristics, constitutional and somatic characteristics of the body and its adaptive capabilities.
Materials and Methods. Our work is a part of the comprehensive scientific work "Prognostic criteria for metabolic disorders in children with somatic pathology in the ecosocial conditions of the Ternopil region" (state registration number 0113U001240) and the Belarusian Ukrainian Polish Asthma Study (BUPAS) epidemiological research.
We conducted a survey of 38 child patients (from 11 to 15 years) with asthma who were hospitalized to the allergic department in children’s hospital. They were observed by physicians and were questioned on asthma control questionnaire (ACQ-5), Eisenk EPI personal questionnaire, Phillips’ questionnaire, Spielberger’s test. To correct the problems which were founded in adolescent patients, we have created a modified version of Astma School and combined it with art therapy, elements of methods of neuro-linguistic programming, dance-motor therapy and also used the creative visualization and body-oriented psychotherapy.
Results and Discussion. The complex of art therapy, added to standard therapy, positively influenced on the level of controllability in asthma and lowered personal and situational anxiety in children. During the training in the right breath with the help of art therapy in patients with asthma, anxiety was reduced: personal in 58.33 %, against 10.53 % in protocol treatment, situational in 66.67 %, against 10.53 %, and improved control of the disease comparatively with an initial level of 75.00 % versus 42.11 %, which significantly (p <0.05) reflects the higher efficacy of the complementary symptomatic treatment.
Conclusion. It is proved that correction of BA therapy taking into account individual peculiarities of the psychosomatic state of the patient contributes to increasing the effectiveness of treatment.
References
Szefler, S.J., Fitzgerald, D.A., Adachi, Y., Doull, I.J., Fischer, G.B., Fletcher, M., Hong, J., García-Marcos, L., Pedersen, S., Østrem, A., Sly, P. D., Williams, S., Winders, T., Zar, H.J., Bush, A., & Lenney, W. (2020). A worldwide charter for all children with asthma. Pediatric Pulmonology, 55 (5), 1282-1292. https://doi.org/10.1002/ppul.24713
Harris, K., Kneale, D., Lasserson, T.J., McDonald, V.M., Grigg, J., & Thomas, J. (2019). School-based self-management interventions for asthma in children and adolescents: a mixed methods systematic review. Cochrane Database Syst Rev. 28;1(1):CD011651. doi: 10.1002/14651858.CD011651.pub2. PMID: 30687940; PMCID: PMC6353176.
Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. Available at: http://www.ginasthma.org.
Kelada, L., Molloy, C.J., Hibbert, P., Wiles, L.K., Gardner, C., Klineberg, E., Braithwaite, J., & Jaffe, A. (2021). Child and caregiver experiences and perceptions of asthma self-management. NPJ Prim. Care Respir. Med., 31 (1), 42. DOI: 10.1038/s41533-021-00253-9. PMID: 34504105; PMCID: PMC8429661.
Anderson, G., Berk, M., Dean, O., Moylan, S., Maes, M. (2014). Role of immune–inflammatory and oxidative and nitrosative stress pathways in the etiology of depression: therapeutic implications. CNS Drugs., 28, 1-10.
Weinstein, S.M., Pugach, O., Rosales, G., Mosnaim, G.S., Orozco, K., Pappalardo, A.A., & Martin, M.A. (2021). Psychosocial Moderators and Outcomes of a Randomized Effectiveness Trial for Child Asthma. J. Pediatr. Psychol. 46 (6), 673-687. DOI: 10.1093/jpepsy/jsab011. PMID: 33616185; PMCID: PMC8291673.
Lanz, M.J., Gilbert, I., Szefler, S.J., & Murphy, K.R. (2019). Can early intervention in pediatric asthma improve long-term outcomes? A question that needs an answer. Pediatr. Pulmonol., 54 (3), 348-357. DOI: 10.1002/ppul.24224. Epub 2019 Jan 4. PMID: 30609252; PMCID: PMC6590791.
Krouse, R.Z., Sorkness, C.A., Wildfire, J.J., Calatroni, A., Gruchalla, R., Hershey G.K.K., Kattan, M., Liu, A.H., Makhija, M., Teach, S.J., West, J.B., Wood, R.A., Zoratti, E.M., Gergen, P.J. (2017). Minimally important differences and risk levels for the Composite Asthma Severity Index. J. Allergy Clin. Immunol., 139 (3), 1052-1055. DOI: 10.1016/j.jaci.2016.08.041. Epub 2016 Oct 12. PMID: 27744028; PMCID: PMC5342920.
Burbela, E.I., Volyanska, L.A., Stecenko, V.V., Kozak, D.V. (2016). Efektyvnist neytralizatsiyi tryvohy u ditei, khvorykh na bronkhialnu astmu [Effectiveness of anxiety neutralization in children with bronchial asthma]. Herald of Scientific Research, 3, 33-35 [in Ukrainian].
Chipps, B.E., Bacharier, L.B., Farrar, J.R., Jackson, D.J., Murphy, K.R., Phipatanakul, W., Szefler, S.J., Teague, W.G., Zeiger, R.S. (2018). The pediatric asthma yardstick: Practical recommendations for a sustained step-up in asthma therapy for children with inadequately controlled asthma. Ann. Allergy Asthma Immunol. 120 (6), 559-579.e11.
DOI: 10.1016/j.anai.2018.04.002. Epub 2018 Apr 10. PMID: 29653238.
Order of the Ukraine Health Ministry No. 2856 "On approval of the Unified clinical protocol of primary and secondary (specialized) medical care "Bronchial asthma in children". Access mode https://zakon.rada.gov.ua/rada/show/v2856282-21#Text
Meltzer, E.O., Busse, W.W., Wenzel, S.E., Belozeroff, V., Weng, H.H., Feng, J., Chon, Y., Chiou, C.F., Globe, D., & Lin, S.L. (2011). Use of the Asthma Control Questionnaire to predict future risk of asthma exacerbation. J. Allergy Clin. Immunol. 127(1):167-72. DOI: 10.1016/j.jaci.2010.08.042. Epub 2010 Nov 18. PMID: 21093024.
Bryant-Stephens, T., Kenyon, C., Apter, A.J., Wolk, C., Williams, Y. S., Localio, R., Toussaint, K., Hui, A., West, C., Stewart, Y., McGinnis, S., Gutierrez, M., & Beidas, R. (2020). Creating a community-based comprehensive intervention to improve asthma control in a low-income, low-resourced community. The Journal of Asthma: Official Journal of the Association for the Care of Asthma, 57 (8), 820-828. https://doi.org/10.1080/02770903.2019.1619083
Sims, E.J., Price, D., Haughney, J., Ryan, D., Thomas, M. (2011). Current control and future risk in asthma management. Allergy Asthma Immunol Res., 3 (4), 217-225. DOI: 10.4168/aair.2011.3.4.217. Epub 2011 Sep 21. PMID: 21966601; PMCID: PMC3178819.
Beuther, D.A., Murphy, K.R., Zeiger, R.S., Wise, R.A., McCann, W., Reibman, J., George, M., Gilbert, I., Eudicone, J.M, Gandhi, H.N., Ross, M., Coyne, K.S., & Chipps, B. (2022). Asthma Impairment and Risk Questionnaire (AIRQ) Control Level Predicts Future Risk of Asthma Exacerbations. J Allergy Clin Immunol Pract., 20, S2213-2198(22)00822-4. doi: 10.1016/j.jaip.2022.08.017. Epub ahead of print. PMID: 35998877.
Thomas, M., Kay, S., Pike, J., Williams, A., Rosenzweig, J.R., Hillyer, E.V., Price, D. (2009). The Asthma Control Test (ACT) as a predictor of GINA guideline-defined asthma control: analysis of a multinational cross-sectional survey. Prim. Care Respir. J. 18 (1), 41-49. DOI: 10.4104/pcrj.2009.00010. PMID: 19240948; PMCID: PMC6619040.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Actual Problems of Pediatrics, Obstetrics and Gynecology
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).