The use of art therapy to detect depression and post‐traumatic stress disorder in pediatric and young adult renal transplant recipients

Jo Wallace · Peter D. Yorgin · Richard Carolan · Jaime Sanchez · Amir Belson · Lisa Yorgin +4 more

39 citations0/0 files storedPediatric Transplantation

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Art Therapy and Mental Health Art Education and Development Psychological Testing and Assessment

Abstract

Pediatric and young adult renal transplant recipients may experience feelings of depression and emotional trauma. A study was conducted to (1) determine the prevalence of depression and emotional trauma and (2) assess the utility of the Formal Elements of Art Therapy Scale (FEATS). Sixty-four renal transplant recipients, 6-21 yr of age, were evaluated using self-report measures (CDI and Davidson) and art-based assessments. Subject art was analyzed by art therapists using seven of the 14 elements of the (FEATS), to assess depression. Unlike CDI and Davidson self-report testing, all patients were able to complete the art-based directives. When self-report measures and art-based assessments were combined, 36% of the study population had testing results consistent with depression and/or post-traumatic stress. The FEATS assessments identified a subset of patients who were not identified using the self-report measures. There was a correlation between CDI and Davidson scores (p < 0.0001), Davidson scores correlated with hospital days (p = 0.05), and FEATS correlated with height Z score (p = 0.04) and donor type (p = 0.01). Patients who required psychological interventions including antidepressant therapy, psychological counseling and psychiatric hospitalization during the year after the study were identified as depressed. Sensitivity for FEATS and CDI were 22 and 50% respectively. The results suggest that while art therapy may be of utility in the identification of pediatric and young adult transplant recipients who are suffering from depression, FEATS analysis appears to lack sufficient sensitivity to warrant its use in this population. Study of other quantitative art-based assessment techniques may be warranted.

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References

1965Creative and Mental Growth 1987Aggression depicted in abused children's drawings 1993Art Therapy with Pediatric Cancer Patients: Helping Normal Children Cope with Abnormal Circumstances

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2005Traumatic Stress Symptoms in Adolescent Organ Transplant Recipients 2013Mapping the waters: A scoping review of the use of visual arts in pediatric populations with health conditions 2021Visual Arts in Children’s Hospitals: Scoping Review 2004Use of Drawings to Identify Thought Impairment Among Students with Emotional and Behavioral Disorders: An Exploratory Study 2021Trends in Research on Art Therapy Indexed in the Web of Science: A Bibliometric Analysis 2021Art Therapy Alleviates the Levels of Depression and Blood Glucose in Diabetic Patients: A Systematic Review and Meta-Analysis 2015The Formal Elements Art Therapy Scale (FEATS)2009Development of a user‐centered health information service system for depressive symptom management

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