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Alisha Nur Salsabila

Abstract





Mood disorders are among the leading causes of disability worldwide, with depression as a core symptom that significantly impairs emotional, social, and functional well-being. Although pharmacological treatment is the primary approach, many patients continue to experience persistent depressive symptoms, highlighting the need for complementary non-pharmacological interventions. This study aimed to evaluate the effectiveness of art therapy in reducing depressive symptoms among patients with mood disorders. A quasi-experimental pretest-posttest design was employed involving patients diagnosed with mood disorders who exhibited depressive symptoms. Participants received a structured art therapy intervention conducted in group sessions twice a week over a six-week period. Depressive symptoms were measured before and after the intervention using a standardized depression assessment instrument. Data were analyzed using appropriate inferential statistical tests to compare pre-intervention and post-intervention depression scores. The results indicated a significant reduction in depression scores following the art therapy intervention. Participants showed a shift from higher to lower levels of depression severity after completing the program. Statistical analysis revealed that the difference between pretest and posttest scores was significant (p < 0.05), with a moderate to large effect size, suggesting both statistical and clinical relevance of the intervention. Art therapy was found to be effective in reducing depressive symptoms among patients with mood disorders. These findings support the use of art therapy as a complementary intervention in mental health care settings to enhance emotional expression, self-awareness, and psychological well-being. Integrating art therapy into routine mental health services may contribute to more holistic and patient-centered treatment approaches.





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How to Cite
Salsabila, A. N. (2025). The Effectiveness of Art Therapy in Reducing Depressive Symptoms among Patients with Mood Disorders. International Journal of Nursing and Midwifery Research, 4(1), 39–48. Retrieved from https://journals.iarn.or.id/index.php/ners/article/view/600
References
Asarnow, J. R., Jaycox, L. H., Tang, L., Duan, N., LaBorde, A. P., Zeledon, L. R., Anderson, M., Murray, P. J., Landon, C., & Rea, M. M. (2009). Long-term benefits of short-term quality improvement interventions for depressed youths in primary care. American Journal of Psychiatry, 166(9), 1002–1010.
Attard, A., & Larkin, M. (2016). Art therapy for people with psychosis: a narrative review of the literature. The Lancet Psychiatry, 3(11), 1067–1078.
Ball, M. N. (2021). Mental Health Delivery Method Outcomes for the Postsecondary Student: A Quantitative Quasi-Experimental, Non-Equivalent Control Group Pretest-Posttest Study.
Boecking, B., Rose, M., Brueggemann, P., & Mazurek, B. (2021). Two birds with one stone.–Addressing depressive symptoms, emotional tension and worry improves tinnitus-related distress and affective pain perceptions in patients with chronic tinnitus. PLoS One, 16(3), e0246747.
Datnow, A., & Park, V. (2012). Conceptualizing policy implementation: Large-scale reform in an era of complexity. In Handbook of education policy research (pp. 348–361). Routledge.
Demarzo, M., Montero-Marin, J., Puebla-Guedea, M., Navarro-Gil, M., Herrera-Mercadal, P., Moreno-González, S., Calvo-Carrión, S., Bafaluy-Franch, L., & Garcia-Campayo, J. (2017). Efficacy of 8-and 4-session mindfulness-based interventions in a non-clinical population: a controlled study. Frontiers in Psychology, 8, 1343.
Eccles, M., Grimshaw, J., Campbell, M., & Ramsay, C. (2003). Research designs for studies evaluating the effectiveness of change and improvement strategies. BMJ Quality & Safety, 12(1), 47–52.
Elimimian, E. B., Elson, L., Stone, E., Butler, R. S., Doll, M., Roshon, S., Kondaki, C., Padgett, A., & Nahleh, Z. A. (2020). A pilot study of improved psychological distress with art therapy in patients with cancer undergoing chemotherapy. BMC Cancer, 20(1), 899.
Fava, G. A., Cosci, F., Guidi, J., & Tomba, E. (2017). Well‐being therapy in depression: New insights into the role of psychological well‐being in the clinical process. Depression and Anxiety, 34(9), 801–808.
Ferrari, A. J., Stockings, E., Khoo, J., Erskine, H. E., Degenhardt, L., Vos, T., & Whiteford, H. A. (2016). The prevalence and burden of bipolar disorder: findings from the Global Burden of Disease Study 2013. Bipolar Disorders, 18(5), 440–450.
Greer, T. L., Kurian, B. T., & Trivedi, M. H. (2010). Defining and measuring functional: Recovery from depression. CNS Drugs, 24(4), 267–284.
Harper Shehadeh, M. J., Abi Ramia, J., Cuijpers, P., El Chammay, R., Heim, E., Kheir, W., Saeed, K., van Ommeren, M., van’t Hof, E., & Watts, S. (2020). Step-by-Step, an e-mental health intervention for depression: a mixed methods pilot study from Lebanon. Frontiers in Psychiatry, 10, 986.
Harvey, A. G., & Gumport, N. B. (2015). Evidence-based psychological treatments for mental disorders: Modifiable barriers to access and possible solutions. Behaviour Research and Therapy, 68, 1–12.
Hu, J., Zhang, J., Hu, L., Yu, H., & Xu, J. (2021). Art therapy: a complementary treatment for mental disorders. Frontiers in Psychology, 12, 686005.
Kumar, K. P. S., Srivastava, S., Paswan, S., & Dutta, A. S. (2012). Depression-symptoms, causes, medications and therapies. The Pharma Innovation, 1(3, Part A), 37.
Kung, S., Alarcon, R. D., Williams, M. D., Poppe, K. A., Moore, M. J., & Frye, M. A. (2013). Comparing the Beck Depression Inventory-II (BDI-II) and Patient Health Questionnaire (PHQ-9) depression measures in an integrated mood disorders practice. Journal of Affective Disorders, 145(3), 341–343.
Li, X., Frye, M. A., & Shelton, R. C. (2012). Review of pharmacological treatment in mood disorders and future directions for drug development. Neuropsychopharmacology, 37(1), 77–101.
Malchiodi, C. A. (2020). Trauma and expressive arts therapy: Brain, body, and imagination in the healing process. Guilford Publications.
Nahum-Shani, I., Qian, M., Almirall, D., Pelham, W. E., Gnagy, B., Fabiano, G. A., Waxmonsky, J. G., Yu, J., & Murphy, S. A. (2012). Experimental design and primary data analysis methods for comparing adaptive interventions. Psychological Methods, 17(4), 457.
Nejati, V., Salehinejad, M. A., Shahidi, N., & Abedin, A. (2017). Psychological intervention combined with direct electrical brain stimulation (PIN-CODES) for treating major depression: A pre-test, post-test, follow-up pilot study. Neurology, Psychiatry and Brain Research, 25, 15–23.
Papageorgiou, C. (2006). Worry and rumination: Styles of persistent negative thinking in anxiety and depression. Worry and Its Psychological Disorders: Theory, Assessment and Treatment, 21–40.
Patel, R., Shetty, H., Jackson, R., Broadbent, M., Stewart, R., Boydell, J., McGuire, P., & Taylor, M. (2015). Delays before diagnosis and initiation of treatment in patients presenting to mental health services with bipolar disorder. PloS One, 10(5), e0126530.
Pinks, D., Warren-James, M., & Katsikitis, M. (2021). Does a peer social support group intervention using the cares skills framework improve emotional expression and emotion-focused coping in paramedic students? Australasian Emergency Care, 24(4), 308–313.
Pollock, K. (2012). Procedure versus process: Ethical paradigms and the conduct of qualitative research. BMC Medical Ethics, 13(1), 25.
Price, J. S. (2009). Creative healing: An expressive art therapy curriculum designed to decrease the symptoms of depression and anxiety. Prescott College.
Puig, A., Lee, S. M., Goodwin, L., & Sherrard, P. A. D. (2006). The efficacy of creative arts therapies to enhance emotional expression, spirituality, and psychological well-being of newly diagnosed Stage I and Stage II breast cancer patients: A preliminary study. The Arts in Psychotherapy, 33(3), 218–228.
Rankanen, M. (2016). The visible spectrum: participants’ experiences of the process and impacts of art therapy.
Shankman, S. A., Klein, D. N., Tenke, C. E., & Bruder, G. E. (2007). Reward sensitivity in depression: a biobehavioral study. Journal of Abnormal Psychology, 116(1), 95.
Thornicroft, G., Deb, T., & Henderson, C. (2016). Community mental health care worldwide: current status and further developments. World Psychiatry, 15(3), 276–286.