Skip to content
Licensed Unlicensed Requires Authentication Published by De Gruyter April 2, 2013

The contribution of art therapy in poorly controlled youth with type 1 diabetes mellitus

Shira Harel, Livia Yanai, Ronit Brooks, Yakira Bar, Tzvy Bistritzer, Shosh Ivgi and Marianna Rachmiel

Abstract

Objective: To evaluate the effect of intensive art therapy in youth with poorly controlled type 1 diabetes mellitus (T1DM).

Methods: A retrospective report of the characteristics and outcomes of all patients who were offered to receive individual art therapy sessions because of behavioral difficulties.

Results: The study population included 29 participants. The main behavioral difficulties were needle phobia and lack of compliance with nutritional recommendations or with insulin administration. The intervention group included 16 patients, with a mean age of 9.3±2.5 years, average intervention length of 0.77±0.41 years, and long-term data of 2.27±1.13 years. The control group included 13 patients, with a mean age of 9.3±3.4 years. Improvement was observed in 56% of the case group and in 23% of the control group. Art therapy was associated with a decrease in hemoglobin A1c in the intervention group compared with a similar control group (–0.79%, ±0.24%; r=0.17, p=0.025).

Conclusions: The addition of intensive art therapy for poorly controlled youth with T1DM may improve their glycemic control.


Corresponding author: Marianna Rachmiel, MD, Pediatric Diabetes Clinic, Department of Pediatrics, Assaf Harofeh Medical Center, Zerifin 70300, Israel, Phone: +972-8-9779133, Fax: +972-8-9779136; and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

References

1. Alemzadeh R, Wyatt DT. Diabetes mellitus in children. In: Kliegman R, Behrman RE, Jenson HB, editors. Nelson textbook of pediatrics, 18th ed. Philadelphia, PA: Saunders Elsevier, 2007:2407–27.Search in Google Scholar

2. Anderson BJ, Brackett J, Ho J, Laffel L. An office-based intervention to maintain parent-adolescent teamwork in diabetes management: impact on parent involvement, family conflict, and subsequent glycemic control. Diabetes Care 1999;22:713–21.10.2337/diacare.22.5.713Search in Google Scholar PubMed

3. Satin W, La Greca A, Zigo M, Skyler J. Diabetes in adolescence: effects of multifamily group intervention and parent simulation of diabetes. J Pediatr Psychol 1989;14:259–76.10.1093/jpepsy/14.2.259Search in Google Scholar PubMed

4. Winkley K, Ismail K, Landau S, Eisler I. Psychological interventions to improve glycaemic control in patients with type 1 diabetes: systematic review and meta-analysis of randomized controlled trials. Br Med J 2006;333:65.10.1136/bmj.38874.652569.55Search in Google Scholar PubMed PubMed Central

5. Malchiodi K. Medical art therapy with children. London: Jessica Kingsley Publications, 1999.Search in Google Scholar

6. Art therapy topics. Available at: http://www.art-therapy.us/art_therapy.htm.Search in Google Scholar

7. Delamater AM, Jacobson AM, Anderson B, Cox D, Fisher L, et al. Psychosocial therapies in diabetes: report of the Psychosocial Therapies Working Group. Diabetes Care 2001;24:1286–92.10.2337/diacare.24.7.1286Search in Google Scholar PubMed

8. Mor N, Ofan R, Lilos P, Mittleman E, Phillip M. Art therapy groups for children with diabetes and their parents (Abstract). Pediatr Diabetes 2005;6(Suppl s3):29–30.Search in Google Scholar

9. Grossman HY, Brink S, Hauser ST. Self-efficacy in adolescent girls and boys with insulin-dependent diabetes mellitus. Diabetes Care 1987;10:324–9.10.2337/diacare.10.3.324Search in Google Scholar PubMed

10. Kuttner MJ, Delamater AM, Santiago JV. Learned helplessness in diabetic youths. J Pediatr Psychol 1990;15:581–94.10.1093/jpepsy/15.5.581Search in Google Scholar PubMed

Received: 2012-10-21
Accepted: 2013-2-21
Published Online: 2013-04-02
Published in Print: 2013-08-01

©2013 by Walter de Gruyter Berlin Boston

Scroll Up Arrow