Rehabilitation and art therapy in dementia syndromes

Author/s Ottavia Albanese, Alessandro Pepe, Barbara Ferrari, Manuela Peserico
Publishing Year 2013 Issue 2012/2-3 Language Italian
Pages 18 P. 525-542 File size 227 KB
DOI 10.3280/RIP2012-002024
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Among senile pathologies, dementia syndromes play a central role, since they damage basic mental functions of judgment and reasoning. The rehabilitation of patients affected by such syndromes is possible through expressive techniques. In particular, Art-Therapy, as a non-verbal expressive technique based on the use of different materials to create objects representative of one’s internal state, can slow down the effects of dementia syndromes. This work aimed to assess the efficacy - in a period of 36 months - of an art-therapy intervention on 14 patients with such syndromes (mean age = 80,9 years). Patient monitoring was carried out by administering: Satisfaction Profile, Sandoz Clinical Assessment Geriatric and Mini Mental State Examination. The art-therapy intervention took place in small groups and/or in domestic sessions. The medical study was investigated with the Wilcoxon repeated measures test for paired samples. The effect size (r) was reported for each longitudinal comparison T0–T3. Results showed a statistically significant improvement of subjects’ socio-relational performances, particularly in the dimensions of psychological functionality, social and affective behavior. Such progress could be ascribable to the group modality of work, which allows reciprocal support among the participants. Furthermore, the re-activation of creative skills, linked to previous subjects’ abilities, stimulated a decrease of the deterioration phenomena, also in domestic interventions.

Keywords: Rehabilitation, art therapy, dementia syndromes.

  1. Baltes, P.B. (1987). Theoretical proposition of lifespan developmental psychology: on the dynamics between growth and decline. Developmental psychology, 23, 611-626
  2. Albanese, O., Peserico, M., Tripepi, M.C., & Ferrari, B. (2010). La malattia di Alzheimer e l’arteterapia nella riabilitazione. Un’esperienza condotta in una situazione protetta. In C. Cristini, A. Albanese & A. Porro (Eds.), Il Viaggio verso la saggezza. Come imparare a invecchiare (pp. 256-277). Milano: FrancoAngeli
  3. Apostolova, L.G., Lu, P.H., Rogers, S., Dutton, R.A., Hayashi, K.M., Toga, A.W. Cummings, J.L., & Thompson, P.M. (2006). 3D Mapping of mini-mental state examination performance in clinical and preclinical Alzheimer Disease. Alzheimer Disease and Associated Disorders. 20(4), 224-231
  4. Argenton, A. (1996). Arte e cognizione. Milano: Cortina.
  5. Arieti, S. (1976). Creatività: la sintesi magica. Roma: Pensiero Scientifico Editore.
  6. Ba, G. (2003). Strumenti e tecniche di riabilitazione psichiatrica e psicosociale. Milano: FrancoAngeli
  7. Baltes, P.B., & Goulet, L.R. (1970). Stand and issue of a lifespan developmental psychology. In L.R. Goulet & P.B. Baltes (Eds.), Lifespan developmental psychology: research and theory (pp. 4-21). New York: Academic Press
  8. Baltes, P.B., Reese, H., & Lipsitt., L. (1980). Lifespan developmental psychology. Annual Review of Pyschology, 31, 65-110.
  9. Baltes, P.B., Lindenberger, U., & Staudinger U.M. (1997). Gegen Vorurteile und Klischees: Die Berliner Altersstudie - Neue Erkenntnisse über die Zielgruppe alte Menschen. Häusliche Pflege, 4, 224-228
  10. Beard, R.L. (2011). Art therapies and dementia care: a systematic review. Dementia, 1, 1-24.
  11. Bland, M. (2000). An introduction to medical statistics (pp.75-86) (3 Ed.). Oxford, Uk: Oxford Medical Publication
  12. Bronfenbrenner, U. (1979). The ecology of human development. Experiments by nature and design. Cambridge: Harvard University Press
  13. Cesa-Bianchi, M., & Albanese, O. (2004). Crescere e invecchiare. Milano: UNICOPLI
  14. Chasseguet Smirgel, J. (1989). Per una psicoanalisi dell’arte e della creatività. Milano: Cortina
  15. Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences, 2nd ed. Hillsdale, NJ: L. Erlbaum Associates
  16. Corder, G.W., & Foreman, D.I. (2009). Nonparametric statistics for non-statistician: a step-by-step approach. New Jersey: Wiley Publishing
  17. Crawford, J.R., & Allan, K.M. (1994). The Mahalobis distance index of WAIS-R sub test scatter: psychometric properties in a healthy UK sample. British Journal of Clinical Psychology, 33, 65-69.
  18. Dupont, W.D. (1988). Power Calculations for Matched Case-Control Studies, Biometrics, 44, 1157-1168
  19. Dupont, W.D., & Plummer, W.D. (1990). Power and Sample Size Calculations: A Review and Computer Program. Controlled Clinical Trials, 11, 116-128.
  20. Elder, G.H.Jr (1974). Children of the Great Depression: Social Change in Life Experiences. Chicago: University of Chicago Press
  21. Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198
  22. Gabbard, G.O. (1999). Sindromi mentali organiche, in Psichiatria psicodinamica. Milano: Cortina
  23. Gori, E.C. (2000). Psicoanalisi e processo creativo. Roma: Borla
  24. Gosso, S. (2001). Psicoanalisi e arte. Milano: Mondadori
  25. Gosso, S. (2001). Psicoanalisi e arte. Milano: Mondadori
  26. Handler Spitz, E. (1993). Arte e psiche. Roma: Pensiero Scientifico Editore
  27. Huba, G.J. (1985). How unusual is a profile of test scores? Journal of Psychoeducational Assessment, 4, 321-325.
  28. Kossler, W. (2010). Max-type rank tests, U-tests, and adaptive tests for the two sample location problem - An asymptotic power study. Computational Statistics & Data Analysis, 54, 9, 2053-2065
  29. Kramer, E. (1993). Childhood and Art Therapy, Notes on Theory and Application. New York: Schocken Books
  30. Kris, E. (1967). Ricerche psicoanalitiche sull’arte. Torino: Einaudi.
  31. Laing, J. (1974). Art therapy: painting out the puzzle of the inner mind. New Psychiatry, 6, 16-18
  32. Magni, E., Binetti, G., Bianchetti, A., Rozzini, R., & Trabucchi, M. (2006). Mini Mental state examination: a normative study in Italian elderly population. European Journal of Neurology, 3, 1-5.
  33. Majani, G., Callegari, S., Pierobon, A., Giardini, A., & Vidotto, G. (1997). Il profilo di soddisfazione (SAT-P): un nuovo strumento di valutazione in ambito clinico. Psicoterapia Cognitiva e Comportamentale, 3, 27-41
  34. Mann, H., & Whitney, D. (1947). On a Test of Whether One of Two Random Variables is Stochastically Larger than the Other. Annals of Mathematical Statistics, 18, 1, 50-60
  35. Park, M.H., Kwon, D.Y., Jung, J.M., Han, C., Jo, I., & Jo, S.A. (2012). Mini- Mental status examination as predictor of mortality in the elderly. Acta Psychiatrica Scandinavica, 123, 1-7
  36. Parkinson, E. (2008). Developmental transformations with Alzheimer’s patients in a residential care facility. Arts in psychotherapy , 35(3), 209-216.
  37. Peserico, M. (2008). Artiterapie e percorsi riabilitativi psico-sociali. In O. Albanese & M. Peserico (Eds.) Educare alle emozioni con le artiterapie o le tecniche espressive (321-335). Bergamo: Edizioni Junior
  38. Pillot Igne, M. (2000). Psicologia e psicopatologia dell’espressione artistica. Torino: UTET
  39. Ravid-Horesh, R. H. (2004). 'A temporary guest': The use of art therapy in life review with an elderly woman. Arts in Psychotherapy, 31(5), 303-319
  40. Resnik, S. (2002). Avventura estetica. Milano: FrancoAngeli
  41. Ricci Bitti, P. (Ed.) (1998). Regolazione delle emozioni e Artiterapie. Roma: Carocci.
  42. Ringdal, G.I., Ringdal, K., Juliebø, V., Wyller, T.B., Hjermstad, M.J., & Loge, J.H. (2011). Using the Mini-Mental State Examination to Screen for Delirium in Elderly Patients with Hip Fracture. Dementia and Geriatric Disorders, 32, 6, 394-400
  43. Shader, R.I., Harmatz, J.S., & Salzman, C. (1974). A new scale for clinical assessment in geriatric populations: Sandoz Clinical Assessement – Geriatric (SCAG). Journal of American Geriatric society, 22, 3, 107-113
  44. Stone, E. (1998). Arteterapia nel rapporto individuale. In A. Taverna & C. Palazzi Trivelli (Eds.), Arteterapia I fondamenti. Torino: Tirrenia Stampatori
  45. Venn, R.D. (1983). The Sandoz Clinical Assessment-Geriatric (SCAG) scale. A general-purpose psychogeriatric rating scale. Gerontology, 29(3), 185-198
  46. Wilcoxon, F. (1945). Individual Comparisons by Ranking Methods. Biometrics Bulletin, 1(6), 80-83

Ottavia Albanese, Alessandro Pepe, Barbara Ferrari, Manuela Peserico, Riabilitazione e tecniche espressive nelle sindromi dementigene in "RICERCHE DI PSICOLOGIA " 2-3/2012, pp 525-542, DOI: 10.3280/RIP2012-002024