跳至主要内容

Creative Expression: Effectiveness of a Weekly Craft Group with Women Who Have Experienced Trauma

Read  full  paper  at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53800#.VNMmXCzQrzE

Author(s)   

ABSTRACT
Creativity interventions have been shown to positively influence psychological and emotional health indicators. Nurses can play an important role in the development and implementation of interventions designed to counter the longer-term emotional and psychological consequences of trauma. The purpose of this study was to explore how participation in a nurse-facilitated weekly craft group may influence anxiety, depression, self-esteem, and self-confidence among women who have emotional and physical experienced trauma. A pre/post visual analog scale was used during a 7-week intervention to measure changes in anxiety, depression, stress, self-esteem and self-confidence among a convenience sample of adult female trauma survivors (n = 33). A paired sample t test was used to evaluate the intervention with significance set at p = 0.05. Participant observation and field notes were used for qualitative data generation. Significant reductions were noted in anxiety, depression, and stress along with significant increases in self-esteem and self-confidence. Cohen’s d statistic indicated a large effect size for anxiety (0.72) and stress (0.69). Moderate effect size was determined for self-confidence (0.36), depression (0.41), and self-esteem (0.52). Emergent qualitative themes included: creative expression improved confidence to sooth the self, safe spaces fostered creativity, a sense of accomplishment was stimulated through creative activities, and creative expression groups provided opportunities for positive affirmation. Offered as a complementary intervention, nurse-facilitated creative expression groups can support continued healing long after traditional support services have been exhausted. It is important for nurses to pursue a greater understanding of the art of nursing and the important contribution of creativity when used as a nursing intervention with trauma survivors.
 
Cite this paper
Garner, L. (2015) Creative Expression: Effectiveness of a Weekly Craft Group with Women Who Have Experienced Trauma. Open Journal of Nursing, 5, 96-103. doi: 10.4236/ojn.2015.52011.
 
References
[1]Woods, S.J. and Gill, J. (2011) Family Violence: Long-Term Health Consequences of Trauma. In: Humphreys, J. and Campbell, J.C., Eds., Family Violence and Nursing Practice, 2nd Edition, Springer Publishing Company, New York, 29-50.
 
[2]Ham-Rowbottom, K.A., Gordon, E.E., Jarvis, K.L. and Novaco, R.W. (2005) Life Constraints and Psychological Well-Being of Domestic Violence Shelter Graduates. Journal of Family Violence, 20, 3174-3177.
http://dx.doi.org/10.1007/s10896-005-3174-7
 
[3]Pico-Alfonso, M., Garcia-Linares, M., Celda-Navarro, N., Blasco-Ros, C., Echeburua, E. and Martinez, M. (2006) The Impact of Physical, Psychological, and Sexual Intimate Male Partner Violence on Women’s Mental Health: Depressive Symptoms, Posttraumatic Stress Disorder, State Anxiety, and Suicide. Journal of Women’s Health, 15, 599-611.
http://dx.doi.org/10.1089/jwh.2006.15.599
 
[4]Cohen, B., Barnes, M. and Rankin, A. (1995) Managing Traumatic Stress through Art: Drawing from the Center. The Sidran Press, Baltimore.
 
[5]Flood, M. and Phillips, K. (2007) Creativity in Older Adults: A Plethora of Possibilities. Issues in Mental Health Nursing, 28, 389-411.
http://dx.doi.org/10.1080/01612840701252956
 
[6]Wilson, J. (2014) This Is Your Brain on Knitting. http://www.cnn.com/2014/03/25/health/brain-crafting-benefits
 
[7]Allen, K. and Wozniak, D. (2011) The Language of Healing: Women’s Voices in Healing and Recovering from Domestic Violence. Social Work in Mental Health, 9, 37-55.
http://dx.doi.org/10.1080/15332985.2010.494540
 
[8]Anderson, L. and Gold, K. (1998) Creative Connections: The Healing Power of Women’s Art and Craft Work. Women & Therapy, 21, 15-36.
http://dx.doi.org/10.1300/J015v21n04_02
 
[9]Creek, J. (2008) Occupational Therapy and Mental Health. 4th Edition, Elsevier, New York.
 
[10]Griffiths, S. (2008) The Experience of Creative Activity as a Treatment Medium. Journal of Mental Health, 17, 49-63.
http://dx.doi.org/10.1080/09638230701506242
 
[11]Lane, M.R. (2006) Arts in Health Care: A New Paradigm for Holistic Nursing Practice. Journal of Holistic Nursing, 24, 70-75.
http://dx.doi.org/10.1177/0898010105282465
 
[12]Crenshaw, D. (2006) Neuroscience and Trauma Treatment: Implications for Creative Arts Therapists. In: Carey, L., Ed., Expressive and Creative Arts Methods for Trauma Survivors, Jessica Kingsley Publishers, London, 21-38.
 
[13]Creativity (n.d.) In Merriam-Webster Online.
http://www.merriam-webster.com/dictionary/citation
 
[14]Fisher, B. and Specht, D. (1999) Successful Aging and Creativity Later in Life. Journal of Aging Studies, 13, 457-472.
http://dx.doi.org/10.1016/S0890-4065(99)00021-3
 
[15]Fasnacht, P. (2003) Creativity: A Refinement of the Concept for Nursing Practice. Journal of Advanced Nursing, 42, 195-202.
http://dx.doi.org/10.1046/j.1365-2648.2003.02516.x
 
[16]Perruzza, N. and Kinsella, E.A. (2010) Creative Arts Occupations in Therapeutic Practice: A Review of the Literature. British Journal of Occupational Therapy, 73, 261-268.
http://dx.doi.org/10.4276/030802210X12759925468943
 
[17]Stuckey, H.L. and Nobel, J. (2010) The Connection between Art, Healing, and Public Health: A Review of Current Literature. American Journal of Public Health, 100, 254-263.
http://dx.doi.org/10.2105/AJPH.2008.156497
 
[18]Kelly, C.G., Cudney, S. and Weinert, C. (2014) Use of Creative Arts as a Complementary Therapy by Rural Women Coping with Chronic Illness. Journal of Holistic Nursing, 30, 48-54.
http://dx.doi.org/10.1177/0898010111423418
 
[19]Reynolds, F. and Prior, S. (2006) Creative Adventures and Flow in Art-Making: A Qualitative Study of Women Living with Cancer. British Journal of Occupational Therapy, 69, 255-262.
 
[20]Walsh, S.M., Martin, S.C. and Schmidt, L.A. (2004) Testing the Efficacy of a Creative-Arts Intervention with Family Caregivers of Patients with Cancer. Journal of Nursing Scholarship, 36, 214-219.
http://dx.doi.org/10.1111/j.1547-5069.2004.04040.x
 
[21]Liebmann, M. (1986) Art Therapy for Groups: A Handbook of Themes, Games and Exercises. Brookline Books, Brookline.
 
[22]McGarry, T.J. and Prince, M. (1998) Implementation of Groups for Creative Expression in a Psychiatric Inpatient Unit. Journal of Psychosocial Nursing and Mental Health Services, 36, 19-24.
 
[23]Reynolds, F. (2000) Managing Depression through Needlecraft Creative Activities: A Qualitative Study. The Arts in Psychotherapy, 27, 104-114.
http://dx.doi.org/10.1016/S0197-4556(99)00033-7
 
[24]Weston, A. (2007) Creativity for Critical Thinkers. Oxford University Press, Oxford.
 
[25]Csikszentmihalyi, M. (1990) Flow: The Psychology of Optimal Experience. Harper and Row, New York.
 
[26]Gutman, S.A. and Schindler, V.P. (2007) The Neurological Basis of Occupation. Occupational Therapy International, 14, 71-85.
http://dx.doi.org/10.1002/oti.225
 
[27]Benson, H. and Klipper, M.Z. (2000) The Relaxation Response. HarperCollins, New York.
 
[28]Buschel, B. and Madsen, L. (2006) Strengthening Connections between Mothers and Children. Journal of Aggression, Maltreatment & Trauma, 13, 87-108.
http://dx.doi.org/10.1300/J146v13n01_05
 
[29]Letourneau, N., Morris, C., Stewart, M., Hughes, J., Critchley, K. and Secco, L. (2013) Social Support Needs Identified by Mothers Affected by Intimate Partner Violence. Journal of Interpersonal Violence, 28, 2873-2893.
http://dx.doi.org/10.1177/0886260513488685
 
[30]Leckey, J. (2011) The Therapeutic Effectiveness of Creative Activities on Mental Well-Being: A Systematic Review of the Literature. Journal of Psychiatric and Mental Health Nursing, 18, 501-509.
http://dx.doi.org/10.1111/j.1365-2850.2011.01693.x
 
[31]Larance, L.Y. and Porter, M.L. (2004) Observations from Practice: Support Group Membership as a Process of Social Capital Formation among Female Survivors of Domestic Violence. Journal of Interpersonal Violence, 19, 676-690.
http://dx.doi.org/10.1177/0886260504263875
 
[32]Gillam, T. (2013) Creativity and Mental Health Care. Mental Health Practice, 16, 24-30.
http://dx.doi.org/10.7748/mhp2013.06.16.9.24.e807
 
[33]Sullivan, C. and Cain, D. (2004) Ethical and Safety Considerations When Obtaining Information from or about Battered Women for Research Purposes. Journal of Interpersonal Violence, 19, 603-618.
http://dx.doi.org/10.1177/0886260504263249
 
[34]Foley, D. (2008) Development of a Visual Analogue Scale to Measure Curriculum Outcomes. Journal of Nursing Education, 47, 209-213.
http://dx.doi.org/10.3928/01484834-20080501-04
 
[35]Wewers, M.E. and Lowe, N.K. (1990) A Critical Review of Visual Analogue Scales in the Measurement of Clinical Phenomena. Research in Nursing & Health, 13, 227-236.
http://dx.doi.org/10.1002/nur.4770130405
 
[36]Lee, K.A. and Kieckhefer, G.M. (1989) Measuring Human Responses Using Visual Analogue Scales. Western Journal of Nursing Research, 11, 128-132.
http://dx.doi.org/10.1177/019394598901100111
 
[37]Cline, M.E., Herman, J., Shaw, E.R. and Morton, R.D. (1992) Standardization of the Visual Analogue Scale. Nursing Research, 41, 378-379.
http://dx.doi.org/10.1097/00006199-199211000-00013
 
[38]Marsh-Richard, D., Hatzis, E., Mathias, C., Venditti, N. and Dougherty, D. (2009) Adaptive Visual Analog Scales (AVAS): A Modifiable Software Program for the Creation, Administration, and Scoring of Visual Analog Scales. Behavioral Research Methods, 41, 99-106.
http://dx.doi.org/10.3758/BRM.41.1.99
 
[39]Gift, A. (1989) Visual Analogue Scales: Measurement of Subjective Phenomena. Nursing Research, 38, 286-288.
http://dx.doi.org/10.1097/00006199-198909000-00006
 
[40]Cohen, J. (1988) Statistical Power Analysis for the Behavioral Sciences. 2nd Edition, Lawrence, Erlbaum Associates, Hillsdale.
 
[41]Cohen, J. (1992) A Power Primer. Psychological Bulletin, 112, 155-159.
http://dx.doi.org/10.1037/0033-2909.112.1.155                                                            eww150205lx
标签：

评论

发表评论

此博客中的热门博文

Does Immigration Promote the Investment of the Monopolistic Firm?

In the present paper, we examine the effect of increasing uncertainty of immigrants’ growth on the optimal timing of investment of a firm that has a monopolistic power over the labor market. It is revealed that when the uncertainty of immigrants’ growth is more than a threshold level, increasing uncertainty of immigrants’ growth accelerates the optimal timing of firms’ investment and enhances the economic growth, even if the uncertainty of immigrants’ growth is formulated by the geometric Brownian motion, which is in sharp contrast to the standard result that an increase in the uncertainty postpones the optimal timing. With an increase in the immigrants over the past ten years, workforces in the host countries have been growing significantly to the extent that the immigrants represent 70% of the increase in the workforce in Europe, and 47% in the United States as OECD indicates. In the present paper, we attempted to investigate the effect of increased uncertainty caused by the growi...
发表评论
阅读全文

Education Policy Implementation: A Mechanism for Enhancing Primary Education Development in Zanzibar

Education is one of the fundamental rights of individuals; therefore, the government of a country needs to develop and strengthen educational policy and quality as well as to ensure that everyone has equal access to basic education. The improvement of access and quality of education in the world is becoming as an essential factor in development, whereas the basic education (primary school), is acknowledged as a foundation of the higher educational development for every country. To fulfill this goal, governments introduce several policies and procedures; however, it requires some reforms and participation from the politician, policymakers, and other stakeholders to re-examine educational policy so that it can lead to multiplication and betterment of the reforms. Educational reforms actually focus on accountability. A positive educational development and reform is very challenging and needs more effort and strategy on how to use and utilize the resources effectively as such it can achie...
发表评论
阅读全文