Amsterdam 2015
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| Abstract #2054 - Strengthening HIV service provision | ||||
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Session: 44.5: Strengthening HIV service provision (Parallel) on Thursday @ 16.30-18.00 in C202 Chaired by Simon Gregson, Michael Evangeli Authors: Presenting Author: Ms. Melanie Jagla - University of Applied Sciences Magdeburg-Stendal, Germany |
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| Aim: Thanks to the available highly active antiretroviral therapy (HAART), HIV has developed from a fatal to a chronic disease. But HIV affects the entire person in all stages of the infection: the body and also psychological, existential and social consequences. Aim of this study is to investigate the extent to which an art therapy intervention changed the mood of HIV patients and whether there is an impact on coping. | ||||
| Method / Issue: A total of 38 patients at the University Hospitals Bochum and Essen, Germany, attended an art therapy intervention consisting of art therapy sessions followed by reflection and exchange of experiences. In four 60 minute sessions, each patient created a picture to a given topic. At the beginning and end of each session the “Current mood scale” was used, once coping was investigate by the “Essener coping questionnaire”. Data of 28 subjects (23 patients, 5 controls) with an average age of 40.1 years (SD = 5.2 68% male) were included in calculations. The patients’ were classified according to their clinical picture in the three clinical groups orientated on the classification according to CDC. | ||||
| Results / Comments: 154 “current mood”-questionnaires of 17 subjects were included in the data analysis. For all scales statistically significant differences (Cohen's d almost always > .8) during the first art therapy session were shown. In the following three sessions, the differences in mean levels were not as clear. The comparison between the first and final data collection showed statistically significant results (p <.05) in mean effect sizes for the scales sadness, hopelessness, and anger. With regard to coping statistically highly significant differences of p=.0001 of the scales "Active, problem-oriented coping", "Willingness to accept help" and "Active search for social support" between the subjects who took part in the art therapy intervention and a comparison sample, which consisted of N = 118 homosexual men in various stages of HIV infection, were shown as well as significant differences. Remarkably results were found for the scale “Active search for social support between the group of 10 patients in CDC stage B and the rest of the patients. | ||||
| Discussion: Art therapy as a possible psychosocial intervention can -through the creative process- provide support and contributes to mood and the coping process. Regarding the actual mood, the clearest effects was shown after the first session. Over time, this effect declined. With regard to coping significant differences between patients in the art intervention group and N=118 HIV-infected patients were found as well as differences between the group of patients in the CDC stage B (N = 10) and the rest of the patients. In this stage the patients have symptoms maybe they realize for the first time that they are infected with a lifelong disease. A meaningful strategy of coping is needed. Further work in this area of research is necessary to support the patients in the disease process and to make generalized statements about art therapy interventions in HIV-infected patients. | ||||
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