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Chang YC, Wu CH, Lupo R, Botti S, Conte L, Vitone M, Massafra R, De Nunzio G, Vitale E. Generative Artificial Intelligence (AI) to Uncover Insights From Breast Cancer Patients' Perceptions to Mindfulness-Based Stress Reduction (MBSR) Interventions. Holist Nurs Pract 2024:00004650-990000000-00039. [PMID: 39186509 DOI: 10.1097/hnp.0000000000000677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/28/2024]
Abstract
The study's central objective is to harness the power of generative Artificial Intelligence (AI), in particular based on Large Language Models, as a valuable resource for delving deeper into the insights offered by patients with breast cancer (BC) who actively participated in a Mindfulness-Based Stress Reduction (MBSR) program. In a 6-week MBSR program, each session lasted 2 hours and encompassed a range of techniques, including sitting meditation, body scan, Hatha yoga, and walking meditation. A total of 25 participants were enrolled in the study. The majority of these participants reported a high level of satisfaction with the mindfulness course. The application of generative AI enabled a comprehensive analysis of the participants' responses, revealing distinct subgroups among them. The MBSR program was found to be beneficial for most participants, serving as a valuable tool in managing the psychological stresses associated with BC.
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Affiliation(s)
- Yun-Chen Chang
- Author Affiliations: School of Nursing and Graduate Institute of Nursing, China Medical University Taichung, Taiwan (Dr Chang); Nursing Department, China Medical University Hospital, Taichung, Taiwan (Dr Chang); Department of Optoelectronics and Materials Engineering, Chung Hua University, Hsinchu, Taiwan (Dr Wu); "San Giuseppe da Copertino" Hospital, ASL (Local Health Authority) Lecce, Italy (Dr Lupo); Hematology Unit, Azienda USL-IRCCS, Reggio Emilia, Italy (Dr Botti); Laboratory of Biomedical Physics and Environment, Department of Mathematics and Physics "E. De Giorgi", University of Salento, Lecce, Italy (Drs Conte and De Nunzio); Advanced Data Analysis in Medicine (ADAM), Laboratory of Interdisciplinary Research Applied to Medicine (DReAM), University of Salento and ASL (Local Health Authority), Lecce, Italy (Drs Conte and De Nunzio); Scientific Directorate, Trial Office, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy (Dr Vitone); Laboratorio di Biostatistica e Bioinformatica, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy (Dr Massafra); and Scientific Directorate, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy (Dr Vitale)
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Zahmatkesh M, Faal Siahkal S, Alahverdi F, Tahmasebi G, Ebrahimi E. The role of art therapy on quality of life of women with recent pregnancy loss: A randomized clinical trial. PLoS One 2024; 19:e0305403. [PMID: 39052552 PMCID: PMC11271899 DOI: 10.1371/journal.pone.0305403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 05/28/2024] [Indexed: 07/27/2024] Open
Abstract
BACKGROUND Pregnancy loss and mourning can lead to psychological adverse effects on women's quality of life. This study aimed to evaluate the effect of art therapy on the quality of life of women with pregnancy loss. METHODS This study was a randomized clinical trial performed on 60 women who recently experienced abortion or stillbirth. After randomization in two groups (30 in each group), women in the intervention group received four session art therapy. In the control group, routine care was performed. The Perinatal Grief Scale and World Health Organization quality of life questionnaire, short version 26, was used to collect data before and eight weeks after intervention, and the result was compared before and after the intervention in both groups. RESULTS The mean age of participants was 26.5±4.75 years. Eight weeks after the intervention, the mean score of the total quality of life was significantly different between the two groups (348.64±13.12 vs.254.46±58.35; P>0.01). Also, all physical, psychological, social, and environmental dimensions of quality of life improved in the art therapy group compared to the control group (P>0.01). CONCLUSIONS Art therapy could improve the quality-of-life following pregnancy loss, and can be recommended as a complementary method next to routine care. TRIAL REGISTRATION IRCT20200104046002N1.
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Affiliation(s)
- Masumeh Zahmatkesh
- Department of Reproductive Health Midwifery, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Shahla Faal Siahkal
- Department of Midwifery, Marand Branch, Islamic Azad University, Marand, Iran
| | - Fatemeh Alahverdi
- Department of Reproductive Health Midwifery, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Golshan Tahmasebi
- School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Elham Ebrahimi
- Department of Reproductive Health Midwifery, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Min W, Jiang C, Li Z, Wang Z. The effect of mindfulness-based interventions during pregnancy on postpartum mental health: A meta-analysis. J Affect Disord 2023; 331:452-460. [PMID: 36963518 DOI: 10.1016/j.jad.2023.03.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Revised: 03/07/2023] [Accepted: 03/18/2023] [Indexed: 03/26/2023]
Abstract
BACKGROUND Mindfulness helps reduce negative emotions, but its ability to prevent postpartum psychological problems remains unclear. This study aimed to assess the effects of mindfulness-based interventions (MBIs) during pregnancy on postpartum mental health, especially postpartum depression. METHODS Online databases regarding the effect of mindfulness on pregnancy were searched and a meta-analysis was conducted. RESULTS Eight randomized controlled trials (RCTs) and a self-controlled study were included. We found consistent results showing that MBIs significantly improve the depressive symptoms of all pregnant women in both the case-control (SMD = -0.90, 95 % CI (-2.71, -1.82), p = 0.01) and self-control (SMD = 1.24, 95 % CI (0.37, 2.11), p = 0.005) comparisons. However, MBIs were ineffective for high-risk pregnant women with severe depressive symptoms before delivery in both the case-control (SMD = -1.07, 95 % CI (-3.40, 1.25), p = 0.36) and self-control comparisons (SMD = 2.10, 95 % CI (-0.26, 4.47), p = 0.08). Furthermore, MBIs did not have significant advantages over other intervention methods (SMD = -0.45, 95 % CI (-1.17, 0.28), p = 0.23). LIMITATIONS There were few high-quality RCTs, and the sample size was small. CONCLUSION MBIs can relieve maternal depressive and anxiety symptoms, especially for the prevention of postpartum depression in healthy pregnant women. However, MBIs do not have significant advantages over other interventions and may not be useful for all pregnant women. These findings contribute to the optimization of perinatal mental health intervention programs and the improvement of pregnancy outcomes, playing an important guiding role in clinical decision-making.
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Affiliation(s)
- Wenjiao Min
- Psychosomatic Department, Sichuan Provincial Center for Mental Health, Sichuan Academy of Medical Sciences, Provincial People's Hospital, Chengdu, China
| | - Caixia Jiang
- Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, China
| | - Zhengyu Li
- Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, China
| | - Zuxing Wang
- Psychosomatic Department, Sichuan Provincial Center for Mental Health, Sichuan Academy of Medical Sciences, Provincial People's Hospital, Chengdu, China.
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Anolak H, Lau F, Davis D, Browne J, Watt B. Creative arts intervention in support of women experiencing a high-risk pregnancy: A qualitative descriptive thematic analysis. SEXUAL & REPRODUCTIVE HEALTHCARE 2023; 36:100830. [PMID: 36898309 DOI: 10.1016/j.srhc.2023.100830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2022] [Revised: 02/09/2023] [Accepted: 02/27/2023] [Indexed: 03/06/2023]
Abstract
BACKGROUND Mental illness can have negative effects on both the pregnant woman and her unborn child. Studies that use the creative arts as interventions have proven to be beneficial to women's antenatal mental health and wellbeing, however, these studies are limited and emergent. Music, drawing and narrative (MDN) is an established music therapy intervention, stemming from guided imagery and music (GIM), that has the potential to support positive mental health and wellbeing. Yet, to date, there have been limited studies on the use of this form of therapy with inpatient antenatal women. AIM To describe antenatal inpatient women's experiences of participating in a MDN session. METHODS Qualitative data were collected from a sample of 12 inpatient pregnant women who participated in MDN group sessions of drawing to music. Post intervention interviews explored the mental and emotional health of participants. A thematic analysis of the transcribed interview data was performed. FINDINGS Through reflection women were supported to acknowledge both the positives and difficulties of pregnancy as well as establish meaningful connections through shared experience. These thematic findings highlighted that MDN enabled this group of pregnant women to better communicate their feelings, validate emotions, engage in positive distractions, develop greater connections, improve optimism, experience calmness, and learn from others. CONCLUSION This project demonstrates that MDN may offer a viable method for supporting women experiencing high risk pregnancies.
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Affiliation(s)
- Helena Anolak
- Federation University, Mt Helen, PO Box 663, Ballarat, VIC 3353, Australia.
| | - Farrah Lau
- Flinders University, Sturt Rd, Bedford Park, S.A 5042, Australia.
| | - Deborah Davis
- University of Canberra, 11 Kirinari St, Bruce, ACT 2617, Australia.
| | - Jenny Browne
- University of Canberra, 11 Kirinari St, Bruce, ACT 2617, Australia.
| | - Bec Watt
- Flinders University, Sturt Rd, Bedford Park, S.A 5042, Australia.
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Morrison PL, Nishimoto PW, Kim JB, Neves A, Bantum EO. Oncology expressive arts: providing a window to reflect on a stressful experience. J Psychosoc Oncol 2021; 40:80-97. [PMID: 33729909 DOI: 10.1080/07347332.2021.1899352] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
PURPOSE Evaluate changes in mood, perceived need for help, and task enjoyment after participation in a one-time Oncology on Canvas expressive arts workshop intervention. METHODS Mixed methods design. Sample: military-veteran oncology survivors and their adult `ohana (family members, caregivers, friends, healthcare providers, volunteers). Measurement tools: Emotion Thermometers, Multiple Affect Adjective Checklist-Revised, Task Enjoyment Question, semi-structured interviews, and self-reflective narratives. Colaizzi's Phenomenological Method was used to conduct a thematic analysis. FINDINGS Significant improvements in mood, increased task enjoyment, and decreased perceived need for help, with continued effects for up to 30-60 days post-intervention. CONCLUSIONS A one-time expressive arts workshop intervention can provide a window for oncology survivors and their adult `ohana to reflect on a stressful experience. IMPLICATIONS FOR PSYCHOSOCIAL PROVIDERS Psychosocial healthcare providers (APRNs, nurse educators, LCSWs, psychologists) who are not professional art therapists can effectively implement expressive arts workshops as a cost-effective intervention for oncology survivors and their `ohana.
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Affiliation(s)
- Penny L Morrison
- VA Nursing Academic Partnership (VANAP) Faculty, University of Hawaìi at, Manoa, School of Nursing & Dental Hygiene, Honolulu, Hawaii, USA
| | | | - John B Kim
- Department of Medicine, Tripler Army Medical Center, Honolulu, Hawaii, USA
| | - Abbie Neves
- VA Nursing Academic Partnership (VANAP) Faculty, University of Hawaìi at, Manoa, School of Nursing & Dental Hygiene, Honolulu, Hawaii, USA
| | - Erin O'Carroll Bantum
- Division of Cancer Prevention and Control Program, University of Hawaìi Cancer Center, Honolulu, Hawaii, USA
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