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1981
Volume 10, Issue 2
  • ISSN: 2054-7668
  • E-ISSN: 2054-7676

Abstract

Chronic diseases often bring along psychosocial problems. Being diagnosed with a chronic disease during adolescence, when psychosocial problems are known to occur frequently, creates a multiplier effect. Drama, whose therapeutic effect on psychosocial health has been known for many years, may benefit adolescents with asthma. However, there is no study on this subject in the literature. Therefore, this study aimed to develop a creative drama-based support program for adolescents with asthma. It was tested on twenty adolescents with asthma aged 13–17 years, recruited from a child allergy outpatient clinic using a quasi-experimental, one-group, pre-test–post-test design. In the evaluation of psychosocial problems in adolescents, Achenbach’s Youth Self-Report Scale (YSR/11–18), which is widely used in many countries and has been shown to be valid and reliable, was utilized. YSR/11–18 was administered before and one month after participation in the program. After completion of the program, YSR/11–18 scores were significantly improved. Creative drama is a potentially useful tool to help adolescents with asthma cope with their disease more effectively.

Resumen

Las enfermedades crónicas suelen traer consigo problemas psicosociales. Ser diagnosticado con una enfermedad crónica durante la adolescencia, cuando se sabe que los problemas psicosociales ocurren con frecuencia, crea un efecto multiplicador. El teatro, cuyo efecto terapéutico sobre la salud psicosocial se conoce desde hace muchos años, puede beneficiar a los adolescentes con asma. Sin embargo, no existe ningún estudio sobre este tema en la literatura. Por lo tanto, este estudio tuvo como objetivo desarrollar un programa de apoyo creativo basado en el teatro para adolescentes con asma. Se probó en veinte adolescentes con asma de entre 13 y 17 años, reclutados en una clínica ambulatoria de alergia infantil utilizando un diseño cuasiexperimental, de un sólo grupo con preprueba y posprueba. En la evaluación de los problemas psicosociales de los adolescentes se utilizó la Escala de Autoinforme Juvenil de Achenbach (YSR/11–18), ampliamente utilizada en muchos países y que ha demostrado ser válida y confiable. YSR/11–18 se administró antes y un mes después de la participación en el programa. Después de completar el programa, las puntuaciones de YSR/11–18 mejoraron significativamente. El teatro creativo es una herramienta potencialmente útil para ayudar a los adolescentes con asma a afrontar su enfermedad de forma más eficaz.

Résumé

Les maladies chroniques entraînent souvent des problèmes psychosociaux. Le diagnostic d’une maladie chronique à l’adolescence, alors que l’on sait que les problèmes psychosociaux sont fréquents, crée un effet multiplicateur. Le théâtre, dont l’effet thérapeutique sur la santé psychosociale est connu depuis de nombreuses années, pourrait bénéficier aux adolescents asthmatiques. Cependant, il n’existe aucune étude sur ce sujet dans la littérature. Par conséquent, cette étude visait à développer un programme de soutien créatif basé sur le théâtre pour les adolescents asthmatiques. Il a été testé sur vingt adolescents asthmatiques âgés de 13 à 17 ans, recrutés dans une clinique externe d’allergie infantile en utilisant une conception quasi-expérimentale, à un groupe, pré-test et post-test. Pour l’évaluation des problèmes psychosociaux chez les adolescents, l’échelle d’auto-évaluation des jeunes d’Achenbach (YSR/11–18), largement utilisée dans de nombreux pays et qui s’est révélée valide et fiable, a été utilisée. YSR/11–18 a été administré avant et un mois après la participation au programme. Une fois le programme terminé, les scores YSR/11–18 ont été considérablement améliorés. Le théâtre créatif est un outil potentiellement utile pour aider les adolescents asthmatiques à faire face plus efficacement à leur maladie.

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References

  1. Achenbach, T. M. and Rescorla, L. A. (2001), Manual for the ASEBA School-Age Forms and Profiles, Burlington, NJ: ASEBA.
    [Google Scholar]
  2. Adıgüzel, O. (2020), Eğitimde yaratıcı drama (Creative Drama in Education), 6th ed., İstanbul: Yapı Kredi Yayınları.
    [Google Scholar]
  3. Al Ghriwati, N., Winter, M. A., Greenlee, J. L. and Thompson, E. L. (2018), ‘Discrepancies between parent and self-reports of adolescent psychosocial symptoms: Associations with family conflict and asthma outcomes’, Journal of Family Psychology, 32:7, pp. 99297, https://doi.org/10.1037/fam0000459.
    [Google Scholar]
  4. Alimohammadi, N., Maleki, B., Abbasi, S., Shakerian, B. and Hemati, Z. (2018), ‘The effect of adaptation training on controlling maladaptation behaviors in adolescents with asthma based on Roy adaptation model’, Tanaffos, 17:2, pp. 10309.
    [Google Scholar]
  5. Alparslan, Ö. and Bozkurt, G. (2017), ‘The effect of a clown model implemented in hospital on the anxiety and depression level of ill children and their mothers’, Arts & Health, 10:2, pp. 13850, https://doi.org/10.1080/17533015.2017.1334679.
    [Google Scholar]
  6. Alquran, A., Lambert, K. A., Farouque, A., Holland, A., Davies, J., Lampugnani, E. R. and Erbas, B. (2018), ‘Smartphone applications for encouraging asthma self-management in adolescents: A systematic review’, International Journal of Environmental Research and Public Health, 15:11, https://doi.org/10.3390/ijerph15112403.
    [Google Scholar]
  7. Azmeh, R., Greydanus, D. E., Agana, M. G., Dickson, C. A., Patel, D. R., Ischander, M. M. and Lloyd, R. D. (2020), ‘Update in pediatric asthma: Selected issues’, Disease-a-Month, 66:4, https://doi.org/10.1016/j.disamonth.2019.100886.
    [Google Scholar]
  8. Azzi, V., Malaeb, D., El Khatib, S., Sakr, F., Dabbous, M., Hallit, S. and Soufia, M. (2023), ‘Association of behaviors and asthma control in a sample of Lebanese adolescents with asthma’, Allergologia et Immunopathologia, 52:2, pp. 5159, https://doi.org/10.15586/aei.v52i2.1057.
    [Google Scholar]
  9. Baeten, R., Spasova, S., Vanhercke, B. and Coster, S. (2018), Inequalities in Access to Healthcare: A Study of National Policies: European Social Policy Network (ESPN), Brussels: European Commission.
    [Google Scholar]
  10. Batdı, V. and Elaldı, Ş. (2020), ‘Effects of drama method on social communication skills: A comparative analysis’, International Journal of Research in Education and Science, 6:3, pp. 43557, https://doi.org/10.46328/ijres.v6i3.962.
    [Google Scholar]
  11. Beadle-Brown, J., Wilkinson, D., Richardson, L., Shaughnessy, N., Trimingham, M., Leigh, J., Whelton, B. and Himmerich, J. (2018), ‘Imagining autism: Feasibility of a drama-based intervention on the social, communicative and imaginative behaviour of children with autism’, Autism, 22:8, pp. 91527, https://doi.org/10.1177/1362361317710797.
    [Google Scholar]
  12. Berkelbach van der Sprenkel, E. E., Nijhof, S. L., Dalmeijer, G. W., Onland-Moret, N. C., Roos, S. A. de, Lesscher, H. M. B., van de Putte, E. M., van der Ent, C. K., Finkenauer, C. and Stevens, G. W. J. M. (2022), ‘Psychosocial functioning in adolescents growing up with chronic disease: The Dutch HBSC study’, European Journal of Pediatrics, 181:2, pp. 76373, https://doi.org/10.1007/s00431-021-04268-9.
    [Google Scholar]
  13. Boeschoten, S. A., Dulfer, K., Boehmer, A. L. M., Merkus, P. J. F. M., Rosmalen, J. van, Jongste, J. C. de, Hoog, M. de and Buysse, C. M. P., on behalf of Dutch Collaborative PICU Research Network (SKIC) (2020), ‘Quality of life and psychosocial outcomes in children with severe acute asthma and their parents’, Pediatric Pulmonology, 55:11, pp. 288392, https://doi.org/10.1002/ppul.250342892.
    [Google Scholar]
  14. Brady, A. M., Deighton, J. and Stansfeld, S. (2017), ‘Psychiatric outcomes associated with chronic illness in adolescence: A systematic review’, Journal of Adolescence, 59:1, pp. 11223, https://doi.org/10.1016/j.adolescence.2017.05.014.
    [Google Scholar]
  15. Bruzzese, J.-M., George, M., Liu, J., Evans, D., Naar, S., DeRosier, M. E. and Thomas, J. M. (2021), ‘The development and preliminary impact of Camp Air: A web-based asthma intervention to improve asthma among adolescents’, Patient Education and Counseling, 104:4, pp. 86570, https://doi.org/10.1016/j.pec.2020.09.011.
    [Google Scholar]
  16. Caminati, M., Vaia, R., Furci, F., Guarnieri, G. and Senna, G. (2021), ‘Uncontrolled asthma: Unmet needs in the management of patients’, Journal of Asthma and Allergy, 14, pp. 45766, https://doi.org/10.2147/JAA.S260604.
    [Google Scholar]
  17. Cerbo, S. N. and Rabi, N. M. (2019), ‘Drama activities as tool for socialization of learners with autism’, International Journal of Academic Research in Business and Social Sciences, 9:6, pp. 125061, https://doi.org/10.6007/ijarbss/v9-i6/6102.
    [Google Scholar]
  18. Cheng, Z. R., Tan, Y. H., Teoh, O. H. and Lee, J. H. (2022), ‘Keeping pace with adolescent asthma: A practical approach to optimizing care’, Pulmonary Therapy, 8:1, pp. 12337, https://doi.org/10.1007/s41030-021-00177-2.
    [Google Scholar]
  19. Cioce, M., Lohmeyer, F. M., Moroni, R., Magini, M., Giraldi, A., Garau, P., Gifuni, M. C., Savoia, V., Celli, D., Botti, S., Gargiulo, G., Bonifazi, F., Ciceri, F., Serra, I., Zega, M., Sica, S., Bacigalupo, A., Stefano, V. De and Moscato, U. (2020), ‘Impact of educational interventions on psychological distress during allogeneic hematopoietic stem cell transplantation: A randomised study’, Mediterranean Journal of Hematology and Infectious Diseases, 12:1, https://doi.org/10.4084/MJHID.2020.067.
    [Google Scholar]
  20. Davis, A., Savage Brown, A., Edelstein, J. and Tager, I. B. (2008), ‘Identification and education of adolescents with asthma in an urban school district: Results from a large-scale asthma intervention’, Journal of Urban Health, 85:3, pp. 36174, https://doi.org/10.1007/s11524-008-926-y.
    [Google Scholar]
  21. Dut, R., Soyer, O., Sahiner, U. M., Esenboga, S., Gur Cetinkaya, P., Akgul, S., Derman, O., Sekerel, B. E. and Kanbur, N. (2022), ‘Psychological burden of asthma in adolescents and their parents’, The Journal of Asthma, 59:6, pp. 111621, https://doi.org/10.1080/02770903.2021.1903916.
    [Google Scholar]
  22. Eley, R. and Gorman, D. (2010), ‘Didgeridoo playing and singing to support asthma management in Aboriginal Australians’, The Journal of Rural Health, 26:1, pp. 100104, https://doi.org/10.1111/j.1748-0361.2009.00256.x.
    [Google Scholar]
  23. Erol, N. and Simsek, Z. (2010), Okul Çağı Çocuk ve Gençler İçin Davranış Değerlendirme Ölçekleri El Kitabı (CBCL, YSR ve TRF), Ankara: Mentis Yayıncılık.
    [Google Scholar]
  24. Fancourt, D. and Steptoe, A. (2019), ‘Effects of creativity on social and behavioral adjustment in 7- to 11-year-old children’, Annals of the New York Academy of Sciences, 1438:1, pp. 3039, https://doi.org/10.1111/nyas.13944.
    [Google Scholar]
  25. Farahzadi, N. and Bazzazian, S. (2018), ‘The effect of creative drama on internalizing disorders in preschool children’, Quarterly Journal of Child Mental Health, 5:3, pp. 4757.
    [Google Scholar]
  26. Felsman, P., Seifert, C. M. and Himle, J. A. (2019), ‘The use of improvisational theater training to reduce social anxiety in adolescents’, The Arts in Psychotherapy, 63, pp. 11117, https://doi.org/10.1016/j.aip.2018.12.001.
    [Google Scholar]
  27. Global Initiative for Asthma (2023), ‘Global strategy for asthma management and prevention’, July, https://ginasthma.org/wp-content/uploads/2023/07/GINA-2023-Full-report-23_07_06-WMS.pdf. Accessed 20 December 2023.
    [Google Scholar]
  28. Grape, A., Rhee, H. and Sanchez, P. (2019), ‘Evaluation of a peer-led asthma self-management group intervention for urban adolescents’, Journal of Pediatric Nursing, 45, pp. 16, https://doi.org/10.1016/j.pedn.2018.12.011.
    [Google Scholar]
  29. Guli, L. A., Semrud-Clikeman, M., Lerner, M. D. and Britton, N. (2013), ‘Social competence intervention program (SCIP): A pilot study of a creative drama program for youth with social difficulties’, The Arts in Psychotherapy, 40:1, pp. 3744, https://doi.org/10.1016/j.aip.2012.09.002.
    [Google Scholar]
  30. Hards, E., Orchard, F., Khalid, S., D’souza, C., Cohen, F., Gowie, E. and Loades, M. (2023), ‘Self-evaluation and depression in adolescents with a chronic illness: A systematic review’, Clinical Child Psychology and Psychiatry, 28:1, pp. 38297, https://doi.org/10.1177/13591045221115287.
    [Google Scholar]
  31. Hariton, E. and Locascio, J. J. (2018), ‘Randomised controlled trials: The gold standard for effectiveness research’, BJOG, 125:13, p. 1716, https://doi.org/10.1111/1471-0528.15199.
    [Google Scholar]
  32. Heston, S. (2013), ‘Dorothy Heathcote: Larger than life teacher who placed drama at the heart of education’, NJ: Drama Australia Journal, 37:1, pp. 7987, https://doi.org/10.1080/14452294.2013.11649566.
    [Google Scholar]
  33. Hodkinson, A., Bower, P., Grigoroglou, C., Zghebi, S. S., Pinnock, H., Kontopantelis, E. and Panagioti, M. (2020), ‘Self-management interventions to reduce healthcare use and improve quality of life among patients with asthma: Systematic review and network meta-analysis’, British Medical Journal, 370, https://doi.org/10.1136/bmj.m2521.
    [Google Scholar]
  34. Johnson, D. R. (1982), ‘Principles and techniques of drama therapy’, The Arts in Psychotherapy, 9:2, pp. 8390, https://doi.org/10.1016/0197-4556(82)90011-9.
    [Google Scholar]
  35. Johnson, D. R. and Emunah, R. (2021), Current Approaches in Drama Therapy, Springfield, IL: Charles C Thomas.
    [Google Scholar]
  36. Jonsson, M., Schuster, M., Protudjer, J. L. P., Bergström, A., Egmar, A.-C. and Kull, I. (2017), ‘Experiences of daily life among adolescents with asthma: A struggle with ambivalence’, Journal of Pediatric Nursing, 35, pp. 2329, https://doi.org/10.1016/j.pedn.2017.02.005.
    [Google Scholar]
  37. Knibb, R. C., Alviani, C., Garriga-Baraut, T., Mortz, C. G., Vazquez-Ortiz, M., Angier, E., Blumchen, K., Comberiati, P., Duca, B., DunnGalvin, A., Gore, C., Hox, V., Jensen, B., Pite, H., Santos, A. F., Sanchez-Garcia, S., Gowland, M. H., Timmermans, F. and Roberts, G. (2020), ‘The effectiveness of interventions to improve self-management for adolescents and young adults with allergic conditions: A systematic review’, Allergy, 75:8, pp. 188198, https://doi.org/10.1111/all.14269.
    [Google Scholar]
  38. Kollárová, D. (2013), ‘Creative drama in support therapies for children with learning disorders’, Acta Technologica Dubnicae, 3:1, pp. 7385, https://doi.org/10.1515/atd-2015-0028.
    [Google Scholar]
  39. Korošec, H. and Zorec, M. B. (2020), ‘The impact of creative drama activities on aggressive behaviour of preschool children’, Research in Education, 108:1, pp. 6279, https://doi.org/10.1177/003452371985.
    [Google Scholar]
  40. Lacomba-Trejo, L., Valero-Moreno, S., Montoya-Castilla, I. and Pérez-Marín, M. (2020), ‘Psychosocial factors and chronic illness as predictors for anxiety and depression in adolescence’, Frontiers in Psychology, 11, https://doi.org/10.3389/fpsyg.2020.568941.
    [Google Scholar]
  41. Licari, A., Ciprandi, R., Marseglia, G. and Ciprandi, G. (2019), ‘Anxiety and depression in adolescents with severe asthma and in their parents: Preliminary results after 1 year of treatment’, Behavioral Sciences, 9:7, p. 78, https://doi.org/10.3390/bs9070078.
    [Google Scholar]
  42. Lin, L. W., Lu, Y.-H., Chang, T.-H. and Yeh, S.-H. (2021), ‘Effects of drama therapy on depressive symptoms, attention, and quality of life in patients with dementia’, Journal of Nursing Research, 30:1, p. e188, https://doi.org/10.1097/jnr.0000000000000468.
    [Google Scholar]
  43. Liu, J., Chan, C. and Leung, P. W. (2021), ‘Youth psychopathology: Universal or culture-specific? Testing the syndrome models of youth self-report in Chinese population’, Journal of Child and Adolescent Psychiatric Nursing, 35:2, pp. 12641, https://doi.org/10.1111/jcap.12353.
    [Google Scholar]
  44. Moorhead, S. (2013), Nursing Outcomes Classification (NOC), St. Louis, MO: Elsevier and Mosby.
    [Google Scholar]
  45. Mosnaim, G. S., Pappalardo, A. A., Resnick, S. E., Codispoti, C. D., Bandi, S., Nackers, L., Malik, R. N., Vijayaraghavan, V., Lynch, E. B. and Powell, L. H. (2016), ‘Behavioral interventions to improve asthma outcomes for adolescents: A systematic review’, The Journal of Allergy and Clinical Immunology: In Practice, 4:1, pp. 13041, https://doi.org/10.1016/j.jaip.2015.09.011.
    [Google Scholar]
  46. Nahm, F. S. (2016), ‘Nonparametric statistical tests for the continuous data: The basic concept and the practical use’, Korean Journal of Anesthesiology, 69:1, pp. 814, https://doi.org/10.4097/kjae.2016.69.1.8.
    [Google Scholar]
  47. Neelands, J. and Goode, T. (2015), Structuring Drama Work, 3rd ed., Cambridge: Cambridge University Press.
    [Google Scholar]
  48. Pendzik, S. (2003), ‘Six keys for assessment in drama therapy’, The Arts in Psychotherapy, 30:2, pp. 9199, https://doi.org/10.1016/S0197-4556(03)00024-8.
    [Google Scholar]
  49. Ryu, H. J., Lee, S. and Chung, J. H. (2023), ‘Association between asthma and generalized anxiety disorder-7 (GAD-7) in Korean adolescents’, The Journal of Asthma, 60:1, pp. 12329, https://doi.org/10.1080/02770903.2022.2032137.
    [Google Scholar]
  50. Scroggs, B., Bailey, S. and Fees, B. (2016), ‘The impact of participation in creative drama on empathy levels in emerging adulthood: A pilot study’, Drama Therapy Review, 2:2, pp. 21121, https://doi.org/10.1386/dtr.2.2.211_1.
    [Google Scholar]
  51. Sharrad, K. J., Sanwo, O., Cuevas-Asturias, S., Kew, K. M., Carson-Chahhoud, K. V. and Pike, K. C. (2024), ‘Psychological interventions for asthma in children and adolescents’, The Cochrane Database of Systematic Reviews, 1:1, article CD013420, https://doi.org/10.1002/14651858.CD013420.pub2.
    [Google Scholar]
  52. Simoni, A. De, Horne, R., Fleming, L., Bush, A. and Griffiths, C. (2017), ‘What do adolescents with asthma really think about adherence to inhalers? Insights from a qualitative analysis of a UK online forum’, BMJ Open, 7:6, https://doi.org/10.1136/bmjopen-2016-015245.
    [Google Scholar]
  53. Skarphedinsson, G., Jarbin, H., Andersson, M. and Ivarsson, T. (2021), ‘Diagnostic efficiency and validity of the DSM-oriented child behavior checklist and youth self-report scales in a clinical sample of Swedish youth’, PLoS ONE, 16:7, https://doi.org/10.1371/journal.pone.0254953.
    [Google Scholar]
  54. Sloand, E., Butz, A., Rhee, H., Walters, L., Breuninger, K., Pozzo, R. A., Barnes, C. M., Wicks, M. N. and Tumiel-Berhalter, L. (2021), ‘Influence of social support on asthma self-management in adolescents’, The Journal of Asthma, 58:3, pp. 38694, https://doi.org/10.1080/02770903.2019.1698601.
    [Google Scholar]
  55. Soleymani, M. R., Hemmati, S., Ashrafi-Rizi, H. and Shahrzadi, L. (2017), ‘Comparison of the effects of storytelling and creative drama methods on children’s awareness about personal hygiene’, Journal of Education and Health Promotion, 6:1, p. 82, https://doi.org/10.4103/jehp.jehp_56_16.
    [Google Scholar]
  56. Stridsman, C., Dahlberg, E., Zandrén, K. and Hedman, L. (2017), ‘Asthma in adolescence affects daily life and school attendance: Two cross-sectional population-based studies 10 years apart’, Nursing Open, 4:3, pp. 14348, https://doi.org/10.1002/nop2.77.
    [Google Scholar]
  57. Thabrew, H., McDowell, H., Given, K. and Murrell, K. (2017), ‘Systematic review of screening instruments for psychosocial problems in children and adolescents with long-term physical conditions’, Global Pediatric Health, 4, https://doi.org/10.1177/2333794X17690314.
    [Google Scholar]
  58. Wallace-Farquharson, T., Rhee, H., Oguntoye, A. O., Harrison Elder, J., Ezenwa, M. O., Fedele, D., Duckworth, L. and Wilkie, D. J. (2023), ‘Adolescents’ practical knowledge of asthma self-management and experiences in the context of acute asthma: A qualitative content analysis’, The Journal of Asthma, 60:2, pp. 27787, https://doi.org/10.1080/02770903.2022.2045309.
    [Google Scholar]
  59. Wongkietkachorn, A., Wongkietkachorn, N. and Rhunsiri, P. (2018), ‘Preoperative needs-based education to reduce anxiety, increase satisfaction, and decrease time spent in day surgery: A randomized controlled trial’, World Journal of Surgery, 42:3, pp. 66674, https://doi.org/10.1007/s00268-017-4207-0.
    [Google Scholar]
  60. Yücesan, E. and Şendurur, Y. (2017), ‘Effects of music therapy, poetry therapy, and creative drama applications on self-esteem levels of college students’, Journal of Poetry Therapy, 31:1, pp. 2639, https://doi.org/10.1080/08893675.2018.1396730.
    [Google Scholar]
  61. Zeisel, J., Skrajner, M. J., Zeisel, E. B., Wilson, M. N. and Gage, C. (2018), ‘Scripted-IMPROV: Interactive improvisational drama with persons with dementia – Effects on engagement, affect, depression, and quality of life’, American Journal of Alzheimer’s Disease & Other Dementias®, 33:4, pp. 23241, https://doi.org/10.1177/1533317518755994.
    [Google Scholar]
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