A NEW PERSPECTIVE TO LONELINESS AND WELL BEING LEVELS OF THE OLDER ADULTS: ART THERAPY

Year 2024, Volume: 25 Issue: 46, 1 - 18, 31.01.2024

Ebru Köse , Füsun Gökkaya , Nergis Canbulat

https://doi.org/10.21550/sosbilder.1340465

Abstract

In this study, the effects of art therapy group practices on the loneliness and psychological well-being levels of older adults living in retirement homes were examined using qualitative and quantitative data analyses across intervention and non-intervention groups. For this reason, this study was designed as a quasi-experimental study with a pretest posttest pattern including an intervention (n=18) and non-intervention (n=13) group. 12 sessions of Art Therapy Practice Sessions were administered to the intervention group. A significant difference between the post-test loneliness and psychological well-being levels of the intervention and non-intervention groups was found. As a result, it can be said that art therapy is a significantly effective method in reducing the loneliness level of the elderly living in nursing homes and increasing their psychological well-being. In the qualitative aspect of the research, the views of the elderly on the effectiveness of art therapy practices were gathered in two categories: “Contribution” and “Art Therapy Practices”.

Keywords

older adult, art therapy, psychological well-being, loneliness

Yaşlıların Yalnızlık ve Psikolojik İyi Oluşlarına İlişkin Yeni Bir Bakış Açısı: Sanatla Terapi

Abstract

Bu araştırmayla sanatla terapi grup uygulamalarının huzurevinde kalan yaşlıların yalnızlık ve psikolojik iyi oluş düzeylerine etkisi, deney ve kontrol gruplarında, nitel ve nicel veri analizleri ile incelenmiştir. Bu amaçla gerçekleştirilen araştırma, deney (n=18) ve kontrol (n=13) grubunu içeren iki grupta ön ve son test desenli yarı deneysel araştırma türünde yapılmıştır. Araştırmada 12 oturumluk Sanatla Terapi Oturumları deney grubuna uygulanmıştır. Araştırma sonucunda deney ve kontrol gruplarının yalnızlık ve psikolojik iyi oluş son test puanları arasında anlamlı bir fark bulunmuştur. Sonuç olarak sanatla terapinin, huzur evinde kalan yaşlıların yalnızlık düzeyini azaltmada, psikolojik iyi oluş düzeyini arttırmada önemli ölçüde etkili bir yöntem olduğu söylenebilir. Araştırmanın nitel boyutunda yaşlıların sanatla terapi uygulamalarının etkililiğine ilişkin görüşleri “Katkı”, “Sanatla Terapi Uygulamaları” olmak üzere iki kategoride toplanmıştır.

Keywords

yaşlılık, sanatla terapi, psikolojik iyi oluş, yalnızlık

References

• Ardahan, M. (2010). Aging and nursing home [in Turkish]. Journal of Social Policy Studies, 11(5), 25-32.
• Arkin, S. M. (2003). Student-led exercise sessions yield significant fitness gains for Alzheimer’s patients. American Journal of Alzheimer’s Disease & Other Dementias, 18(3), 159-170.
• Artan, T., Arıcı, A., Çiçek, M., Özbek, Y. (2017). Evaluation of the effect of art therapy on elders [in Turkish]. Journal of Strategic Research in Social Science, 3(4), 131-146.
• Batıgün, D. A. (2008). Suicide probability and gender: An evaluation of suicide in respect to interpersonal relationship style, reasons for living, loneliness, and hopelessness [in Turkish]. Turkish Journal of Psychology, 23(62), 65-75.
• Bennington, R., Backos, A., Harrison, J., Reader, A. E., Carolan, R. (2016). Art therapy in art museums: Promoting social connectedness and psychological well-being of older adults. The Arts in Psychotherapy, 49, 34-43.
• Betts, D. J. (2005). A systematic analysis of art therapy assessment and rating instrument literature. (Unpublised doctoral dissertation). Florida: The Florida State University The Graduate School.
• Bilgili, N., Kitiş, Y., Ayaz, S. (2012). Assessment of loneliness, quality of sleep and affecting factors in elders [in Turkish]. Turkish Journal of Geriatrics, 15(1), 81-88.
• Buchalter, S. I. (2011). Art Therapy and creative coping techniques for older adults. Jessica Kingsley Publishers.
• Bulduk, S., Dinçer, Y., Usta, E., Bayram, S. (2017). Investigation of the impact of art therapy methodology applied to the elderly individuals with dementia on cognitive state [in Turkish]. Journal of Contemporary Medicine, 7(1), 36-41.
• Büker, N., Altuğ, F., Kavlak, E., Kitiş, A. (2010). Investigation of the effects of morale status and depression level on functional status in aged people living at home and community [in Turkish]. Elderly Issues Research Journal, 1, 44-53.
• Chancellor, B., Duncan, A., Chatterjee, A. (2014). Art therapy for Alzheimer’s disease and other dementias. Journal of Alzheimer’s Disease, 39(1), 1-11.
• Chang, S., Chu, H., Yang, Y., Tsai, J. C., Chung, M. H., Liao, Y. M., Chi, M. J., Liu, M. F., Choui K. R. (2015). The efficacy of music therapy for people with dementia: A meta analysis of randomised controlled trials. Journal of Clinical Nursing, 24(23-24), 3425-3440.
• Chiang, M., Reid-Varley, W. B., Fan, X. (2019). Creative art therapy for mental illness. Psychiatry Research, 275, 129-136.
• Ching-Teng, Y., Ya-Ping, Y., Yu-Chia, C. (2019). Positive effects of art therapy on depression and self-esteem of older adults in nursing homes. Social Work in Health Care, 58(3), 324-338.
• Creswell, J. W. (2003). Research design: Qualitative, quantitative, and mixed methods approaches. Sage Publications.
• Çağlar, T. (2014). Elderliness and social work: The example of life support centre [in Turkish]. Community and Social Work, 25(2), 145-162.
• Demir, A. (1989). U.C.L.A. The validity and reliability of the Loneliness Scale [in Turkish] Journal of Psychology, 7(23), 14-18.
• Diener, E., Wirtz, D., Biswas-Diener, R., Tov, W., Kim-Prieto, C., Choi, D., Oishi, S. (2009). New measures of well-being. In E. Diener (Ed.), Assessing well-being: The collected works of Ed Diener, 247-266.
• Dunphy, K., Baker, F.A., Dumaresq, E., Carroll-Haskins, K., Eickholt, J., Ercole, M., Kaimal, G., Meyer, K., Sajnani, N., Shamir, O.P., Wosch, T. (2019). Creative arts ınterventions to address depression in older adults: a systematic review of outcomes, processes, and mechanisms. Psychology for Clinical Settings, 9(18), 1-24.
• Ellison, C. W. (1983). Spiritual well-being: Conceptualization and measurement. Journal of Psychology and Theology, 11(4), 330-340.
• Eracar, N. (2013). Beyond the word [in Turkish]. 3P Publishing.
• Ercan Şahin, N. (2015). The effect of reminiscence therapy applied to the older adultliving in a nursing home on the quality of life of the elderly [in Turkish]. (Unpublished master’s thesis). Ankara: Hacettepe University Social Sciences Institute.
• Ercan Şahin, N. & Üzar Özçetin, Y. S. (2020). Level of life satisfaction and hopelessness among nursing home residents [in Turkish]. Journal of Mersin University Health Science, 13(2), 167-176.
• Ertem, M. (2020). Evaluation of the psychosocial and physical functions of individuals living in nursing home [in Turkish]. Journal of İzmir Kâtip Çelebi University Health Sciences, 6(1), 113-120.
• Eryılmaz, A. & Atak, H. (2011). Happiness model of happiness for older adults living with their families [in Turkish]. Archives of Neuropsychiatry, 48(4), 227-233.
• Fraenkel, J. & Wallen, N. (2006). How to design and evaluate research in education. McGraw-HillCompanies.
• Glass, A. (1991). Nursing home quality: A framework for analysis. Journal of Applied Gerontology, 10(1), 5-18.
• Görgülü, Ü., Akyar, İ., Akdemir, N., Sun Kapucu, S. (2010). Social policies regarding elderly people in Turkey and in the world [in Turkish]. Turkish Journal of Physical Medicine Rehabilitation, 56(1), 30-56.
• IOAGING [Institue On Aging]. (2012). Read How IOA Views Aging in America, 2010.
• Iiuzuka, A., Suzuki, H., Ogawa, S., Kobayashi-Cuya, K. E., Kobayashi, M., Takebayashi, T., Fujiwara, Y. (2019). Can cognitive leisure activity prevent cognitive decline in older adults? A systematic review of intervention studies. International Geriatric Gerontology, 19(6), 469-482.
• Jenabi, E., Bashirian, S., Ayubi, E., Rafiee, M., Bashirian, M. (2022). The effect of the art therapy ınterventions on depression symptoms among older adults: A meta-analysis of controlled clinical trials. Journal of Geriatric Psychiatry and Neurology, 36(3), 185-192.
• Johnson, C. M. & Sullivan-Marx, E. M. (2006). Art therapy: Using the creative process for healing and hope among African American older adults. Geriatric Nursing, 27(5), 309-316.
• Karakaya, M. E., Çuvalcı Bilgin, S., Ekici, G., Köse, N., Otman, A. S. (2009). Functional mobility, depressive symptoms, level of independence, and quality of life of the older adultliving at home and in the nursing home [in Turkish]. Journal of The American Medical Director Association, 10(9), 662-666.
• Kılavuz, M. A. (2005). The importance of the religious activities in aging from the point of diminution the solitude and friendship relation in western culture [in Turkish]. Journal of Uludağ University Faculty of Theology, 2(14), 25-39.
• Kim, H. K., Kim, K. M., Nomura, S. (2016). The effect of group art therapy on older Korean adults with neurocognitive disordes. The Arts in Psychotherapy, 47, 48-54.
• Kurt, D. (2014). The effect of music therapy on the feeling of loneliness of the older adultliving in nursing homes [in Turkish]. (Unpublished master’s thesis). Istanbul: Marmara University Social Sciences Institute.
• Lavalekar, A. & Karmalkar, S. (2017). From youth to elderly: A study of quality of life and psychological well-being. Indian Journal of Health and Well-being, 8(9), 1083-1086.
• Lazarus, L. W. (1988). Essentials of geriatric psychiatry: A guide for healthy professionals. Springer Publishing.
• Malchiodi, C. A. (2006). The art therapy sourcebook. McGraw-Hill.
• Masika, G., Yu, D., Li, P. (2020). Visual art therapy as a treatment option for cognitive decline among older adults. A systematic review and meta-analysis. Nursing and Health Sciences, 76(8), 1892-1910.
• Marco, P. & Redolat, R. (2022). Art therapy approaches in alzheimer’s disease: A systematic review. Activities, Adaptation & Aging, 47(1), 75-106.
• McFadden, S. H. & Basting, A. D. (2010). Healthy aging persons and their brains: Promoting resilience through creative engagement. Clinics in Geriatric Medicine, 26(1), 149-161.
• Milligan, C. & Liu, Y. (2015). Place and informal care in an ageing society: Reviewing the state of the art in geographical gerontology. Progress in Geography, 34(12), 1558-1576.
• Nicholson, J. (2009). Social isolation in older adults: An evolutionary concept analysis. Journal of Advanced Nursing, 65(6), 1342-1352.
• Oyan, S. & Sağlamtimur, B. (2016). Evaluation of the effects of music on humans and various living creatures [in Turkish]. İnönü University Journal of Culture and Art, 2(1), 77-82.
• Öcebe, D. K., Kolcu, M., Uzun, K. (2019). Music therapy and elderly health [in Turkish]. University off Helath Sciences Journal of Nursing, 1(2), 44-48.
• Öz, F. (2010). Basic concepts in health [in Turkish]. Mattek Printing House.
• Pelletier, C. L. (2004). The effect of music on decreasing arousal due to stress: A meta analysis. Journal of Music Therapy, 41(3), 192-214.
• Perry, C., Thurston, M., Osborn, T. (2008). Time for me: The arts as therapy in postnatal depression. Complementary Therapies in Clinical Practice, 14(1), 38-45.
• Rashidi, P. & Mihailidis, A. (2012). A survey on ambient-assisted living tools for older adults. IEEE Journal of Biomedical and Health Informatics, 17(3), 579-590.
• Russell, D., Peplau, L. A., Cutrona, C. E. (1980). The Revised UCLA Loneliness scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39(3), 472-480.
• Salman, F. & Akkurnaz, G. (2022). The use of photography as a therapy method in geriatrics [in Turkish]. Journal of İzmir Kâtip Çelebi University Health Sciences, 7(2), 427-433.
• Soyuer, F. & Soyuer, A. (2008). Aging and physical activity [in Turkish]. Journal of İnönü University Faculty of Medicine, 15(3), 219-224.
• Sukamolson, S. (2007). Fundamentals of quantitative research. Language Institute Chulalongkorn University, 1(3), 1-20.
• Sterritt, P. F. & Pokorny, M. E. (1994). Art activities for patients with Alzheimer’s and related disorders. Geriatric Nursing, 15(3), 155-159.
• Sutipan, P., Intarakamhang, U., Macaskill, A. (2017). The impact of positive psychological interventions on well-being in healthy elderly people. Journal of Happiness Studies, (18), 269-291.
• Taş, L. & Şaldırdak, G. A. (2021). The social isolation experiences of elderly residents in nursing homes. Journal of Istanbul University Sociology, (41), 351-379.
• Tel, H., Tel, H., Sabancıoğulları, S. (2006). Status of maintenance of activities of daily living and experience of loneliness in elder than 60 years old living at home and in institutions [in Turkish]. Turkish Journal of Geriatrics, 9(1), 34-40.
• Telef, B.B. (2013). Psychological well-being scale: Turkish adaptation, validity and reliability study [in Turkish]. Hacettepe University Journal of Faculty Education, 28(3), 374-384.
• Thomson, L. J., Lockyer, B., Camic, P. M., Chatterjee, H. J. (2017). Effects of a museum-based social prescription intervention on quantitative measures of psychological wellbeing in older adults. Perspectives in Public Health, 10(20), 1-11.
• Thong, S. A. (2007). Redefining the tools of art therapy. Art Therapy, 24(2), 52-58.
• Ulman, E. (2001). A new use of art in psychiatric diagnosis. Art therapy: American Journal of Art Therapy, 30, 16-26.
• Van Lith, T., Gerber, N., Centracchio, M. (2023). Preliminary modelling for strategic planning in art therapy research: A multi-phase sequential mixed methods study. The Arts in Psychotherapy, 85, 102055.
• Yaşar, M. R. (2007). Loneliness [in Turkish]. Fırat University Journal of Social Sciences, 17(1), 237-260.
• Yavuz, O. & Yavuz, Y. (2018). The effect of the intelligence game played on elderly people in the elderly on cognitive skills, loneliness, and psychological well-being of elderly in the nursing home [in Turkish]. Life Skills Journal of Psychology, 2(3), 127-14.