Effects of Mindfulness-Based Art Therapy on Psychological Symptoms in Patients with Coronary Artery Disease.
Seung‐ho Jang, Jae Hee Lee, Hye-Jin Lee, Sang-Yeol Lee
Journal of Korean medical science March 19, 2018 DOI: 10.3346/jkms.2018.33.e88 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Controlled trial Peer reviewed |
|---|---|
| Sample size | 44 |
| Population | Patients with coronary artery disease |
| Intervention | Mindfulness-based art therapy |
| Duration | 12 sessions |
| Measures | Beck Depression Inventory (BDI), Trait Anxiety Inventory (TAI), State Trait Anger Expression Inventory (STAXI) |
| Topics | Anxiety Depression Meditation |
| Keywords | Humans Angina pectoris Treatment outcome Stress, psychological Anger Middle aged Female Coronary artery disease Trait anxiety Mindfulness-based art therapy |
| Key findings | Mindfulness-based art therapy produced significantly greater improvements than control in depression, trait anxiety, and multiple anger measures among coronary artery disease patients, with significant group-by-time interactions on all outcomes. The authors conclude MBAT may effectively improve psychological stability in this population, while calling for larger studies and program development for future clinical use. |
Abstract
Background: Mindfulness-based art therapy (MBAT) induces emotional relaxation in coronary artery disease (CAD) patients, and is a treatment known to improve psychological stability. The objective of this study was to evaluate the treatment effects of MBAT for CAD patients.
Methods: A total of 44 CAD patients were selected as participants, 21 patients belonged to a MBAT group, and 23 patients belonged to the control group. The patients in the MBAT group were given 12 sessions of treatments. To measure depression and anxiety, Beck Depression Inventory (BDI) and Trait Anxiety Inventory (TAI) were used. Anger and anger expression were evaluated using the State Trait Anger Expression Inventory (STAXI). The treatment results were analyzed using two-way repeated measures analysis of variance (ANOVA).
Results: The results showed that significant effects for groups, time, and interaction in the depression (interaction effect, [F(1,36) = 23.15, P < 0.001]; between groups, [F(1,36) = 5.73, P = 0.022]), trait anxiety (interaction effect, [F(1,36) = 13.23, P < 0.001]; between groups, [F(1,36) = 4.38, P = 0.043]), state anger (interaction effect, [F(1,36) = 5.60, P = 0.023]), trait anger (interaction effect, [F(1,36) = 6.93, P = 0.012]; within group, [F(1,36) = 4.73, P = 0.036]), anger control (interaction effect, [F(1,36) = 8.41, P = 0.006]; within group, [F(1,36) = 9.41, P = 0.004]), anger out (interaction effect, [F(1,36) = 6.88, P = 0.012]; within group, [F(1,36) = 13.17, P < 0.001]; between groups, [F(1,36) = 5.62, P = 0.023]), and anger in (interaction effect, [F(1,36) = 32.66, P < 0.001]; within group, [F(1,36) = 25.90, P < 0.001]; between groups, [F(1,36) = 12.44, P < 0.001]).
Conclusion: MBAT can be seen as an effective treatment method that improves CAD patients' psychological stability. Evaluation of treatment effects using program development and large-scale research for future clinical application is needed.
Comparable studies
Other non-randomized and open-label trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients | 2003 | Pre-post intervention study | n = 59 |
| Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample | 2010 | Pre-post intervention study | |
| Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students | 2003 | Prospective nonrandomized cohort-controlled study | n = 302 |
| Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls | 2011 | Controlled trial with wait-list control group | n = 60 |
| The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents | 2011 | Within-group waitlist controlled trial | n = 22 |
Citations in the library
Cited by 8
- Meditation for the primary and secondary prevention of cardiovascular disease. Cochrane Database of Systematic Reviews February 15, 2024
- Effect of mindfulness-based interventions on anxiety, depression, and stress in patients with coronary artery disease: a systematic review and meta-analysis of randomized controlled trials. Frontiers in Psychology 2024
- Psychedelic Art and Implications for Mental Health: Randomized Pilot Study. JMIR Formative Research December 3, 2024
- The Effectiveness of a Mindfulness-Based Art Therapy Program on Sleep Quality among Urban Older Adults in Thailand: A Quasi-Experimental Study Patient Preference and Adherence October 1, 2025
- Mindfulness-Based Art Therapy with Hospitalized Depressed Individuals–The Temporal Order of Change in Mindfulness, Rumination, and Affect Journal of Happiness Studies August 1, 2025
and 3 more in the library
Cites 5
- Alterations in Brain and Immune Function Produced by Mindfulness Meditation Psychosomatic Medicine July 1, 2003
- Web-Based Mindfulness Intervention in Heart Disease: A Randomized Controlled Trial PLoS One December 7, 2015
- Mindfulness-based stress reduction program in coronary heart disease: A randomized control trial International Journal of Yoga August 26, 2015
- Effectiveness of mindfulness-based stress reduction and mindfulness based cognitive therapy in vascular disease: A systematic review and meta-analysis of randomised controlled trials. Journal of Psychosomatic Research May 1, 2014
- How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy August 13, 2010