Intervention mediated by the arts with a group of institutionalized young Angolan females

Andressa Tavares, Mariana Miranda, António-José Gonzalez

Abstract


Sub-Saharan Africa faces immense challenges at various levels, including in mental health. We aim to understand the effectiveness of an arts-based intervention with particularly vulnerable populations. In this quasi-experimental study, with pre and post-tests, and non-randomized experimental and control groups, we describe an intervention with institutionalized female adolescents from Angola and report changes in anxiety and depression levels, and on their subjective experiences.

Quantitative data shows that the post-test anxiety and depression levels of experimental group participants were lower than all the other groups/moments. Qualitative data shows: (1) that participants
experienced personal growth, understood in terms of self-cceptance, responsibility and self confidence; hope, expressed by the desire to continue developing skills and to live a purposeful life; and a greater interconnectedness with the broader system of the reception center; (2) an increase in focus, dynamism and spontaneity, results that are seldom reported in the literature.
This study reflects the importance of offering arts-based programs for adolescents from vulnerable backgrounds, namely residents of institutional care units and that this programs should be guided by
the principles of freedom of expression and non-judgement.


Keywords


Sub-Saharan Africa, Arts-based intervention, Depression, Anxiety, Institutionalized.

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References


Ali, G.-C., Ryan, G., & De Silva, M. J. (2016). Validated screening tools for common mental disorders in lowand middle-income countries: A systematic review. PLoS ONE, 11(6), e0156939. https://doi.org/10.1371/journal.pone.0156939

Bailey, C. (2022). Commentary: Editorial: The psychological and physiological benefits of the arts. Frontiers in Psychology, 13, e869038. https://doi.org/10.3389/fpsyg.2022.869038

Balvin, N., & Banati, P. (Eds.). (2017). The adolescent brain: A second window of opportunity – A compendium. UNICEF Office of Research – Innocenti.

Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research, 52(2), 69-77.

https://doi.org/10.1016/S0022-3999(01)00296-3

Braband, B. J., Faris, T., & Wilson-Anderson, K. (2014). Evaluation of a memory book intervention with orphaned children in South Africa. Journal of Pediatric Nursing, 29(4), 337-343. https://doi.org/10.1016/j.pedn.2014.01.010

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa

Bungay, H., Clift, S., & Vella-Burrows, T. (2012). Enhancing the health and wellbeing of children and young people through the arts: A feasibility assessment for NHS Lambeth. Canterbury Christ Church University.

Bunn, C., Kalinga, C., Mtema, O., Abdulla, S., Dillip, A., Lwanda, J., Mtenga, S., Sharp, J., Strachan, Z., & Gray, C. (2020). Arts-based approaches to promoting health in sub-Saharan Africa: A scoping review. BMJ Global Health, 5(5), e001987. https://doi.org/10.1136/bmjgh-2019-001987

Cumming, S., & Visser, J. (2009). Using art with vulnerable children. Support for Learning, 24(4), 151-158. https://doi.org/10.1111/j.1467-9604.2009.01418.x

De Neubourg, C. D., Boon, L., Cebotari, V., Dangeot, A., Elezaj, E., Isaurralde, M., Karpati, J., Ramful, N., & Safojan, R. (2018). Multidimensional child poverty analyses and child-sensitive social protection. Policy in Focus, 15(3), 13-15.

Devereux, S., & Cipryk, R. (2009). Social protection in Sub-Saharan Africa: A regional review. Centre for Social Protection.

Duberg, A., Möller, M., & Sunvisson, H. (2016). “I feel free”: Experiences of a dance intervention for adolescent girls with internalizing problems. International Journal of Qualitative Studies on Health and Well-Being, 11(1), e31946. https://doi.org/10.3402/qhw.v11.31946

Farmer, D. (2012). 101 more drama games and activities. Drama Resource.

Gbadamosi, I. T., Henneh, I. T., Aluko, O. M., Yawson, E. O., Fokoua, A. R., Koomson, A., Torbi, J., Olorunnado, S. E., Lewu, F. S., Yusha’u, Y., Keji-Taofik, S. T., Biney, R. P., & Tagoe, T. A. (2022). Depression in Sub-Saharan Africa. IBRO Neuroscience Reports, 12, 309-322. https://doi.org/10.1016/j.ibneur.2022.03.005

Gonçalves, E. (1983). A expressão plástica da criança. Análise Psicológica, 3(1/2), 205-210.

Holmqvist, G., Roxberg, Å., Larsson, I., & Persson, L. (2017). What art therapists consider to be patient’s inner change and how it may appear during art therapy. Arts in Psychotherapy, 56, 45-52. https://doi.org/10.1016/j.aip.2017.07.005

Jensen, A., & Bonde, L. O. (2018). The use of arts interventions for mental health and wellbeing in health settings. Perspectives in Public Health, 138(4), 209-214. https://doi.org/10.1177/1757913918772602

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4(1), 33-47. https://doi.org/10.1016/0163-8343(82)90026-3

Karkou, V., Sajnani, N., Orkibi, H., Groarke, J. M., Czamanski-Cohen, J., Panero, M. E., Drake, J., Jola, C., & Baker, F. A. (2022) Editorial: The psychological and physiological benefits of the arts. Frontiers in Psychology, 13, e840089. https://doi.org/10.3389/fpsyg.2022.840089

Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31(6), 1041-1056. https://doi.org/10.1016/j.cpr.2011.04.006

Krüger, V., & Diaz, E. (2023). The potential to meet the needs of refugees and other migrants through music therapy. The Lancet Regional Health – Europe, 29, e100637. https://doi.org/10.1016/j.lanepe.2023.100637

Luiz, P. (2018). Teatro das emoções: Dinâmicas de grupo. Edições ISPA.

Moon, P. K. (2006). Reaching the tough adolescent through expressive arts therapy groups. American Counseling Association.

Oaklander, V. (1980). Descobrindo crianças: Abordagem gestáltica com crianças e adolescentes. Summus.

Owen, J. P., Baig, B., Abbo, C., & Baheretibeb, Y. (2016). Child and adolescent mental health in sub-Saharan Africa: A perspective from clinicians and researchers. BJPsych International, 13(2), 45-47. https://doi.org/10.1192/s2056474000001136

Reis, A. C. (2014). Arteterapia: A arte como instrumento no trabalho do psicólogo. Psicologia: Ciência e Profissão, 34(1), 142-157. https://doi.org/10.1590/S1414-98932014000100011

Rooyackers, P. (2004). 101 jogos dramáticos: Aprendizagem e diversão com jogos de teatro e faz-de-conta (J. Palinhos, Trad.; C. Bawman, Il.; 2ª ed.). Asa Editores, S.A.

Rubin, J. A. (2009). Introduction to art therapy: Sources and resources (2nd ed.). Routledge.

Salifu Yendork, J., & Somhlaba, N. Z. (2014). Stress, coping and quality of life: An exploratory study of the psychological well-being of Ghanaian orphans placed in orphanages. Children and Youth Services Review, 46, 28-37. https://doi.org/10.1016/j.childyouth.2014.07.025

Saraiva, H. J. L. (2017). Arteterapia e inclusão: A experiência com crianças em estado de vulnerabilidade social. http://www.monferrer.com.br/ARTETERAPIA/PDF/199.pdf

Shafir, T., Orkibi, H., Baker, F. A., Gussak, D., & Kaimal, G. (2020). Editorial: The state of the art in creative arts therapies. Frontiers in Psychology, 11, 68. https://doi.org/10.3389/fpsyg.2020.00068

UNAIDS. (2025). AIDSInfo. http://aidsinfo.unaids.org/

Van Eeuwijk, P., & Angehrn, Z. (2017). How to... conduct a Focus Group Discussion (FGD). Swiss Tropical and Public Health Institute.

Vieira, J. F. da C. (2016). Projeto ExperienciARte: A expressão dramática como forma de intervenção com jovens acolhidas em Lar de Infância e Juventude [Relatório de Projeto, Escola Superior de Educação e Ciências Sociais, Instituto Politécnico de Leiria]. http://hdl.handle.net/10400.8/2419

World Bank. (2023). Angola: Aspectos gerais. https://www.worldbank.org/pt/country/angola/overview

World Health Organization [WHO]. (2017). Depression and other common mental disorders: Global health estimates. World Health Organization. https://apps.who.int/iris/handle/10665/254610




DOI: https://doi.org/10.14417/ap.2205

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