Group painting therapy for children and adolescents with bone tumors: a quasi-experimental trial evaluating anxiety, depression, post-traumatic growth, and health-related quality of life - Report - MDSpire

Group painting therapy for children and adolescents with bone tumors: a quasi-experimental trial evaluating anxiety, depression, post-traumatic growth, and health-related quality of life

  • By

  • Jinqian Han

  • Mei Chan Chong

  • Wan Ling Lee

  • Enshe Jiang

  • Weizheng Zhang

  • June 12, 2026

  • 0 min

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Clinical Report: Effects of Structured Group Painting Therapy on Pediatric Patients

Overview

This study evaluated the impact of an eight-week structured group painting therapy program on anxiety, depression, post-traumatic growth (PTG), and health-related quality of life (HRQoL) in pediatric patients with malignant bone tumors. Results indicated significant improvements in emotional well-being and PTG among participants receiving the therapy compared to a control group.

Background

Children and adolescents with malignant bone tumors often experience significant psychological distress, including anxiety and depression, which can adversely affect their health-related quality of life. Despite the importance of addressing these psychological challenges, systematic psychosocial interventions in pediatric oncology are limited. This study explores the potential of group painting therapy as a non-pharmacological approach to support emotional well-being in this vulnerable population.

Data Highlights

MeasureIntervention Group (n=39)Control Group (n=37)
Anxiety ReductionSignificant ImprovementNo Significant Change
Depressive SymptomsSignificant ImprovementNo Significant Change
Post-Traumatic GrowthSignificant ImprovementNo Significant Change
HRQoL Emotional FunctioningImprovedNo Change
HRQoL Social CommunicationImprovedNo Change

Key Findings

  • The intervention group showed greater reductions in anxiety and depressive symptoms compared to the control group.
  • Significant improvements in post-traumatic growth were observed in the intervention group.
  • Selected domains of health-related quality of life, including emotional functioning and social communication, improved in the intervention group.
  • No significant differences were found between groups in physical symptom domains such as pain and nausea.
  • Group painting therapy may serve as a promising adjunct to routine pediatric oncology care.

Clinical Implications

The findings suggest that structured group painting therapy can be an effective non-pharmacological intervention to enhance emotional well-being and promote resilience in pediatric patients with bone tumors. Incorporating such therapies into standard care may help address the psychological challenges faced by these patients.

Conclusion

Group painting therapy is associated with significant improvements in emotional well-being and post-traumatic growth among children and adolescents with primary bone tumors. These results highlight the potential benefits of integrating creative therapies into pediatric oncology care.

Related Resources & Content

  1. Frontiers | Group Painting Therapy for Children and Adolescents with Bone Tumors: A Quasi-Experimental Trial Evaluating Anxiety, Depression, Post-Traumatic Growth, and Health-Related Quality of Life
  2. NCCN Guidelines® Insights: Distress Management, Version 1.2026 - PubMed
  3. Adjustment to Cancer: Anxiety and Distress (PDQ®) - NCI
  4. Delivering Care Consistent With the Psychosocial Standards—Provider Report: Implementing the Standards Together—Engaging Parents and Providers in Psychosocial Care (iSTEPPP) Study - Kazak - 2025 - Pediatric Blood & Cancer - Wiley Online Library
  5. Effects of art therapy on psychological outcomes among children and adolescents with cancer: a systematic review and meta-analysis - PMC
  6. Bone Marrow Transplantation — 46th Annual Conference of the European Society for Blood and Marrow Transplantation: Oral Presentations by the Psychiatry and Psychology Group (Sessions O173-O176)
  7. The ASCO Post — Meaning-Centered Group Psychotherapy Improves Psychological Well-Being in Patients With Advanced Cancer
  8. Journal of Neuro-Oncology — Effects of Radiation Dose Distribution on Quality of Life in Pediatric Brain Tumor Survivors: Insights from the Pediatric Proton/Photon Consortium Registry (PPCR)
  9. Journal of Crohn's and Colitis — The Impact of Group Cognitive Behavioral Psychotherapy on Disease Severity and Psychosocial Functioning in Patients With Inflammatory Bowel Disease: A Randomized Controlled Study
  10. NCCN Guidelines® Insights: Distress Management, Version 1.2026 - PubMed
  11. Adjustment to Cancer: Anxiety and Distress (PDQ®) - NCI
  12. Delivering Care Consistent With the Psychosocial Standards—Provider Report: Implementing the Standards Together—Engaging Parents and Providers in Psychosocial Care (iSTEPPP) Study - Kazak - 2025 - Pediatric Blood & Cancer - Wiley Online Library
  13. Effects of art therapy on psychological outcomes among children and adolescents with cancer: a systematic review and meta-analysis - PMC
  14. Frontiers | Effects of Different Art Therapies on the Psychological Well-Being and Quality of Life in Cancer Survivors: A Systematic Review and Network Meta-Analysis
  15. Frontiers | Group Painting Therapy for Children and Adolescents with Bone Tumors: A Quasi-Experimental Trial Evaluating Anxiety, Depression, Post-Traumatic Growth, and Health-Related Quality of Life
  16. Post-Traumatic Stress, depression and anxiety symptoms among childhood cancer survivors and their parents | Pediatric Research
  17. Benchmarking the pediatric quality of life (PedsQL) cancer module in a large Dutch national cohort of childhood cancer patients | BMC Cancer | Springer Nature Link
  18. Effectiveness of psychosocial interventions on resilience, posttraumatic growth, and meaning in cancer survivors: a systematic review and meta-analysis of randomized controlled trials - PMC

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