期刊目錄列表 - 63卷(2018) - 【教育科學研究期刊】63(2)六月刊（本期專題：終身學習與高齡教育）
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（專題）藝術治療團體運用於失智長者之效果研究
作者:國立臺北護理健康大學生死與健康心理諮商系黃傳永、臺北市立大學教育學系郭淑惠
卷期：63卷第2期
日期：2018年6月
頁碼：45-72
DOI：10.6209/JORIES.201806_63(2).0003
摘要：
本研究旨在探討藝術治療團體運用於失智長者之效果，採取質性研究的發現取向進行分析，透過團體後個別訪談蒐集資料。結果顯示：在失智長者參與藝術治療團體之實質幫助與影響有：期待參與團體、提升出門動機、引發長者好奇、增進其身體活動、增進與人互動、促進口語表達、學習正向自我肯定與鼓勵別人、提升專注力、生活有重心、增進正向豐富的情緒經驗、家屬感受放鬆、對長者有新的看見與情感連結。藝術治療介入方案對失智長者之成效因子則包括：促發長者創造力並提升成就感、運用多重感官、提升長者其感官知覺、創作賦能與維護長者自我價值感、投入創作進入心流、忘記病痛不適、提升長者活動量促進手眼協調。最後，依據研究結果進行討論，並因應未來高齡化社會，在失智人口不斷提升的情況下提供政府相關機構，以及未來研究之規劃與參考。
關鍵詞：失智症、長期照護、高齡化社會、藝術治療團體
《詳全文》
參考文獻：
- 李明濱（主編）（2013）。老人自殺防治 自殺新聞事件的省思。取自http://tspc.tw/tspc/upload files/File/book25.pdf 【Lee, M.-B. (Ed.). (2013). Suicide prevention in elderly: Reflections on news reporting suicide. Retrieved from http://tspc.tw/tspc/uploadfiles/File/book25.pdf】
- 周麗芳、張佳雯、傅中玲、王署君（2001）。探究臺灣地區長者失智症經濟成本。國立政治大學學報，82，1-26。【Chou, L.-F., Chang, C.-W., Fuh, J.-L., & Wang, S.-J. (2001). The economic costs of dementia in Taiwan. The National Chengchi University Journal, 82, 1-26.】
- 高潔純、林麗嬋（2005）。機構失智長者的活動設計。護理雜誌，52（1），61-65。doi:10.6224/JN.52.1.61【Kao, C.-C., & Lin, L.-C. (2005). Activities programs for institutionalized elderly patients with dementia. The Journal of Nursing, 52(1), 61-65. doi:10.6224/JN.52.1.61】
- 張景瑞（2011）。老年精神醫學。載於李明濱（主編），實用精神醫學（第三版）（pp. 407-416）。臺北市：國立臺灣大學醫學院。【Zhang, J.-R. (2011). Clinical psychiatry of elderly. In M.-B. Lee (Ed.), Practical clinical psychiatry (3rd ed.). (pp. 407-416). Taipei, Taiwan: National Taiwan University, College of Medicine.】
- 梁家欣、程蘊菁、陳人豪（2014）。失智症之重點回顧。內科學誌，25（3），151-157。doi:10.6314/JIMT.2014.25(3).04【Leong, K.-I. Chen, Y.-C. & Chen, J.-H. (2014). Dementia: A focused review. Journal of Internal Medicine of Taiwan, 25(3), 151-157. doi:10.6314/JIMT.2014.25(3).04】
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- 李明濱（主編）（2013）。老人自殺防治 自殺新聞事件的省思。取自http://tspc.tw/tspc/upload files/File/book25.pdf【Lee, M. -B. (Ed.). (2013). Suicide prevention in elderly: Reflections on news reporting suicide. Retrieved from http://tspc.tw/tspc/uploadfiles/File/book25.pdf】
- 周麗芳、張佳雯、傅中玲、王署君（2001）。探究臺灣地區長者失智症經濟成本。國立政治大學學報，82，1-26。【Chou, L. -F., Chang, C. -W., Fuh, J. -L., & Wang, S. -J. (2001). The economic costs of dementia in Taiwan. The National Chengchi University Journal, 82, 1-26.】
- 高潔純、林麗嬋（2005）。機構失智長者的活動設計。護理雜誌，52（1），61-65。doi:10.6224/JN.52.1.61【Kao, C. -C., & Lin, L. -C. (2005). Activities programs for institutionalized elderly patients with dementia. The Journal of Nursing, 52(1), 61-65. doi:10.6224/JN.52.1.61】
- 張景瑞（2011）。老年精神醫學。載於李明濱（主編），實用精神醫學（第三版）（pp. 407-416）。臺北市：國立臺灣大學醫學院。【Zhang, J. -R. (2011). Clinical psychiatry of elderly. In M. -B. Lee (Ed.), Practical clinical psychiatry (3rd ed.). (pp. 407-416). Taipei, Taiwan: National Taiwan University, College of Medicine.】
- 梁家欣、程蘊菁、陳人豪（2014）。失智症之重點回顧。內科學誌，25（3），151-157。doi:10.6314/JIMT.2014.25(3).04【Leong, K.-I. Chen, Y.-C. & Chen, J.-H. (2014). Dementia: A focused review. Journal of Internal Medicine of Taiwan, 25(3), 151-157. doi:10.6314/JIMT.2014.25(3).04】
- 陳伶珠、溫世合、歐盈君、蔡麗珍、劉娟如（2013）。結構性團體活動對失智症老人照顧效益之研究。臺灣社會工作學刊，12，65-100。【Chen, L. -Z., Wen, S.-H., Ou, Y. -J.,Tsai, L. -C.., & Liu, J. -R. (2013). A study on the effect of structured group activities on dementia care. Taiwanese Social Work, 12, 65-100.】
- 臺灣失智症協會（2016）。105～150年臺灣地區失智症人口推計報告。取自http://www.tada2002.org.tw/About/IsntDementia【Taiwan Alzheimer Disease Association. (2016). Year 105~150, estimation of dementia population in Taiwan. Retrieved from http://www.tada2002.org.tw//About/IsntDementia 】
- 蔡佳芬（2014）。今天不開藥醫師教你抗失智。臺北市：希伯崙。【Tsai, J. -F. (2014). Not about medication: Dementia prevention taught by doctor. Taipei, Taiwan: Hebron.】
- 衛生福利部（2013）。「台灣失智症防治照護政策綱領」專案報告。取自https://www.mohw.gov.tw/dl-14632-9c246d8f-a7f6-463b-9b96-6405d28aa9df.html【Ministry of Health and Welfare. (2013). Guiding principle of policies regarding dementia prevention and care in Taiwan. Retrieved from https://www.mohw.gov.tw/dl-14632-9c246d8f-a7f6-463b-9b96-6405d28aa9df.html】
- 羅彥傑（2016）。失智、污名與健康促進：評析我國對長者的健康宣導策略。中國廣告學刊，21，34-63。【Lo, Y.-C. (2016). Dementia, stigma and health promotion: An analysis of health campaign strategy toward older people in Taiwan. The Journal of Advertising, 21, 34-63.】
- American Art Therapy Association. (2017). Art therapy. Retrieved from https://arttherapy.org/about-art-therapy/
- Beaunieux, H., Eustache, F., Busson, P., de la Sayette, V., Viader, F., & Desgranges, B. (2012). Cognitive procedural learning in early Alzheimer’s disease: Impaired processes and compensatory mechanisms. Journal of Neuropsychology, 6(1), 31-42. doi:10.1111/j.1748-6653. 2011.02002.x
- Brooker, D., & Duce, L. (2000). Wellbeing and activity in dementia: A comparison of group reminiscence therapy, structured goal-directed group activity and unstructured time. Aging & Mental Health, 4(4), 354-358. doi:10.1080/713649967
- Bucks, R. S., & Radford, S. A. (2004). Emotion processing in Alzheimer’s disease. Aging & Mental Health, 8(3), 222-232. doi:10.1080/13607860410001669750
- Butler, R. N., Lewis, M. I., & Sunderland, T. (1998). Aging and mental health: Positive psychosocial and biomedical approaches. Boston, MA: Allyn & Bacon.
- 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. doi:10.3233/JAD-131295
- Chi, I., Yip, P. S., Yu, G. K., & Halliday, P. (1998). A study of elderly suicides in Hong Kong. Crisis, 19(1), 35-46. doi:10.1027/0227-5910.19.1.35
- Conwell, Y. (2001). Suicide in later life: A review and recommendations for prevention. Suicide and Life-Threatening Behavior, 31(1), 32-47. doi:10.1521/suli.31.1.5.32.24221
- Conwell, Y., Rotenberg, M., & Caine, E. D. (1990). Completed suicide at age 50 and over. Journal of the American Geriatrics Society, 38(6), 640-644. doi:10.1111/j.1532-5415.1990.tb01422.x
- Doric-Henry, L. (1997). Pottery as art therapy with elderly nursing home residents. Art Therapy, 14(3), 163-171. doi:10.1080/07421656.1987.10759277
- Dorpat, T. L., Anderson, W. F., & Ripley, H. S. (1968). The relationship of physical illness to suicide. In H. P. Resnik (Ed.), Suicide behaviors: Diagnosis and management (pp. 209-219). Boston, MA: Little, Brown, and Company.
- Fritsch, T., Kwak, J., Grant, S., Lang, J., Montgomery, R. R., & Basting A. D. (2009). Impact of TimeSlips, a creative expression intervention program, on nursing home residents with dementia and their caregivers. The Gerontologist, 49(1), 117-127. doi:10.1093/geront/gnp008
- Halpern, A. R., Ly, J., Elkin-Frankston, S., & O’Connor, M. G. (2008). “I know what I like”: Stability of aesthetic preference in Alzheimer’s patients. Brain and Cognition, 66(1), 65-72. doi:10.1016/j.bandc.2007.05.008
- Hattori, H., Hattori, C., Hokao, C., Mizushima, K., & Mase, T. (2011). Controlled study on the cognitive and psychological effect of coloring and drawing in mild Alzheimer’s disease patients. Geriatrics and Gerontology International, 11(4), 431-437. doi:10.1111/j.1447-0594.2011.00698.x
- Heikkinen, M. E., & Lönnqvist, J. K. (1995). Recent life events in elderly suicide: A nationwide study in Finland. International Psychogeriatrics, 7(2), 287-300. doi:10.1017/S1041610295002043
- Jefferson, M. F. (1987). Essential adult educational programs in the visual arts. Art Education, 40(4), 32-41. doi:10.2307/3193045
- Kahn-Denis, K. B. (1997). Art therapy with geriatric dementia clients. Art Therapy, 14(3), 194-199. doi:10.1080/07421656.1987.10759281
- Kinney, J. M., & Rentz, C. A. (2005). Observed well-being among individuals with dementia: Memories in the making, an art program, versus other structured activity. American Journal of Alzheimer’s Disease and Other Dementias, 20(4), 220-227. doi:10.1177/153331750502000406
- Machado, S., Cunha, M., Minc, D., Portella, C. E., Velasques, B., Basile, L. F., …Ribeiro, P. (2009). Alzheimer’s disease and implicit memory. Arquivos de Neuro-Psiquiatria, 67(2a), 334-342. doi: 10.1590/S0004-282X2009000200034
- Magai, C., Cohen, C., Gomberg, D., Malatesta, C., & Culver, C. (1996). Emotional expression during mid-to late-stage dementia. International Psychogeriatrics, 8(3), 383-395. doi:10.1017/ S104161029600275X
- Miller, B. L., & Hou, C. E. (2004). Portraits of artists: Emergence of visual creativity in dementia. Archives of neurology, 61(6), 842-844. doi:10.1001/archneur.61.6.842
- Mimica, N., & Kalinić, D. (2011). Art therapy may be beneficial for reducing stress-related behaviors in people with dementia. Psychiatria Danubina, 23(1), 125-128.
- Peisah, C., Lawrence, G., & Reutens, S. (2011). Creative solutions for severe dementia with BPSD: A case of art therapy used in an inpatient and residential care setting. International Psychogeriatrics, 23(6), 1011-1013. doi:10.1017/S1041610211000457
- Phinney, A., Chaudhury, H., & O’Connor, D. L. (2007). Doing as much as I can do: The meaning of activity for people with dementia. Aging and Mental Health, 11(4), 384-393. doi:10.1080/13607 860601086470
- Rentz, C. A. (2002). Memories in the making: Outcome-based evaluation of an art program for individuals with dementing illnesses. American Journal of Alzheimer’s Disease and Other Dementias, 17(3), 175-181.
- Rusted, J., Sheppard, L., & Waller, D. (2006). A multi-centre randomized control group trial on the use of art therapy for older people with dementia. Group Analysis, 39(4), 517-536. doi:10.1177/ 0533316406071447
- Safar, L. T., & Press, D. Z. (2011). Art and the brain: Effects of dementia on art production in art therapy. Art Therapy: Journal of the American Art Therapy Association, 28(3), 96-103. doi: 10.1080/07421656.2011.599734
- Seifert, L. S., & Baker, M. K. (1999). Procedural skills and art production among individuals with Alzheimer’s type dementia. Clinical Gerontologist, 20(1), 3-14. doi:10.1300/J018v20n01_02
- Smith, M., & Buckwalter, K. (2005). Behaviors associated with dementia. American Journal of Nursing, 105(7), 40-52.
- Spaniol, S. (1997). Guest editorial – Art therapy with older adults: Challenging myths, building competencies. Art Therapy: Journal of The American Art Therapy Association, 14(3), 158-160. doi:10.1080/07421656.1987.10759275
- Stallings, J. W. (2010). Collage as a therapeurtic modality for reminiscence in patients with dementia. Art Therapy, 27(3), 136-140. doi:10.1080/07421656.2010.10129667
- Stewart, E. G. (2004). Art therapy and neuroscience blend: Working with patients who have dementia. Art Therapy, 21(3), 148-155. doi:10.1080/07421656.2004.10129499
- Tsoh, J., Chiu, H. F., Duberstein, P. R., Chan, S. S., Chi, I., Yip, P. S., & Conwell, Y. (2005). Attempted suicide in elderly Chinese persons: A multi-group, controlled study. American Journal of Geriatric Psychiatry, 13(7), 562-571. doi:10.1097/00019442-200507000-00004
- U.S. Public Health Services (1999). The surgeon general’s call to action to prevent suicide. Retrieved from https://profiles.nlm.nih.gov/ps/access/NNBBBH.pdf
- Wald, J. (1984). The graphic representation of regression in an Alzheimer’s disease patient. The Arts in Psychotherapy, 11(3), 165-175. doi:10.1016/0197-4556(84)90036-4
- Wald, J. (1986). Art therapy for patients with dementing illnesses. Clinical Gerontologist, 4(3), 29-40. doi:10.1300/J018v04n03_05
- Wald, J. (1989). Art therapy for patients with Alzheimer’s disease and related disorder. In H. Wadeson, J. Durkin, & D. Perach (Eds.), Advances in art therapy (pp. 207-221). New York, NY: Wiley.
- Wald, J. (1993). Art therapy and brain dysfunction in a patient with a dementing illnesses. Art Therapy: Journal of the American Art Therapy Association, 10(2), 88-95. doi:10.1080/ 07421656.1993.10758987
- Wald, J. (2003). Clinical art therapy with older adults. In C. A. Malchiodi (Ed.), Handbook of art therapy (pp. 294-308). New York, NY: The Guilford Press.
- World Health Organization (2012). Dementia: A public health priority. Retrieved from http://apps. who.int/iris/bitstream/10665/75263/1/9789241564458_eng.pdf
- Zeiger, B. (1976). Life review in art therapy with the aged. American Journal of Art Therapy, 15(2), 47-50.
Journal directory listing - Volume 63 (2018) - Journal of Research in Education Sciences【63(2)】June (Special Issue: Lifelong Learning and Senior Education)
Directory
(Special Issue) Effect of Group Art Therapy on Older Individuals With Dementia
Author: Chuan-Yung Huang (Department of Thanatology and Health Counseling, National Taipei University of Nursing and Health Sciences), Shu-Hui Kuo (Department of Education, University of Taipei)
Vol.&No.：Vol. 63, No.2
Date：June 2018
Pages：45-72
DOI：10.6209/JORIES.201806_63(2).0003
Abstract：
This study explored the effect of group art therapy on older individuals with dementia. A discovery-oriented qualitative study was used for data collection. Individual interviews were conducted after the completion of group art therapy. Findings indicated that group art therapy provided practical help and influences, including anticipation of participating at the group, increased motivation to leave the house, aroused curiosity, enhanced body movement, enhanced interactions with others, strengthened verbal responses, boosted self-recognition and encouragement, improved concentration, a focus for life, strengthened positive emotional experiences, relaxation, and new thoughts about older individuals and the connections between them. The effects of group art therapy included improved creativity and sense of accomplishment, usage of different senses, enhanced sensations, creative empowerment, maintenance of self-fulfillment, dedication to art enabling participants to forget suffering and pain, improved activity, and improved hand-eye coordination. The findings of this study are discussed, and suggestions are provided for the government and related institutions to cope with an aging society and an increasing population of individuals with dementia.
Keywords：aging society, dementia, group art therapy, long-term care