The Study of Art Therapy using Mandala for Chronic Pain of Endometriosis

Ohnishi St
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Abstract

The endometriosis is the extra-uterine existence of endometrial tissue. Usually it is in peritoneal cavity, so it bleeds in peritoneal cavity and adhered with adjacent organs. Therefore, it produces the pelvic pain and it need the medical or surgical treatment. However, the pain is not controlled completely after these treatments. Therefore, other supportive treatment is needed. Art therapy can be used for this purpose, because recently many studies were reported that the pain of endometriosis is related to stress or psychological problem. In the eleven patients who have remained pain after medical or surgical treatment for endometriosis, they were treated by art therapy as mandala therapy. After this therapy, more than 2 VAS (Visual Analog Scale) is significantly decreased in 7 of 11 patients (P<0.05) although VAS is not decreased in 4 of 11 patients. Therefore, I concluded mandala art therapy is helpful for the remained pain after medical or surgical treatment for endometriosis. However, further study is needed by the study of more big sample and long duration.
曼陀罗艺术治疗子宫内膜异位症慢性疼痛的研究
子宫内膜异位症是子宫内膜组织在子宫外的存在。通常在腹膜腔内,故在腹膜腔内出血并与邻近脏器粘连。因此,它产生盆腔疼痛,需要药物或手术治疗。然而,经过这些治疗后,疼痛并没有完全得到控制。因此,需要其他支持性治疗。艺术治疗可用于此目的,因为最近许多研究报道子宫内膜异位症的疼痛与压力或心理问题有关。在11例子宫内膜异位症药物或手术治疗后仍有疼痛的患者中,他们采用艺术疗法作为曼陀罗疗法进行治疗。治疗后,11例患者中有7例VAS(视觉模拟评分)明显降低(P<0.05),但11例患者中有4例VAS未降低。因此,我认为曼陀罗艺术疗法对子宫内膜异位症药物或手术治疗后的残余疼痛有帮助。但由于样本量更大,持续时间更长,还需要进一步的研究。
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